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Sample records for underwent substantial decadal

  1. Establishing Substantial Equivalence: Transcriptomics

    Science.gov (United States)

    Baudo, María Marcela; Powers, Stephen J.; Mitchell, Rowan A. C.; Shewry, Peter R.

    Regulatory authorities in Western Europe require transgenic crops to be substantially equivalent to conventionally bred forms if they are to be approved for commercial production. One way to establish substantial equivalence is to compare the transcript profiles of developing grain and other tissues of transgenic and conventionally bred lines, in order to identify any unintended effects of the transformation process. We present detailed protocols for transcriptomic comparisons of developing wheat grain and leaf material, and illustrate their use by reference to our own studies of lines transformed to express additional gluten protein genes controlled by their own endosperm-specific promoters. The results show that the transgenes present in these lines (which included those encoding marker genes) did not have any significant unpredicted effects on the expression of endogenous genes and that the transgenic plants were therefore substantially equivalent to the corresponding parental lines.

  2. Establishing Substantial Equivalence: Proteomics

    Science.gov (United States)

    Lovegrove, Alison; Salt, Louise; Shewry, Peter R.

    Wheat is a major crop in world agriculture and is consumed after processing into a range of food products. It is therefore of great importance to determine the consequences (intended and unintended) of transgenesis in wheat and whether genetically modified lines are substantially equivalent to those produced by conventional plant breeding. Proteomic analysis is one of several approaches which can be used to address these questions. Two-dimensional PAGE (2D PAGE) remains the most widely available method for proteomic analysis, but is notoriously difficult to reproduce between laboratories. We therefore describe methods which have been developed as standard operating procedures in our laboratory to ensure the reproducibility of proteomic analyses of wheat using 2D PAGE analysis of grain proteins.

  3. Megarectumsigma underwent surgery for chronic faecal impact action

    International Nuclear Information System (INIS)

    Canessa, C.; Gomez del Valle, M.; Caraballo, M.

    2002-01-01

    Seven patients with megarectumsigma underwent surgery for chronic faecal impaction,reviewing clinical diagnosis, aetiology and medical and surgical management.It is suggested medical management of chronic faecal impaction trying to achieve elective surgery.The curative surgery should include the resection of all pathologic bowel, but in Duhamel procedure and its modifications distal rectal tran section should be at the peritoneal reflection.Habr-Gama modification has shown to be technically easier and it has been communicated good functional results.Local unfavourable conditions may be resolve by staged surgery,which allows outline definitive bowel reconstruction after functional assessment

  4. ALGORITHM FOR MANAGEMENT OF HYPERTENSIVE PATIENTS UNDERWENT UROLOGY INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    S. S. Davydova

    2013-01-01

    Full Text Available Aim. To study the efficacy of cardiovascular non-invasive complex assessment and pre-operative preparation in hypertensive patients needed in surgical treatment of urology dis- eases.Material and methods. Males (n=883, aged 40 to 80 years were included into the study. The main group consisted of patients that underwent laparotomic nephrectomy (LTN group; n=96 and patients who underwent laparoscopic nephrectomy (LSN group; n=53. Dynamics of ambulatory blood pressure monitoring (ABPM data was analyzed in these groups in the immediate postoperative period. The efficacy of a package of non-invasive methods for cardiovascular system assessment was studied. ABPM was performed after nephrectomy (2-nd and 10-th days after surgery in patients with complaints of vertigo episodes or intense general weakness to correct treatment.Results. In LTN group hypotension episodes or blood pressure (BP elevations were observed in 20 (20.8% and 22 (22.9% patients, respectively, on the 2-nd day after the operation. These complications required antihypertensive treatment correction. Patients with hypotension episodes were significantly older than patients with BP elevation and had significantly lower levels of 24-hour systolic BP, night diastolic BP and minimal night systolic BP. Re-adjustment of antihypertensive treatment on the 10-th postoperative day was required to 2 (10% patients with hypotension episodes and to 1 (4.5% patient with BP elevation. Correction of antihypertensive therapy was required to all patients in LSN group on the day 2, and to 32 (60.4% patients on the 10-th day after the operation. Reduction in the incidence of complications (from 1.2% in 2009 to 0.3% in 2011, p<0.001 was observed during the application of cardiovascular non-invasive complex assessment and preoperative preparation in hypertensive patients.Conclusion. The elaborated management algorithm for patients with concomitant hypertension is recommended to reduce the cardiovascular

  5. ALGORITHM FOR MANAGEMENT OF HYPERTENSIVE PATIENTS UNDERWENT UROLOGY INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    S. S. Davydova

    2015-09-01

    Full Text Available Aim. To study the efficacy of cardiovascular non-invasive complex assessment and pre-operative preparation in hypertensive patients needed in surgical treatment of urology dis- eases.Material and methods. Males (n=883, aged 40 to 80 years were included into the study. The main group consisted of patients that underwent laparotomic nephrectomy (LTN group; n=96 and patients who underwent laparoscopic nephrectomy (LSN group; n=53. Dynamics of ambulatory blood pressure monitoring (ABPM data was analyzed in these groups in the immediate postoperative period. The efficacy of a package of non-invasive methods for cardiovascular system assessment was studied. ABPM was performed after nephrectomy (2-nd and 10-th days after surgery in patients with complaints of vertigo episodes or intense general weakness to correct treatment.Results. In LTN group hypotension episodes or blood pressure (BP elevations were observed in 20 (20.8% and 22 (22.9% patients, respectively, on the 2-nd day after the operation. These complications required antihypertensive treatment correction. Patients with hypotension episodes were significantly older than patients with BP elevation and had significantly lower levels of 24-hour systolic BP, night diastolic BP and minimal night systolic BP. Re-adjustment of antihypertensive treatment on the 10-th postoperative day was required to 2 (10% patients with hypotension episodes and to 1 (4.5% patient with BP elevation. Correction of antihypertensive therapy was required to all patients in LSN group on the day 2, and to 32 (60.4% patients on the 10-th day after the operation. Reduction in the incidence of complications (from 1.2% in 2009 to 0.3% in 2011, p<0.001 was observed during the application of cardiovascular non-invasive complex assessment and preoperative preparation in hypertensive patients.Conclusion. The elaborated management algorithm for patients with concomitant hypertension is recommended to reduce the cardiovascular

  6. Intraoperative seizures and seizures outcome in patients underwent awake craniotomy.

    Science.gov (United States)

    Yuan, Yang; Peizhi, Zhou; Xiang, Wang; Yanhui, Liu; Ruofei, Liang; Shu, Jiang; Qing, Mao

    2016-11-25

    Awake craniotomies (AC) could reduce neurological deficits compared with patients under general anesthesia, however, intraoperative seizure is a major reason causing awake surgery failure. The purpose of the study was to give a comprehensive overview the published articles focused on seizure incidence in awake craniotomy. Bibliographic searches of the EMBASE, MEDLINE,were performed to identify articles and conference abstracts that investigated the intraoperative seizure frequency of patients underwent AC. Twenty-five studies were included in this meta-analysis. Among the 25 included studies, one was randomized controlled trials and 5 of them were comparable studies. The pooled data suggested the general intraoperative seizure(IOS) rate for patients with AC was 8%(fixed effect model), sub-group analysis identified IOS rate for glioma patients was 8% and low grade patients was 10%. The pooled data showed early seizure rates of AC patients was 11% and late seizure rates was 35%. This systematic review and meta-analysis shows that awake craniotomy is a safe technique with relatively low intraoperative seizure occurrence. However, few RCTs were available, and the acquisition of further evidence through high-quality RCTs is highly recommended.

  7. 24 CFR 902.79 - Substantial default.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Substantial default. 902.79 Section... PUBLIC HOUSING ASSESSMENT SYSTEM PHAS Incentives and Remedies § 902.79 Substantial default. (a) Events or conditions that constitute substantial default. The following events or conditions shall constitute...

  8. A Decade of Suspicion

    DEFF Research Database (Denmark)

    Rytter, Mikkel; Pedersen, Marianne Holm

    2014-01-01

    In 2011, al-Qaeda leader, Osama Bin Laden, was killed in Pakistan and the US president, Barack Obama, concluded a decade of global ‘war against terror’. In light of this, it seems only sensible to explore what implications the post-9/11 international developments have had on a local basis...

  9. Decades of Discovery

    Science.gov (United States)

    2011-06-01

    For the past two-and-a-half decades, the Office of Science at the U.S. Department of Energy has been at the forefront of scientific discovery. Over 100 important discoveries supported by the Office of Science are represented in this document.

  10. Increased greenhouse effect substantiated through measurements

    International Nuclear Information System (INIS)

    Skartveit, Arvid

    2001-01-01

    The article presents studies on the greenhouse effect which substantiates the results from satellite measurements during the period 1970 - 1997. These show an increased effect due to increase in the concentration of the climatic gases CO 2 , methane, CFC-11 and CFC-12 in the atmosphere

  11. 21 CFR 514.4 - Substantial evidence.

    Science.gov (United States)

    2010-04-01

    ... adequate and well-controlled studies, such as a study in a target species, study in laboratory animals... and conditions of use. Substantial evidence of effectiveness of a new animal drug shall demonstrate that the new animal drug is effective for each intended use and associated conditions of use for and...

  12. Toward More Substantial Theories of Language Acquisition

    Science.gov (United States)

    Jenson, Cinnamon Ann

    2015-01-01

    Cognitive linguists argue that certain sets of knowledge of language are innate. However, critics have argued that the theoretical concept of "innateness" should be eliminated since it is ambiguous and insubstantial. In response, I aim to strengthen theories of language acquisition and identify ways to make them more substantial. I…

  13. International Lunar Decade Status

    Science.gov (United States)

    Beldavs, VZ; Crisafulli, J.; Dunlop, D.; Foing, B.

    2017-09-01

    The International Lunar Decade is a global decadal event designed to provide a framework for strategically directed international cooperation for permanent return to the Moon. To be launched July 20, 2019, the 50th anniversary of the giant leap for mankind marked by Neil Armstrong's first step on the Moon, the ILD launch will include events around the world to celebrate space exploration, science, and the expansion of humanity into the Solar System. The ILD framework links lunar exploration and space sciences with the development of enabling technologies, infrastructure, means of financing, laws and policies aimed at lowering the costs and risks of venturing into space. Dramatically reduced costs will broaden the range of opportunities available in space and widen access to space for more states, companies and people worldwide. The ILD is intended to bring about the efflorescence of commercial business based on space resources from the Moon, asteroids, comets and other bodies in the Solar System.

  14. Serum Zn levels in dysphagic patients who underwent endoscopic gastrostomy for long term enteral nutrition

    OpenAIRE

    Adriana Santos, Carla; Fonseca, Jorge; Brito, José; Fernandes, Tânia; Gonçalves, Luísa; Sousa Guerreiro, António

    2014-01-01

    Background and aims: Dysphagic patients who underwent endoscopic gastrostomy (PEG) usually present protein-energy malnutrition, but little is known about micronutrient malnutrition. The aim of the present study was the evaluation of serum zinc in patients who underwent endoscopic gastrostomy and its relationship with serum proteins, whole blood zinc, and the nature of underlying disorder. Methods: From patients that underwent gastrostomy a blood sample was obtained minutes before the procedur...

  15. The second decade

    Directory of Open Access Journals (Sweden)

    M. Amini

    2004-12-01

    Full Text Available   It is ten years since the Iranian Journal of Physics Research has been in publication. For the Occasion of the 10th anniversary of its publication, we have planned several changes and modifications. These includes increasing the annual issues to four and omission of Introduction of Previously-Published Papers in International Journals section. In this article some statistical information of the published articles is given together with the index of the journals referees. As we enter the second decade of our publication, we face several questions. In this article we share these questions with our readers in the hope of finding the best possible solutions, so that we would be able to publish a better journal in future.

  16. One decade after Chernobyl

    International Nuclear Information System (INIS)

    Harrison, J.R.

    1996-01-01

    The European Commission, the International Atomic Energy Agency and the World Health Organization, in cooperation with other international organisations, sponsored a major conference in Vienna in April 1996. The conference, One Decade After Chernobyl: Summing Up the Consequences of the Accident, was attended by more than 800 delegates from over 70 countries and organisations. The increasing incidence of childhood thyroid cancer and the major psychological stress reaction of the relocated populations show that the aftermath of the accident is not yet at an end. Nevertheless, the conference was an excellent opportunity for politicians and scientists of the affected republics to report on these issues and for the overall consequences to be put into perspective. (Author)

  17. Tides and Decadal Variability

    Science.gov (United States)

    Ray, Richard D.

    2003-01-01

    This paper reviews the mechanisms by which oceanic tides and decadal variability in the oceans are connected. We distinguish between variability caused by tides and variability observed in the tides themselves. Both effects have been detected at some level. The most obvious connection with decadal timescales is through the 18.6-year precession of the moon's orbit plane. This precession gives rise to a small tide of the same period and to 18.6-year modulations in the phase and amplitudes of short-period tides. The 18.6-year "node tide" is very small, no more than 2 cm anywhere, and in sea level data it is dominated by the ocean's natural Variability. Some authors have naively attributed climate variations with periods near 19 years directly to the node tide, but the amplitude of the tide is too small for this mechanism to be operative. The more likely explanation (Loder and Garrett, JGR, 83, 1967-70, 1978) is that the 18.6-y modulations in short-period tides, especially h e principal tide M2, cause variations in ocean mixing, which is then observed in temperature and other climatic indicators. Tidally forced variability has also been proposed by some authors, either in response to occasional (and highly predictable) tidal extremes or as a nonlinear low-frequency oscillation caused by interactions between short-period tides. The former mechanism can produce only short-duration events hardly more significant than normal tidal ranges, but the latter mechanism can in principle induce low-frequency oscillations. The most recent proposal of this type is by Keeling and Whorf, who highlight the 1800-year spectral peak discovered by Bond et al. (1997). But the proposal appears contrived and should be considered, in the words of Munk et al. (2002), "as the most likely among unlikely candidates."

  18. Substantiating the Incurred but not Reported Reserve

    Directory of Open Access Journals (Sweden)

    Georgeta Vintilã

    2009-12-01

    Full Text Available In order to handle past and future liability taken by insurance contracts concluded, any insurance company must constitute and maintain technical reserves. Substantiating technical reserves is done through actuarial methods and its over-evaluation or under-evaluation influence solvency and financial performance of the insurance companies, in the sense of reducing solvency through over-evaluating reserves and, respectively, influencing profit (hence of outstanding tax through under-evaluating reserves. An important reserve for insurance companies is represented by the incurred but not reported reserve, as it allows the estimation of the liability the company may confront in the future, generated by events occurred in the past, which are not currently known in the present but will be reported in the future.

  19. The decade of despair

    International Nuclear Information System (INIS)

    Marples, D.R.

    1996-01-01

    The Chernobyl accident on April 26, 1986, was the world's worst disaster at a civilian nuclear power plant. It is also one of the most widely known and controversial disasters of all time. Wildly exaggerated claims have been made about the accident's impact; equally wild assertions have been made in dismissing its effects. Objective assessments are few. The truth about Chernobyl has been bent from the start - the Soviet Union wanted to protect the reputation of its amibitious nuclear power program, and the nuclear industry everywhere wanted the public to believe that a similar disaster open-quotes could not happen here.close quotes Still, after a decade, it should be possible to view the event without the emotions that have shaped many earlier discussions. In reviewing various aspects of the disaster, the author tries to provide a reasoned discussion of the number of the accident's direct casualties, its longterm health effects, and its meaning to an industry that relies on Soviet-made nuclear power reactors

  20. Decades of nuclear testing

    International Nuclear Information System (INIS)

    Miettinen, J.K.

    1995-01-01

    The United States carried out the world's first nuclear test in 1945. The test marked the beginning of an arms race between the great powers that lasted for decades. Innumerable nuclear test explosions were detonated to test and refine the weapons. The arms race picked up speed in the 1950s and culminated in 1958, when the United States detonated 77 and the Soviet Union 35 nuclear explosions. This was followed by the first pause in nuclear testing, brought about through the efforts of the Pugwash organisation consisting of the world's foremost scientists. Finland, too, received its share of the radioactive fallout coming from atmospheric nuclear explosions. Rain water samples have been studied for radioactivity in Finland since the mid-1950s. The first studies to determine the internal radiation doses caused by radioactive substances in man were conducted in the late 1950s by measuring cesium and strontium contents in grass and in milk. The efficiency of research and radiation monitoring improved in the 1960s, which was also a time when training in the sector developed rapidly. In consequence, when the accident in Chernobyl took place Finland had already gained valuable experience needed for rapid determination of unexpected fallout. (orig.) (3 figs.)

  1. Substantial nitrogen pollution embedded in international trade

    Science.gov (United States)

    Oita, Azusa; Malik, Arunima; Kanemoto, Keiichiro; Geschke, Arne; Nishijima, Shota; Lenzen, Manfred

    2016-02-01

    Anthropogenic emissions of reactive nitrogen to the atmosphere and water bodies can damage human health and ecosystems. As a measure of a nation’s contribution to this potential damage, a country’s nitrogen footprint has been defined as the quantity of reactive nitrogen emitted during the production, consumption and transportation of commodities consumed within that country, whether those commodities are produced domestically or internationally. Here we use global emissions databases, a global nitrogen cycle model, and a global input-output database of domestic and international trade to calculate the nitrogen footprints for 188 countries as the sum of emissions of ammonia, nitrogen oxides and nitrous oxide to the atmosphere, and of nitrogen potentially exportable to water bodies. Per-capita footprints range from under 7 kg N yr-1 in some developing countries to over 100 kg N yr-1 in some wealthy nations. Consumption in China, India, the United States and Brazil is responsible for 46% of global emissions. Roughly a quarter of the global nitrogen footprint is from commodities that were traded across country borders. The main net exporters have significant agricultural, food and textile exports, and are often developing countries, whereas important net importers are almost exclusively developed economies. We conclude that substantial local nitrogen pollution is driven by demand from consumers in other countries.

  2. Substantial Union or Substantial Distinction of Mind and Body in Descartes' Metaphysics

    Directory of Open Access Journals (Sweden)

    Fahime Jamei

    2009-01-01

    Full Text Available According to Descartes’ metaphysics there are two different kinds of substances in the world of creatures: “thinking substance” and “extended substance” or soul and matter. In Descartes’ philosophy the soul is equal to the mind and considered as a “thinking substance”. This immaterial substance is the essence of the human being. Body, being considered as a “matter“, is an “extended substance” and entirely distinct from the soul. The soul, therefore, exists and may be known prior to body and, not being corporeal, can exist after human death. Hence, Descartes can prove the immortality of human soul in the framework of the principle of substantial distinction. On the other hand, as a physiologist and psychologist, Descartes indeed believes in mind-body union, so that some causal interactions between mind and body show their substantial union. In this essay, the authors show that Descartes faces a serious problem in combining substantial union of mind and body with their substantial distinction; despite of his efforts in introducing the idea of pineal gland, the problem remains unsolved. Therefore it seems that as he cannot dispense with his only reason for proving the immortality of human soul, he has to hold the mind-body distinction theory in his metaphysics. Indeed, Descartes prefers to support the distinction theory rather than union theory in confronting a thesis and an antithesis stating one of two theories

  3. Substantial :union: or Substantial Distinction of Mind and Body in Descartes\\' Metaphysics

    Directory of Open Access Journals (Sweden)

    f Jamei

    2009-06-01

    Full Text Available According to Descartes’ metaphysics there are two different kinds of substances in the world of creatures: “thinking substance” and “extended substance” or soul and matter. In Descartes’ philosophy the soul is equal to the mind and considered as a “thinking substance”. This immaterial substance is the essence of the human being. Body, being considered as a “matter“, is an “extended substance” and entirely distinct from the soul. The soul, therefore, exists and may be known prior to body and, not being corporeal, can exist after human death. Hence, Descartes can prove the immortality of human soul in the framework of the principle of substantial distinction. On the other hand, as a physiologist and psychologist, Descartes indeed believes in mind-body :union:, so that some causal interactions between mind and body show their substantial :union:. In this essay, the authors show that Descartes faces a serious problem in combining substantial :union: of mind and body with their substantial distinction despite of his efforts in introducing the idea of pineal gland, the problem remains unsolved. Therefore it seems that as he cannot dispense with his only reason for proving the immortality of human soul, he has to hold the mind-body distinction theory in his metaphysics. Indeed, Descartes prefers to support the distinction theory rather than :union: theory in confronting a thesis and an antithesis stating one of two theories.

  4. Substantial proportion of global streamflow less than three months old

    Science.gov (United States)

    Jasechko, Scott; Kirchner, James W.; Welker, Jeffrey M.; McDonnell, Jeffrey J.

    2016-02-01

    Biogeochemical cycles, contaminant transport and chemical weathering are regulated by the speed at which precipitation travels through landscapes and reaches streams. Streamflow is a mixture of young and old precipitation, but the global proportions of these young and old components are not known. Here we analyse seasonal cycles of oxygen isotope ratios in rain, snow and streamflow compiled from 254 watersheds around the world, and calculate the fraction of streamflow that is derived from precipitation that fell within the past two or three months. This young streamflow accounts for about a third of global river discharge, and comprises at least 5% of discharge in about 90% of the catchments we investigated. We conclude that, although typical catchments have mean transit times of years or even decades, they nonetheless can rapidly transmit substantial fractions of soluble contaminant inputs to streams. Young streamflow is less prevalent in steeper landscapes, which suggests they are characterized by deeper vertical infiltration. Because young streamflow is derived from less than 0.1% of global groundwater storage, we conclude that this thin veneer of aquifer storage will have a disproportionate influence on stream water quality.

  5. 20 CFR 416.1075 - Finding of substantial failure.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Finding of substantial failure. 416.1075... AGED, BLIND, AND DISABLED Determinations of Disability Substantial Failure § 416.1075 Finding of substantial failure. A finding of substantial failure with respect to a State may not be made unless and until...

  6. 20 CFR 404.1675 - Finding of substantial failure.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Finding of substantial failure. 404.1675... DISABILITY INSURANCE (1950- ) Determinations of Disability Substantial Failure § 404.1675 Finding of substantial failure. A finding of substantial failure with respect to a State may not be made unless and until...

  7. [A Distal Bile Duct Carcinoma Patient Who Underwent Surgical Resection for Liver Metastasis].

    Science.gov (United States)

    Komiyama, Sosuke; Izumiya, Yasuhito; Kimura, Yu; Nakashima, Shingo; Kin, Syuichi; Kawakami, Sadao

    2018-03-01

    A 70-year-old man with distal bile duct carcinoma underwent a subtotal stomach-preserving pancreaticoduodenectomy without adjuvant chemotherapy. One and a half years after the surgery, elevated levels of serum SPan-1(38.1 U/mL)were observed and CT scans demonstrated a solitary metastasis, 25mm in size, in segment 8 of the liver. The patient received 2 courses of gemcitabine-cisplatin combination chemotherapy. No new lesions were detected after chemotherapy and the patient underwent a partial liver resection of segment 8. The pathological examination revealed a metachronous distant metastasis originating from the bile duct carcinoma. Subsequently, the patient received S-1 adjuvant chemotherapy for 6 months. Following completion of all therapies, the patient survived without tumor recurrence for 3 years and 10 months after the initial operation. Thus, surgical interventions might be effective in improving prognosis among selected patients with postoperative liver metastasis of bile duct carcinoma.

  8. Dysphagia among Adult Patients who Underwent Surgery for Esophageal Atresia at Birth

    Directory of Open Access Journals (Sweden)

    Valérie Huynh-Trudeau

    2015-01-01

    Full Text Available BACKGROUND: Clinical experiences of adults who underwent surgery for esophageal atresia at birth is limited. There is some evidence that suggests considerable long-term morbidity, partly because of dysphagia, which has been reported in up to 85% of adult patients who undergo surgery for esophageal atresia. The authors hypothesized that dysphagia in this population is caused by dysmotility and/or anatomical anomalies.

  9. Effect of using pump on postoperative pleural effusion in the patients that underwent CABG

    Directory of Open Access Journals (Sweden)

    Mehmet Özülkü

    2015-08-01

    Full Text Available Abstract Objective: The present study investigated effect of using pump on postoperative pleural effusion in patients who underwent coronary artery bypass grafting. Methods: A total of 256 patients who underwent isolated coronary artery bypass grafting surgery in the Cardiovascular Surgery clinic were enrolled in the study. Jostra-Cobe (Model 043213 105, VLC 865, Sweden heart-lung machine was used in on-pump coronary artery bypass grafting. Off-pump coronary artery bypass grafting was performed using Octopus and Starfish. Proximal anastomoses to the aorta in both on-pump and off-pump techniques were performed by side clamps. The patients were discharged from the hospital between postoperative day 6 and day 11. Results: The incidence of postoperative right pleural effusion and bilateral pleural effusion was found to be higher as a count in Group 1 (on-pump as compared to Group 2 (off-pump. But the difference was not statistically significant [P>0.05 for right pleural effusion (P=0.893, P>0.05 for bilateral pleural effusion (P=0.780]. Left pleural effusion was encountered to be lower in Group 2 (off-pump. The difference was found to be statistically significant (P<0.05, P=0.006. Conclusion: Under the light of these results, it can be said that left pleural effusion is less prevalent in the patients that underwent off-pump coronary artery bypass grafting when compared to the patients that underwent on-pump coronary artery bypass grafting.

  10. Incidence of Bradycardia and Outcomes of Patients Who Underwent Orbital Atherectomy Without a Temporary Pacemaker.

    Science.gov (United States)

    Lee, Michael S; Nguyen, Heajung; Shlofmitz, Richard

    2017-02-01

    We analyzed the incidence of bradycardia and the safety of patients with severely calcified coronary lesions who underwent orbital atherectomy without the insertion of a temporary pacemaker. The presence of severely calcified coronary lesions can increase the complexity of percutaneous coronary intervention due to the difficulty in advancing and optimally expanding the stent. High-pressure inflations to predilate calcified lesions may cause angiographic complications like perforation and dissection. Suboptimal stent expansion is associated with stent thrombosis and restenosis. Orbital atherectomy safely and effectively modifies calcified plaque to facilitate optimal stent expansion. The incidence of bradycardia in orbital atherectomy is unknown. Fifty consecutive patients underwent orbital atherectomy from February 2014 to September 2016 at our institution, none of whom underwent insertion of a temporary pacemaker. The final analysis included 47 patients in this retrospective study as 3 patients were excluded because of permanent pacemaker implantation. The primary endpoint was significant bradycardia, defined as bradycardia requiring emergent pacemaker placement or a heart rate pacemaker appears to be safe.

  11. Comparison of Voice Quality Between Patients Who Underwent Inferior Turbinoplasty or Radiofrequency Cauterization.

    Science.gov (United States)

    Göker, Ayşe Enise; Aydoğdu, İmran; Saltürk, Ziya; Berkiten, Güler; Atar, Yavuz; Kumral, Tolgar Lütfi; Uyar, Yavuz

    2017-01-01

    The aim of this study was to analyze and compare the vocal quality in patients who underwent either submucosal turbinectomy or radiofrequency cauterization. In this study, we enrolled 60 patients diagnosed with inferior concha hypertrophy. These patients were divided into two groups by using computer program "Research Randomizer." Of the 60 patients, 30 underwent submucosal inferior turbinoplasty and 30 underwent radiofrequency cauterization. The control group was composed of 30 healthy adults with no nasal or upper aerodigestive system pathology. The patients were checked at weeks 1, 2, and 4. Voice records were taken before the procedure and at week 4 postprocedure. The mean age of patients in the inferior turbinoplasty group was 29.4 years (range: 19-42 years); in the radiofrequency group, it was 30.30 years (range: 18-50 years). There was no statistical difference in age between groups. In the inferior turbinoplasty group, there were 16 male and 14 female patients, and in the radiofrequency group, there were 13 male and 17 female patients. There was no significant difference in the number of males and females between groups. Voice professionals, especially singers, actors, and actresses, should be informed about possible voice changes before undergoing endonasal surgery because these individuals are more sensitive to changes in resonance organs. We believe that voice quality should be regarded as a highly important parameter when measuring the success of endonasal surgery. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  12. Evolution of elderly patients who underwent cardiac surgery with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Alain Moré Duarte

    2016-01-01

    Full Text Available Introduction: There is a steady increase in the number of elderly patients with severe cardiovascular diseases who require a surgical procedure to recover some quality of life that allows them a socially meaningful existence, despite the risks.Objectives: To analyze the behavior of elderly patients who underwent cardiac surgery with cardiopulmonary bypass.Method: A descriptive, retrospective, cross-sectional study was conducted with patients over 65 years of age who underwent surgery at the Cardiocentro Ernesto Che Guevara, in Santa Clara, from January 2013 to March 2014.Results: In the study, 73.1% of patients were men; and there was a predominance of subjects between 65 and 70 years of age, accounting for 67.3%. Coronary artery bypass graft was the most prevalent type of surgery and had the longest cardiopulmonary bypass times. Hypertension was present in 98.1% of patients. The most frequent postoperative complications were renal dysfunction and severe low cardiac output, with 44.2% and 34.6% respectively.Conclusions: There was a predominance of men, the age group of 65 to 70 years, hypertension, and patients who underwent coronary artery bypass graft with prolonged cardiopulmonary bypass. Renal dysfunction was the most frequent complication.

  13. Acute myocardial infarctation in patients with critical ischemia underwent lower limb revascularization

    Directory of Open Access Journals (Sweden)

    Esdras Marques Lins

    2013-12-01

    Full Text Available BACKGROUND: Atherosclerosis is the main cause of peripheral artery occlusive disease (PAOD of the lower limbs. Patients with PAOD often also have obstructive atherosclerosis in other arterial sites, mainly the coronary arteries. This means that patients who undergo infrainguinal bypass to treat critical ischemia have a higher risk of AMI. There are, however, few reports in the literature that have assessed this risk properly. OBJECTIVE: The aim of this study was to determine the incidence of acute myocardial infarction in patients who underwent infrainguinal bypass to treat critical ischemia of the lower limbs caused by PAOD. MATERIAL AND METHODS: A total of 64 patients who underwent 82 infrainguinal bypass operations, from February 2011 to July 2012 were studied. All patients had electrocardiograms and troponin I blood assays during the postoperative period (within 72 hours. RESULTS: There were abnormal ECG findings and elevated blood troponin I levels suggestive of AMI in five (6% of the 82 operations performed. All five had conventional surgery. The incidence of AMI as a proportion of the 52 conventional surgery cases was 9.6%. Two patients died. CONCLUSION: There was a 6% AMI incidence among patients who underwent infrainguinal bypass due to PAOD. Considering only cases operated using conventional surgery, the incidence of AMI was 9.6%.

  14. Factors related to postoperative pain among patients who underwent radiofrequency ablation of hepatocellular carcinoma

    International Nuclear Information System (INIS)

    Hsieh, Y.-C.; Yap, Y.-S.; Hung, C.-H.; Chen, C.-H.; Lu, S.-N.; Wang, J.-H.

    2013-01-01

    Aim: To evaluate the incidence and associated factors of postoperative intense pain and haemodynamic changes during radiofrequency ablation of hepatocellular carcinoma. Materials and methods: A total of 123 consecutive hepatocellular carcinoma patients who underwent radiofrequency ablation were prospectively recruited. Patient factors, tumour characteristics, procedural factors, intraoperative haemodynamic changes, complications, postoperative events, laboratory values before and after ablation, and postoperative pain were evaluated. Postoperative pain was scored using a visual analogue scale after the procedure. Results: The mean age of the patients was 65.6 ± 9.6 years. In multiple logistic regression analysis, patients who underwent general anaesthesia [odds ratio (95% CI): 2.68 (1.23–5.81); p = 0.013] and had more postoperative nausea and vomiting episodes [3.10 (1.11–8.63); p = 0.036] were associated with intense pain. These findings remain robust after propensity score matching. For mean difference values between before and after RFA, higher in change in aspartate transaminase (p = 0.026), alanine transaminase (p = 0.016) and white blood cell count (p = 0.015), and lower in change in haemoglobin (p = 0.009) were also correlated with intense pain. There was no significant difference in haemodynamic changes between the general anaesthesia and local anaesthesia group during ablation. Conclusion: General anaesthesia, postoperative nausea and vomiting, and laboratory factors were associated with postoperative intense pain in patients who underwent radiofrequency ablation. Counselling and modification of analgesics should be considered in patients with related factors for intense pain

  15. Safety and Tolerability of Transitioning from Cangrelor to Ticagrelor in Patients Who Underwent Percutaneous Coronary Intervention.

    Science.gov (United States)

    Badreldin, Hisham A; Carter, Danielle; Cook, Bryan M; Qamar, Arman; Vaduganathan, Muthiah; Bhatt, Deepak L

    2017-08-01

    The 3 phase 3 CHAMPION (Cangrelor vs Standard Therapy to Achieve Optimal Management of Platelet Inhibition) trials collectively demonstrated the safety of transitioning from cangrelor, a potent, parenteral rapidly-acting P2Y 12 inhibitor, to clopidogrel in patients who underwent percutaneous coronary intervention (PCI). However, variation in timing of therapy, site-specific binding, and drug half-lives may theoretically complicate switching to other oral P2Y 12 inhibitors. Since regulatory approval, limited data are available regarding the "real-world" safety and tolerability of transitioning to these more potent oral P2Y 12 antagonists. From November 2015 to January 2017, we evaluated the clinical profiles and efficacy and safety outcomes in cangrelor-treated patients who underwent PCI transitioned to clopidogrel (n = 42) or ticagrelor (n = 82) at a large, tertiary care center. Most patients receiving cangrelor underwent PCI with a drug-eluting stent for acute coronary syndrome via a radial approach in the background of unfractionated heparin. Stent thrombosis within 48 hours was rare and occurred in 1 patient treated with ticagrelor. Global Use of Strategies to Open Occluded Coronary Arteries-defined bleeding occurred in 20% of patients switched to ticagrelor and 29% of patients switched to clopidogrel, but none were severe or life-threatening. In conclusion, rates of stent thrombosis and severe/life-threatening bleeding were low and comparable with those identified in the CHAMPION program, despite use of more potent oral P2Y 12 inhibition. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Surrogate pregnancy in a patient who underwent radical hysterectomy and bilateral transposition of ovaries.

    Science.gov (United States)

    Azem, Foad; Yovel, Israel; Wagman, Israel; Kapostiansky, Rita; Lessing, Joseph B; Amit, Ami

    2003-05-01

    To evaluate IVF-surrogate pregnancy in a patient with ovarian transposition after radical hysterectomy for carcinoma of the cervix. Case report. A maternity hospital in Tel Aviv that is a major tertiary care and referral center. A 29-year-old woman who underwent Wertheim's hysterectomy for carcinoma of the uterine cervix and ovarian transposition before total pelvic irradiation. Standard IVF treatment, transabdominal oocyte retrieval, and transfer to surrogate mother. Outcome of IVF cycle. A twin pregnancy in the first cycle. This is the second reported case of controlled ovarian stimulation and oocyte retrieval performed on a transposed ovary.

  17. [A Case of Ascending Colon Cancer with Lynch Syndrome Who Underwent XELOX Adjuvant Chemotherapy].

    Science.gov (United States)

    Takase, Koki; Murata, Kohei; Kagawa, Yoshinori; Nose, Yohei; Kawai, Kenji; Sakamoto, Takuya; Naito, Atsushi; Murakami, Kohei; Katsura, Yoshiteru; Omura, Yoshiaki; Takeno, Atsushi; Nakatsuka, Shinichi; Takeda, Yutaka; Kato, Takeshi; Tamura, Shigeyuki

    2018-01-01

    Lynch syndrome is an inherited syndrome with the development of the colorectal and various other cancers. Lynch syndrome is caused by mutations in the mismatch repair genes. A 33 year-old male underwent XELOX adjuvant chemotherapy for ascending colon cancer with Lynch syndrome. Although efficacy of 5-FU is not demonstrated in Lynch syndrome, MOSAIC trial had suggested a benefit from FOLFOX compared with 5-FU in patients who have colorectal cancer with Lynch syndrome. Oxaliplatin-based adjuvant chemotherapy can be a therapeutic option for colorectal cancer in lynch syndrome patients.

  18. Decades with four double triodes

    International Nuclear Information System (INIS)

    Wahl, R.

    1952-01-01

    Decades with four double triodes The described decade consists of four double triodes and four crystals germanium; which has the following characteristics: - Attack in negative impulses. - Sensitivity 12 volts ± 40 % for signals of 1 μs about. - Time of resolution 2,5 μs. - Voltage 250 v ± 40 %. - heating 6,3 v ± 40 %. - Tolerance on the values of the elements of installation 10%. (author) [fr

  19. HLA-G regulatory haplotypes and implantation outcome in couples who underwent assisted reproduction treatment.

    Science.gov (United States)

    Costa, Cynthia Hernandes; Gelmini, Georgia Fernanda; Wowk, Pryscilla Fanini; Mattar, Sibelle Botogosque; Vargas, Rafael Gustavo; Roxo, Valéria Maria Munhoz Sperandio; Schuffner, Alessandro; Bicalho, Maria da Graça

    2012-09-01

    The role of HLA-G in several clinical conditions related to reproduction has been investigated. Important polymorphisms have been found within the 5'URR and 3'UTR regions of the HLA-G promoter. The aim of the present study was to investigate 16 SNPs in the 5'URR and 14-bp insertion/deletion (ins/del) polymorphism located in the 3'UTR region of the HLA-G gene and its possible association with the implantation outcome in couples who underwent assisted reproduction treatments (ART). The case group was composed of 25 ART couples. Ninety-four couples with two or more term pregnancies composed the control group. Polymorphism haplotype frequencies of the HLA-G were determined for both groups. The Haplotype 5, Haplotype 8 and Haplotype 11 were absolute absence in ART couples. The HLA-G*01:01:02a, HLA-G*01:01:02b alleles and the 14-bp ins polymorphism, Haplotype 2, showed an increased frequency in case women and similar distribution between case and control men. However, this susceptibility haplotype is significantly presented in case women and in couple with failure implantation after treatment, which led us to suggest a maternal effect, associated with this haplotype, once their presence in women is related to a higher number of couples who underwent ART. Copyright © 2012. Published by Elsevier Inc.

  20. Sarcopenia: a new predictor of postoperative complications for elderly gastric cancer patients who underwent radical gastrectomy.

    Science.gov (United States)

    Zhou, Chong-Jun; Zhang, Feng-Min; Zhang, Fei-Yu; Yu, Zhen; Chen, Xiao-Lei; Shen, Xian; Zhuang, Cheng-Le; Chen, Xiao-Xi

    2017-05-01

    A geriatric assessment is needed to identify high-risk elderly patients with gastric cancer. However, the current geriatric assessment has been considered to be either time-consuming or subjective. The present study aimed to investigate the predictive effect of sarcopenia on the postoperative complications for elderly patients who underwent radical gastrectomy. We conducted a prospective study of patients who underwent radical gastrectomy from August 2014 to December 2015. Computed tomography-assessed lumbar skeletal muscle, handgrip strength, and gait speed were measured to define sarcopenia. Sarcopenia was present in 69 of 240 patients (28.8%) and was associated with lower body mass index, lower serum albumin, lower hemoglobin, and higher nutritional risk screening 2002 scores. Postoperative complications significantly increased in the sarcopenic patients (49.3% versus 24.6%, P sarcopenia (odds ratio: 2.959, 95% CI: 1.629-5.373, P Sarcopenia, presented as a new geriatric assessment factor, was a strong and independent risk factor for postoperative complications of elderly patients with gastric cancer. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Effect of different pneumoperitoneum pressure on stress state in patients underwent gynecological laparoscopy

    Directory of Open Access Journals (Sweden)

    Ai-Yun Shen

    2016-10-01

    Full Text Available Objective: To observe the effect of different CO2 pneumoperitoneum pressure on the stress state in patients underwent gynecological laparoscopy. Methods: A total of 90 patients who were admitted in our hospital from February, 2015 to October, 2015 for gynecological laparoscopy were included in the study and divided into groups A, B, and C according to different CO2 pneumoperitoneum pressure. The changes of HR, BP, and PetCO2 during the operation process in the three groups were recorded. The changes of stress indicators before operation (T0, 30 min during operation (T1, and 12 h after operation (T2 were compared. Results: The difference of HR, BP, and PetCO2 levels before operation among the three groups was not statistically significant (P>0.05. HR, BP, and PetCO2 levels 30 min after pneumoperitoneum were significantly elevated when compared with before operation (P0.05. PetCO2 level 30 min after pneumoperitoneum in group B was significantly higher than that in group A (P0.05. Conclusions: Low pneumoperitoneum pressure has a small effect on the stress state in patients underwent gynecological laparoscopy, will not affect the surgical operation, and can obtain a preferable muscular relaxation and vision field; therefore, it can be selected in preference.

  2. Circulating S100B and Adiponectin in Children Who Underwent Open Heart Surgery and Cardiopulmonary Bypass

    Directory of Open Access Journals (Sweden)

    Alessandro Varrica

    2015-01-01

    Full Text Available Background. S100B protein, previously proposed as a consolidated marker of brain damage in congenital heart disease (CHD newborns who underwent cardiac surgery and cardiopulmonary bypass (CPB, has been progressively abandoned due to S100B CNS extra-source such as adipose tissue. The present study investigated CHD newborns, if adipose tissue contributes significantly to S100B serum levels. Methods. We conducted a prospective study in 26 CHD infants, without preexisting neurological disorders, who underwent cardiac surgery and CPB in whom blood samples for S100B and adiponectin (ADN measurement were drawn at five perioperative time-points. Results. S100B showed a significant increase from hospital admission up to 24 h after procedure reaching its maximum peak (P0.05 have been found all along perioperative monitoring. ADN/S100B ratio pattern was identical to S100B alone with the higher peak at the end of CPB and remained higher up to 24 h from surgery. Conclusions. The present study provides evidence that, in CHD infants, S100B protein is not affected by an extra-source adipose tissue release as suggested by no changes in circulating ADN concentrations.

  3. 19 CFR 10.7 - Substantial containers or holders.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Substantial containers or holders. 10.7 Section 10... Exported and Returned § 10.7 Substantial containers or holders. (a) Substantial containers or holders... domestic products exported and returned. When such containers or holders are imported not containing or...

  4. 20 CFR 604.6 - Conformity and substantial compliance.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Conformity and substantial compliance. 604.6... FOR ELIGIBILITY FOR UNEMPLOYMENT COMPENSATION § 604.6 Conformity and substantial compliance. (a) In... for the administration of its UC program. (b) Resolving Issues of Conformity and Substantial...

  5. Decadence in the Wilderness. Will to Transgression or the Strange Bird of Finnish Decadence

    Directory of Open Access Journals (Sweden)

    Pirjo Lyytikäinen

    2012-03-01

    Full Text Available The decadence that the Decadents identified in their own civilization was recognized through the model of Roman Empire, although they thought that the Romans were, even in their decadence, much more vigorous than the modern "cerebral" decadents. The figures of the late Empire, which fused the over-ripeness of culture with barbarism, were great even in their decline; the ancient uninhibited transgressions and vices fascinated the decadents although even the imagined debaucheries exhausted the modern decadents. Des Esseintes is, of course, a paradigmatic figure, connecting extreme weakness and fragility of the nervous system with wild sadistic dreams. He is capable of producing vigorous mental images, imagining sublimely horrible figures and emblems of disease, which fell on a fertile ground in later decadent writings. At the same time, the idea of the savage and the primitive which had underwent a radical change, when the romantic idea of the noble savage was replaced by the primitive as the lowest order of humanity, became fashionable even among many Decadents. This debauched barbarian or savage (whose representatives or relics the survived "primitive cultures" were marked the beginnings of human culture and was the suppressed foundation of all developed cultures. The danger of the return of this primitive side of man could threaten even the most civilized individuals or nations if the ties and restraints of culture were loosened (Joseph Conrad's Heart of Darkness represents this perfectly.  For the decadents, who did not see their own civilization in the terms of progress any more, and embraced ideas of entropy, dissolution and return to a state of new barbarism, the idea of the decline of their culture, thus, could become connected with the idea of the primitive "in us", the primitive lurking in the psyche of every individual and the primitive that was built in the culture itself. As the primitive became, increasingly, identified not only

  6. Decades with four double triodes; Decades a quatre doubles triodes

    Energy Technology Data Exchange (ETDEWEB)

    Wahl, R [Commissariat a l' Energie Atomique, Lab. du Fort de Chatillon, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1952-07-01

    Decades with four double triodes The described decade consists of four double triodes and four crystals germanium; which has the following characteristics: - Attack in negative impulses. - Sensitivity 12 volts {+-} 40 % for signals of 1 {mu}s about. - Time of resolution 2,5 {mu}s. - Voltage 250 v {+-} 40 %. - heating 6,3 v {+-} 40 %. - Tolerance on the values of the elements of installation 10%. (author) [French] La decade decrite comprend quatre doubles triodes et quatre cristaux germanium; elle a les caracteristiques suivantes: - Attaque en impulsions negatives. - Sensiblite 12 volts {+-} 40 % pour des signaux de 1 {mu}s environ. - Temps de resolution 2,5 {mu}s. - Alimentation 250 v {+-} 40 %. - Chauffage 6,3 v {+-} 40 %. - Tolerance sur les valeurs des elements de montage l0 %. (auteur)

  7. Outcome of Patients Underwent Emergency Department Thoracotomy and Its Predictive Factors

    Directory of Open Access Journals (Sweden)

    Shahram Paydar

    2014-08-01

    Full Text Available Introduction: Emergency department thoracotomy (EDT may serve as the last survival chance for patients who arrive at hospital in extremis. It is considered as an effective tool for improvement of traumatic patients’ outcome. The present study was done with the goal of assessing the outcome of patients who underwent EDT and its predictive factors. Methods: In the present study, medical charts of 50 retrospective and 8 prospective cases underwent emergency department thoracotomy (EDT were reviewed during November 2011 to June 2013. Comparisons between survived and died patients were performed by Mann-Whitney U test and the predictive factors of EDT outcome were measured using multivariate logistic regression analysis. P < 0.05 considered statistically significant. Results: Fifty eight cases of EDT were enrolled (86.2% male. The mean age of patients was 43.27±19.85 years with the range of 18-85. The mean time duration of CPR was recorded as 37.12±12.49 minutes. Eleven cases (19% were alive to be transported to OR (defined as ED survived. The mean time of survival in ED survived patients was 223.5±450.8 hours. More than 24 hours survival rate (late survived was 6.9% (4 cases. Only one case (1.7% survived to discharge from hospital (mortality rate=98.3%. There were only a significant relation between ED survival and SBP, GCS, CPR duration, and chest trauma (p=0.04. The results demonstrated that initial SBP lower than 80 mmHg (OR=1.03, 95% CI: 1.001-1.05, p=0.04 and presence of chest trauma (OR=2.6, 95% CI: 1.75-3.16, p=0.02 were independent predictive factors of EDT mortality. Conclusion: The findings of the present study showed that the survival rate of trauma patients underwent EDT was 1.7%. In addition, it was defined that falling systolic blood pressure below 80 mmHg and blunt trauma of chest are independent factors that along with poor outcome.

  8. DECADE design and testing status

    International Nuclear Information System (INIS)

    Sincerny, P.; Childers, K.; Goyer, J.; Kortbawi, D.; Roth, I.; Stallings, C.; Dempsey, J.; Schlitt, L.

    1996-01-01

    DECADE is a very high power generator that will be built at Arnold Engineering Development Center in Tullahoma, Tennessee, by the Defense Special Weapons Agency. The full facility consists of 16 modules. Two full power modules (DM1 and DM2) have been built to verify the DECADE design at Physics International. Each module consists of a 570 kJ Marx generator that pulse charges a water transfer capacitor. The transfer capacitor discharges into a water output line through an array of 6 parallel triggered gas switches. The water output line then pulse charges the inductive store/opening switch pulse compression stage. When the opening switch opens, the inductive store discharges into an electron beam bremsstrahlung diode load. The initial testing of the DM1 module has been completed. The electrical design of the module will be presented, including circuit modeling results. The test data from a module will be compared to the modeling results. This test data, including reproducibility and timing accuracy, was used to predict the output from the full system of 16 modules and a subset of 4 unit modules (DECADE Quad). One option under consideration is to deploy a DECADE Quad at the testing center in Tennessee prior to the full 16 module system. The design sketch of the DECADE Quad and the predicted output based on the modeling and the demonstrated module performance is given. (author). 11 figs., 11 refs

  9. DECADE design and testing status

    Energy Technology Data Exchange (ETDEWEB)

    Sincerny, P; Childers, K; Goyer, J; Kortbawi, D; Roth, I; Stallings, C; Dempsey, J [Physics International Company, San Leandro, CA (United States); Schlitt, L [Leland Schlitt Consulting Services, Livermore, CA (United States)

    1997-12-31

    DECADE is a very high power generator that will be built at Arnold Engineering Development Center in Tullahoma, Tennessee, by the Defense Special Weapons Agency. The full facility consists of 16 modules. Two full power modules (DM1 and DM2) have been built to verify the DECADE design at Physics International. Each module consists of a 570 kJ Marx generator that pulse charges a water transfer capacitor. The transfer capacitor discharges into a water output line through an array of 6 parallel triggered gas switches. The water output line then pulse charges the inductive store/opening switch pulse compression stage. When the opening switch opens, the inductive store discharges into an electron beam bremsstrahlung diode load. The initial testing of the DM1 module has been completed. The electrical design of the module will be presented, including circuit modeling results. The test data from a module will be compared to the modeling results. This test data, including reproducibility and timing accuracy, was used to predict the output from the full system of 16 modules and a subset of 4 unit modules (DECADE Quad). One option under consideration is to deploy a DECADE Quad at the testing center in Tennessee prior to the full 16 module system. The design sketch of the DECADE Quad and the predicted output based on the modeling and the demonstrated module performance is given. (author). 11 figs., 11 refs.

  10. Decadal climate prediction (project GCEP).

    Science.gov (United States)

    Haines, Keith; Hermanson, Leon; Liu, Chunlei; Putt, Debbie; Sutton, Rowan; Iwi, Alan; Smith, Doug

    2009-03-13

    Decadal prediction uses climate models forced by changing greenhouse gases, as in the International Panel for Climate Change, but unlike longer range predictions they also require initialization with observations of the current climate. In particular, the upper-ocean heat content and circulation have a critical influence. Decadal prediction is still in its infancy and there is an urgent need to understand the important processes that determine predictability on these timescales. We have taken the first Hadley Centre Decadal Prediction System (DePreSys) and implemented it on several NERC institute compute clusters in order to study a wider range of initial condition impacts on decadal forecasting, eventually including the state of the land and cryosphere. The eScience methods are used to manage submission and output from the many ensemble model runs required to assess predictive skill. Early results suggest initial condition skill may extend for several years, even over land areas, but this depends sensitively on the definition used to measure skill, and alternatives are presented. The Grid for Coupled Ensemble Prediction (GCEP) system will allow the UK academic community to contribute to international experiments being planned to explore decadal climate predictability.

  11. Religiousness of Ukrainians: tendencies of decade

    Directory of Open Access Journals (Sweden)

    N. P. Pivovarova

    2014-04-01

    The conclusion is that for the vast majority of modern Ukrainian citizens identification «believer» is desirable, is based on conformists’ position. Over the last decade, there has been a certain increase in the number of believers through representatives of other ideological groups, but most of all a decrease in those who hesitate between belief and disbelief. In modern mass consciousness of Ukrainian happened illogical extending the concept of «Orthodox», which now includes the concept of a «believer». There is a development of outside the Church, outside of the confessional religiosity, significant part of which is ideological uncertainty of a substantial part of modern Ukrainians. «The Churchanity» has acquired the features of socio legitimize and encourage characteristics of a person that strengthens religious behavior and temple activity. Takes place temple­nominal or nominal­ritual exercise of religious practices with strong dominant features of conformism.

  12. Correlation between location of transposed ovary and function in cervical cancer patients who underwent radical hysterectomy.

    Science.gov (United States)

    Yoon, Aera; Lee, Yoo-Young; Park, Won; Huh, Seung Jae; Choi, Chel Hun; Kim, Tae-Joong; Lee, Jeong-Won; Kim, Byoung-Gie; Bae, Duk-Soo

    2015-05-01

    The study investigated the association between the location of transposed ovaries and posttreatment ovarian function in patients with early cervical cancer (IB1-IIA) who underwent radical hysterectomy and ovarian transposition with or without adjuvant therapies. Retrospective medical records were reviewed to enroll the patients with early cervical cancer who underwent ovarian transposition during radical hysterectomy at Samsung Medical Center between July 1995 and July 2012. Serum follicle-stimulating hormone (FSH) level was used as a surrogate marker for ovarian function. Twenty-one patients were enrolled. The median age and body mass index (BMI) were 31 years (range, 24-39 years) and 21.3 kg/m² (range, 17.7-31.2 kg/m²), respectively. The median serum FSH level after treatment was 7.9 mIU/mL (range, 2.4-143.4 mIU/mL). The median distance from the iliac crest to transposed ovaries on erect plain abdominal x-ray was 0.5 cm (range, -2.7 to 5.2 cm). In multivariate analysis, posttreatment serum FSH levels were significantly associated with the location of transposed ovaries (β = -8.1, P = 0.032), concurrent chemoradiation (CCRT) as an adjuvant therapy (β = 71.08, P = 0.006), and BMI before treatment (underweight: β = -59.93, P = 0.05; overweight: β = -40.62, P = 0.041). Location of transposed ovaries, adjuvant CCRT, and BMI before treatment may be associated with ovarian function after treatment. We suggest that ovaries should be transposed as highly as possible during radical hysterectomy to preserve ovarian function in young patients with early cervical cancer who might be a candidate for adjuvant CCRT and who have low BMI before treatment.

  13. Clinical outcomes for 14 consecutive patients with solid pseudopapillary neoplasms who underwent laparoscopic distal pancreatectomy.

    Science.gov (United States)

    Nakamura, Yoshiharu; Matsushita, Akira; Katsuno, Akira; Yamahatsu, Kazuya; Sumiyoshi, Hiroki; Mizuguchi, Yoshiaki; Uchida, Eiji

    2016-02-01

    The postoperative results of laparoscopic distal pancreatectomy for solid pseudopapillary neoplasm of the pancreas (SPN), including the effects of spleen-preserving resection, are still to be elucidated. Of the 139 patients who underwent laparoscopic pancreatectomy for non-cancerous tumors, 14 consecutive patients (average age, 29.6 years; 1 man, 13 women) with solitary SPN who underwent laparoscopic distal pancreatectomy between March 2004 and June 2015 were enrolled. The tumors had a mean diameter of 4.8 cm. Laparoscopic spleen-preserving distal pancreatectomy was performed in eight patients (spleen-preserving group), including two cases involving pancreatic tail preservation, and laparoscopic spleno-distal pancreatectomy was performed in six patients (standard resection group). The median operating time was 317 min, and the median blood loss was 50 mL. Postoperatively, grade B pancreatic fistulas appeared in two patients (14.3%) but resolved with conservative treatment. No patients had postoperative complications, other than pancreatic fistulas, or required reoperation. The median postoperative hospital stay was 11 days, and the postoperative mortality was zero.None of the patients had positive surgical margins or lymph nodes with metastasis. The median follow-up period did not significantly differ between the two groups (20 vs 39 months, P = 0.1368). All of the patients are alive and free from recurrent tumors without major late-phase complications. Laparoscopic distal pancreatectomy might be a suitable treatment for patients with SPN. A spleen-preserving operation is preferable for younger patients with SPN, and this study demonstrated the non-inferiority of the procedure compared to spleno-distal pancreatectomy. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

  14. Beneficial Effect of the Nutritional Support in Children Who Underwent Hematopoietic Stem Cell Transplant.

    Science.gov (United States)

    Koç, Nevra; Gündüz, Mehmet; Tavil, Betül; Azik, M Fatih; Coşkun, Zeynep; Yardımcı, Hülya; Uçkan, Duygu; Tunç, Bahattin

    2017-08-01

    The aim of this study was to evaluate nutritional status in children who underwent hematopoietic stem cell transplant compared with a healthy control group. A secondary aim was to utilize mid-upper arm circumference as a measure of nutritional status in these groups of children. Our study group included 40 children (18 girls, 22 boys) with mean age of 9.2 ± 4.6 years (range, 2-17 y) who underwent hematopoietic stem cell transplant. Our control group consisted of 20 healthy children (9 girls, 11 boys). The children were evaluated at admission to the hospital and followed regularly 3, 6, 9, and 12 months after discharge from the hospital. In the study group, 27 of 40 patients (67.5%) received nutritional support during hematopoietic stem cell transplant, with 15 patients (56%) receiving enteral nutrition, 6 (22%) receiving total parenteral nutrition, and 6 (22%) receiving enteral and total parenteral nutrition. Chronic malnutrition rate in the study group was 47.5% on admission to the hospital, with the control group having a rate of 20%. One year after transplant, the rate decreased to 20% in the study group and 5% in the control group. The mid-upper arm circumference was lower in children in the study group versus the control group at the beginning of the study (P groups at follow-up examinations (P > .05). During follow-up, all anthropometric measurements increased significantly in both groups. Monitoring nutritional status and initiating appropriate nutritional support improved the success of hematopoietic stem cell transplant and provided a more comfortable process during the transplant period. Furthermore, mid-upper arm circumference is a more sensitive, useful, and safer parameter that can be used to measure nutritional status of children who undergo hematopoietic stem cell transplant.

  15. The International Lunar Decade Declaration

    Science.gov (United States)

    Beldavs, V.; Foing, B.; Bland, D.; Crisafulli, J.

    2015-10-01

    The International Lunar Decade Declaration was discussed at the conference held November 9-13, 2014 in Hawaii "The Next Giant Leap: Leveraging Lunar Assets for Sustainable Pathways to Space" - http://2014giantleap.aerospacehawaii.info/ and accepted by a core group that forms the International Lunar Decade Working Group (ILDWG) that is seeking to make the proposed global event and decade long process a reality. The Declaration will be updated from time to time by members of the ILDWreflecting new knowledge and fresh perspectives that bear on building a global consortium with a mission to progress from lunar exploration to the transformation of the Moon into a wealth gene rating platform for the expansion of humankind into the solar system. When key organizations have endorsed the idea and joined the effort the text of the Declaration will be considered final. An earlier International Lunar Decade proposal was issued at the 8th ICEUM Conference in 2006 in Beijing together with 13 specific initiatives for lunar exploration[1,2,3]. These initiatives have been largely implemented with coordination among the different space agencies involved provided by the International Lunar Exploration Working Group[2,3]. The Second International Lunar Decade from 2015 reflects current trends towards increasing involvement of commercial firms in space, particularly seeking opportunities beyond low Earth orbit. The central vision of the International Lunar Decade is to build the foundations for a sustainable space economy through international collaboration concurrently addressing Lunar exploration and building a shared knowledge base;Policy development that enables collabo rative research and development leading to lunar mining and industrial and commercial development;Infrastructure on the Moon and in cislunar space (communications, transport, energy systems, way-stations, other) that reduces costs, lowers risks and speeds up the time to profitable operations;Enabling technologies

  16. The DECADE performance assessment program

    International Nuclear Information System (INIS)

    Weber, B.V.; Ottinger, P.F.; Commisso, R.J.; Thompson, J.; Rowley, J.E.; Filios, P.; Babineau, M.A.

    1996-01-01

    Previous analyses of DECADE Module 1 experiments indicated significant current loss between the plasma opening switch (POS) and an electron-beam load. A program was initiated to diagnose and improve the power flow to assess the performance of a multi-module DECADE system. Power flow measurements between the POS and load indicate high vacuum flow, distributed current loss and azimuthal asymmetries. A decreased load impedance reduces the fraction of the load current flowing in vacuum. Improved plasma source symmetry reduces losses near the load for long conduction times. Increased POS impedance is required to significantly improve the power coupling to the load. (author). 6 figs., 9 refs

  17. The DECADE performance assessment program

    Energy Technology Data Exchange (ETDEWEB)

    Weber, B V; Ottinger, P F; Commisso, R J [Naval Research Lab., Washington, DC (United States). Plasma Physics Div.; Goyer, J R; Kortbawi, D [Physics International Co., Berkeley, CA (United States); Thompson, J [Maxwell Labs., San Diego, CA (United States); Rowley, J E; Filios, P [Defense Nuclear Agency, Alexandria, VA (United States); Babineau, M A [Sverdlup Technology, Tullahoma, TN (United States)

    1997-12-31

    Previous analyses of DECADE Module 1 experiments indicated significant current loss between the plasma opening switch (POS) and an electron-beam load. A program was initiated to diagnose and improve the power flow to assess the performance of a multi-module DECADE system. Power flow measurements between the POS and load indicate high vacuum flow, distributed current loss and azimuthal asymmetries. A decreased load impedance reduces the fraction of the load current flowing in vacuum. Improved plasma source symmetry reduces losses near the load for long conduction times. Increased POS impedance is required to significantly improve the power coupling to the load. (author). 6 figs., 9 refs.

  18. Blended Learning over Two Decades

    Science.gov (United States)

    Zhonggen, Yu; Yuexiu, Zhejiang

    2015-01-01

    The 21st century has witnessed vast amounts of research into blended learning since the conception of online learning formed the possibility of blended learning in the early 1990s. The theme of this paper is blended learning in mainstream disciplinary communities. In particular, the paper reports on findings from the last two decades which looked…

  19. IRIN marks its first decade

    Directory of Open Access Journals (Sweden)

    Joanne Clark

    2005-11-01

    Full Text Available The Integrated Regional Information Networks (IRIN has come a long way from its initial coverage of three countries. A decade later, IRIN is a multimedia news service producing daily and analytical reports, news footage and radio broadcasts spanning Africa, Asia and the Middle East.

  20. The UN Decade for Women.

    Science.gov (United States)

    Reynolds, Nancy C.

    1983-01-01

    The events of the UN Decade for Women are reviewed. The Third World Conference on Women, to be held in 1985, is seen as a forum to assess progress achieved and to look to the future needs and potential of women throughout the world. (MLW)

  1. Study of the seroma volume changes in the patients who underwent Accelerated Partial Breast Irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dae Ho; Son, Sang Jun; Mun, Jun Ki; Seo, Seok Jin; Lee, Je Hee [Dept. of Radiation Oncology, Seoul National University Hospital, Seoul (Korea, Republic of)

    2016-06-15

    By analyzing seroma volume changes in the patients who underwent Partial breast radiation therapy after breast conserving surgery, we try to contribute to the improvement of radiotherapy effect. Enrolled 20 patients who underwent partial breast radiation therapy by ViewRay MRIdian System were subject. After seeking for the size of the removed sample in the patients during surgery and obtained seroma volume changes on a weekly basis. On the Basis of acquired volume, it was compared with age, term from start of the first treatment after surgery, BMI (body mass index) and the extracted sample size during surgery. And using the ViewRay MRIdian RTP System, the figure was analyzed by PTV(=seroma volume + margin) to obtain a specific volume of the Partial breast radiation therapy. The changes of seroma volume from MR simulation to the first treatment (a week) is 0~5% in 8, 5~10% in 3, 10 to 15% in 2, and 20% or more in 5 people. Two patients(A, B patient) among subjects showed the biggest change. The A patient's 100% of the prescribed dose volume is 213.08 cc, PTV is 181.93 cc, seroma volume is 15.3 cc in initial plan. However, while seroma volume decreased 65.36% to 5.3 cc, 100% of the prescribed dose volume was reduced to 3.4% to 102.43 cc and PTV also did 43.6% to 102.54 cc. In the case of the B patient, seroma volume decreased 42.57% from 20.2 cc to 11.6 cc. Because of that, 100% of the prescribed dose volume decreased 8.1% and PTV also did to 40%. As the period between the first therapy and surgery is shorter, the patient is elder and the size of sample is smaller than 100 cc, the change grow bigger. It is desirable to establish an adaptive plan according to each patient's changes of seroma volume through continuous observation. Because partial breast patients is more sensitive than WBRT patients about dose conformity in accordance with the volume change.

  2. Dysphagia among adult patients who underwent surgery for esophageal atresia at birth.

    Science.gov (United States)

    Huynh Trudeau, Valérie; Maynard, Stéphanie; Terzic, Tatjana; Soucy, Geneviève; Bouin, Mickeal

    2015-03-01

    Clinical experiences of adults who underwent surgery for esophageal atresia at birth is limited. There is some evidence that suggests considerable long-term morbidity, partly because of dysphagia, which has been reported in up to 85% of adult patients who undergo surgery for esophageal atresia. The authors hypothesized that dysphagia in this population is caused by dysmotility and⁄or anatomical anomalies. To determine the motor and anatomical causes of dysphagia. A total of 41 adults, followed at the Esophageal Atresia Clinic at Hôpital Saint-Luc (Montreal, Quebec), were approached to particpate in the present prospective study. Evaluation was completed using upper endoscopy, manometry and barium swallow for the participants who consented. The medical charts of respondents were systematically reviewed from the neonatal period to 18 years of age to assess medical and surgical history. All 41 patients followed at the clinic consented and were included in the study. Dysphagia was present in 73% of patients. Esophagogastroduodenoscopy was performed in 32 patients: hiatal hernia was present in 62% (n=20); esophageal diverticulum in 13% (n=4); macroscopic Barrett esophagus in 31% (n=10); and esophagitis in 19% (n=6). Histological esophagitis was present in 20% and intestinal metaplasia in 10%. There were no cases of dysplagia or adenocarcinoma. Esophageal manometry was performed on 56% of the patients (n=23). Manometry revealed hypomotility in 100% of patients and included an insufficient number of peristaltic waves in 96%, nonpropagating peristalsis in 78% and low-wave amplitude in 95%. Complete aperistalsis was present in 78%. The lower esophageal sphincter was abnormal in 12 (52%) patients, with incomplete relaxation the most common anomaly. Of the 41 patients, 29 (71%) consented to a barium swallow, which was abnormal in 13 (45%). The anomalies found were short esophageal dilation in 28%, delay in esophageal emptying in 14%, diverticula in 14% and stenosis in 7

  3. Study of the seroma volume changes in the patients who underwent Accelerated Partial Breast Irradiation

    International Nuclear Information System (INIS)

    Kim, Dae Ho; Son, Sang Jun; Mun, Jun Ki; Seo, Seok Jin; Lee, Je Hee

    2016-01-01

    By analyzing seroma volume changes in the patients who underwent Partial breast radiation therapy after breast conserving surgery, we try to contribute to the improvement of radiotherapy effect. Enrolled 20 patients who underwent partial breast radiation therapy by ViewRay MRIdian System were subject. After seeking for the size of the removed sample in the patients during surgery and obtained seroma volume changes on a weekly basis. On the Basis of acquired volume, it was compared with age, term from start of the first treatment after surgery, BMI (body mass index) and the extracted sample size during surgery. And using the ViewRay MRIdian RTP System, the figure was analyzed by PTV(=seroma volume + margin) to obtain a specific volume of the Partial breast radiation therapy. The changes of seroma volume from MR simulation to the first treatment (a week) is 0~5% in 8, 5~10% in 3, 10 to 15% in 2, and 20% or more in 5 people. Two patients(A, B patient) among subjects showed the biggest change. The A patient's 100% of the prescribed dose volume is 213.08 cc, PTV is 181.93 cc, seroma volume is 15.3 cc in initial plan. However, while seroma volume decreased 65.36% to 5.3 cc, 100% of the prescribed dose volume was reduced to 3.4% to 102.43 cc and PTV also did 43.6% to 102.54 cc. In the case of the B patient, seroma volume decreased 42.57% from 20.2 cc to 11.6 cc. Because of that, 100% of the prescribed dose volume decreased 8.1% and PTV also did to 40%. As the period between the first therapy and surgery is shorter, the patient is elder and the size of sample is smaller than 100 cc, the change grow bigger. It is desirable to establish an adaptive plan according to each patient's changes of seroma volume through continuous observation. Because partial breast patients is more sensitive than WBRT patients about dose conformity in accordance with the volume change

  4. Comparative analysis of pain in patients who underwent total knee replacement regarding the tourniquet pressure

    Directory of Open Access Journals (Sweden)

    Marcos George de Souza Leão

    Full Text Available ABSTRACT OBJECTIVES: To evaluate through the visual analog scale (VAS the pain in patients undergoing total knee replacement (TKR with different pressures of the pneumatic tourniquet. METHODS: An observational, randomized, descriptive study on an analytical basis, with 60 patients who underwent TKR, divided into two groups, which were matched: a group where TKR was performed with tourniquet pressures of 350 mmHg (standard and the other with systolic blood pressure plus 100 mmHg (P + 100. These patients had their pain assessed by VAS at 48 h, and at the 5th and 15th days after procedure. Secondarily, the following were also measured: range of motion (ROM, complications, and blood drainage volume in each group; the data were subjected to statistical analysis. RESULTS: After data analysis, there was no statistical difference regarding the incidence of complications (p = 0.612, ROM (p = 0.202, bleeding after 24 and 48 h (p = 0.432 and p = 0.254 or in relation to VAS. No correlation was observed between time of ischemia compared to VAS and bleeding. CONCLUSIONS: The use of the pneumatic tourniquet pressure at 350 mmHg or systolic blood pressure plus 100 mmHg did not influence the pain, blood loss, ROM, and complications. Therefore the pressures at these levels are safe and do not change the surgery outcomes; the time of ischemia must be closely observed to avoid major complications.

  5. Association of PTP1B with Outcomes of Breast Cancer Patients Who Underwent Neoadjuvant Chemotherapy.

    Science.gov (United States)

    Rivera Franco, Monica M; Leon Rodriguez, Eucario; Martinez Benitez, Braulio; Villanueva Rodriguez, Luisa G; de la Luz Sevilla Gonzalez, Maria; Armengol Alonso, Alejandra

    2016-01-01

    PTP1B is involved in the oncogenesis of breast cancer. In addition, neoadjuvant therapy has been widely used in breast cancer; thus, a measurement to assess survival improvement could be pathological complete response (pCR). Our objective was to associate PTP1B overexpression with outcomes of breast cancer patients who underwent neoadjuvant chemotherapy. Forty-six specimens were included. Diagnostic biopsies were immunostained using anti-PTP1B antibody. Expression was categorized as negative (<5%) and overexpression (≥5%). Patients' responses were graded according to the Miller-Payne system. Sixty-three percent of patients overexpressed PTP1B. There was no significant association between PTP1B overexpression and pCR ( P = 0.2). However, when associated with intrinsic subtypes, overexpression was higher in human epidermal growth factor receptor 2-positive-enriched specimens ( P = 0.02). Ten-year progression-free survival showed no differences. Our preliminary results do not show an association between PTP1B over-expression and pCR; however, given the limited sample and heterogeneous treatment in our cohort, this hypothesis cannot be excluded.

  6. Association of PTP1B with Outcomes of Breast Cancer Patients who Underwent Neoadjuvant Chemotherapy

    Directory of Open Access Journals (Sweden)

    Monica M. Rivera Franco

    2016-01-01

    Full Text Available PTP1B is involved in the oncogenesis of breast cancer. In addition, neoadjuvant therapy has been widely used in breast cancer; thus, a measurement to assess survival improvement could be pathological complete response (pCR. Our objective was to associate PTP1B overexpression with outcomes of breast cancer patients who underwent neoadjuvant chemotherapy. Forty-six specimens were included. Diagnostic biopsies were immunostained using anti-PTP1B antibody. Expression was categorized as negative (<5% and overexpression (≥5%. Patients' responses were graded according to the Miller-Payne system. Sixty-three percent of patients overexpressed PTP1B. There was no significant association between PTP1B overexpression and pCR (P = 0.2. However, when associated with intrinsic subtypes, overexpression was higher in human epidermal growth factor receptor 2-positive-enriched specimens (P = 0.02. Ten-year progression-free survival showed no differences. Our preliminary results do not show an association between PTP1B overexpression and pCR; however, given the limited sample and heterogeneous treatment in our cohort, this hypothesis cannot be excluded.

  7. [A survey of perioperative asthmatic attack among patients with bronchial asthma underwent general anesthesia].

    Science.gov (United States)

    Ie, Kenya; Yoshizawa, Atsuto; Hirano, Satoru; Izumi, Sinyuu; Hojo, Masaaki; Sugiyama, Haruhito; Kobayasi, Nobuyuki; Kudou, Kouichirou; Maehara, Yasuhiro; Kawachi, Masaharu; Miyakoshi, Kouichi

    2010-07-01

    We investigated the risk factor of perioperative asthmatic attack and effectiveness of preventing treatment for asthmatic attack before operation. We performed retrospective chart review of one hundred eleven patients with asthma underwent general anesthesia and surgical intervention from January 2006 to October 2007 in our hospital. The rate of perioperative asthmatic attack were as follows; 10.2% (5 in 49 cases) in no pretreatment group, 7.5% (3 in 40 cases) in any pretreatments except for systemic steroid, and 4.5% (1 in 22 cases) in systemic steroid pretreatment group. Neither preoperative asthma severity nor duration from the last attack had significant relevancy to perioperative attack rate. The otolaryngological surgery, especially those have nasal polyp and oral surgery had high perioperative asthma attack rate, although there was no significant difference. We recommend the systemic steroid pretreatment for asthmatic patients, especially when they have known risk factor such as administration of the systemic steroid within 6 months, or possibly new risk factor such as nasal polyp, otolaryngological and oral surgery.

  8. Stress and Quality of Life for Taiwanese Women Who Underwent Infertility Treatment.

    Science.gov (United States)

    Cheng, Ching-Yu; Stevenson, Eleanor Lowndes; Yang, Cheng-Ta; Liou, Shwu-Ru

    2018-04-28

    To describe the psychological stress and quality of life experienced by women who underwent fertility treatment in Taiwan. Cross-sectional, correlational study. Recruitment was conducted and questionnaires administered at a reproductive medicine center in Chiayi City, Taiwan. Informed consent to participate was obtained from 126 women who sought fertility treatment at the center. The Chinese Fertility Problem Inventory and Fertility Quality of Life scale were used to measure participants' levels of fertility-related stress and fertility-related quality of life. Descriptive statistics, correlation, and regression analysis were used. Overall, participants reported low levels of fertility-related stress and fertility-related quality of life; however, they had relatively high levels of stress related to need for parenthood. Women who were older, had greater body mass indexes, and consumed coffee regularly had lower fertility-related quality of life. Social and relationship concerns and stress related to need for parenthood were significant predictors of low fertility-related quality of life. In a culture in which childbearing is generally an expectation and an important part of family life, women who experience infertility are at risk to experience fertility-related stress. Social support and family consultation might be offered to improve women's fertility-related quality of life. Copyright © 2018 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  9. Association between ambient air pollution and pregnancy rate in women who underwent IVF.

    Science.gov (United States)

    Choe, S A; Jun, Y B; Lee, W S; Yoon, T K; Kim, S Y

    2018-04-05

    Are the concentrations of five criteria air pollutants associated with probabilities of biochemical pregnancy loss and intrauterine pregnancy in women? Increased concentrations of ambient particulate matter (PM10), nitrogen dioxide (NO2), carbon monoxide (CO) during controlled ovarian stimulation (COS) and after embryo transfer were associated with a decreased probability of intrauterine pregnancy. Exposure to high ambient air pollution was suggested to be associated with low fertility and high early pregnancy loss in women. Using a retrospective cohort study design, we analysed 6621 cycles of 4581 patients who underwent one or more fresh IVF cycles at a fertility centre from January 2006 to December 2014, and lived in Seoul at the time of IVF treatment. To estimate patients' individual exposure to air pollution, we computed averages of hourly concentrations of five air pollutants including PM10, NO2, CO, sulphur dioxide (SO2) and ozone (O3) measured at 40 regulatory monitoring sites in Seoul for each of the four exposure periods: period 1 (start of COS to oocyte retrieval), period 2 (oocyte retrieval to embryo transfer), period 3 (embryo transfer to hCG test), and period 4 (start of COS to hCG test). Hazard ratios (HRs) from the time-varying Cox-proportional hazards model were used to estimate probabilities of biochemical pregnancy loss and intrauterine pregnancy for an interquartile range (IQR) increase in each air pollutant concentration during each period, after adjusting for individual characteristics. We tested the robustness of the result using generalised linear mixed model, accounting for within-woman correlation. Mean age of the women was 35 years. Average BMI was 20.9 kg/m2 and the study population underwent 1.4 IVF cycles on average. Cumulative pregnancy rate in multiple IVF cycles was 51.3% per person. Survival analysis showed that air pollution during periods 1 and 3 was generally associated with IVF outcomes. Increased NO2 (adjusted HR = 0.93, 95% CI

  10. Net-Zero Building Technologies Create Substantial Energy Savings -

    Science.gov (United States)

    only an estimated 1% of commercial buildings are built to net-zero energy criteria. One reason for this Continuum Magazine | NREL Net-Zero Building Technologies Create Substantial Energy Savings Net -Zero Building Technologies Create Substantial Energy Savings Researchers work to package and share step

  11. 19 CFR 134.35 - Articles substantially changed by manufacture.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Articles substantially changed by manufacture. 134... substantially changed by manufacture. (a) Articles other than goods of a NAFTA country. An article used in the United States in manufacture which results in an article having a name, character, or use differing from...

  12. Predictors of weight regain in patients who underwent Roux-en-Y gastric bypass surgery.

    Science.gov (United States)

    Shantavasinkul, Prapimporn Chattranukulchai; Omotosho, Philip; Corsino, Leonor; Portenier, Dana; Torquati, Alfonso

    2016-11-01

    Roux-en-Y gastric bypass (RYGB) is a highly effective treatment for obesity and results in long-term weight loss and resolution of co-morbidities. However, weight regain may occur as soon as 1-2 years after surgery. This retrospective study aimed to investigate the prevalence of weight regain and possible preoperative predictors of this phenomenon after RYGB. An academic medical center in the United States. A total of 1426 obese patients (15.8% male) who underwent RYGB during January 2000 to 2012 and had at least a 2-year follow-up were reviewed. We included only patients who were initially successful, having achieved at least 50% excess weight loss at 1 year postoperatively. Patients were then categorized into either the weight regain group (WR) or sustained weight loss (SWL) group based upon whether they gained≥15% of their 1-year postoperative weight. Weight regain was observed in 244 patients (17.1%). Preoperative body mass index was similar between groups. Body mass index was significantly higher and percent excess weight loss was significantly lower in the WR group (Pweight regain was 19.5±9.3 kg and-.8±8.5 in the WR and SWL groups, respectively (Pweight loss. Moreover, a longer duration after RYGB was associated with weight regain. Multivariate analysis revealed that younger age was a significant predictor of weight regain even after adjusting for time since RYGB. The present study confirmed that a longer interval after RYGB was associated with weight regain. Younger age was a significant predictor of weight regain even after adjusting for time since RYGB. The findings of this study underscore the complexity of the mechanisms underlying weight loss and regain after RYGB. Future prospective studies are needed to further explore the prevalence, predictors, and mechanisms of weight regain after RYGB. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

  13. Two decades of nuclear confusion

    International Nuclear Information System (INIS)

    Hinton, Lord.

    1976-01-01

    The progress of nuclear power reactor development in the UK during the past two decades is outlined. The early lead established in the construction of nuclear power plants is now lost and an impression is given that the UK lags behind other countries. The economics of the nuclear power industry are considered and the idea of abandoning reactor development in Britain and buying licences when reactors are required is explored. Reasons for this lack of success are debated. (U.K.)

  14. NAS Decadal Review Town Hall

    Science.gov (United States)

    The National Academies of Sciences, Engineering and Medicine is seeking community input for a study on the future of materials research (MR). Frontiers of Materials Research: A Decadal Survey will look at defining the frontiers of materials research ranging from traditional materials science and engineering to condensed matter physics. Please join members of the study committee for a town hall to discuss future directions for materials research in the United States in the context of worldwide efforts. In particular, input on the following topics will be of great value: progress, achievements, and principal changes in the R&D landscape over the past decade; identification of key MR areas that have major scientific gaps or offer promising investment opportunities from 2020-2030; and the challenges that MR may face over the next decade and how those challenges might be addressed. This study was requested by the Department of Energy and the National Science Foundation. The National Academies will issue a report in 2018 that will offer guidance to federal agencies that support materials research, science policymakers, and researchers in materials research and other adjoining fields. Learn more about the study at http://nas.edu/materials.

  15. Quality of life in locally advanced prostate cancer patients who underwent hormonal treatment combined with radiotherapy

    International Nuclear Information System (INIS)

    Koga, Hirofumi; Naito, Seiji; Fukui, Iwao; Tsukamoto, Taiji; Matsuoka, Naoki; Fujimoto, Hiroyuki

    2004-01-01

    The aim of this study is to estimate the feasibility of quality of life (QOL) research and to evaluate the QOL prospectively in locally advanced prostate cancer patients treated with hormonal treatment combined with radiotherapy. The treatment schedule was that patients with decreasing prostatic specific antigen (PSA) levels below 10 ng/ml after receiving 6 months of neoadjuvant hormonal treatment were randomly divided into two groups; one group was the continuous hormonal treatment group and the other was the intermittent hormonal treatment group. Both groups received a total dose of 72 Gy external beam radiotherapy with concomitant hormonal treatment followed by 6 months of adjuvant hormonal treatment following radiotherapy. At 14 months, patients either underwent continuous or intermittent hormonal treatment according to the random allocation. QOL was assessed at baseline, and at 6, 8, 14, and 20 months after treatment using functional assessment of cancer treatment-general (FACT-G), P with the other 3 items comprising bother of urination, bother of bowel movement, and bother of sexual activity. Between January 2000 and June 2003, a total of 188 patients were enrolled in this study. The rate of collection of baseline QOL sheets was 98.0%. The rate of answer to questions of QOL sheets was 99.0%. At baseline, the average score of FACT-G, P was 120.7 and the maximum score was more than twice the minimum score. Dysfunction of urination and bowel movement was correlated with the bother of urination and bowel movement, respectively. On the other hand, dysfunction of sexual activity was not correlated with the bother of sexual activity. In June 2003, all of the QOL sheets at baseline, and at 6, 8, and 14 months were completely collected from a total of 72 patients. Although QOL at 8 months was significantly affected compared with QOL at baseline and at 6 months, QOL at 14 months was significantly improved compared with that at 8 months and there was no significant

  16. Chernobyl: lessons of the decade

    International Nuclear Information System (INIS)

    Tsaregorodtsev, A.D.

    1996-01-01

    The Chernobyl accident led to a drastic increase the incidents of thyroid cancer in children living at territories contaminated with radionuclides. The incidents of hemoblastoses which are etiologically closely related to radiation did not change after the incident. The lessons of the decade that passed since the accident necessitate measures aimed at alleviation of the medical consequences of the accident which are to be implemented for many years. The program of such measures should be based on a strictly scientific evaluation of each factor, that will be conductive to a most adequate state financing of this work [ru

  17. Methodology for substantiation of the fast reactor fuel element serviceability

    International Nuclear Information System (INIS)

    Tsykanov, V.A.; Maershin, A.A.

    1988-01-01

    Methodological aspects of fast reactor fuel element serviceability substantiation are presented. The choice of the experimental program and strategies of its realization to solve the problem set in short time, taking into account available experimental means, are substantiated. Factors determining fuel element serviceability depending on parameters and operational conditions are considered. The methodological approach recommending separate studing of the factors, which points to the possibility of data acquisition, required for the development of calculational models and substantiation of fuel element serviceability in pilot and experimental reactors, is described. It is shown that the special-purpose data are more useful for the substantiation of fuel element serviceability and analytical method development than unsubstantial and expensive complex tests of fuel elements and fuel assemblies, which should be conducted only at final stages for the improvement of the structure on the whole

  18. Nuclear industry in a country with a substantial oil reserve

    International Nuclear Information System (INIS)

    Alvarez, R.; Castillo, H.; Costa, D.; Galan, I.; Martinez, M.

    1981-01-01

    The importance of the development of a nuclear industry in a country like Mexico, with a substantial oil reserve is analyzed, taking into account the technical, economical, political, ecological and social aspects of the problem. (author)

  19. The LUVOIR Decadal Mission Concept

    Science.gov (United States)

    Arney, G. N.; Crooke, J.; Domagal-Goldman, S. D.; Fischer, D.; Peterson, B.; Schmidt, B. E.; Stdt, T. L. T.

    2017-12-01

    The Large UV-Optical-Infrared (LUVOIR) Surveyor is one of four mission concepts being studied by NASA in preparation for the 2020 Astrophysics Decadal Survey. LUVOIR is a general-purpose space-based observatory with a large aperture in the 8-16 m range and a total bandpass spanning from the far-UV to the near-infrared. This observatory will enable revolutionary new studies in many areas of astronomy, including planetary science within and beyond our Solar System. Because LUVOIR is being considered for the next decadal survey, it must be capable of advancing our understanding of astronomical targets, including exoplanets, far beyond what will be achieved by the next two decades of observations from other space- or ground-based facilities. This means that the mission must move past planet detection, which is happening now with Kepler and ground-based measurements and will continue with TESS (Transiting Exoplanet Survey Satellite) and WFIRST (Wide Field Infrared Survey Telescope). It must also move beyond the chemical characterization of gas giants, which has begun with observations from Spitzer, Hubble, and ground-based telescopes and will greatly advances with the upcoming JWST (James Webb Space Telescope) and WFIRST coronagraph. Therefore, one of LUVOIR's main science objectives will be to directly image rocky Earth-sized planets in the habitable zones of other stars, measure their spectra, analyze the chemistry of their atmospheres, and obtain information about their surfaces. Such observations will allow us to evaluate these worlds' habitability and potential for life. We will review the specific observational strategies needed for astrobiological assessments of exoplanetary environments, including the wavelength range and spectral resolution required for these habitability analyses and biosignature searches. Further, we will discuss how the observational requirements to make measurements of "Earthlike" worlds will allow high-quality observations of a wide

  20. Supersymmetry: A decade of development

    International Nuclear Information System (INIS)

    West, P.C.

    1986-01-01

    The discovery of supersymmetry in the early 1970s led to a decade of very active research during which the interest of the theoretical physics community was captured and sustained by the rich structure of the theories. This development has had a fundamental effect on the outlook of modern theoretical physics. In particular, it has considerably increased the understanding of quantum field theory and further encouraged the quest to find a single theory of physics. In this book the leading developments in supersymmetry are explained in a pedagogical way by many of the pioneers of these developments. This book describes the theoretical physics, mathematical physics and high energy physics with an introduction to supersymmetric theories. It is expository and introductory in character, however the range of topics covered is sufficiently wide to be of interest to experienced researchers in supersymmetry

  1. A New Decade of Vaccines

    LENUS (Irish Health Repository)

    Murphy, JFA

    2011-09-01

    The call for a new decade of vaccines was made in December 2010. The aims are to secure the further discovery, development and delivery of vaccination. The first challenge is the acquisition of funds for the research and development of 20 new vaccines1. The Gates Foundation has pledged $10 billion for this venture. The other major players are WHO, UNICEF and the US National Institute of Allergy and Infectious Diseases. The top priorities are TB, AIDS and Malaria. It is hoped that a Malaria vaccine will available in 3 years. The ambitious target of saving the lives of over 7 million children has been set. The programme must also address the need for vaccines in insulin dependent diabetes, cancers and degenerative diseases2.

  2. Decadal opportunities for space architects

    Science.gov (United States)

    Sherwood, Brent

    2012-12-01

    A significant challenge for the new field of space architecture is the dearth of project opportunities. Yet every year more young professionals express interest to enter the field. This paper derives projections that bound the number, type, and range of global development opportunities that may be reasonably expected over the next few decades for human space flight (HSF) systems so those interested in the field can benchmark their goals. Four categories of HSF activity are described: human Exploration of solar system bodies; human Servicing of space-based assets; large-scale development of space Resources; and Breakout of self-sustaining human societies into the solar system. A progressive sequence of capabilities for each category starts with its earliest feasible missions and leads toward its full expression. The four sequences are compared in scale, distance from Earth, and readiness. Scenarios hybridize the most synergistic features from the four sequences for comparison to status quo, government-funded HSF program plans. Finally qualitative, decadal, order-of-magnitude estimates are derived for system development needs, and hence opportunities for space architects. Government investment towards human planetary exploration is the weakest generator of space architecture work. Conversely, the strongest generator is a combination of three market drivers: (1) commercial passenger travel in low Earth orbit; (2) in parallel, government extension of HSF capability to GEO; both followed by (3) scale-up demonstration of end-to-end solar power satellites in GEO. The rich end of this scale affords space architecture opportunities which are more diverse, complex, large-scale, and sociologically challenging than traditional exploration vehicle cabins and habitats.

  3. Next decade in external dosimetry

    International Nuclear Information System (INIS)

    Griffith, R.V.

    1988-01-01

    In recent years, a number of external dosimetry problems have been solved. However, changes in standards and legal concepts relating to the application of dosimetry results will require further enhancements in measurement techniques and philosophy in the next 10 y. The introduction of effective dose equivalent and the legal use of probability of causation will require that much greater attention be given to determination of weighted organ dose from external exposure. An imminent change--an increase in the fast neutron quality factor--will require a new round of technology development in a field that has just received a decade of close scrutiny. For the future, we must take advantage of developments in microelectronics. The use of random access memory (RAM) and metal-on-silicon (MOS) devices as detector elements, particularly for neutron dosimetry, has exciting possibilities that are just beginning to be explored. Advances in microcircuitry are leading, and will continue to lead, in the development of a new generation of small, rugged and smart radiation survey instruments that will make the most of detector data. It has become possible with very compact instruments to obtain energy spectra, linear-energy-transfer (LET) spectra, and quality factors in addition to the usual integrated dosimetric quantities: exposure, absorbed dose, and dose equivalent. These instruments will be reliable and easy to use. The user will be able to select the level of sophistication that is required for any specific application. Moreover, since the processing algorithms can be changed, changes in conversion factors can be accommodated with relative ease. During the next decade, the use of computers will continue to grow in value to the health physicist

  4. Two decades of PRA: What next?

    International Nuclear Information System (INIS)

    Rasmussen, N.C.

    1992-01-01

    Two decades ago, in the spring of 1972, the Reactor Safety Study was undertaken for the US Atomic Energy Commission (AEC). The goal of this study was to assess the risk to the public posed by the nuclear power plants operating in the US. Some three and one-half years later in October 1975, the study group issued its final report titled The Reactor Safety Study, also commonly known by its document number WASH 1400. Because it was issued at a time of heated public debate about nuclear safety, WASH 1400 received considerable critical review. By the late 1970s, as a result of the Lewis Report and the accident at Three Mile Island, the value of the WASH 1400 methodology was gradually recognized. A number of utilities undertook such studies of their own plants. The field of probabilistic risk assessment (PRA) developed from these efforts. Challenges remain. Among these are how to effectively communicate the results of the analysis. Just what does a probability of one in a million mean? Is there a de minimis probability - one so small that it can be ignored? How should society make decisions under substantial uncertainty? A number of these questions pose real challenges for the future

  5. GESAMP: Two decades of accomplishments

    International Nuclear Information System (INIS)

    Windom, H.L

    1991-01-01

    Many of the uses of the oceans by society may lead potentially to the degradation of the marine environment. Human activities on land lead to the inadvertent or deliberate input of contaminants to the oceans which also may result in marine environmental degradation on local, regional or global scales. Potential impacts on the marine environment of human activities on land and the potential conflicts of society's utilization of the oceans require ongoing global evaluation from a multidisciplinary scientific perspective. This has been recognized for some time by the community of United Nations organizations, eight of which jointly sponsor an interdisciplinary groups of scientists to provide independent advice on existing and potential marine pollution problems. This Group of Experts on the Scientific Aspects of Marine Pollution (GESAMP) was formed two decades ago to serve as a mechanism for encouraging coordination, collaboration and harmonization of activities related to marine pollution of common interest to the co-sponsoring bodies. More recently, GESAMP has expanded its programme to include consideration of the impacts of other human activities, such as coastal development, on the marine environment. The purpose of this booklet is to briefly describe what GESAMP is, how it operates and what it accomplishes

  6. Lyme disease: the next decade

    Directory of Open Access Journals (Sweden)

    Raphael B Stricker

    2011-01-01

    Full Text Available Raphael B Stricker, Lorraine JohnsonInternational Lyme and Associated Diseases Society, Bethesda, MD, USAAbstract: Although Lyme disease remains a controversial illness, recent events have created an unprecedented opportunity to make progress against this serious tick-borne infection. Evidence presented during the legally mandated review of the restrictive Lyme guidelines of the Infectious Diseases Society of America (IDSA has confirmed the potential for persistent infection with the Lyme spirochete, Borrelia burgdorferi, as well as the complicating role of tick-borne coinfections such as Babesia, Anaplasma, Ehrlichia, and Bartonella species associated with failure of short-course antibiotic therapy. Furthermore, renewed interest in the role of cell wall-deficient (CWD forms in chronic bacterial infection and progress in understanding the molecular mechanisms of biofilms has focused attention on these processes in chronic Lyme disease. Recognition of the importance of CWD forms and biofilms in persistent B. burgdorferi infection should stimulate pharmaceutical research into new antimicrobial agents that target these mechanisms of chronic infection with the Lyme spirochete. Concurrent clinical implementation of proteomic screening offers a chance to correct significant deficiencies in Lyme testing. Advances in these areas have the potential to revolutionize the diagnosis and treatment of Lyme disease in the coming decade.Keywords: Lyme disease, Borrelia burgdorferi, L-forms, cysts, biofilms, proteomics

  7. Lyme disease: the next decade

    Science.gov (United States)

    Stricker, Raphael B; Johnson, Lorraine

    2011-01-01

    Although Lyme disease remains a controversial illness, recent events have created an unprecedented opportunity to make progress against this serious tick-borne infection. Evidence presented during the legally mandated review of the restrictive Lyme guidelines of the Infectious Diseases Society of America (IDSA) has confirmed the potential for persistent infection with the Lyme spirochete, Borrelia burgdorferi, as well as the complicating role of tick-borne coinfections such as Babesia, Anaplasma, Ehrlichia, and Bartonella species associated with failure of short-course antibiotic therapy. Furthermore, renewed interest in the role of cell wall-deficient (CWD) forms in chronic bacterial infection and progress in understanding the molecular mechanisms of biofilms has focused attention on these processes in chronic Lyme disease. Recognition of the importance of CWD forms and biofilms in persistent B. burgdorferi infection should stimulate pharmaceutical research into new antimicrobial agents that target these mechanisms of chronic infection with the Lyme spirochete. Concurrent clinical implementation of proteomic screening offers a chance to correct significant deficiencies in Lyme testing. Advances in these areas have the potential to revolutionize the diagnosis and treatment of Lyme disease in the coming decade. PMID:21694904

  8. SUBSTANTIATION OF SOLUTIONS PERTAINING TO COMPLEX PRODUCTION RECONSTRUCTION

    Directory of Open Access Journals (Sweden)

    V. Y. Gurinovich

    2011-01-01

    Full Text Available While taking an example of reconstruction and modernization of OJSC «Construction and Mounting Trust No.16, Novopolotsk» the paper substantiates solutions for complex production reconstruction. The production reconstruction is divided in three start-up facilities ensuring continuous finished-product output.

  9. 26 CFR 1.528-4 - Substantiality test.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Substantiality test. 1.528-4 Section 1.528-4 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED... residence. Units which are used for purposes auxiliary to residential use (such as laundry areas, swimming...

  10. Engineering Substantially Prolonged Human Lifespans: Biotechnological Enhancement and Ethics

    NARCIS (Netherlands)

    Derkx, P.H.J.M.

    2006-01-01

    Substantial extension of the human lifespan has recently become a subject of lively debate. One reason for this is the completion in 2001 of the Human Genome Project and the experimental avenues for biogerontological research it has opened. Another is recent theoretical progress in biogerontology.

  11. 40 CFR Appendix C to Part 112 - Substantial Harm Criteria

    Science.gov (United States)

    2010-07-01

    ... to Part 112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS OIL POLLUTION PREVENTION Pt. 112, App. C Appendix C to Part 112—Substantial Harm Criteria 1.0Introduction The..., except in the Gulf of Mexico. In the Gulf of Mexico, it means the area shoreward of the lines of...

  12. 76 FR 63846 - Substantially Underserved Trust Areas (SUTA)

    Science.gov (United States)

    2011-10-14

    ... Cost Rural Communities; 10.861, Public Television Station Digital Transition Grant Program; 10.862... rule do not impose substantial unreimbursed direct compliance costs on Indian tribal, Alaska native, or native Hawaiian governments and sovereign institutions or have tribal implications that preempt tribal...

  13. A decade of Radiometallurgy Division

    International Nuclear Information System (INIS)

    Ganguly, C.; Bahl, J.K.

    1988-12-01

    The main thrust of the Research and Development (R and D) activities of the Radiometallurgy Division of the Bhabha Atomic Research Centre is on (1) R and D work and production of plutonium bearing nuclear fuels, (2) Post-Irradiation Examination (PIE) of fuels and structural materials, and (3) failure analysis of power reactor components. The main activities and achievements of the Division during the decade beginning from April 1978 are highlighted and the new thrust areas oriented towards installing a series of 235 MWe and 500 MWe PHWR units and prototype fast breeder reactor (PFBR) of 500 MWe capacity during the next 15 years are described in brief. The major achievements during last ten years are: (1) development and irradiation testing of mixed uranium plutonium oxide (MOX), as an alternative fuel for boiling water reactors at Tarapur, (2) setting up of a 10 tons/year pilot plant for fabrication of oxide fuels and technical support for setting up such plants, (3) development and production of plutonium rich, advanced mixed uranium plutonium monocarbide driver fuel for the Fast Breeder Test Reactor comm issioned at Kalpakkam, (4) development and fabrication of Al- 233 U plate fuel elements for KAMINI reactor, (5) PIE of fuel elements from Indian reactors in operation, (6) failure analysis of reactor components, and (7) in-pile performance analysis of power reactor structural materials. A list of publications during 1978-88 by the scientists of the Division is given at the end. The publications are listed under the headings: (1) fuels, (2) non-destructive evaluation, (3) engineering development, (4) welding development, (5) characterization and property evaluation, and (6) post irradiation examination. The entire text is illustrated with a number of diagrams and photographs - many of them coloured . (M.G.B.)

  14. [Findings from Total Colonoscopy in Obstructive Colorectal Cancer Patients Who Underwent Stent Placement as a Bridge to Surgery(BTS)].

    Science.gov (United States)

    Maruo, Hirotoshi; Tsuyuki, Hajime; Kojima, Tadahiro; Koreyasu, Ryohei; Nakamura, Koichi; Higashi, Yukihiro; Shoji, Tsuyoshi; Yamazaki, Masanori; Nishiyama, Raisuke; Ito, Tatsuhiro; Koike, Kota; Ikeda, Takashi; Takayanagi, Yasuhiro; Kubota, Hiroyuki

    2017-11-01

    We clinically investigated 34 patients with obstructive colorectal cancer who underwent placement of a colonic stent as a bridge to surgery(BTS), focusing on endoscopic findings after stent placement.Twenty -nine patients(85.3%)underwent colonoscopy after stent placement, and the entire large intestine could be observed in 28(96.6%).Coexisting lesions were observed in 22(78.6%)of these 28 patients.The lesions comprised adenomatous polyps in 17 patients(60.7%), synchronous colon cancers in 5 patients(17.9%), and obstructive colitis in 3 patients(10.7%), with some overlapping cases.All patients with multiple cancers underwent one-stage surgery, and all lesions were excised at the same time.Colonoscopy after colonic stent placement is important for preoperative diagnosis of coexisting lesions and planning the extent of resection. These considerations support the utility of colonic stenting for BTS.

  15. The Impact of IT over Five Decades

    DEFF Research Database (Denmark)

    Bjørn-Andersen, Niels; Raymond, Benoit

    2014-01-01

    in the last five decades, identifying a dominating (new) research theme in each decade. A key overall impact of IT in all decades has been a dramatic decrease in transaction costs making it increasingly easier for organizations to source from external providers. A five level taxonomy of sourcing arrangement...

  16. EXPERIMENTAL SUBSTANTIATION OF ATTRIBUTIONAL STYLE IN TRAFFIC POLICE OFFICERS’ BEHAVIOR

    Directory of Open Access Journals (Sweden)

    Olga Vladimirovna Merkusheva

    2016-02-01

    Full Text Available The article prepared for the ‘Psychological and Methodological Aspects of Professional Personnel Training at Internal Affairs Bodies of the Russian Federation’ scholar tradition looks at the applied aspect of handling security issues by traffic police officers. It presents the results of empirical study of the employees’ psychological characteristics conducted to substantiate their attributional style, which determines the specific character as well as the qua-lity and reliability of traffic police officers’ performance. Traffic police officers’ attributional style of behavior is researched with the help of attributional cognitive techniques for hazard phenomena detection as well as social perception and attribution technique and is viewed as the most stable entity, which reflects the employee’s personal and professional focus.Goal: to provide empirical substantiation of attributional style in traffic police officers’ behavior as an integral personality characteristic that ensures timely detection of hazard phenomena.

  17. Substantiation of the road toll for heavy transport vehicles

    OpenAIRE

    Burmaka, N.; Chernykh, A.

    2010-01-01

    The existing and possible additional sources of developing state and local road funds of Ukraine have been considered. The formula for calculating monthly road toll for heavy transport vehicles has been proposed. This formula includes the payment rate per every kilometer of distance, the vehicle capacity utilization factor and the run with the load. The payment rate per every kilometer of distance for transport vehicles depending on the allowed total weight has been substantiated. The given r...

  18. Patients' substantialization of disease, the hybrid symptom and metaphysical care.

    Science.gov (United States)

    Pârvan, Alexandra

    2015-06-01

    In the context of current scholarship concerned with facilitating integration between the biomedical and the patient-centred models of care, the article suggests that disease brings about an ontological disruption in patients, which is not directly addressed in either model, and may interfere with treatment and therapy outcomes if not met with a type of care termed here as 'metaphysical'. The receipt of diagnosis and medical care can give patients the sense that they are ontologically diminished, or less of a human, and along with physicians' approaches to and discourses about disease, may prompt them to seek ontological restoration or security in the same way as psychologically traumatized patients sometimes do: by treating the disease and/or the experience of harm associated with it as a thing that exists per se. I call this 'substantialization' of disease (or harm) and draw on Augustine's theory of non-substantial deficiencies (physiological and moral) and on Plato's and Plotinus's different takes on such defects in order to discuss what substantialization can do for patients. Based on literature that examines patients' ways of talking about and living with their disease, I speculate that substantialization can generate a 'hybrid symptom', consisting in patterns of exercising agency which may predispose to non-adherence. Ways in which physicians could provide metaphysical care are proposed, along with an understanding of chronic patients as hybrid ontological and agentic units, which draws on theories of enactive cognition. I opine that metaphysical care may facilitate integration between the depersonalized and personalized models of care. © 2014 John Wiley & Sons, Ltd.

  19. Impact of Polypharmacy on Adherence to Evidence-Based Medication in Patients who Underwent Percutaneous Coronary Intervention.

    Science.gov (United States)

    Mohammed, Shaban; Arabi, Abdulrahaman; El-Menyar, Ayman; Abdulkarim, Sabir; AlJundi, Amer; Alqahtani, Awad; Arafa, Salah; Al Suwaidi, Jassim

    2016-01-01

    The primary objective of this study was to evaluate the impact of polypharmacy on primary and secondary adherence to evidence-based medication (EBM) and to measure factors associated with non-adherence among patients who underwent percutaneous coronary intervention (PCI). We conducted a retrospective analysis for patients who underwent PCI at a tertiary cardiac care hospital in Qatar. Patients who had polypharmacy (defined as ≥6 medications) were compared with those who had no polypharmacy at hospital discharge in terms of primary and secondary adherence to dual antiplatelet therapy (DAPT), beta-blockers (BB), angiotensin converting enzyme inhibitors (ACEIs) and statins. A total of 557 patients (mean age: 53±10 years; 85%; males) who underwent PCI were included. The majority of patients (84.6%) received ≥6 medications (polypharmacy group) while only 15.4% patients received ≥5 medications (nonpolypharmacy group). The two groups were comparable in term of gender, nationality, socioeconomic status and medical insurance. The non-polypharmacy patients had significantly higher adherence to first refill of DAPT compared with patients in the polypharmacy group (100 vs. 76.9%; p=0.001). Similarly, the non-polypharmacy patients were significantly more adherent to secondary preventive medications (BB, ACEI and statins) than the polypharmacy group. In patients who underwent PCI, polypharmacy at discharge could play a negative role in the adherence to the first refill of EBM. Further studies should investigate other parameters that contribute to long term non-adherence.

  20. Multimodal exercise training in multiple sclerosis: A randomized controlled trial in persons with substantial mobility disability.

    Science.gov (United States)

    Sandroff, Brian M; Bollaert, Rachel E; Pilutti, Lara A; Peterson, Melissa L; Baynard, Tracy; Fernhall, Bo; McAuley, Edward; Motl, Robert W

    2017-10-01

    Mobility disability is a common, debilitating feature of multiple sclerosis (MS). Exercise training has been identified as an approach to improve MS-related mobility disability. However, exercise randomized controlled trials (RCTs) on mobility in MS have generally not selectively targeted those with the onset of irreversible mobility disability. The current multi-site RCT compared the efficacy of 6-months of supervised, multimodal exercise training with an active control condition for improving mobility, gait, physical fitness, and cognitive outcomes in persons with substantial MS-related mobility disability. 83 participants with substantial MS-related mobility disability underwent initial mobility, gait, fitness, and cognitive processing speed assessments and were randomly assigned to 6-months of supervised multimodal (progressive aerobic, resistance, and balance) exercise training (intervention condition) or stretching-and-toning activities (control condition). Participants completed the same outcome assessments halfway through and immediately following the 6-month study period. There were statistically significant improvements in six-minute walk performance (F(2158)=3.12, p=0.05, η p 2 =0.04), peak power output (F(2150)=8.16, pmobility disability. This is critical for informing the development of multi-site exercise rehabilitation programs in larger samples of persons with MS-related mobility disability. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Substantial increase in acceleration potential of pyroelectric crystals

    International Nuclear Information System (INIS)

    Tornow, W.; Lynam, S. M.; Shafroth, S. M.

    2010-01-01

    We report on a substantial increase in the acceleration potential achieved with a LiTaO 3 pyroelectric crystal. With a single 2.5 cm diameter and 2.5 cm long z-cut crystal without electric field-enhancing nanotip we produced positive ion beams with maximal energies between 300 and 310 keV during the cooling phase when the crystal was exposed to 5 mTorr of deuterium gas. These values are about a factor of 2 larger than previously obtained with single pyroelectric crystals.

  2. Changing trends in peripartum hysterectomy over the last 4 decades.

    LENUS (Irish Health Repository)

    Flood, Karen M

    2012-02-01

    OBJECTIVE: The purpose of this study was to identify changing trends in peripartum hysterectomy (PH) in a single large obstetric population over the last 40 years. STUDY DESIGN: A retrospective cohort study was performed from 1966-2005 of patients who had PH in any of the 3 Dublin obstetric hospitals. Cases were identified, and details were obtained from the combined patient databases of each hospital. RESULTS: There were 872,379 deliveries during the study period, among which 358 women underwent PH (0.4\\/1000 deliveries). In a comparison of the study decades 1966-1975 with 1996-2005, PH decreased from 0.9 per 1000 deliveries to 0.2 of 1000 deliveries. Although the overall cesarean delivery rate has increased from 6-19% during these 2 decades, the percentage of PH that occurs in the setting of a previous cesarean delivery has increased from 27-57% (P < .00001). Indications for PH have changed significantly in this time period, with "uterine rupture" as the indication for PH decreasing from 40.5-9.3% (P < .0001) and placenta accreta as the indication increasing significantly from 5.4-46.5% (P < .00001). CONCLUSION: PH has decreased over the last 4 decades. However, alongside the rising cesarean delivery rate, there has been a marked increase in the incidence of placenta accreta.

  3. COMPOSITIONAL AND SUBSTANTIAL STRUCTURE OF THE MEDICAL DOCUMENT: FORMATION STAGES

    Directory of Open Access Journals (Sweden)

    Romashova Olga Vladimirovna

    2015-03-01

    Full Text Available The article deals with the compositional and substantial structure of the ambulatory medical record, or "case history", which has being formed for a long time. The author allocates the three main periods in the formation of this medical document: the first period (the beginning of the 19th century – 1920s is connected with the origin and formation; the second period (1920-1980s is marked by emergence of the normative legal acts regulating registration and maintaining; the third period (1980s – up to the present is associated with the cancellation of regulations and the introduction of the new order of the Ministry of Health of the USSR that changed the document's form and name. It is determined that the composition of the case history consists of the title page and the main part. The following processes take place in the course of ambulatory medical record's formation: strengthening formalization, increase in the number of pattern text fragments, increase in the text's volume, and the implementation of bigger number of functions. The author reveals the main (informative and cumulative, accounting and additional (scientific, controlling, legal, financial functions of the document. The implementation of these functions is reflected in the compositional and substantial structure of the document text and is conditioned by a number of extralinguistic factors.

  4. APACHE II SCORING SYSTEM AND ITS MODIFICATION FOR THE ASSESSMENT OF DISEASE SEVERITY IN CHILDREN WHO UNDERWENT POLYCHEMOTHERAPY

    Directory of Open Access Journals (Sweden)

    А. V. Sotnikov

    2014-01-01

    Full Text Available Short-term disease prognosis should be considered for the appropriate treatment policy based on the assessment of disease severity in patients with acute disease. The adequate assessment of disease severity and prognosis allows the indications for transferring patients to the resuscitation and intensive care department to be defined more precisely. Disease severity of patients who underwent polychemotherapy was assessed using APACHE II scoring system.

  5. The Demographics of Patients with Skin Cancer who Underwent Surgery in Diyarbakır and Performed Surgical Techniques

    Directory of Open Access Journals (Sweden)

    Burhan Özalp

    2018-06-01

    Full Text Available Objective: The major factor for developing malignant skin cancers is sunlight exposure. This study aimed to evaluate the demographics of patients with skin cancers who underwent surgery in Diyarbakır where the population is exposed to more sunlight than most other Turkish cities. Methods: The medical records of patients who underwent surgery for malignant skin cancer excision between 2011 and 2016 were searched using University Hospital’s patient database program. Data about patients’ demographics, cancer features, and the surgical techniques performed were collected. Results: Over a 5-year period, 190 patients underwent surgical excision. The male to female ratio was 1.56, and the mean age was 65.8 ± 15.7 (range, 20-94 years. The most common skin cancer was basal cell carcinoma (n=138, 72.7%, followed by squamous cell carcinoma (n=45, 23.7% and malignant melanoma (n=5, 2.6%. The most common surgery was primary excision, which was performed in 90 of 190 patients (47.36%; tissue reconstruction with a skin graft or flap surgery was required for the remaining 100 (52.63%, showing a significant difference (p<0.001. Conclusion: Basal cell carcinoma is the most common skin cancer, and less than half of the patients sought treatment immediately after they recognized the lesion. The public should be educated about skin cancers to increase early diagnosis and encourage timely treatment, thereby decreasing morbidity and mortality from skin cancer.

  6. Microdose flare-up vs. flexible-multidose GnRH antagonist protocols for poor responder patients who underwent ICSI.

    Science.gov (United States)

    Esinler, I

    2014-01-01

    To compare the performance of microdose flare-up (MF) and flexible-multidose gonadotropin-releasing hormone (GnRH) antagonist protocols in poor responder patients who underwent intracytoplasmic sperm injection (ICSI). One hundred and 12 consecutive patients (217 cycles) suspected to have poor ovarian response were enrolled. Group 1 (MF GnRH agonist group) constituted 64 patients (135 cycles) who underwent MF GnRH agonist protocol. Group 2 (flexible-multidose GnRH antagonist group) constituted 48 patients (82 cycles) who underwent flexible-multidose GnRH antagonist protocol. The duration of stimulation (d) (11.5 +/- 2.1 vs. 10.4 +/- 2.7, p or = seven blastomeres and < 10% fragmentation at day 3 (35.9% vs. 65.1%, p < 0.05) were significantly lower in Group 1 when compared to Group 2. The number of embryos transferred (2.2 +/- 1.3 vs. 2.4 +/- 0.9), the clinical pregnancy per embryo transfer (16.3% vs. 25.8%), and the implantation rate (8.6% vs. 12.2%) were comparable between groups. Although the flexible-multidose GnRH antagonist protocol produced better oocyte and embryo parameters, the clinical pregnancy rate and the implantation rates were comparable between the flexible-multidose GnRH antagonist and MF protocols in poor responder patients.

  7. Clozapine-induced dysphagia with secondary substantial weight loss.

    Science.gov (United States)

    Osman, Mugtaba; Devadas, Vekneswaran

    2016-08-19

    Dysphagia is listed as a 'rare' side effect following clozapine treatment. In this case report, we describe how significant clozapine-induced dysphagia has led to significant reduction of nutritional intake with subsequent substantial weight loss. An 18-year-old single man with an established diagnosis of treatment-resistant paranoid schizophrenia recovered well on a therapeutic dose of clozapine. However, he was noted to lose weight significantly (up to 20% of his original weight) as the dose was uptitrated. This was brought about by development of dysphagia, likely to be due to clozapine. Addition of nutritional supplementary liquids and initiation of a modified behavioural dietary/swallowing programme, while repeatedly mastering the Mendelsohn manoeuvre technique, alleviated the swallowing difficulties and restored his weight. 2016 BMJ Publishing Group Ltd.

  8. Monte Carlo reactor calculation with substantially reduced number of cycles

    International Nuclear Information System (INIS)

    Lee, M. J.; Joo, H. G.; Lee, D.; Smith, K.

    2012-01-01

    A new Monte Carlo (MC) eigenvalue calculation scheme that substantially reduces the number of cycles is introduced with the aid of coarse mesh finite difference (CMFD) formulation. First, it is confirmed in terms of pin power errors that using extremely many particles resulting in short active cycles is beneficial even in the conventional MC scheme although wasted operations in inactive cycles cannot be reduced with more particles. A CMFD-assisted MC scheme is introduced as an effort to reduce the number of inactive cycles and the fast convergence behavior and reduced inter-cycle effect of the CMFD assisted MC calculation is investigated in detail. As a practical means of providing a good initial fission source distribution, an assembly based few-group condensation and homogenization scheme is introduced and it is shown that efficient MC eigenvalue calculations with fewer than 20 total cycles (including inactive cycles) are possible for large power reactor problems. (authors)

  9. A Decade of Scholarship in Marketing Education

    Science.gov (United States)

    Abernethy, Avery M.; Padgett, Daniel

    2011-01-01

    The teaching environment in business schools has changed dramatically over the last decade. But the last comprehensive review of the scholarship of teaching was conducted more than a decade ago. Where and from whom do the best practices for teaching originate today? To answer this question, the authors examine marketing education scholarship…

  10. Feminism and the Decade of Behavior.

    Science.gov (United States)

    White, Jacquelyn W.; Russo, Nancy Felipe; Travis, Cheryl Brown

    2001-01-01

    Asserts that the Decade of Behavior goals to foster a healthier, better educated, more prosperous and democratic nation cannot be achieved without contributions from feminist psychology. Outlines challenges gender poses to achieving Decade goals and discusses principles for research to address them: inclusiveness and diversity, context, power and…

  11. Improved image quality in abdominal CT in patients who underwent treatment for hepatocellular carcinoma with small metal implants using a raw data-based metal artifact reduction algorithm

    Energy Technology Data Exchange (ETDEWEB)

    Sofue, Keitaro; Sugimura, Kazuro [Kobe University Graduate School of Medicine, Department of Radiology, Kobe, Hyogo (Japan); Yoshikawa, Takeshi; Ohno, Yoshiharu [Kobe University Graduate School of Medicine, Advanced Biomedical Imaging Research Center, Kobe, Hyogo (Japan); Kobe University Graduate School of Medicine, Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe, Hyogo (Japan); Negi, Noriyuki [Kobe University Hospital, Division of Radiology, Kobe, Hyogo (Japan); Inokawa, Hiroyasu; Sugihara, Naoki [Toshiba Medical Systems Corporation, Otawara, Tochigi (Japan)

    2017-07-15

    To determine the value of a raw data-based metal artifact reduction (SEMAR) algorithm for image quality improvement in abdominal CT for patients with small metal implants. Fifty-eight patients with small metal implants (3-15 mm in size) who underwent treatment for hepatocellular carcinoma were imaged with CT. CT data were reconstructed by filtered back projection with and without SEMAR algorithm in axial and coronal planes. To evaluate metal artefact reduction, mean CT number (HU and SD) and artefact index (AI) values within the liver were calculated. Two readers independently evaluated image quality of the liver and pancreas and visualization of vasculature using a 5-point visual score. HU and AI values and image quality on images with and without SEMAR were compared using the paired Student's t-test and Wilcoxon signed rank test. Interobserver agreement was evaluated using linear-weighted κ test. Mean HU and AI on images with SEMAR was significantly lower than those without SEMAR (P < 0.0001). Liver and pancreas image qualities and visualizations of vasculature were significantly improved on CT with SEMAR (P < 0.0001) with substantial or almost perfect agreement (0.62 ≤ κ ≤ 0.83). SEMAR can improve image quality in abdominal CT in patients with small metal implants by reducing metallic artefacts. (orig.)

  12. Improved image quality in abdominal CT in patients who underwent treatment for hepatocellular carcinoma with small metal implants using a raw data-based metal artifact reduction algorithm

    International Nuclear Information System (INIS)

    Sofue, Keitaro; Sugimura, Kazuro; Yoshikawa, Takeshi; Ohno, Yoshiharu; Negi, Noriyuki; Inokawa, Hiroyasu; Sugihara, Naoki

    2017-01-01

    To determine the value of a raw data-based metal artifact reduction (SEMAR) algorithm for image quality improvement in abdominal CT for patients with small metal implants. Fifty-eight patients with small metal implants (3-15 mm in size) who underwent treatment for hepatocellular carcinoma were imaged with CT. CT data were reconstructed by filtered back projection with and without SEMAR algorithm in axial and coronal planes. To evaluate metal artefact reduction, mean CT number (HU and SD) and artefact index (AI) values within the liver were calculated. Two readers independently evaluated image quality of the liver and pancreas and visualization of vasculature using a 5-point visual score. HU and AI values and image quality on images with and without SEMAR were compared using the paired Student's t-test and Wilcoxon signed rank test. Interobserver agreement was evaluated using linear-weighted κ test. Mean HU and AI on images with SEMAR was significantly lower than those without SEMAR (P < 0.0001). Liver and pancreas image qualities and visualizations of vasculature were significantly improved on CT with SEMAR (P < 0.0001) with substantial or almost perfect agreement (0.62 ≤ κ ≤ 0.83). SEMAR can improve image quality in abdominal CT in patients with small metal implants by reducing metallic artefacts. (orig.)

  13. Clinical Outcomes of patients with coronary artery disease who underwent FFR evaluation of intermediate coronary lesionS– COFFRS study

    Directory of Open Access Journals (Sweden)

    Srinivasa Prasad

    2017-07-01

    Conclusion: In our experience, MACE events were not higher in patients with FFR > 0.8 and kept under medical therapy and were similarly lower in patients with FFR ≤0.8 and underwent revascularisation (p = 0.73. Also MACE events were higher in patients with FFR ≤ 0.8 and did not undergo revascularisation compared to other two appropriately treated groups (p = 0.03. FFR based revascularization decision appears to be a safe strategy in Indian patients.

  14. Complementary sex determination substantially increases extinction proneness of haplodiploid populations.

    Science.gov (United States)

    Zayed, Amro; Packer, Laurence

    2005-07-26

    The role of genetic factors in extinction is firmly established for diploid organisms, but haplodiploids have been considered immune to genetic load impacts because deleterious alleles are readily purged in haploid males. However, we show that single-locus complementary sex determination ancestral to the haplodiploid Hymenoptera (ants, bees, and wasps) imposes a substantial genetic load through homozygosity at the sex locus that results in the production of inviable or sterile diploid males. Using stochastic modeling, we have discovered that diploid male production (DMP) can initiate a rapid and previously uncharacterized extinction vortex. The extinction rate in haplodiploid populations with DMP is an order of magnitude greater than in its absence under realistic but conservative demographic parameter values. Furthermore, DMP alone can elevate the base extinction risk in haplodiploids by over an order of magnitude higher than that caused by inbreeding depression in threatened diploids. Thus, contrary to previous expectations, haplodiploids are more, rather than less, prone to extinction for genetic reasons. Our findings necessitate a fundamental shift in approaches to the conservation and population biology of these ecologically and economically crucial insects.

  15. Substantial soil organic carbon retention along floodplains of mountain streams

    Science.gov (United States)

    Sutfin, Nicholas A.; Wohl, Ellen

    2017-07-01

    Small, snowmelt-dominated mountain streams have the potential to store substantial organic carbon in floodplain sediment because of high inputs of particulate organic matter, relatively lower temperatures compared with lowland regions, and potential for increased moisture conditions. This work (i) quantifies mean soil organic carbon (OC) content along 24 study reaches in the Colorado Rocky Mountains using 660 soil samples, (ii) identifies potential controls of OC content based on soil properties and spatial position with respect to the channel, and (iii) and examines soil properties and OC across various floodplain geomorphic features in the study area. Stepwise multiple linear regression (adjusted r2 = 0.48, p sample depth, percent sand, distance from the channel, and relative elevation from the channel are significant predictors of OC content in the study area. Principle component analysis indicates limited separation between geomorphic floodplain features based on predictors of OC content. A lack of significant differences among floodplain features suggests that the systematic random sampling employed in this study can capture the variability of OC across floodplains in the study area. Mean floodplain OC (6.3 ± 0.3%) is more variable but on average greater than values in uplands (1.5 ± 0.08% to 2.2 ± 0.14%) of the Colorado Front Range and higher than published values from floodplains in other regions, particularly those of larger rivers.

  16. Substantially Evolutionary Theorizing in Designing Software-Intensive Systems

    Directory of Open Access Journals (Sweden)

    Petr Sosnin

    2018-04-01

    Full Text Available Useful inheritances from scientific experience open perspective ways for increasing the degree of success in designing of systems with software. One such way is a search and build applied theory that takes into account the nature of design and the specificity of software engineering. This paper presents a substantially evolutionary approach to creating the project theories, the application of which leads to positive effects that are traditionally expected from theorizing. Any implementation of the approach is based on a reflection by designers of an operational space of designing onto a semantic memory of a question-answer type. One of the results of such reflection is a system of question-answer nets, the nodes of which register facts of interactions of designers with accessible experience. A set of such facts is used by designers for creating and using the theory that belongs to the new subclass of Grounded Theories. This sub-class is oriented on organizationally behavioral features of a project’s work based on design thinking, automated mental imagination, and thought experimenting that facilitate increasing the degree of controlled intellectualization in the design process and, correspondingly, increasing the degree of success in the development of software-intensive systems.

  17. Citrus aurantium Naringenin Prevents Osteosarcoma Progression and Recurrence in the Patients Who Underwent Osteosarcoma Surgery by Improving Antioxidant Capability

    Directory of Open Access Journals (Sweden)

    Lirong Zhang

    2018-01-01

    Full Text Available Citrus aurantium is rich in flavonoids, which may prevent osteosarcoma progression, but its related molecular mechanism remains unclear. Flavonoids were extracted from C. aurantium and purified by reparative HPLC. Each fraction was identified by using electrospray ionisation mass spectrometry (ESI-MS. Three main components (naringin, naringenin, and hesperetin were isolated from C. aurantium. Naringenin inhibited the growth of MG-63 cells, whereas naringin and hesperetin had no inhibitory function on cell growth. ROS production was increased in naringin- and hesperetin-treated groups after one day of culture while the level was always lowest in the naringenin-treated group after three days of culture. 95 osteosarcoma patients who underwent surgery were assigned into two groups: naringenin group (NG, received 20 mg naringenin daily, n=47 and control group (CG, received 20 mg placebo daily, n=48. After an average of two-year follow-up, osteosarcoma volumes were smaller in the NG group than in the CG group (P>0.01. The rate of osteosarcoma recurrence was also lower in the NG group than in CG group. ROS levels were lower in the NG group than in the CG group. Thus, naringenin from Citrus aurantium inhibits osteosarcoma progression and local recurrence in the patients who underwent osteosarcoma surgery by improving antioxidant capability.

  18. Citrus aurantium Naringenin Prevents Osteosarcoma Progression and Recurrence in the Patients Who Underwent Osteosarcoma Surgery by Improving Antioxidant Capability.

    Science.gov (United States)

    Zhang, Lirong; Xu, Xiaohua; Jiang, Tiechao; Wu, Kunzhe; Ding, Chuanbo; Liu, Zhen; Zhang, Xuanhe; Yu, Tianhua; Song, Changlong

    2018-01-01

    Citrus aurantium is rich in flavonoids, which may prevent osteosarcoma progression, but its related molecular mechanism remains unclear. Flavonoids were extracted from C. aurantium and purified by reparative HPLC. Each fraction was identified by using electrospray ionisation mass spectrometry (ESI-MS). Three main components (naringin, naringenin, and hesperetin) were isolated from C. aurantium . Naringenin inhibited the growth of MG-63 cells, whereas naringin and hesperetin had no inhibitory function on cell growth. ROS production was increased in naringin- and hesperetin-treated groups after one day of culture while the level was always lowest in the naringenin-treated group after three days of culture. 95 osteosarcoma patients who underwent surgery were assigned into two groups: naringenin group (NG, received 20 mg naringenin daily, n = 47) and control group (CG, received 20 mg placebo daily, n = 48). After an average of two-year follow-up, osteosarcoma volumes were smaller in the NG group than in the CG group ( P > 0.01). The rate of osteosarcoma recurrence was also lower in the NG group than in CG group. ROS levels were lower in the NG group than in the CG group. Thus, naringenin from Citrus aurantium inhibits osteosarcoma progression and local recurrence in the patients who underwent osteosarcoma surgery by improving antioxidant capability.

  19. New theory of arrhythmia. Conceptual substantiation of arrhythmia mechanisms

    Directory of Open Access Journals (Sweden)

    Vladimir I. Ermoshkin

    2015-11-01

    Full Text Available Aims A new attempt is made to substantiate the concept of the mechanism of arrhythmia and sudden cardiac death. Methods The paper is based on a theoretical analysis of special literature, personal experience of participation in conferences and discussions with leading Russian cardiologists. Results We have succeeded in demonstrating the fact that researchers ignore the fact that cardiomyocytes can be excited by mechanical pulses, when considering the arrhythmia mechanisms. We have conducted trials using the Cardiocode device. Under stress in a human, opened may be large and small arteriovenous anastomoses, via which blood under high pressure is ejected into veins. It leads to pressure surges in arteries and veins. The vena cava dilates, its tonus increases. In some cases, the pulse waves travel via anastomoses along the vena cava walls to the atria and the ventricles. An above-threshold concentration of tensions from mechanical pulses may excite cardiomyocytes from different points of the myocardium, disturbing the sinus rhythm. As a result, extrasystoles, tachycardia attacks, blocking of blood circulation in the peripheral segments of the venous arterial networks, edemata, thrombosis and metabolism disorders appear. Arrhythmia, tachycardia attacks and concomitant myocardial ischemia lead to progression of heart fibrosis. Such changes increase the probability of fibrillations and sudden cardiac death. Conclusion Unhealthy lifestyle, the presence of opening and not properly closing anastomoses may provoke a number of diseases. To avoid the cardiac arrhythmia attacks and prevent SCD, it is necessary to suppress travel of the mechanical waves within the following circuitry: aorta – artery – anastomosis – vein – vena cava – atria – ventricles. The travel of the mechanical waves within the same vessel circuitry explains the fact that the fixed couplings under extrasystoles are observed, and the beat-to-beat RR intervals under tachycardia

  20. How common is substantial weight gain after pregnancy?

    Science.gov (United States)

    Sumithran, Priya; Houlihan, Christine; Shub, Alexis; Churilov, Leonid; Pritchard, Natasha; Price, Sarah; Ekinci, Elif; Proietto, Joseph; Permezel, Michael

    2017-11-20

    Although population-based studies indicate that on average, women gain 1-2kg between pregnancies, women with obesity often attribute its development to childbearing. There is little contemporary data available regarding how commonly this occurs, particularly in women of different body mass index (BMI) categories. The aim of this study was to examine inter-pregnancy weight changes among women at a tertiary obstetric hospital in Melbourne, Australia. This was a retrospective review of data from the Birthing Outcomes System electronic record of 19,617 women aged 20 years or older, who delivered at least two consecutive singleton infants at ≥37 weeks' gestation at Mercy Hospital for Women between December 1994 and December 2015. A logistic regression model was used to assess the relationship between gain of ≥4kg/m 2 between pregnancies and maternal BMI category in the first pregnancy, adjusting for covariates of maternal age, inter-pregnancy interval, and socioeconomic status. Gain of ≥4kg/m 2 between the first two pregnancies occurred in 7.5% of normal weight women, 10.5% of overweight women, and 13.4% of women with obesity. One in five women who were normal weight in their first pregnancy increased to overweight or obese BMI categories in their second pregnancy. Substantial weight gain in relation to pregnancy affects a considerable proportion of women. Since inter-pregnancy weight gain is associated with several complications in the next pregnancy and longer term, avoiding excessive weight gain during and between pregnancies may prevent adverse health consequences in mothers and offspring. Copyright © 2017 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  1. Liver resection over the last decade

    DEFF Research Database (Denmark)

    Wettergren, A.; Larsen, P.N.; Rasmussen, A.

    2008-01-01

    of hepatic metastases from colorectal cancer and hepatocellular carcinoma in our institution. MATERIALS AND METHODS: The patients who underwent their primary liver resection from 1.1.1995-31.12.2004 in our institution were included. The surgical outcome was reviewed retrospectively and the five-year survival...... after resection of hepatic metastases from colorectal cancer and hepatocellular carcinoma was estimated. RESULTS: 141 patients (71M/70F), median age 58 years (1-78), underwent a liver resection in the ten-year period. The number of resections increased from two in 1995 to 32 in 2004. Median hospital...

  2. Tumor deposit is a poor prognostic indicator in patients who underwent simultaneous resection for synchronous colorectal liver metastases

    Directory of Open Access Journals (Sweden)

    Lin Q

    2015-01-01

    Full Text Available Qi Lin,# Ye Wei,# Li Ren,# Yunshi Zhong,# Chunzhi Qin, Peng Zheng, Pingping Xu, Dexiang Zhu, Meiling Ji, Jianmin XuDepartment of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China#These authors contributed equally to this workBackground: Tumor deposits are one of the important influencing factors among the different editions of Tumor, Node, Metastasis classification. Incidence and prognosis of tumor deposits in stage I, II, and III colorectal cancer patients has been explored. The aim of this study was to determine the prognostic value of tumor deposits in stage IV colorectal cancer patients who underwent simultaneous resection for synchronous colorectal liver metastases (SCRLM.Methods: Clinicopathological and outcome data of 146 consecutive SCRLM patients who underwent simultaneous R0 resection between July 2003 and July 2013 were collected from our prospectively established SCRLM database. The prognostic value of tumor deposits was evaluated by Kaplan–Meier and Cox regression analysis.Results: Tumor deposits were detected in 41.8% (61/146 of these SCRLM patients. Tumor deposits were significantly correlated with lymph node metastasis and nerve invasion of the primary tumors (P=0.002, P=0.041; respectively. The Kaplan–Meier survival analysis revealed that the overall survival (OS and disease-free survival (DFS of SCRLM patients with tumor deposits were significantly poorer than those with no tumor deposits (P=0.039, P=0.001; respectively. And with multivariate analysis, we found that positive tumor deposits were significantly associated with shorter DFS independent of lymph node status (P=0.002. Subgroup analysis found that of the 57 SCRLM patients with negative lymph node status, the OS and DFS of patients with positive tumor deposits were significantly shorter than those with negative tumor deposits (P=0.002 and P=0.031, respectively. Of the 89 patients with positive lymph node status, the OS of

  3. ''Nuclear Energy - Potential to Substantially Impact California's Energy Use''

    International Nuclear Information System (INIS)

    Lawrence Livermore National Laboratory

    2006-01-01

    The use of nuclear power to generate electricity is very widespread today, with about 20% of all U.S. electricity coming from the nation's 103 operating reactors. Worldwide there are over 400 commercial nuclear plants that make a similar contribution percentage-wise. However, all of the current U.S. reactors and most of those elsewhere are relatively old, with no new ones having been started domestically in over two decades and only a few now being built overseas, mostly in Asia. The principal reason for this hiatus in the U.S. is that the cost of electricity from new nuclear plants has been non-competitive with other electricity sources for a long time. The U.S. nuclear-power industry has not been stagnant during this time, however. First, the existing plants themselves are running significantly better than they were twenty years ago, to the extent that the US. reactor fleet is producing about one-third more electricity annually than it was, due largely to improvements in the capacity factors: the plants run more reliably, shut down less often, and the refueling outages take less than half as long as they once did. The safety performance has also improved dramatically, with major improvements in every one of the main indicators of safety. The security of the plants against sabotage or other malevolent acts has always been very strong, and is stronger still after recent upgrades in response to the September 2001 attacks in New York and Washington. Thus the U.S. nuclear-electricity industry has remained dynamic despite the absence of new construction. The U.S. and foreign companies that design reactors and hope someday to sell more of them have also been actively at work--they have developed advanced reactor designs that promise to cost much less to build and to operate, and to have even better safety performance. Several of these advanced designs have received design-certification approvals from the U.S. Nuclear Regulatory Commission, meaning that a utility could

  4. Contribution of solar radiation to decadal temperature variability over land.

    Science.gov (United States)

    Wang, Kaicun; Dickinson, Robert E

    2013-09-10

    Global air temperature has become the primary metric for judging global climate change. The variability of global temperature on a decadal timescale is still poorly understood. This paper examines further one suggested hypothesis, that variations in solar radiation reaching the surface (Rs) have caused much of the observed decadal temperature variability. Because Rs only heats air during the day, its variability is plausibly related to the variability of diurnal temperature range (daily maximum temperature minus its minimum). We show that the variability of diurnal temperature range is consistent with the variability of Rs at timescales from monthly to decadal. This paper uses long comprehensive datasets for diurnal temperature range to establish what has been the contribution of Rs to decadal temperature variability. It shows that Rs over land globally peaked in the 1930s, substantially decreased from the 1940s to the 1970s, and changed little after that. Reduction of Rs caused a reduction of more than 0.2 °C in mean temperature during May to October from the 1940s through the 1970s, and a reduction of nearly 0.2 °C in mean air temperature during November to April from the 1960s through the 1970s. This cooling accounts in part for the near-constant temperature from the 1930s into the 1970s. Since then, neither the rapid increase in temperature from the 1970s through the 1990s nor the slowdown of warming in the early twenty-first century appear to be significantly related to changes of Rs.

  5. Three Decades Of Environmental Polices In Korea

    International Nuclear Information System (INIS)

    2010-01-01

    This book reports three decades of environmental polices in Korea, which deals with development process of environmental polices such as appearance of environment problems, social agenda as national policy on environment problems, overcoming of pollution, ensuring and advancing of environment policies and practice of idea with continuous development, change of propel system on environment administration. It also introduces three decades of environmental polices by fields, related public institution and major similar institution.

  6. [Evaluation of the antithrombotic strategy in low thrombotic risk patients who underwent aortic valve replacement with a bioprosthesis].

    Science.gov (United States)

    Aceves-Velázquez, Eduardo; Vieyra-Herrera, Gerardo; Rodríguez-Chávez, Laura; Herrera-Alarcón, Valentín

    2017-07-16

    According to current guidelines, in patients without additional risk factors who have undergone aortic valve replacement with a bioprosthesis, anticoagulation in the first 3 months after surgery is still a matter of debate. According to current evidence, aspirin in low doses is a reasonable alternative to vitamin K antagonists (VKA). A comparison is made between the incidence of thrombotic and haemorrhagic complications in patients with low thrombotic risk who underwent aortic valve replacement with a bioprosthesis in the National Institute of Cardiology of Ignacio Chávez of Mexico. The hypothesis: aspirin as monotherapy has a beneficial effect compared to VKA. The studied patients were the low thrombotic risk patients who underwent aortic valve replacement with a bioprosthesis in the National Institute of Cardiology of Ignacio Chávez of Mexico from 2011 to 2015. The groups studied were: aspirin only, VKA only, and the combination of VKA plus aspirin. The patients were retrospectively followed-up for 12 months, and the thrombotic and haemorrhagic complications were documented. Of the 231 patients included in the study, only one patient in the VKA only group presented with a haemorrhagic complication. No thrombotic complications were observed. In the present study no thrombotic complications were observed in patients who did not receive anticoagulation in the first 3 months after an aortic valve replacement with a bioprosthesis after a follow up period of 12 months. This suggests that the use of aspirin only is safe during this period. Copyright © 2017 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

  7. Autotransplantation of spleen tissue in children with mansonic schistosomiasis who underwent splenectomy: Evaluation of splenic residual functions

    Directory of Open Access Journals (Sweden)

    Brandt Carlos Teixeira

    1998-01-01

    Full Text Available Autotransplantation of spleen tissue is an attempt for maintenance of splenic functions when splenectomy is indicated in children. It minimizes the risks of overwhelming postsplenectomy infection and it has been done in children with severe portal hypertension due to hepatosplenic mansonic schistosomiasis that underwent splenectomy. The purposes of this investigation were to study the morphology of the residual splenic tissue; to evaluate the residual filtration function of this splenosis; and to assess the immune response to polyvalent pneumococcal vaccine of these patients. Twenty-three children with portal hypertension from mansonic schistosomiasis who underwent splenectomy, ligature of the left gastric vein, autotransplantation of spleen tissue into an omental pouch were evaluated for residual splenic parenchyma and functions. Tc-99m sulfur colloid liver-spleen scans were used for detection of splenic nodules. The search for Howell Jolly bodies were used for assessing the filtration function and Enzyme-linked immunosorbent assay was used for measuring the relative rise in titter of specific pneumococcal antibodies. Splenosis was evident in all children; however, in two there were less than five splenic nodules in the greater omentum, which was considered insufficient. Howell-Jolly bodies were found in the peripheral blood only in these two patients with less evident splenosis. The immune response was adequate in 15 patients; it was intermediate in 4 patients and inadequate in 4 patients. Autotransplantation of spleen tissue into an omental pouch is efficient in maintaining the filtration splenic function in more than 90% of the cases and the immune response to pneumococcal vaccination in approximately 65% of the children.

  8. The association between orthostatic hypotension and cognitive state among adults 65 years and older who underwent a comprehensive geriatric assessment

    Science.gov (United States)

    Punchick, Boris; Freud, Tamar; Press, Yan

    2016-01-01

    Abstract The prevalence of cognitive impairment and orthostatic hypotension (OH) increases with age, but the results of studies that assessed possible associations between them are inconsistent. The aim of this study is to assess possible associations between cognitive impairment and OH in patients ≥65 years of age who underwent a comprehensive geriatric assessment. A retrospective analysis was conducted of the computerized medical records of the study population from 2005 to 2013. Data collected included blood pressure measurements that enabled the calculation of OH, results of the mini-mental state examination (MMSE), results of the Montreal cognitive assessment (MoCA) test, and cognitive diagnoses that were determined over the course of the assessment. The rate of OH in the study population of 571 adults was 32.1%. The mean MMSE score was 22.5 ± 5.2 among participants with OH and 21.6 ± 5.8 among those without OH (P = 0.09). The absence of a significant association between OH and MMSE remained after adjusting the MMSE score for age and education level. The mean MoCA score was 16.4 ± 5.0 among participants with OH and 16.4 ± 4.8 among those without (P = 0.33). The prevalence of OH was 39% among participants without cognitive impairment, 28.9% among those with mild cognitive impairment (MCI), and 30.6% among those with dementia (P = 0.13). There was no association between OH and cognitive impairment in adults who underwent a comprehensive geriatric assessment. PMID:27442658

  9. Contralateral prophylactic mastectomy rate and predictive factors among patients with breast cancer who underwent multigene panel testing for hereditary cancer.

    Science.gov (United States)

    Elsayegh, Nisreen; Webster, Rachel D; Gutierrez Barrera, Angelica M; Lin, Heather; Kuerer, Henry M; Litton, Jennifer K; Bedrosian, Isabelle; Arun, Banu K

    2018-05-07

    Although multigene panel testing is increasingly common in patients with cancer, the relationship between its use among breast cancer patients with non-BRCA mutations or variants of uncertain significance (VUS) and disease management decisions has not been well described. This study evaluated the rate and predictive factors of CPM patients who underwent multigene panel testing. Three hundred and fourteen patients with breast cancer who underwent multigene panel testing between 2014 and 2017 were included in the analysis. Of the 314 patients, 70 elected CPM. Election of CPM by gene status was as follows: BRCA carriers (42.3%), non-BRCA carriers (30.1%), and VUS (10.6%). CPM election rates did not differ between non-BRCA carriers and BRCA carriers (P = 0.6205). Among non-BRCA carriers, negative hormone receptor status was associated with CPM (P = 0.0115). For those with a VUS, hormone receptor status was not associated with CPM (P = 0.1879). Although the rate of CPM between BRCA carriers and non-BRCA carriers was not significantly different, the predictors of CPM were different in each group. Our analyses shed the light on the increasing use of CPM among patients who are non-BRCA carriers as well those with a VUS. Our study elucidates the differing predictive factors of CPM election among BRCA carriers, non-BRCA carries, and those with a VUS. Our findings reveal the need for providers to be cognizant that non-BRCA genes and VUS drive women to elect CPM despite the lack of data for contralateral breast cancer risk associated with these genes. © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

  10. Atmospheric River Characteristics under Decadal Climate Variability

    Science.gov (United States)

    Done, J.; Ge, M.

    2017-12-01

    How does decadal climate variability change the nature and predictability of atmospheric river events? Decadal swings in atmospheric river frequency, or shifts in the proportion of precipitation falling as rain, could challenge current water resource and flood risk management practice. Physical multi-scale processes operating between Pacific sea surface temperatures (SSTs) and atmospheric rivers over the Western U.S. are explored using the global Model for Prediction Across Scales (MPAS). A 45km global mesh is refined over the Western U.S. to 12km to capture the major terrain effects on precipitation. The performance of the MPAS is first evaluated for a case study atmospheric river event over California. Atmospheric river characteristics are then compared in a pair of idealized simulations, each driven by Pacific SST patterns characteristic of opposite phases of the Interdecadal Pacific Oscillation (IPO). Given recent evidence that we have entered a positive phase of the IPO, implications for current reservoir management practice over the next decade will be discussed. This work contributes to the NSF-funded project UDECIDE (Understanding Decision-Climate Interactions on Decadal Scales). UDECIDE brings together practitioners, engineers, statisticians, and climate scientists to understand the role of decadal climate information for water management and decisions.

  11. 65. Impact of focused echocardiography in clinical decision of patients presented with STMI, underwent primary percutenouse angioplasty

    Directory of Open Access Journals (Sweden)

    M. Qasem

    2016-07-01

    Full Text Available Echocardiography in coronary artery diseases is an essential, routine echocardiography prior to primary percutaneous angioplasty is not clear. In our clinical practice in primary angioplasty we faced lots of complications either before or during or after the procedure. Moreover, lots of incidental findings that discovered after the procedure which if known will affect the plan of management. One-hundred-nineteen consecutive underwent primary angioplasty. All patients underwent FE prior to the procedure in catheterization lab while the patient was preparing for the procedure. FE with 2DE of LV at base, mid and apex, and apical stander views. Diastology grading, E/E′ and color doppler of mitral and aortic valve were performed. (N = 119 case of STMI were enrolled, mean age 51 ± 12 year. Eleven cases (9.2% had normal coronary and normal LV function. Twenty cases (17% of MI complication detected before the procedures: RV infarction 8.4% (5.1% asymptomatic and 3.3% symptomatic, ischemic MR (8.4%, LV apical aneurysm (0.8%, significant pericardial effusion (0.80%. Acute pulmonary edema in 17 cases (14.3%: six cases (5.1% developed acute pulmonary edema on the cath lab with grade 3 diastolic dysfunction and E/E ′  >20, 9 cases (7.6% develop acute pulmonary edema in CCU with grade 2–3 diastolic dysfunction and E/E′ 15–20. 2 cases (2.7% develop acute pulmonary in CCU with grade 1–2 diastolic dysfunction and E/E′ 9–14. One case (0.8% presented cardiac tamponade 2 h post PCI. Incidental finding not related to STMI were as follow: 2 cases (1.7% with severe fibro degenerative MR, 2 cases (1.7% with mild to moderate AR and 2 cases (1.7% with mild to moderate AS. Isoled CABG 5/4.2% and CABG and MVR 2/1.7%. FE play an important role in guiding the management, early detection the incidental findings and complication post PCI.

  12. The Impact of Family Engagement and Child Welfare Services on Maltreatment Re-reports and Substantiated Re-reports.

    Science.gov (United States)

    Fuller, Tamara; Zhang, Saijun

    2017-08-01

    Despite decades of debate about the most effective ways to intervene with families reported to child protective services (CPS), little evidence exists regarding the types of services or approach that reduce children's risk of additional maltreatment. The current study used data collected during a statewide experimental evaluation of CPS to examine the impact of numerous service variables, family engagement, and family characteristics on the risk of maltreatment re-reports and substantiated re-reports among families initially reported for neglect and risk of harm. The sample included 4,868 families with screened-in reports that were randomly assigned to receive either an investigation or an assessment. The results of the Cox regression analyses found that service duration, intensity, and breadth were unrelated to maltreatment re-report or substantiated re-reports, but caseworker ratings of the service-need match were associated with both. The provision of domestic violence services was related to decreased risk of maltreatment re-reports. Increased levels of family engagement were associated with lowered risk of both maltreatment re-reports and substantiated re-reports. Once the effects of services, engagement, and family characteristics were taken into account, CPS response pathway (investigation or assessment) had no relationship to maltreatment re-reports or substantiated re-reports.

  13. Substantial Research Secures the Blue Future for our Blue Plant

    Directory of Open Access Journals (Sweden)

    Moustafa Abdel Maksoud

    2016-06-01

    Full Text Available Earth, the blue planet, is our home, and seas and oceans cover more than 70% of its surface. As the earth’s population rapidly increases and available resources decrease, seas and oceans can play a key role in assuring the long-term survival of humankind. Renewable maritime energy has huge potential to provide a considerable part of the earth’s population with decarbonised electricity generation systems. Renewable maritime energy is very flexible and can be harvested above the water’s free surface by using offshore wind turbines, on the water’s surface by using wave energy converters or below the water’s surface by using current or tidal turbines. The supposed conflict between environmental protection measures and economic interests is neither viable nor reasonable. Renewable maritime energy can be the motor for considerable substantial economic growth for many maritime regions and therefore for society at large. The fastest growing sector of renewable maritime energy is offshore wind. The annual report of the European Wind Energy Association from the year 2015 confirms the growing relevance of the offshore wind industry. In 2015, the total installed and grid-connected capacity of wind power was 12,800 MW in the EU and 6,013.4 MW in Germany. 38% of the 2015 annual installation in Germany was offshore, accounting for a capacity of 2,282.4 MW. However, there are a limited number of available installation sites in shallow water, meaning that there is an urgent need to develop new offshore structures for water depths greater than 50m. The persistent trend towards deeper waters has encouraged the offshore wind industry to look for floating wind turbine structures and larger turbines. Floating wind turbine technologies are at an early stage of development and many technical and economic challenges will still need to be faced. Nonetheless, intensive research activities and the employment of advanced technologies are the key factors in

  14. Vaginal carcinoma in a young woman who underwent fertility-sparing treatment involving chemotherapy and conservative surgery.

    Science.gov (United States)

    Mabuchi, Yasushi; Yahata, Tamaki; Kobayashi, Aya; Tanizaki, Yuko; Minami, Sawako; Ino, Kazuhiko

    2015-06-01

    Vaginal carcinoma is a rare gynecological malignancy that is usually treated by radiation therapy and/or surgery combined with chemotherapy. Here, we report a case of invasive vaginal carcinoma in a young woman who underwent fertility-sparing treatment involving neoadjuvant chemotherapy and conservative surgery. A 36-year-old non-parous woman had a solid tumor in the vagina. Positron emission tomography/computed tomography showed a tumor in the vagina with high FDG uptake (SUV = 17.33) but no metastatic lesions. The patient was diagnosed with vaginal squamous cell carcinoma, FIGO stage I, T1N0M0. Because she wished to retain her fertility, neoadjuvant chemotherapy consisting of irinotecan hydrochloride and nedaplatin was initiated. After four courses of chemotherapy, partial vaginectomy was carried out and the pathological diagnosis of the residual lesion was VAIN 3. Following two further courses of the same chemotherapy, she obtained complete response, and has shown no evidence of disease for 14 months. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  15. Prosthetic reconstruction with an obturator using swing-lock attachment for a patient underwent maxillectomy: A clinical report

    Science.gov (United States)

    2016-01-01

    Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth. PMID:27826392

  16. Anatomical location of metastatic lymph nodes: an indispensable prognostic factor for gastric cancer patients who underwent curative resection.

    Science.gov (United States)

    Zhao, Bochao; Zhang, Jingting; Zhang, Jiale; Chen, Xiuxiu; Chen, Junqing; Wang, Zhenning; Xu, Huimian; Huang, Baojun

    2018-02-01

    Although the numeric-based lymph node (LN) staging was widely used in the worldwide, it did not represent the anatomical location of metastatic lymph nodes (MLNs) and not reflect extent of LN dissection. Therefore, in the present study, we investigated whether the anatomical location of MLNs was still necessary to evaluate the prognosis of node-positive gastric cancer (GC) patients. We reviewed 1451 GC patients who underwent radical gastrectomy in our institution between January 1986 and January 2008. All patients were reclassified into several groups according to the anatomical location of MLNs and the number of MLNs. The prognostic differences between different patient groups were compared and clinicopathologic features were analyzed. In the present study, both anatomical location of MLNs and the number of MLNs were identified as the independent prognostic factors (p location of MLNs was considered (p location of MLNs had no significant effect on the prognosis of these patients, the higher number of MLNs in the extraperigastric area was correlated with the unfavorable prognosis (p location of MLNs was an important factor influencing the prognostic outcome of GC patients. To provide more accurate prognostic information for GC patients, the anatomical location of MLNs should not be ignored.

  17. Transcranial doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases

    Directory of Open Access Journals (Sweden)

    Bor-Seng-Shu Edson

    2004-01-01

    Full Text Available The role of decompressive craniectomy in the treatment of severe posttraumatic cerebral swelling remains quite a controversial issue. To the best of our knowledge, there is no study demonstrating the effect of decompressive craniectomy on cerebral blood flow (CBF velocity by means of transcranial Doppler sonography (TCD. We present two patients who developed traumatic brain swelling and uncontrollable intracranial hypertension with coma and signs of transtentorial herniation. One patient underwent bifrontal, while the second, unilateral, frontotemporoparietal decompressive craniectomy with dural expansion. In both patients, TCD examinations were performed immediately before and after surgery to study the cerebral hemodynamic changes related to the operations. Pre and postoperative TCD examinations demonstrated a significant increase in blood flow velocity in the intracranial arteries in both subjects. In conclusion, our cases suggest that decompressive craniectomy with dural expansion may result in elevation of CBF velocity in patients with massive brain swelling. The increase in CBF velocity appears to occur not only in the decompressed hemisphere, but also on the opposite side.

  18. Assessment of quality of life of patients who underwent anterior cruciate ligament reconstruction and a rehabilitation program

    Directory of Open Access Journals (Sweden)

    Moises Cohen

    2004-12-01

    Full Text Available Introduction: Quality of life can be defined as the expression of aconceptual model that tries to represent patient’s perspectivesand his/her level of satisfaction expressed by numbers. Theobjective of this study is to evaluate the parameters of quality oflife of 23 patients who underwent surgery for anterior cruciateligament reconstruction. Methods: We adopted SF-36, a generichealth-related evaluation questionnaire, to obtain informationregarding several aspects of patients’ health conditions, and theLysholm questionnaire, specific to evaluate the symptoms andfunction of the knee. The questionnaires were applied at two stagesof the treatment: pre- and postoperatively (after the rehabilitationprogram. Results: Before surgery, the Lysholm questionnairepresented the following results: excellent in 4% of the cases, goodin 22%, fair in 22%, and poor in 52%. After surgery (Lysholm e SF-36 the correlation level was approximately 44% (p = 0.041.Discussion: The correlation between the Lysholm and the SF-36questionnaires showed the following: the lower the level of pain,the higher the Lysholm score. The high scores presented by theLysholm questionnaire are directly proportional to physical andemotional aspects, and to functional capacity. Conclusion:Analysis of both questionnaires, as well as of their correlation,showed some improvement in patients´ quality of life. We werealso able to demonstrate the importance and usefulness of applyingthe two questionnaires at three different moments: before, duringand after physiotherapeutic intervention.

  19. The Characteristics of Cervical Cancer Patients Who Underwent a Radical Hysterectomy at Sanglah Hospital Denpasar in 2015

    Directory of Open Access Journals (Sweden)

    I Nyoman Bayu Mahendra

    2016-05-01

    Full Text Available Background: Cervical cancer is the most common gynecologic cancer in women. It is the main cause of cancer-related death in women in developing countries. Cervical cancer in Indonesia is the second most cancer affecting Indonesian women and the prevalence is relatively stable in the last 30 years. Cervical cancer was closely related to the histologic type of itself. A squamous cell carcinoma has a specific route of local spreading and a lymphatic route. The sample of this study are cervical cancer patients who underwent a radical hysterectomy from January 1 to December 31, 2015 in Sanglah Hospital Denpasar, Bali. The aim of this study is to discover the characteristics of the patients by age, parity, education level, marital status, sexual activity, the first symptoms and the early screening done, and the clinical staging. Methods: This descriptive study involved 20 patients in Sanglah Hospital Denpasar who had a radical hysterectomy from January 1 until December 31, 2015. The characteristics are gathered from the patients’ medical record. Results: The most cases done radical hysterectomy between 41-45 years old which proportion was 40%, the most parity was parity 2 (60%, elementary school was the most education level (35%, all of the samples only married once and sexually active, the most first symptom was vaginal bleeding (55%, only 10% had pap smear as early detection, and the most clinical stage was stage IIB (50%.

  20. A systematic review of methods for quantifying serum testosterone in patients with prostate cancer who underwent castration.

    Science.gov (United States)

    Comas, I; Ferrer, R; Planas, J; Celma, A; Regis, L; Morote, J

    2018-03-01

    The clinical practice guidelines recommend measuring serum testosterone in patients with prostate cancer (PC) who undergo castration. The serum testosterone concentration should be IA) has become widespread, although their metrological characteristics do not seem appropriate for quantifying low testosterone concentrations. The objective of this review is to analyse the methods for quantifying testosterone and to establish whether there is scientific evidence that justifies measuring it in patients with PC who undergo castration, through liquid chromatography attached to a mass spectrometry in tandem (LC-MSMS). We performed a search in PubMed with the following MeSH terms: measurement, testosterone, androgen suppression and prostate cancer. We selected 12 studies that compared the metrological characteristics of various methods for quantifying serum testosterone compared with MS detection methods. IAs are standard tools for measuring testosterone levels; however, there is evidence that IAs lack accuracy and precision for quantifying low concentrations. Most chemiluminescent IAs overestimate their concentration, especially below 100ng/dL. The procedures that use LC-MSMS have an adequate lower quantification limit and proper accuracy and precision. We found no specific evidence in patients with PC who underwent castration. LC-MSMS is the appropriate method for quantifying low serum testosterone concentrations. We need to define the level of castration with this method and the optimal level related to better progression of the disease. Copyright © 2017 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  1. Studies on the clinical course of chronic hepatitis in the patients who underwent serial needle liver biopsies

    International Nuclear Information System (INIS)

    Hirata, Tetsuro

    1984-01-01

    In order to evaluate the changes in biochemical liver function tests and hepatic scintigraphic findings of chronic hepatitis, the author analyzed 35 patients who underwent serial liver biopsies. The results were summerized as follows: 1. Histological deteriorations in chronic hepatitis more inclined to be presented in the scintigraphic abnormalities such as the increased uptake of radioisotope in the spleen and bone marrow than the deteriorations in biochemical liver function tests. Moreover, the increased radioisotope uptake by spleen and bone marrow in hepatic scintigram highly correlated with histological deteriorations. On the other hand, in the cases with histological improvement no scintigraphic improvement was ovserved. 2. Comparing the changes in the result of liver function tests with histological features, biochemical deteriorations significantly correlated with histological deteriorations, although biochemical improvements were not reliable indicators of histological improvements. 3. Changes in biochemical parameters such as serum GOT, GPT, albumin, γ-globulin, TTT and ALP were analyzed by means of Hayashi's second method of quantification and predictive values for histological feactures were calculated. As a result, histological deteriorations were predicted in 89.5% of the cases, but histological improvements were predicted only in 66.7%. In the various biochemical parameters, γ-globulin was considered as most important in predicting histological features and ALP was ranked the second. (J.P.N.)

  2. The Effect of Prazosin and Oxybutynin on the Symptoms Due to Using Double J Catheter in Patients Underwent TUL

    Directory of Open Access Journals (Sweden)

    K. Tavakkoli Tabassi

    2014-01-01

    Full Text Available Background & Aims: Double J catheter has been used for years as an independent practice or a part of other urological practices. Although these catheters have solved many patients’ problems but those can cause symptoms and problems for patients. The aim of this study was the investigation the effect of prazosin and oxybutynin on the degree of symptoms due to using Double J catheter. Methods: In this interventional study, patients who underwent TUL from July 2008 to march 2008 in the lithotripsy ward of Imam Reza hospital were entered to the study and randomly divided in 3 groups randomly. In the first group, placebo, in the second group, oxybutynin, in the third group prazosin were prescribed. Three weeks later standard questionnaire Ureteric Stent Symptom Questionnaire (USSQ was completed. After collecting data, was analyzed using SPSS software. Results: A total of 113 patients (70 men 43 women were included to the study. The mean age was 39 years. There were no significance difference among urinary symptoms score pain of body and physical activity problems in three groups (P>0.05, but there was a significant difference in general health and work problems among them (P<0.05. Conclusion: Oxybutynin caused a low effect on improvement of general health and work problems in patients who were studied. It might Prazosin does not has a sufficient time to affect on urinary symptoms, because of shortness of usage.

  3. A decade of advances in metallic fuel

    International Nuclear Information System (INIS)

    Lahm, C.E.; Pahl, R.G.; Porter, D.L.; Tsai, H.; Seidel, B.R.; Batte, G.L.; Dodds, N.E.; Hofman, G.L.; Walters, L.C.

    1991-01-01

    Significant advances in the understanding of behavior and performance of metallic fuels to high burnup have been achieved over the past four decades. Metallic fuels were the first fuels for liquid-metal-cooled fast reactors (LMR) but in the late 1960's worldwide interest turned toward ceramic fuels before the full potential of metallic fuel could be achieved. Now metallic fuels are recognized as a preferred viable option with regard to safety, integral fuel cycle, waste minimization and deployment economics. This paper reviews the key advances in the last decade and highlights the behavior and performance features which have demonstrated a much greater potential than previously expected

  4. Decadal atmosphere-ocean variations in the Pacific

    Science.gov (United States)

    Trenberth, Kevin E.; Hurrell, James W.

    1994-03-01

    Considerable evidence has emerged of a substantial decade-long change in the north Pacific atmosphere and ocean lasting from about 1976 to 1988. Observed significant changes in the atmospheric circulation throughout the troposphere revealed a deeper and eastward shifted Aleutian low pressure system in the winter half year which advected warmer and moister air along the west coast of North America and into Alaska and colder air over the north Pacific. Consequently, there were increases in temperatures and sea surface temperatures (SSTs) along the west coast of North America and Alaska but decreases in SSTs over the central north Pacific, as well as changes in coastal rainfall and streamflow, and decreases in sea ice in the Bering Sea. Associated changes occurred in the surface wind stress, and, by inference, in the Sverdrup transport in the north Pacific Ocean. Changes in the monthly mean flow were accompanied by a southward shift in the storm tracks and associated synoptic eddy activity and in the surface ocean sensible and latent heat fluxes. In addition to the changes in the physical environment, the deeper Aleutian low increased the nutrient supply as seen through increases in total chlorophyll in the water column, phytoplankton and zooplankton. These changes, along with the altered ocean currents and temperatures, changed the migration patterns and increased the stock of many fish species. A north Pacific (NP) index is defined to measure the decadal variations, and the temporal variability of the index is explored on daily, annual, interannual and decadal time scales. The dominant atmosphere-ocean relation in the north Pacific is one where atmospheric changes lead SSTs by one to two months. However, strong ties are revealed with events in the tropical Pacific, with changes in tropical Pacific SSTs leading SSTs in the north Pacific by three months. Changes in the storm tracks in the north Pacific help to reinforce and maintain the anomalous circulation in the

  5. Wide-Field Astronomical Surveys in the Next Decade

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, Michael A.; /Princeton U.; Tyson, J.Anthony; /UC, Davis; Anderson, Scott F.; /Washington U., Seattle, Astron. Dept.; Axelrod, T.S.; /LSST Corp.; Becker, Andrew C.; /Washington U., Seattle, Astron. Dept.; Bickerton, Steven J.; /Princeton U.; Blanton, Michael R.; /New York U.; Burke, David L.; /SLAC; Condon, J.J.; /NRAO, Socorro; Connolly, A.J.; /Washington U., Seattle, Astron. Dept.; Cooray, Asantha R.; /UC, Irvine; Covey, Kevin R.; /Harvard U.; Csabai, Istvan; /Eotvos U.; Ferguson, Henry C.; /Baltimore, Space Telescope Sci.; Ivezic, Zeljko; /Washington U., Seattle, Astron. Dept.; Kantor, Jeffrey; /LSST Corp.; Kent, Stephen M.; /Fermilab; Knapp, G.R.; /Princeton U.; Myers, Steven T.; /NRAO, Socorro; Neilsen, Eric H., Jr.; /Fermilab; Nichol, Robert C.; /Portsmouth U., ICG /Harish-Chandra Res. Inst. /Caltech, IPAC /Potsdam, Max Planck Inst. /Harvard U. /Hawaii U. /UC, Berkeley, Astron. Dept. /Baltimore, Space Telescope Sci. /NOAO, Tucson /Carnegie Mellon U. /Chicago U., Astron. Astrophys. Ctr.

    2011-11-14

    Wide-angle surveys have been an engine for new discoveries throughout the modern history of astronomy, and have been among the most highly cited and scientifically productive observing facilities in recent years. This trend is likely to continue over the next decade, as many of the most important questions in astrophysics are best tackled with massive surveys, often in synergy with each other and in tandem with the more traditional observatories. We argue that these surveys are most productive and have the greatest impact when the data from the surveys are made public in a timely manner. The rise of the 'survey astronomer' is a substantial change in the demographics of our field; one of the most important challenges of the next decade is to find ways to recognize the intellectual contributions of those who work on the infrastructure of surveys (hardware, software, survey planning and operations, and databases/data distribution), and to make career paths to allow them to thrive.

  6. Pyrodiversity promotes avian diversity over the decade following forest fire.

    Science.gov (United States)

    Tingley, Morgan W; Ruiz-Gutiérrez, Viviana; Wilkerson, Robert L; Howell, Christine A; Siegel, Rodney B

    2016-10-12

    An emerging hypothesis in fire ecology is that pyrodiversity increases species diversity. We test whether pyrodiversity-defined as the standard deviation of fire severity-increases avian biodiversity at two spatial scales, and whether and how this relationship may change in the decade following fire. We use a dynamic Bayesian community model applied to a multi-year dataset of bird surveys at 1106 points sampled across 97 fires in montane California. Our results provide strong support for a positive relationship between pyrodiversity and bird diversity. This relationship interacts with time since fire, with pyrodiversity having a greater effect on biodiversity at 10 years post-fire than at 1 year post-fire. Immediately after fires, patches of differing burn severities hold similar bird communities, but over the ensuing decade, bird assemblages within patches of contrasting severities differentiate. When evaluated at the scale of individual fires, fires with a greater heterogeneity of burn severities hold substantially more species. High spatial heterogeneity in severity, sometimes called 'mixed-severity fire', is a natural part of wildfire regimes in western North America, but may be jeopardized by climate change and a legacy of fire suppression. Forest management that encourages mixed-severity fire may be critical for sustaining biodiversity across fire-prone landscapes. © 2016 The Author(s).

  7. Periodical assessment of genitourinary and gastrointestinal toxicity in patients who underwent prostate low-dose-rate brachytherapy

    International Nuclear Information System (INIS)

    Tanaka, Nobumichi; Asakawa, Isao; Anai, Satoshi; Hirayama, Akihide; Hasegawa, Masatoshi; Konishi, Noboru; Fujimoto, Kiyohide

    2013-01-01

    To compare the periodical incidence rates of genitourinary (GU) and gastrointestinal (GI) toxicity in patients who underwent prostate low-dose-rate brachytherapy between the monotherapy group (seed implantation alone) and the boost group (in combination with external beam radiation therapy (EBRT)). A total of 218 patients with a median follow-up of 42.5 months were enrolled. The patients were divided into 2 groups by treatment modality, namely, the monotherapy group (155 patients) and the boost group (63 patients). The periodical incidence rates of GU and GI toxicity were separately evaluated and compared between the monotherapy group and the boost group using the National Cancer Institute - Common Terminology Criteria for Adverse Events, version 3.0. To elucidate an independent factor among clinical and postdosimetric parameters to predict grade 2 or higher GU and GI toxicity in the acute and late phases, univariate and multivariate logistic regression analyses were carried out. Of all patients, 78.0% showed acute GU toxicity, and 7.8% showed acute GI toxicity, while 63.8% showed late GU toxicity, and 21.1% showed late GI toxicity. The incidence rates of late GU and GI toxicity were significantly higher in the boost group. Multivariate analysis showed that the International Prostate Symptom Score (IPSS) before seed implantation was a significant parameter to predict acute GU toxicity, while there were no significant predictive parameters for acute GI toxicity. On the other hand, combination with EBRT was a significant predictive parameter for late GU toxicity, and rectal volume (mL) receiving 100% of the prescribed dose (R100) was a significant predictive parameter for late GI toxicity. The boost group showed higher incidence rates of both GU and GI toxicity. Higher IPSS before seed implantation, combination with EBRT and a higher R100 were significant predictors for acute GU, late GU and late GI toxicity

  8. Clinical and echocardiographic findings of patients with suspected acute pulmonary thromboembolism who underwent computed tomography pulmonary angiography

    Directory of Open Access Journals (Sweden)

    Atoosa Adibi

    2016-01-01

    Full Text Available Background: The aim of the study was to determine the correlation between clinical and echocardiographic findings and risk factors of patients with suspected acute pulmonary thromboembolism (PTE who underwent computed tomography pulmonary angiography (CTPA. Materials and Methods: In this cross-sectional study, 310 hospitalized patients aged >18 years with high clinical suspicion of PTE referred to imaging center of our hospital from different wards for CTPA were enrolled. The frequency of different clinical presentations, risk factors, items of Wells' criteria, and echocardiographic findings was compared in patients with and without PTE, which have been diagnosed according to the CTPA results. Results: PTE was diagnosed in 53 (17.1% of patients with suspected PTE. From clinical manifestations, tachypnea, pleuritic chest pain, and edema of lower extremities were significantly more frequent among patients with PTE (P < 0.05. Major surgery was the risk factor which was significantly more prevalent among patients with PTE (P < 0.05. Frequency of all criteria of Wells' criteria, except hemoptysis, was significantly higher in patients with PTE (P < 0.05. The frequency of all studied echocardiographic variables was significantly higher in patients with PTE (P < 0.05. Conclusion: It is suggested that we could use the results of this study for utilizing the diagnostic process of PTE in patients with highly clinical suspicion of PTE and providing more validated decision. Using the results of this study, we could identify high-risk patients and made appropriate risk assessment for better management of patients with suspected PTE as well as reduce the rate of unnecessary CTPA and its related adverse consequences.

  9. The effects of transfusion of irradiated blood upon cellular immune response in patients underwent open heart surgery

    International Nuclear Information System (INIS)

    Togashi, Ken-ichi; Nakazawa, Satoshi; Moro, Hisanaga; Yazawa, Masatomo; Kanazawa, Hiroshi; Hayashi, Jun-ichi; Yamazaki, Yoshihiko; Eguchi, Shoji

    1989-01-01

    The purpose of this paper is to demonstrate the effect of the transfusion of blood received 1500 rad exposure upon the immune response in 14 patients underwent various type of cardiac surgery. 13 patients received known amounts banked blood and irradiated fresh blood, while one patient received a lot of amounts of banked and irradiated and non-irradiated fresh blood. The authors studied the numbers of lymphocytes as well as lymphocyte subsets such as pan-T cells, B cells, helper/inducer T cells (T H/I ), cytotoxic/supressor T cells (T C/S ), active T cells, natural killer (NK) cells and NK cell activity during two weeks after surgeries. In all 14 patients, pan-T lymphocytes decreased markedly in a few days after surgeries, but increased to higher levels on the eight postoperative day than the levels preoperatively. T H/I and T C/S lymphocytes changed on the similar pattern as pan-T lymphocytes. Active T and B cells did not change significantly in two weeks. The number and activity of NK cells gave the lowest levels on the second postoperative day and did not recovery to the preoperative levels in two weeks. One patient received non-irradiated fresh blood showed the similar immune response as other 13 patients, while he gave the lower levels than others did. This patient died of graft-versus-host disease (GVHD)-like syndrome on the 36th postoperative day. It may be thought that the transfusion of irradiated blood would prevent the host from GVHD and gave the better effects on the immune response than that of non-irradiated blood following open-heart surgeries. (author)

  10. Early prediction of treatment response by serum CRP levels in patients with advanced esophageal cancer who underwent definitive chemoradiotherapy

    International Nuclear Information System (INIS)

    Yoneda, Masayuki; Fujiwara, Hitoshi; Okamura, Shinichi

    2010-01-01

    Serum C reactive protein (CRP) has been shown to be associated with the progression of esophageal cancer. The purpose of this study was to examine the relationship between treatment response and serum CRP levels in time course during definitive chemoradiotherapy (CRT) in terms of early prediction of CRT response by serum CRP. The subjects of this study were 36 patients with cT3/cT4 esophageal squamous cell carcinoma who underwent definitive CRT in our hospital. Serum CRP levels during definitive CRT (pretreatment, 1W, 2W and 3W after CRT initiation) were compared between CR and non-CR group. In addition, partition model was constructed to discriminate CR with non-CR and the prediction accuracy was evaluated. The patients were consisted of 28 males and 8 females. At pretreatment diagnosis, tumors were categorized as T3 (n=21) and T4 (n=15). Thirty four patients received FP-based chemotherapy and 2 patients received docetaxel-based chemotherapy. Treatment responses were categorized as CR (n=8), partial response (PR) (n=14), no change (NC) (n=2) and progressive disease (PD) (n=12). Serum CRP levels at the time of 2W after CRT initiation (CRT2W) in CR group were low compared to those in non-CR group (p=0.071). The partition model was constructed based on CRP levels at CRT2W. The prediction accuracies to discriminate CR from non-CR by CRP ≤0.1 were 50%, 82%, and 75% in sensitivity, specificity and accuracy, respectively. Serum CRP is a useful biomarker for an early prediction of CRT response. (author)

  11. CA-125–indicated asymptomatic relapse confers survival benefit to ovarian cancer patients who underwent secondary cytoreduction surgery

    Directory of Open Access Journals (Sweden)

    Wang Fang

    2013-02-01

    Full Text Available Abstract Background There is no consensus regarding the management of ovarian cancer patients, who have shown complete clinical response (CCR to primary therapy and have rising cancer antigen CA-125 levels but have no symptoms of recurrent disease. The present study aims to determine whether follow-up CA-125 levels can be used to identify the need for imaging studies and secondary cytoreductive surgery (CRS. Methods We identified 410 ovarian cancer patients treated at The University of Texas MD Anderson Cancer Center between 1984 and 2011. These patients had shown CCR to primary therapy. Follow-up was conducted based on the surveillance protocol of the MD Anderson Cancer Center. We used the Cox proportional hazards model and log-rank test to assess the associations between the follow-up CA-125 levels and secondary CRS and survival duration. Results The CA-125 level of 1.68 × nadir was defined as the indicator of recurrent disease (p  1.68 × nadir at relapse (55.7 and 10.4 months; p = 0.04 and 0.01, respectively. The overall and progression free survival duration of patients with asymptomatic relapse and underwent a secondary CRS was longer than that of patients with symptomatic relapse (p = 0.02 and 0.04 respectively. Conclusions The increase of serum CA-125 levels is an early warning of clinical relapse in ovarian cancer. Using CA-125 levels in guiding the treatment of patients with asymptomatic recurrent ovarian cancer, who have shown CCR to primary therapy, can facilitate optimal secondary CRS and extend the survival duration of the patients.

  12. Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation.

    Science.gov (United States)

    Kapetanakis, Stylianos; Gkasdaris, Grigorios; Thomaidis, Tryfon; Charitoudis, Georgios; Kazakos, Konstantinos

    2017-01-01

    Studies describing the efficacy of TPED on shortness of recovery and improvement of postoperative quality of life are limited, especially regarding gender something that has never been reported before in the literature. The purpose of this study is to evaluate possible differences of the health-related quality of life in patients who underwent TPED for LDH in accordance with sex. Seventy-six patients diagnosed and treated with TPED for LDH with 1 year follow-up were selected and divided into two groups of equal number depending on sex. Their quality of life was evaluated by using the SF-36 before the operation, six weeks, three, six and twelve months postoperatively. A statistical analysis was conducted, in order to compare the 8 scaled scores of the SF-36 combining each time two chronological phases in the total of patients, in each group and between groups. Fifty-two (68.4%) patients were ≤63 years old, while the rest 24 (31,4%) were >63 years old (mean ±SD = 56,5 ±12,1 years). Apart from the PF domain, the scores were higher in every visit for the two groups, but the change between groups was not significant. Women had a significantly higher increase of PF score in 3 months after TPED and in the interval 6 weeks-3 months comparing with men. However, in the intervals 3 months-6 months and 3 months-12 months men presented significantly higher increase compared to women. Statistically significant improvement of the quality of life for both men and women was observed. Generally, there was no significant difference between the two groups. As regards to the physical functioning, it appears to be a significant difference which is counterpoised over time. 2. TPED for LDH does not present major differences in the improvement of quality of life regarding gender.

  13. Preoperative evaluation of myocardial viability by thallium-201 imaging in patients with old myocardial infarction who underwent coronary revascularization

    International Nuclear Information System (INIS)

    Naruse, Hitoshi; Ohyanagi, Mitsumasa; Iwasaki, Tadaaki; Miyamoto, Takashi; Fukuchi, Minoru

    1992-01-01

    The myocardial uptake and redistribution in thallium scintigraphy and the regional wall motion by echocardiography were evaluated by a semi-quantitative method in 42 patients who previously had myocardial infarction (50 target vessels) and underwent coronary revascularization. The aim of this study was to elucidate the significance of the initial image, delayed image and redistribution on thallium-201 scintigraphy for clinical diagnosis of the myocardial viability. As a semi-quantitative analysis, we used a bull's-eye display for thallium image and centerline method for echocardiographic wall motion, and compared the results before and after revascularization. As a result, the thallium grade improved postoperatively in all 17 areas which preoperatively had showed redistribution, and also in 11 of the 32 areas without preoperative redistribution. The sensitivity, specificity and accuracy of preoperative thallium redistribution for predicting myocardial viability were 61%, 100% and 78%, respectively, when the postoperative improvement in the thallium grade was used as the standard. The postoperative probability of improvement in the thallium grade increased in proportion to the preoperative grade (delayed image)(p<0.01). There was no correlation between the preoperative thallium delayed image and postoperative improvement in wall motion. Postoperative improvement in thallium image and wall motion could not be predicted from the preoperative wall motion. Thus, postoperative improvement in thallium images can be anticipated if redistribution is present on the preoperative thallium image, and the preoperative thallium delayed image is useful for predicting myocardial viability. Improvement in wall motion could not be predicted preoperatively by these methods. (author)

  14. Aspects of JASIS Authorship through Five Decades.

    Science.gov (United States)

    Lipetz, Ben-Ami

    1999-01-01

    Presents results of a survey of five volumes of the "Journal of the American Society for Information Science (JASIS)," one for each decade of JASIS's existence. Discusses findings related to growth of JASIS and authorship, national versus international authorship, coauthoring of papers, author productivity, author gender, author…

  15. A Decade of Feminist Influence on Psychotherapy.

    Science.gov (United States)

    Brodsky, Annette M.

    1980-01-01

    Last decade has seen some major impacts of feminism on institution of psychotherapy regarding theories, treatment techniques, and assessment instruments. Changes in attitudes toward women as therapists and as clients have reflected general advances of women's movement. Presented at American Psychological Association Convention, Toronto, Canada,…

  16. The last decades and matrimonial changes.

    Science.gov (United States)

    Trost, J

    1992-01-01

    This paper focuses on changes in fertility, marriage patterns, cohabitation, divorce, and separation in Western European countries over the past few decades. Major trends discussed include the decline in fertility and marriage rates and the increase in nonmarital cohabitation, divorce, and separation.

  17. The IGISOL technique : three decades of developments

    NARCIS (Netherlands)

    Moore, I.D.; Dendooven, Peter; Ärje, J.

    The Ion Guide Isotope SeparatorOn-Line (IGISOL) technique, conceived in the early 1980s as a novel variation to the helium-jet method, has been used to provide radioactive ion beams of short-lived exotic nuclei for fundamental nuclear structure research and applications for three decades. This

  18. Arctic climate change and decadal variability

    NARCIS (Netherlands)

    Linden, van der Eveline C.

    2016-01-01

    High northern latitudes exhibit enhanced near-surface warming in a climate with increasing greenhouse gases compared to other parts of the globe, indicating an amplified climate response to external forcing. Decadal to multidecadal variability sometimes enhances and at other times reduces the

  19. A Decade of Change in NO

    NARCIS (Netherlands)

    McLinden, Chris A.; Fioletov, Vitali; Krotkov, Nickolay A.; Li, Can; Boersma, Folkert; Adams, Cristen

    2016-01-01

    A decade (2005-2014) of observations from the Ozone Monitoring Instrument (OMI) were used to examine trends in nitrogen dioxide (NO2) and sulfur dioxide (SO2) over a large region of western Canada and the northern United States, with a focus on the Canadian oil sands. In the

  20. Pediatric chronic pancreatitis is associated with genetic risk factors and substantial disease burden.

    Science.gov (United States)

    Schwarzenberg, Sarah Jane; Bellin, Melena; Husain, Sohail Z; Ahuja, Monika; Barth, Bradley; Davis, Heather; Durie, Peter R; Fishman, Douglas S; Freedman, Steven D; Gariepy, Cheryl E; Giefer, Matthew J; Gonska, Tanja; Heyman, Melvin B; Himes, Ryan; Kumar, Soma; Morinville, Veronique D; Lowe, Mark E; Nuehring, Neil E; Ooi, Chee Y; Pohl, John F; Troendle, David; Werlin, Steven L; Wilschanski, Michael; Yen, Elizabeth; Uc, Aliye

    2015-04-01

    To determine the clinical presentation, diagnostic variables, risk factors, and disease burden in children with chronic pancreatitis. We performed a cross-sectional study of data from the International Study Group of Pediatric Pancreatitis: In Search for a Cure, a registry of children with acute recurrent pancreatitis and chronic pancreatitis. Between-group differences were compared using Wilcoxon rank-sum test. Among 170 subjects in the registry, 76 (45%) had chronic pancreatitis; 57% were female, 80% were white; median age at diagnosis was 9.9 years. Pancreatitis-predisposing genetic mutations were identified in 51 (67%) and obstructive risk factors in 25 (33%). Toxic/metabolic and autoimmune factors were uncommon. Imaging demonstrated ductal abnormalities and pancreatic atrophy more commonly than calcifications. Fifty-nine (77%) reported abdominal pain within the past year; pain was reported as constant and receiving narcotics in 28%. Children with chronic pancreatitis reported a median of 3 emergency department visits and 2 hospitalizations in the last year. Forty-seven subjects (70%) missed 1 day of school in the past month as the result of chronic pancreatitis; 26 (34%) missed 3 or more days. Children reporting constant pain were more likely to miss school (P = .002), visit the emergency department (P = .01), and experience hospitalizations (P = .03) compared with children with episodic pain. Thirty-three children (43%) underwent therapeutic endoscopic retrograde pancreatography; one or more pancreatic surgeries were performed in 30 (39%). Chronic pancreatitis occurs at a young age with distinct clinical features. Genetic and obstructive risk factors are common, and disease burden is substantial. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Accuracy of bone SPECT/CT for identifying hardware loosening in patients who underwent lumbar fusion with pedicle screws

    Energy Technology Data Exchange (ETDEWEB)

    Hudyana, Hendrah; Maes, Alex [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Hospital Leuven, Department of Morphology and Medical Imaging, Leuven (Belgium); Vandenberghe, Thierry; Fidlers, Luc [AZ Groeninge, Department of Neurosurgery, Kortrijk (Belgium); Sathekge, Mike [University of Pretoria, Department of Nuclear Medicine, Pretoria (South Africa); Nicolai, Daniel [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); Wiele, Christophe van de [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Ghent, Department of Radiology and Nuclear Medicine, Ghent (Belgium)

    2016-02-15

    The aim of this retrospective study was to evaluate the accuracy of bone SPECT (single photon emission computed tomography)/CT (computed tomography) in diagnosing loosening of fixation material in patients with recurrent or persistent back pain that underwent lumbar arthrodesis with pedicle screws using surgery and clinical follow-up as gold standard A total of 48 patients (median age 49 years, range 21-81 years; 17 men) who had undergone lumbar spinal arthrodesis were included in this retrospective analysis. SPECT/CT results were compared to the gold standard of surgical evaluation or clinical follow-up. Positive SPECT/CT results were considered true positives if findings were confirmed by surgery or if clinical and other examinations were completely consistent with the positive SPECT/CT finding. They were considered false positives if surgical evaluation did not find any loose pedicle screws or if symptoms subsided with non-surgical therapy. Negative SPECT/CT scans were considered true negatives if symptoms either improved without surgical intervention or remained stable over a minimum follow-up period of 6 months. Negative SPECT/CT scans were determined to be false negatives if surgery was still required and loosening of material was found. The median length of time from primary surgery to bone SPECT/CT referral was 29.5 months (range 12-192 months). Median follow-up was 18 months (range 6-57) for subjects who did not undergo surgery. Thirteen of the 48 patients were found to be positive for loosening on bone SPECT/CT. Surgical evaluation (8 patients) and clinical follow-up (5 patients) showed that bone SPECT/CT correctly predicted loosening in 9 of 13 patients, while it falsely diagnosed loosening in 4 patients. Of 35 negative bone SPECT/CT scans, 12 were surgically confirmed. In 18 patients, bone SPECT/CT revealed lesions that could provide an alternative explanation for the symptoms of pain (active facet degeneration in 14 patients, and disc and sacroiliac

  2. Liver resection over the last decade

    DEFF Research Database (Denmark)

    Wettergren, A.; Larsen, P.N.; Rasmussen, A.

    2008-01-01

    after resection of hepatic metastases from colorectal cancer and hepatocellular carcinoma was estimated. RESULTS: 141 patients (71M/70F), median age 58 years (1-78), underwent a liver resection in the ten-year period. The number of resections increased from two in 1995 to 32 in 2004. Median hospital...... stay was 9 days (3-38). The most frequent complication was biliary leakage (7.8%), haemorrhage (2.8%) and hepatic insufficiency (2.8%). 30-days mortality was 1.4%. The actuarial 5-survival after hepatic resection for colorectal liver metastases and hepatocellular carcinoma was 39% and 42%, respectively...

  3. Medical radiation protection in next decade

    International Nuclear Information System (INIS)

    Rehani, M. M.; Vano, E.

    2011-01-01

    Interest in medical radiation protection today is the same as what it would have been almost a century ago. After many decades of relatively safe application of radiation in medicine, the recent spurt in over exposures, over-use of imaging and accidental exposures has created the need for stakeholders to join hands and contribute towards increasing radiation safety levels. Whether it be the need for technological developments to achieve sub-mSv CT scans, tracking of patient exposure history, accounting for repeated exposures of the same patient, specific consideration of requests for radiological examinations that deliver few mSv of dose, or utilization of regulatory approaches, radiological equipment will need to alert users whenever the radiation dose to the patient is above a defined value. The current decade will focus increasingly on carcinogenic effects in patients. (authors)

  4. Books average previous decade of economic misery.

    Science.gov (United States)

    Bentley, R Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20(th) century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

  5. A decade of advances in metallic fuel

    International Nuclear Information System (INIS)

    Seidel, B.R.; Batte, G.L.; Dodds, N.E.; Hofman, G.L.; Lahm, C.E.; Pahl, R.G.; Porter, D.L.; Tsai, H.; Walters, L.C.

    1990-01-01

    Significant advances in the understanding of behavior and performance of metallic fuels to high burnup have been achieved over the past four decades. Metallic fuels were the first fuels for liquid-metal-cooled fast reactors (LMR) but in the late 1960s worldwide interest turned toward ceramic fuels before the full potential of metallic fuel could be achieved. Now metallic fuels are recognized as a preferred viable option with regard to safety, integral fuel cycle, waste minimization and deployment economics. This paper reviews the key advances in the last decade and highlights the behavior and performance features which have demonstrated a much greater potential than previously expected. 28 refs., 2 figs., 1 tab

  6. Books Average Previous Decade of Economic Misery

    Science.gov (United States)

    Bentley, R. Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20th century since the Depression, we find a strong correlation between a ‘literary misery index’ derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade. PMID:24416159

  7. Design of a decade scaler prototype

    International Nuclear Information System (INIS)

    Rill Isaris; Widodo Priyodiprojo.

    1976-01-01

    A prototype of a simple decade scaler made of devices and components available in the local market, is described. The constituents of the system, consisting of an amplifier, pulse shaper, counting system, low voltage and high voltage supply, are also described. The number of pulses counted are indicated on six digits, varying to a maximum of 999999 counts, using LED device. This apparatus may be interconnected with scintillation and Geiger Muller detectors. (author)

  8. Global and regional ocean carbon uptake and climate change: sensitivity to a substantial mitigation scenario

    Energy Technology Data Exchange (ETDEWEB)

    Vichi, Marcello; Masina, Simona; Navarra, Antonio [Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Bologna (Italy); Istituto Nazionale di Geofisica e Vulcanologia, Bologna (Italy); Manzini, Elisa [Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Bologna (Italy); Istituto Nazionale di Geofisica e Vulcanologia, Bologna (Italy); Max Planck Institute for Meteorology, Hamburg (Germany); Fogli, Pier Giuseppe [Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Bologna (Italy); Alessandri, Andrea [Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Bologna (Italy); ENEA, Rome (Italy); Patara, Lavinia [Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Bologna (Italy); Leibniz Institute of Marine Sciences (IFM-GEOMAR), Kiel (Germany); Scoccimarro, Enrico [Istituto Nazionale di Geofisica e Vulcanologia, Bologna (Italy)

    2011-11-15

    Under future scenarios of business-as-usual emissions, the ocean storage of anthropogenic carbon is anticipated to decrease because of ocean chemistry constraints and positive feedbacks in the carbon-climate dynamics, whereas it is still unknown how the oceanic carbon cycle will respond to more substantial mitigation scenarios. To evaluate the natural system response to prescribed atmospheric ''target'' concentrations and assess the response of the ocean carbon pool to these values, 2 centennial projection simulations have been performed with an Earth System Model that includes a fully coupled carbon cycle, forced in one case with a mitigation scenario and the other with the SRES A1B scenario. End of century ocean uptake with the mitigation scenario is projected to return to the same magnitude of carbon fluxes as simulated in 1960 in the Pacific Ocean and to lower values in the Atlantic. With A1B, the major ocean basins are instead projected to decrease the capacity for carbon uptake globally as found with simpler carbon cycle models, while at the regional level the response is contrasting. The model indicates that the equatorial Pacific may increase the carbon uptake rates in both scenarios, owing to enhancement of the biological carbon pump evidenced by an increase in Net Community Production (NCP) following changes in the subsurface equatorial circulation and enhanced iron availability from extratropical regions. NCP is a proxy of the bulk organic carbon made available to the higher trophic levels and potentially exportable from the surface layers. The model results indicate that, besides the localized increase in the equatorial Pacific, the NCP of lower trophic levels in the northern Pacific and Atlantic oceans is projected to be halved with respect to the current climate under a substantial mitigation scenario at the end of the twenty-first century. It is thus suggested that changes due to cumulative carbon emissions up to present and the

  9. Adult testicular cancer: Two decades of Saudi national data.

    Science.gov (United States)

    Abomelha, Mohammed

    2017-01-01

    There is a paucity of data regarding testicular cancer among Saudis as well as the nonexistent of published national data. Furthermore, a substantial increase of the incidence of testicular cancer among Saudis was lately noted. The aim of the study is to determine the trends and patterns of testicular cancer among adult Saudis using national data over a period of 20 years. The national database of the Saudi Cancer Registry (SCR) on testicular cancer over the last two decades was studied including epidemiological and histological patterns. The 1004 cases of testicular cancer among adult Saudis reported by the SCR will be the subject of this study. From 1994 to 2013, 1004 cases of testicular cancer among adult Saudis were reported to the SCR, with a steadily significant increase in incidence rate reaching an annual rate of 94 cases in 2013. Age of the patients ranged 15-93 years with a mean of 34.5 years. The most affected age group was 20-34 years, where 51% of all testicular cancer accumulated. Around 85% of testicular cancer is germ cell tumors, while paratesticular and gonadal stromal tumors represent 15%. Of all testicular cancer, seminomas were seen in 40.7%, nonseminomas in 44.6%. Notably, 70.4% of the cases in the first decade were seminomas, while in the second decade 65.9% of the cases were nonseminomas. The subtypes of the nonseminomas were a mixed tumor in 51.6%, embryonal carcinoma in 19.9%, yolk sac tumor in 12.3%, germinomas in 6.7%, teratomas in 6%, and choriocarcinomas in 3.6%. Lymphomas (34.7%) and rhabdomyosarcomas (23.6%) are on the top of the paratesticular tumor group. The Surveillance Epidemiology and End Results summary stage of seminomas was localized in 61.6%, regional in 19.8%, and distant in 12.6%, while of nonseminomas was 48%, 15.5%, and 28.5%, respectively. Localized and distant status of seminomas improved over the studied period by 12% and 4% respectively, while this trend was not seen in nonseminomas. The incidence rate is on rising

  10. The DECADES project - Outline and general overview

    International Nuclear Information System (INIS)

    1995-01-01

    The environmental and health-related impacts of different energy systems, including those associated with the production of electricity, are emerging as significant issues for the coming decades. This interest is highlighted by the current debate about health effects of pollution, environmental damages due to acidification of forests and lakes, concerns about the safety of nuclear power plants and radioactive waste management, and the potential risks of global climate change induced by increasing atmospheric concentrations of carbon dioxide and other greenhouse gases. All fuel chains within the electricity generation system involve some health risks and lead to some environmental impacts. This fact, together with the emerging needs of many countries to define their energy programmes for the coming decades, has provided the basis for a growing interest in the application of improved data, tools and techniques for comparative assessment of different electricity generating systems, particularly from an environmental and human health viewpoint. The need to design and implement sustainable strategies in the electricity sector has been stressed in many international fora such as the Senior Expert Symposium on Electricity and the Environment (Helsinki, 1991), the United Nations Conference on Environment and Development (Rio de Janeiro, 1992) and the 15th Conference of the World Energy Council (Madrid, 1992). The essential goal of sustainable strategies is to provide the energy services required for supporting economic growth and improving quality of life, especially in developing countries, while minimising the health and environmental impacts of human activities. The inter-agency joint project on data bases and methodologies for comparative assessment of different energy sources for electricity generation [DECADES] has been established with the objective of enhancing capabilities for incorporating health and environmental issues in the comparative assessment of different

  11. Cocoa and health: a decade of research.

    Science.gov (United States)

    Cooper, Karen A; Donovan, Jennifer L; Waterhouse, Andrew L; Williamson, Gary

    2008-01-01

    It has been over 10 years since the first mention in a medical journal about cocoa and chocolate as potential sources of antioxidants for health. During this time, cocoa has been found to improve antioxidant status, reduce inflammation and correlate with reduced heart disease risk; with these results, and its popularity, it has received wide coverage in the press. However, after 10 years of research, what is known about the potential health benefits of cocoa and what are the important next steps in understanding this decadent source of antioxidants?

  12. The next decade in external dosimetry

    International Nuclear Information System (INIS)

    Griffith, R.V.

    1986-10-01

    As the radiation protection community moves through the last half of the '80s and into the next decade, we can expect the requirements for external dosimetry to become increasingly more restrictive and demanding. As in other health protection fields, growing regulatory and legal pressures, together with a natural evolution in philosophy, require the health physicist to display an increasing degree of accountability, rigor, and professionalism. The good news is that, for the most part, the technology necessary to solve many of the problems will be available or not far behind. This paper describes anticipated technology. 66 refs., 10 figs

  13. Security 2020 Reduce Security Risks This Decade

    CERN Document Server

    Howard, Doug; Schneier, Bruce

    2010-01-01

    Identify real security risks and skip the hype After years of focusing on IT security, we find that hackers are as active and effective as ever. This book gives application developers, networking and security professionals, those that create standards, and CIOs a straightforward look at the reality of today's IT security and a sobering forecast of what to expect in the next decade. It debunks the media hype and unnecessary concerns while focusing on the knowledge you need to combat and prioritize the actual risks of today and beyond.IT security needs are constantly evolving; this guide examine

  14. 20 CFR 654.13 - Determination of areas of substantial unemployment.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Determination of areas of substantial unemployment. 654.13 Section 654.13 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF... 10582 § 654.13 Determination of areas of substantial unemployment. An area of substantial unemployment...

  15. A roadmap for Antarctic and Southern Ocean science for the next two decades and beyond

    OpenAIRE

    Kennicutt, M.C.; Chown, S.L.; Cassano, J.J.; Liggett, D.; Peck, L.S.; Massom, R.; Rintoul, S.R.; Storey, J.; Vaughan, D.G.; Wilson, T.J.; Allison, I.; Ayton, J.; Badhe, R.; Baeseman, J.; Barrett, P.J.

    2015-01-01

    Antarctic and Southern Ocean science is vital to understanding natural variability, the processes that govern global change and the role of humans in the Earth and climate system. The potential for new knowledge to be gained from future Antarctic science is substantial. Therefore, the international Antarctic community came together to ‘scan the horizon’ to identify the highest priority scientific questions that researchers should aspire to answer in the next two decades and beyond. Wide consu...

  16. A DECADE OF HEALTH TECHNOLOGY ASSESSMENT IN POLAND.

    Science.gov (United States)

    Lipska, Iga; McAuslane, Neil; Leufkens, Hubert; Hövels, Anke

    2017-01-01

    The objective of this study is to illustrate and provide a better understanding of the role of health technology assessment (HTA) processes in decision making for drug reimbursement in Poland and how this approach could be considered by other countries of limited resources. We analyzed the evolution of the HTA system and processes in Poland over the past decade and current developments based on publicly available information. The role of HTA in drug-reimbursement process in Poland has increased substantially over the recent decade, starting in 2005 with the formation the Agency for Health Technology Assessment and Tariff System (AOTMiT). The key success factors in this development were effective capacity building based on the use of international expertise, the implementation of transparent criteria into the drug reimbursement processes, and the selective approach to the adoption of innovative medicines based on the cost-effectiveness threshold among other criteria. While Poland is regarded as a leader in Central and Eastern Europe, there is room for improvement, especially with regard to the quality of HTA processes and the consistency of HTA guidelines with reimbursement law. In the "pragmatic" HTA model use by AOTMiT, the pharmaceutical company is responsible for the preparation of a reimbursement dossier of good quality in line with HTA guidelines while the assessment team in AOTMiT is responsible for critical review of that dossier. Adoption of this model may be considered by other countries with limited resources to balance differing priorities and ensure transparent and objective access to medicines for patients who need them.

  17. The Gastroenterology Fellowship Match: A Decade Later.

    Science.gov (United States)

    Huang, Robert J; Triadafilopoulos, George; Limsui, David

    2017-06-01

    Following a period of uncertainty and disorganization, the gastroenterology (GI) national leadership decided to reinstitute the fellowship match (the Match) under the auspices of the National Residency Matching Program (NRMP) in 2006. Although it has now been a decade since the rebirth of the Match, there have been limited data published regarding progress made. In this piece, we discuss reasons for the original collapse of the GI Match, including most notably a perceived oversupply of GI physicians and a poor job market. We discuss the negative impacts the absence of the Match had on programs and on applicants, as well as the impetus to reorganize the Match under the NRMP. We then utilize data published annually by the NRMP to demonstrate that in the decade since its rebirth, the GI Match has been remarkably successful in terms of attracting the participation of applicants and programs. We show that previous misguided concerns of an oversupply of GI physicians were not realized, and that GI fellowship positions remain highly competitive for internal medicine applicants. Finally, we discuss possible implications of recent changes in the healthcare landscape on the GI Match.

  18. Five Decades: From Challenge to Acclaim.

    Science.gov (United States)

    Melina, Vesanto

    2016-09-01

    What can make your work as a dietitian so meaningful that you begin each day with enthusiasm, and if you so choose, retain that joy in your work for 5 decades or more? Three themes are: (i) doing work that profoundly makes sense to you, (ii) inspiring others (and yourself) to make healthful choices, and (iii) moving through challenges to success. Initially it can be challenging to make a living through work that is most deeply meaningful or closest to your heart. Yet it is well worth finding the balance between practicality and movement in the desired direction. Other challenges faced by dietitians involve helping others to adopt new, more healthful lifestyle choices. As health professionals, our attitudes towards plant-based diets have changed dramatically during these past decades. This article examines our evolving perspectives of plant-based diets, and uses this as an example of movement through challenges to success and acclaim. Vegetarian and vegan diets that were considered entirely inappropriate for many stages of the life cycle in the 1970s are now seen to confer health benefits. This applies to well-designed plant-based diets, thus offering a significant role for dietitians as creative leaders in this field.

  19. A Decade (almost) of Brown bag Seminars

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2018-01-01

    This collection of BB Seminar Series abstracts and titles is a celebration of sorts. The Center for Mobilities and Urban Studies (C-MUS) was established at Aalborg University in 2008. The 10th Year Anniversary conference to be held in August 2018 is a testament to this. It is not too much to say...... that during this decade C-MUS has grown to become an internationally well-recognized research center under the heading of the ‘new Mobilities turn’. However, a research center also need a daily life of mundane (but important) practices. This collection of abstracts takes you through the BB programs since...... series of BB presentations we get a sense of the academic debates and ‘matters of concern’ for the researchers in C-MUS. Moreover, this may also serve as an important pointer for the future. So next to presenting ‘old stories’ the report is an invitation to reflect upon the next decade of Brown Bag...

  20. Towards the Next International Lunar Decade

    Science.gov (United States)

    Beldavs, Vidvuds

    2016-07-01

    The idea of an International Lunar Decade (ILD) germinated in work underway in the International Lunar Working Group (ILEWG) coordinated by ESA starting before 2000. Envisioned was an International Geophysical Year (IGY) inspired global collaborative undertaking to better understand the Moon, its origins and resources as a step towards lunar development and possible human settlement. By 2006 the ILD idea had evolved sufficiently that the ILEWG endorsed it and endorsement was also received from COSPAR [1] The Planetary Society under the leadership of Louis Friedman championed the ILD idea, received a grant from the Secure World Foundation to promote it at various conferences as well as to the United Nations Committee on the Peaceful Uses of Outer Space (COPUOS). Friedman made a presentation about ILD to COPUOS in February, 2007 [2]. Despite positive interest in the idea no member state of COPUOS chose to promote it. The ILD agenda was adopted by ILEWG and largely fulfilled by the member space agencies in the decade from 2007-2014, but without UN endorsement as a global initiative. In 2013 an idea for an International Lunar Decade took hold among a group of space activists that included ideas for an International Lunar Research Park [3], an International Lunar Geophysical Year and other elements including an article published by V. Beldavs in the Space Review on January 14, 2014 [4]. These various thought streams were brought to focus at the conference "The Next Giant Leap: Leveraging Lunar Assets for Sustainable Pathways to Space", November 9-13, 2014 in Hawaii that resulted in the International Lunar Decade Declaration [3] and the formation of the working group (ILDWG) to promote implementation of ILD. In 2015 numerous organizations and influential persons were approached and informed about the idea of a framework for international collaboration sustained over a decade to gain an understanding of the Moon and its resources and to develop the technologies and

  1. Water Cycle Missions for the Next Decade

    Science.gov (United States)

    Houser, P. R.

    2013-12-01

    The global water cycle describes the circulation of water as a vital and dynamic substance in its liquid, solid, and vapor phases as it moves through the atmosphere, oceans and land. Life in its many forms exists because of water, and modern civilization depends on learning how to live within the constraints imposed by the availability of water. The scientific challenge posed by the need to observe the global water cycle is to integrate in situ and space-borne observations to quantify the key water-cycle state variables and fluxes. The vision to address that challenge is a series of Earth observation missions that will measure the states, stocks, flows, and residence times of water on regional to global scales followed by a series of coordinated missions that will address the processes, on a global scale, that underlie variability and changes in water in all its three phases. The accompanying societal challenge is to foster the improved use of water data and information as a basis for enlightened management of water resources, to protect life and property from effects of extremes in the water cycle. A major change in thinking about water science that goes beyond its physics to include its role in ecosystems and society is also required. Better water-cycle observations, especially on the continental and global scales, will be essential. Water-cycle predictions need to be readily available globally to reduce loss of life and property caused by water-related natural hazards. Building on the 2007 Earth Science Decadal Survey, NASA's Plan for a Climate-Centric Architecture for Earth Observations and Applications from Space , and the 2012 Chapman Conference on Remote Sensing of the Terrestrial Water Cycle, a workshop was held in April 2013 to gather wisdom and determine how to prepare for the next generation of water cycle missions in support of the second Earth Science Decadal Survey. This talk will present the outcomes of the workshop including the intersection between

  2. DEVELOPMENT OF METHODS OF ESTIMATION, ANALYSIS, SUBSTANTIATION AND SELECTION OF ORGANIZATIONAL AND TECHNOLOGICAL DECISIONS FOR RECONSTRUCTION OF INDUSTRIAL ENTERPRISES

    Directory of Open Access Journals (Sweden)

    SIEDIN V. L.

    2017-02-01

    Full Text Available Raising of problem. Over the past decade, changes in the economy have led to the decline of many industrial enterprises, which in turn led to the emergence of abandoned buildings and degraded areas that create a social and environmental hazard. Accordingly, the buildings and structures of such enterprises do not function and need reconstruction. Purpose of the aricle. Study of the development of methods for assessing, analyzing, substantiating and selecting rational organizational and technological decisions for the reconstruction of industrial enterprises. Conclusion. With the aim of transforming degraded and disordered territories into modern centers of vital activity, it is necessary to identify in each populated area the areas of priority renovation and reconstruction, and also to concentrate budgetary funds and private investments for the implementation of such projects. In the implementation of the above measures, the settlements will be systematically updated in accordance with european standards.

  3. The first two decades 1973-1993

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    Throughout most of the 1960s, the decade before the one in which EPRI was established, the electric utility industry grew at a rate that was virtually unequaled in its then less-than-100-year history. Sustained economic and population expansion fueled a rapidly rising demand for electricity. Some utilities were experiencing demand growth of as much as 8% a year and were building new and bigger power plants to keep up. Massive, multiunit coal-fired plants were being built near mines, with highvoltage transmission lines carrying the power back to urban centers. Gas turbines were brought into New York harbor on barges to help meet power demand in the country's largest metropolitan area. The commercial use of nuclear power for generating electricity was fast appproaching, after the success of a series of small, government-funded demonstration reactors

  4. Decadal Monsoon-ENSO Relationships Reexamined

    Science.gov (United States)

    Yun, Kyung-Sook; Timmermann, Axel

    2018-02-01

    The strength of the El Niño-Southern Oscillation (ENSO)-Indian summer monsoon rainfall (ISMR) relationship shows considerable decadal fluctuations, which have been previously linked to low-frequency climatic processes such as shifts in ENSO's center of action or the Atlantic Multidecadal Oscillation. However, random variability can also cause similar variations in the relationship between climate phenomena. Here we propose a statistical test to determine whether the observed time-evolving correlations between ENSO and ISMR are different from those expected from a simple stochastic null hypothesis model. The analysis focuses on the time evolution of moving correlations, their expected variance, and probabilities for rapid transitions. The results indicate that the time evolution of the observed running correlation between these climate modes is indistinguishable from a system in which the ISMR signal can be expressed as a stochastically perturbed ENSO signal. This challenges previous deterministic interpretations. Our results are further corroborated by the analysis of climate model simulations.

  5. Decadal summer drought frequency in China: the increasing influence of the Atlantic Multi-decadal Oscillation

    International Nuclear Information System (INIS)

    Qian, Chengcheng; Yu, Jin-Yi; Chen, Ge

    2014-01-01

    Decadal variations in summer drought events during 1956–2005 are examined over Eastern China to identify their leading variability modes and their linkages to the Pacific Decadal Oscillation (PDO), Atlantic Multi-decadal Oscillation (AMO), and global warming. The PDO influence is found to dominate China drought frequency from the 1960s to early 1990s via modulating the Western Pacific Subtropical High and the Mongolian High. The four-pole drought pattern produced by the PDO diminished after the early 1990s, being replaced by a dipolar drought pattern that is produced by the AMO via a Eurasian wave train emanating from North Atlantic to China. The increasing influence of the AMO on China drought since the early 1990s is further shown to be a consequence of global warming. This study indicates that the early 1990s is a time when the Atlantic began to exert a stronger influence on climate over China and even larger part of Asia. (letter)

  6. The first decade of commercial space tourism

    Science.gov (United States)

    Chang, Yi-Wei

    2015-03-01

    In order to provide a basis for assessing the future prospects and challenges of space tourism, this paper begins with a brief overview of the history of space tourism. This is followed by a discussion on market demand and current developments in the academic community, as well as the status of traffic tools, regulations and legalization. In market demand, although studies conducted in 1990s assumed the possibility of 500,000 per year in space tourists and several billion USD of annual revenue, in 2008 a relatively modest 13,000 per year was predicted. At this time traffic transport tools including the Soyuz system, CST-100, DragonRider and International Space Station (ISS) can only provide a few tens in spare seats for space tourists per year compared to the projected 20,000 plus seat capacity of the Lynx, Dream Chaser and SpaceShipTwo (SS2) fleets, which have the potential to conduct their first full suborbital test flight and first commercial flight within the coming decade. Added to this, the US government has only a regulatory regime that supports privately owned suborbital space tourism (SST) and no government funded orbital space tourism (OST). These evidences reveal a very high and advantageous potential for SST to form a space tourism industry in the coming decade, whereas the possibility of OST is relatively low. However, even though the prosperity of SST in the coming years is expectable, its maturity, reliability and safety still need to win the confidence of the general public. For examples, the announcement of changes to fuel used in the SS2 rocket engine in May 2014 and the crash of one SS2 while performing test flight on 31 October 2014 indicated the need for much careful preparation, as any accident in commercial operation could seriously damage or even kill its future prospects.

  7. Food Price Volatility and Decadal Climate Variability

    Science.gov (United States)

    Brown, M. E.

    2013-12-01

    The agriculture system is under pressure to increase production every year as global population expands and more people move from a diet mostly made up of grains, to one with more meat, dairy and processed foods. Weather shocks and large changes in international commodity prices in the last decade have increased pressure on local food prices. This paper will review several studies that link climate variability as measured with satellite remote sensing to food price dynamics in 36 developing countries where local monthly food price data is available. The focus of the research is to understand how weather and climate, as measured by variations in the growing season using satellite remote sensing, has affected agricultural production, food prices and access to food in agricultural societies. Economies are vulnerable to extreme weather at multiple levels. Subsistence small holders who hold livestock and consume much of the food they produce are vulnerable to food production variability. The broader society, however, is also vulnerable to extreme weather because of the secondary effects on market functioning, resource availability, and large-scale impacts on employment in trading, trucking and wage labor that are caused by weather-related shocks. Food price variability captures many of these broad impacts and can be used to diagnose weather-related vulnerability across multiple sectors. The paper will trace these connections using market-level data and analysis. The context of the analysis is the humanitarian aid community, using the guidance of the USAID Famine Early Warning Systems Network and the United Nation's World Food Program in their response to food security crises. These organizations have worked over the past three decades to provide baseline information on food production through satellite remote sensing data and agricultural yield models, as well as assessments of food access through a food price database. Econometric models and spatial analysis are used

  8. One decade after Chernobyl: Summing up the consequences

    International Nuclear Information System (INIS)

    Kaul, A.; Landfermann, H.; Thieme, M.

    1996-01-01

    During the week 8-12 April 1996, an international conference summing up the consequences of the Chernobyl disaster after one decade took place in Vienna. Organizers were the European Commission (EC), the International Atomic Energy Agency (IAEA) and the World Health Organization (WHO) (EC/IAEA/WHO 1996). One of the authors, A. Kaul, presented the outcome of the conference as given below to the IPRA 9 congress which was held in Vienna the following week. Two caveats have to be mentioned here: firstly, only facts actually reported and reviewed at the conference can be accounted for, and, secondly, according to the groundrules of the conference, the deadline for the background papers of the conference was the 9 February 1996, meaning that facts materializing after that time are not covered in this paper. The same applied to information given at the conference that was not properly reviewed and published. Reports, for example, given at the conference on an observed increase of thyroid cancers and leukemia among liquidators and of diabetes mellitus among children are not yet substantiated and are, therefore, not yet recognized as consequences. If corroborated, and it is obvious that all higher exposed groups should be closely monitored in the future, an update on the consequences will have to take this into account. 2 refs., 1 fig., 4 tabs

  9. Imatinib treatment causes substantial transcriptional changes in adult Schistosoma mansoni in vitro exhibiting pleiotropic effects.

    Directory of Open Access Journals (Sweden)

    Christin Buro

    2014-06-01

    Full Text Available Schistosome parasites cause schistosomiasis, one of the most important infectious diseases worldwide. For decades Praziquantel (PZQ is the only drug widely used for controlling schistosomiasis. The absence of a vaccine and fear of PZQ resistance have motivated the search for alternatives. Studies on protein kinases (PKs demonstrated their importance for diverse physiological processes in schistosomes. Among others two Abl tyrosine kinases, SmAbl1 and SmAbl2, were identified in Schistosoma mansoni and shown to be transcribed in the gonads and the gastrodermis. SmAbl1 activity was blocked by Imatinib, a known Abl-TK inhibitor used in human cancer therapy (Gleevec/Glivec. Imatinib exhibited dramatic effects on the morphology and physiology of adult schistosomes in vitro causing the death of the parasites.Here we show modeling data supporting the targeting of SmAbl1/2 by Imatinib. A biochemical assay confirmed that SmAbl2 activity is also inhibited by Imatinib. Microarray analyses and qRT-PCR experiments were done to unravel transcriptional processes influenced by Imatinib in adult schistosomes in vitro demonstrating a wide influence on worm physiology. Surface-, muscle-, gut and gonad-associated processes were affected as evidenced by the differential transcription of e.g. the gynecophoral canal protein gene GCP, paramyosin, titin, hemoglobinase, and cathepsins. Furthermore, transcript levels of VAL-7 and egg formation-associated genes such as tyrosinase 1, p14, and fs800-like were affected as well as those of signaling genes including a ribosomal protein S6 kinase and a glutamate receptor. Finally, a comparative in silico analysis of the obtained microarray data sets and previous data analyzing the effect of a TGFβR1 inhibitor on transcription provided first evidence for an association of TGFβ and Abl kinase signaling. Among others GCP and egg formation-associated genes were identified as common targets.The data affirm broad negative effects of

  10. Seventy years of continuous encroachment substantially increases 'blue carbon' capacity as mangroves replace intertidal salt marshes.

    Science.gov (United States)

    Kelleway, Jeffrey J; Saintilan, Neil; Macreadie, Peter I; Skilbeck, Charles G; Zawadzki, Atun; Ralph, Peter J

    2016-03-01

    Shifts in ecosystem structure have been observed over recent decades as woody plants encroach upon grasslands and wetlands globally. The migration of mangrove forests into salt marsh ecosystems is one such shift which could have important implications for global 'blue carbon' stocks. To date, attempts to quantify changes in ecosystem function are essentially constrained to climate-mediated pulses (30 years or less) of encroachment occurring at the thermal limits of mangroves. In this study, we track the continuous, lateral encroachment of mangroves into two south-eastern Australian salt marshes over a period of 70 years and quantify corresponding changes in biomass and belowground C stores. Substantial increases in biomass and belowground C stores have resulted as mangroves replaced salt marsh at both marine and estuarine sites. After 30 years, aboveground biomass was significantly higher than salt marsh, with biomass continuing to increase with mangrove age. Biomass increased at the mesohaline river site by 130 ± 18 Mg biomass km(-2)  yr(-1) (mean ± SE), a 2.5 times higher rate than the marine embayment site (52 ± 10 Mg biomass km(-2) yr(-1) ), suggesting local constraints on biomass production. At both sites, and across all vegetation categories, belowground C considerably outweighed aboveground biomass stocks, with belowground C stocks increasing at up to 230 ± 62 Mg C km(-2) yr(-1) (± SE) as mangrove forests developed. Over the past 70 years, we estimate mangrove encroachment may have already enhanced intertidal biomass by up to 283 097 Mg and belowground C stocks by over 500 000 Mg in the state of New South Wales alone. Under changing climatic conditions and rising sea levels, global blue carbon storage may be enhanced as mangrove encroachment becomes more widespread, thereby countering global warming. © 2015 John Wiley & Sons Ltd.

  11. Rings Research in the Next Decade

    Science.gov (United States)

    Burns, J. A.; Tiscareno, M. S.

    2009-12-01

    The study of planetary ring systems forms a key component of planetary science for several reasons: 1) The evolution and current states of planets and their satellites are affected in many ways by rings, while 2) conversely, properties of planets and moons and other solar system populations are revealed by their effects on rings; 3) highly structured and apparently delicate ring systems may be bellwethers, constraining various theories of the origin and evolution of their entire planetary system; and finally, 4) planetary rings provide an easily observable analogue to other astrophysical disk systems, enabling real “ground truth” results applicable to disks much more remote in space and/or time, including proto-planetary disks, circum-stellar disks, and even galaxies. Significant advances have been made in rings science in the past decade. The highest-priority rings research recommendations of the last Planetary Science Decadal Survey were to operate and extend the Cassini orbiter mission at Saturn; this has been done with tremendous success, accounting for much of the progress made on key science questions, as we will describe. Important progress in understanding the rings of Saturn and other planets has also come from Earth-based observational and theoretical work, again as prioritized by the last Decadal Survey. However, much important work remains to be done. At Saturn, the Cassini Solstice Mission must be brought to a successful completion. Priority should also be placed on sending spacecraft to Neptune and/or Uranus, now unvisited for more than 20 years. At Jupiter and Pluto, opportunities afforded by visiting spacecraft capable of studying rings should be exploited. On Earth, the need for continued research and analysis remains strong, including in-depth analysis of rings data already obtained, numerical and theoretical modeling work, laboratory analysis of materials and processes analogous to those found in the outer solar system, and continued Earth

  12. Strategy for the International Lunar Decade

    Science.gov (United States)

    Beldavs, V.; Dunlop, D.; Foing, B.

    2015-10-01

    LD is a global event and process for international collaboration in space initiated by the International Lunar Exploration Working Group (ILEWG), the National Space Society and the National Science Centre FOTONIKA-LV of the University of Latvia. ILD is planned for launch in 2017, the 60th anniversary of the International Geophysical Year that marked the dawn of the space age with the launch of Sputnik. ILD is envisioned as a decade long process of international collaboration with lunar exploration concurrent with development of policies, key enabling technologies and infrastructures on the Moon and in cislunar space leading towards an eventual goal of industrial development of the Moon and economic activity beyond Earth orbit[1]. This second International Lunar Decade will build on the foundations of the ILD first proposed in by the Planetary Society in 2006 at International Conference on Exploration and Utilisation of the Moon (ICEUM), was endorsed by ICEUM participants[3], and then by ILEWG, COSPAR and other organizations. Starting in 2007, the work plan included a series of recommendations for lunar exploration missions coordinated through the ILEWG agencies and COSPAR. Advances in technology such as CubeSats and 3D printing and fundamental changes in mind-set marked by initiatives such as the Google Lunar-X prize and asteroid mining ventures have made industrial development of the Moon a thinkable proposition. The ILD to be launched in 2017 is intended to set the stage for the Moon to become a wealth generating platform for human expansion into the solar system.ILD is being organized to engage existing organizations involved in space collaboration such as COSPAR, COPUOS, ISECG, technical and scientific organizations and others that address space policy, space law, space security, governance and related concerns. Additional organizations will be involved that deal with structures, ecosystems, financing, economic development and health and life support and

  13. Prediction of Pathological Complete Response Using Endoscopic Findings and Outcomes of Patients Who Underwent Watchful Waiting After Chemoradiotherapy for Rectal Cancer.

    Science.gov (United States)

    Kawai, Kazushige; Ishihara, Soichiro; Nozawa, Hiroaki; Hata, Keisuke; Kiyomatsu, Tomomichi; Morikawa, Teppei; Fukayama, Masashi; Watanabe, Toshiaki

    2017-04-01

    Nonoperative management for patients with rectal cancer who have achieved a clinical complete response after chemoradiotherapy is becoming increasingly important in recent years. However, the definition of and modality used for patients with clinical complete response differ greatly between institutions, and the role of endoscopic assessment as a nonoperative approach has not been fully investigated. This study aimed to investigate the ability of endoscopic assessments to predict pathological regression of rectal cancer after chemoradiotherapy and the applicability of these assessments for the watchful waiting approach. This was a retrospective comparative study. This study was conducted at a single referral hospital. A total of 198 patients with rectal cancer underwent preoperative endoscopic assessments after chemoradiotherapy. Of them, 186 patients underwent radical surgery with lymph node dissection. The histopathological findings of resected tissues were compared with the preoperative endoscopic findings. Twelve patients refused radical surgery and chose watchful waiting; their outcomes were compared with the outcomes of patients who underwent radical surgery. The endoscopic criteria correlated well with tumor regression grading. The sensitivity and specificity for a pathological complete response were 65.0% to 87.1% and 39.1% to 78.3%. However, endoscopic assessment could not fully discriminate pathological complete responses, and the outcomes of patients who underwent watchful waiting were considerably poorer than the patients who underwent radical surgery. Eventually, 41.7% of the patients who underwent watchful waiting experienced uncontrollable local failure, and many of these occurrences were observed more than 3 years after chemoradiotherapy. The number of the patients treated with the watchful waiting strategy was limited, and the selection was not randomized. Although endoscopic assessment after chemoradiotherapy correlated with pathological response

  14. Information Technology & Applications Corporation v. United States: An Interested Party's "Substantial Chance" at APA Standing

    National Research Council Canada - National Science Library

    Slicker, Christina

    2003-01-01

    .... Building on CICA's "interested party" definition with Information Technology's refinement of "substantial chance" rule, the Federal Circuit has effectively translated "APA standing" into the language...

  15. 20 CFR 416.972 - What we mean by substantial gainful activity.

    Science.gov (United States)

    2010-04-01

    ... INCOME FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Substantial Gainful... consider activities like taking care of yourself, household tasks, hobbies, therapy, school attendance...

  16. Print quality challenges for the next decade

    Science.gov (United States)

    Meyer, John D.

    1990-07-01

    The decade of the eighties has seen a remarkable transformation in the performance and capabilities of shared and personal printers. Dramatic gains have been made in four key areas: cost, throughput, reliability and most significantly, print quality. The improvements in text print quality due to algorithmic fonts and increased resolution have been pivotal in the creation of the desktop publishing market. Electronic pre-press systems now include hardware to receive Postscript files accompanied by color originals for scanning and separation. These systems have application in the commercial printing of a wide variety of material e.g. books, magazines, brochures, newspapers. The vision of the future of hardcopy now embraces the full spectrum from typeset text to full color reproduction of natural images due to the advent of grayscale and color capability in printer technology. This will place increased demands for improvements in print quality, particularly in the use of grayscale and color. This paper gives an overview of the challenges which must be met and discusses data communication standards and print quality measurement techniques as a means of meeting these challenges for both color and black and white output.

  17. ATLAS upgrades for the next decades

    CERN Document Server

    Hopkins, Walter; The ATLAS collaboration

    2014-01-01

    After the successful LHC operation at the center-of-mass energies of 7 and 8 TeV in 2010-2012, plans are actively advancing for a series of upgrades of the accelerator, culminating roughly ten years from now in the high-luminosity LHC (HL-LHC) project, delivering of the order of five times the LHC nominal instantaneous luminosity along with luminosity leveling. The final goal is to extend the dataset from about few hundred \\ifb\\ expected for LHC running to 3000 fb$^{-1}$ by around 2035 for ATLAS and CMS. In parallel, the experiments need to be keep lockstep with the accelerator to accommodate running beyond the nominal luminosity this decade. Current planning in ATLAS envisions significant upgrades to the detector during the consolidation of the LHC to reach full LHC energy and further upgrades. The challenge of coping with the HL-LHC instantaneous and integrated luminosity, along with the associated radiation levels, requires further major changes to the ATLAS detector. The designs are developing rapidly for...

  18. Multi-decadal Arctic sea ice roughness.

    Science.gov (United States)

    Tsamados, M.; Stroeve, J.; Kharbouche, S.; Muller, J. P., , Prof; Nolin, A. W.; Petty, A.; Haas, C.; Girard-Ardhuin, F.; Landy, J.

    2017-12-01

    The transformation of Arctic sea ice from mainly perennial, multi-year ice to a seasonal, first-year ice is believed to have been accompanied by a reduction of the roughness of the ice cover surface. This smoothening effect has been shown to (i) modify the momentum and heat transfer between the atmosphere and ocean, (ii) to alter the ice thickness distribution which in turn controls the snow and melt pond repartition over the ice cover, and (iii) to bias airborne and satellite remote sensing measurements that depend on the scattering and reflective characteristics over the sea ice surface topography. We will review existing and novel remote sensing methodologies proposed to estimate sea ice roughness, ranging from airborne LIDAR measurement (ie Operation IceBridge), to backscatter coefficients from scatterometers (ASCAT, QUICKSCAT), to multi angle maging spectroradiometer (MISR), and to laser (Icesat) and radar altimeters (Envisat, Cryosat, Altika, Sentinel-3). We will show that by comparing and cross-calibrating these different products we can offer a consistent multi-mission, multi-decadal view of the declining sea ice roughness. Implications for sea ice physics, climate and remote sensing will also be discussed.

  19. Strategic Planning and NRC Decadal Survey Experience

    Science.gov (United States)

    Lautenbacher, C. C., Jr.

    2015-12-01

    Strategic planning exercises are routinely undertaken by a wide variety of organizations that span the private, public and academic sectors and with a wide variety of corporate goals. It is difficult to single out best procedures as the purposes of strategic planning are as varied as the organizations. As a former head of a governmental agency that requested such a NRC study, namely the first "Earth Sciences and Applications from Space" study, I will examine the process, provide my definitions and assessments of the good and the not-so-good, and compare to my experiences with other similar strategic planning exercises during my Navy, NOAA, and private sector careers. I find that there is always room for improvement, but there is no one process or procedure that can guarantee success. Overarching initial considerations that can position the effort for overall "success" will be defined and applied to the recent NSC Study: "Sea Change: 2015-2025 Decadal Survey of Ocean Science", for which I was neither an initiator nor a participant, but a very interested observer.

  20. Review of progress in the past decade

    International Nuclear Information System (INIS)

    Krzywosz, K.J.

    1991-01-01

    The past decade saw tremendous changes in the operation and maintenance of steam generators. Inservice inspection practices were continually upgraded to better maintain the integrity of steam generator pressure boundaries. Even though the number of plants replacing steam generators earlier than expected is increasing, concerted efforts are underway to extend the life of those remaining. Managing the safe and continued operation of steam generators is a complex task and the role of NDE is expanding. The conventional role of NDE for detecting and characterizing both degraded and new damage mechanisms is expanding to other functions such as: monitoring degradation growth rate, verifying the effectiveness of remedial measures, assisting in the establishment of defect-specific plugging limits, and assuring the inspectability of new replacement tube materials. Consequently, NDE plays a major role in improving availability and life extension of steam generators. This paper reviews the current operating conditions of steam generators in the United States, strategies for managing steam generators, and current inservice inspection practices. (author)

  1. The recognition heuristic: A decade of research

    Directory of Open Access Journals (Sweden)

    Gerd Gigerenzer

    2011-02-01

    Full Text Available The recognition heuristic exploits the basic psychological capacity for recognition in order to make inferences about unknown quantities in the world. In this article, we review and clarify issues that emerged from our initial work (Goldstein and Gigerenzer, 1999, 2002, including the distinction between a recognition and an evaluation process. There is now considerable evidence that (i the recognition heuristic predicts the inferences of a substantial proportion of individuals consistently, even in the presence of one or more contradicting cues, (ii people are adaptive decision makers in that accordance increases with larger recognition validity and decreases in situations when the validity is low or wholly indeterminable, and (iii in the presence of contradicting cues, some individuals appear to select different strategies. Little is known about these individual differences, or how to precisely model the alternative strategies. Although some researchers have attributed judgments inconsistent with the use of the recognition heuristic to compensatory processing, little research on such compensatory models has been reported. We discuss extensions of the recognition model, open questions, unanticipated results, and the surprising predictive power of recognition in forecasting.

  2. Societal Impacts of Natural Decadal Climate Variability - The Pacemakers of Civilizations

    Science.gov (United States)

    Mehta, V. M.

    2017-12-01

    Natural decadal climate variability (DCV) is one of the oldest areas of climate research. Building on centuries-long literature, a substantial body of research has emerged in the last two to three decades, focused on understanding causes, mechanisms, and impacts of DCV. Several DCV phenomena - the Pacific Decadal Oscillation (PDO) or the Interdecadal Pacific Oscillation (IPO), tropical Atlantic sea-surface temperature gradient variability (TAG for brevity), West Pacific Warm Pool variability, and decadal variability of El Niño-La Niña events - have been identified in observational records; and are associated with variability of worldwide atmospheric circulations, water vapor transport, precipitation, and temperatures; and oceanic circulations, salinity, and temperatures. Tree-ring based drought index data going back more than 700 years show presence of decadal hydrologic cycles (DHCs) in North America, Europe, and South Asia. Some of these cycles were associated with the rise and fall of civilizations, large-scale famines which killed millions of people, and acted as catalysts for socio-political revolutions. Instrument-measured data confirm presence of such worldwide DHCs associated with DCV phenomena; and show these DCV phenomena's worldwide impacts on river flows, crop productions, inland water-borne transportation, hydro-electricity generation, and agricultural irrigation. Fish catch data also show multiyear to decadal catch variability associated with these DCV phenomena in all oceans. This talk, drawn from my recently-published book (Mehta, V.M., 2017: Natural Decadal Climate Variability: Societal Impacts. CRC Press, Boca Raton, Florida, 326 pp.), will give an overview of worldwide impacts of DCV phenomena, with specific examples of socio-economic-political impacts. This talk will also describe national and international security implications of such societal impacts, and worldwide food security implications. The talk will end with an outline of needed

  3. Long-term psychological distress, and styles of coping, in parents of children and adolescents who underwent invasive treatment for congenital cardiac disease

    NARCIS (Netherlands)

    Spijkerboer, Alinda W.; Helbing, Willem A.; Bogers, Ad J. J. C.; van Domburg, Ron T.; Verhulst, Frank C.; Utens, Elisabeth M. W. J.

    2007-01-01

    To assess the level of psychological distress and styles of coping in both mothers and fathers of children who underwent invasive treatment for congenital cardiac disease at least 7 years and 6 months ago. The General Health Questionnaire and the Utrecht Coping List were completed by parents of

  4. LAB bacteriocin applications in the last decade

    Directory of Open Access Journals (Sweden)

    Ma. del Rocío López-Cuellar

    2016-11-01

    Full Text Available In the early 2000s, the expectations about bacteriocins produced by lactic acid bacteria (LABs were aimed at food applications. However, the effectiveness of bacteriocins against undesirable micro-organisms opened endless possibilities for innovative research. In the present review, we collected a database including 429 published papers and 245 granted patents (from 2004 to 2015. Based on bibliometric analysis, the progress of bacteriocin research in the last 11 years was discussed in detail. It was found that 164 patents were granted in 2010–2015, which is equivalent to 60% in comparison with previous years (i.e. only 81 patents were granted in 2004–2009. Currently, the research on bacteriocins is still gaining importance. In the realm of therapeutic strategies, about a 37% of the published research was focused on biomedical applications in the last decade. This vein of research is currently seeking for alternative solutions to problems such as cancer, systemic infections, oral-care, vaginal infections, contraception and skincare. On the other hand, food preservation, bio-nanomaterial and veterinary applications represent 29%, 25% and 9%, respectively. All this technology is being applied and will surely grow in the future, since about 31% of the patents granted since 2004 are focused on the biomedical area, 29% on food preservation, 5% on veterinary use; whereas 13% and 16% correspond to patents granted on production–purification systems and recombinant proteins or molecular modifications in the producer strains. This review contributes to the analysis of recent LAB bacteriocin applications and their role in safety, quality and improvement of human health.

  5. Renewable Electricity: Insights for the Coming Decade

    Energy Technology Data Exchange (ETDEWEB)

    Stark, Camila [Joint Inst. for Strategic Energy Analysis, Boulder, CO (United States); Pless, Jacquelyn [Joint Inst. for Strategic Energy Analysis, Boulder, CO (United States); Logan, Jeffrey [Joint Inst. for Strategic Energy Analysis, Boulder, CO (United States); Zhou, Ella [Joint Inst. for Strategic Energy Analysis, Boulder, CO (United States); Arent, Douglas J. [Joint Inst. for Strategic Energy Analysis, Boulder, CO (United States)

    2015-02-01

    A sophisticated set of renewable electricity (RE) generation technologies is now commercially available. Globally, RE captured approximately half of all capacity additions since 2011. The cost of RE is already competitive with fossil fuels in some areas around the world, and prices are anticipated to continue to decline over the next decade. RE options, led by wind and solar, are part of a suite of technologies and business solutions that are transforming electricity sectors around the world. Renewable deployment is expected to continue due to: increasingly competitive economics; favorable environmental characteristics such as low water use, and minimal local air pollution and greenhouse gas (GHG) emissions; complementary risk profiles when paired with natural gas generators; strong support from stakeholders. Despite this positive outlook for renewables, the collapse in global oil prices since mid-2014 and continued growth in natural gas supply in the United States--due to the development of low-cost shale gas--raise questions about the potential impacts of fossil fuel prices on RE. Today, oil plays a very minor role in the electricity sectors of most countries, so direct impacts on RE are likely to be minimal (except where natural gas prices are indexed on oil). Natural gas and RE generating options appear to be more serious competitors than oil and renewables. Low gas prices raise the hurdle for RE to be cost competitive. Additionally, although RE emits far less GHG than natural gas, both natural gas and RE offer the benefits of reducing carbon relative to coal and oil (see Section 4.1 for more detail on the GHG intensity of electricity technologies). However, many investors and decision makers are becoming aware of the complementary benefits of pairing natural gas and renewables to minimize risk of unstable fuel prices and maintain the reliability of electricity to the grid.

  6. 26 CFR 1.42-7 - Substantially bond-financed buildings. [Reserved

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 1 2010-04-01 2010-04-01 true Substantially bond-financed buildings. [Reserved] 1.42-7 Section 1.42-7 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX INCOME TAXES Credits Against Tax § 1.42-7 Substantially bond-financed buildings. [Reserved] ...

  7. 20 CFR 416.1080 - Notice of right to hearing on proposed finding of substantial failure.

    Science.gov (United States)

    2010-04-01

    ... agency has substantially failed to meet our standards unless the State submits a written request for a... finding of substantial failure. 416.1080 Section 416.1080 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determinations of Disability...

  8. 20 CFR 404.1680 - Notice of right to hearing on proposed finding of substantial failure.

    Science.gov (United States)

    2010-04-01

    ... agency has substantially failed to meet our standards unless the State submits a written request for a... finding of substantial failure. 404.1680 Section 404.1680 Employees' Benefits SOCIAL SECURITY..., following the mandatory performance support period and the 3-month adjustment period, a State agency again...

  9. Detection of Dew-Point by substantial Raman Band Frequency Jumps (A new Method)

    DEFF Research Database (Denmark)

    Hansen, Susanne Brunsgaard; Berg, Rolf W.; Stenby, Erling Halfdan

    Detection of Dew-Point by substantial Raman Band Frequency Jumps (A new Method). See poster at http://www.kemi.dtu.dk/~ajo/rolf/jumps.pdf......Detection of Dew-Point by substantial Raman Band Frequency Jumps (A new Method). See poster at http://www.kemi.dtu.dk/~ajo/rolf/jumps.pdf...

  10. Substantiation of Optimum Stoker Number in Potassium Production by Game Method

    Directory of Open Access Journals (Sweden)

    B. A. Bogatov

    2005-01-01

    Full Text Available Dump formation process of hard halite waste in potassium production has been analyzed in the paper. The paper shows high cost of a salt dump formation and an actuality to substantiate number of ОШ-1900-110/150 stokers that are operating simultaneously. A game theory method has been used to substantiate a solution of the problem.

  11. 32 CFR 48.302 - Substantiating evidence regarding dependency and age of dependents.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Substantiating evidence regarding dependency and age of dependents. 48.302 Section 48.302 National Defense Department of Defense OFFICE OF THE... Designation of Beneficiaries § 48.302 Substantiating evidence regarding dependency and age of dependents. At...

  12. Global Estimated Net Migration Grids by Decade: 1970-2000

    Data.gov (United States)

    National Aeronautics and Space Administration — The Global Estimated Net Migration by Decade: 1970-2000 data set provides estimates of net migration over the three decades from 1970 to 2000. Because of the lack of...

  13. Decades of Chaos and Revolution: Showdowns for College Presidents

    Science.gov (United States)

    Nelson, Stephen J.

    2012-01-01

    "Decades of Chaos and Revolution: Showdowns for College Presidents" is the story and comparison of two eras in the history of higher education. The first era covers the period of the 1960s through the mid-1970s, and the second is the first decade of the twenty-first century. Both decades were marked by events that shook the foundations of colleges…

  14. Six Decades of Spiral Density Wave Theory

    Science.gov (United States)

    Shu, Frank H.

    2016-09-01

    The theory of spiral density waves had its origin approximately six decades ago in an attempt to reconcile the winding dilemma of material spiral arms in flattened disk galaxies. We begin with the earliest calculations of linear and nonlinear spiral density waves in disk galaxies, in which the hypothesis of quasi-stationary spiral structure (QSSS) plays a central role. The earliest success was the prediction of the nonlinear compression of the interstellar medium and its embedded magnetic field; the earliest failure, seemingly, was not detecting color gradients associated with the migration of OB stars whose formation is triggered downstream from the spiral shock front. We give the reasons for this apparent failure with an update on the current status of the problem of OB star formation, including its relationship to the feathering substructure of galactic spiral arms. Infrared images can show two-armed, grand design spirals, even when the optical and UV images show flocculent structures. We suggest how the nonlinear response of the interstellar gas, coupled with overlapping subharmonic resonances, might introduce chaotic behavior in the dynamics of the interstellar medium and Population I objects, even though the underlying forces to which they are subject are regular. We then move to a discussion of resonantly forced spiral density waves in a planetary ring and their relationship to the ideas of disk truncation, and the shepherding of narrow rings by satellites orbiting nearby. The back reaction of the rings on the satellites led to the prediction of planet migration in protoplanetary disks, which has had widespread application in the exploding data sets concerning hot Jupiters and extrasolar planetary systems. We then return to the issue of global normal modes in the stellar disk of spiral galaxies and its relationship to the QSSS hypothesis, where the central theoretical concepts involve waves with negative and positive surface densities of energy and angular

  15. Jefferson Lab: A Long Decade of Physics

    International Nuclear Information System (INIS)

    Montgomery, Hugh

    2011-01-01

    , associate directors, physicists, engineers, technicians and administrators who made it all possible. In sum, we should celebrate the science that Jefferson Lab has realized in this, its first long decade of physics.

  16. Breast cancer imaging: A perspective for the next decade

    International Nuclear Information System (INIS)

    Karellas, Andrew; Vedantham, Srinivasan

    2008-01-01

    Breast imaging is largely indicated for detection, diagnosis, and clinical management of breast cancer and for evaluation of the integrity of breast implants. In this work, a prospective view of techniques for breast cancer detection and diagnosis is provided based on an assessment of current trends. The potential role of emerging techniques that are under various stages of research and development is also addressed. It appears that the primary imaging tool for breast cancer screening in the next decade will be high-resolution, high-contrast, anatomical x-ray imaging with or without depth information. MRI and ultrasonography will have an increasingly important adjunctive role for imaging high-risk patients and women with dense breasts. Pilot studies with dedicated breast CT have demonstrated high-resolution three-dimensional imaging capabilities, but several technological barriers must be overcome before clinical adoption. Radionuclide based imaging techniques and x-ray imaging with intravenously injected contrast offer substantial potential as a diagnostic tools and for evaluation of suspicious lesions. Developing optical and electromagnetic imaging techniques hold significant potential for physiologic information and they are likely to be of most value when integrated with or adjunctively used with techniques that provide anatomic information. Experimental studies with breast specimens suggest that phase-sensitive x-ray imaging techniques can provide edge enhancement and contrast improvement but more research is needed to evaluate their potential role in clinical breast imaging. From the technological perspective, in addition to improvements within each modality, there is likely to be a trend towards multi-modality systems that combine anatomic with physiologic information. We are also likely to transition from a standardized screening, where all women undergo the same imaging exam (mammography), to selection of a screening modality or modalities based an

  17. Breast cancer imaging: A perspective for the next decade

    Energy Technology Data Exchange (ETDEWEB)

    Karellas, Andrew; Vedantham, Srinivasan [Department of Radiology, University of Massachusetts Medical School, Worcester, MA 01655 (United States)

    2008-11-15

    Breast imaging is largely indicated for detection, diagnosis, and clinical management of breast cancer and for evaluation of the integrity of breast implants. In this work, a prospective view of techniques for breast cancer detection and diagnosis is provided based on an assessment of current trends. The potential role of emerging techniques that are under various stages of research and development is also addressed. It appears that the primary imaging tool for breast cancer screening in the next decade will be high-resolution, high-contrast, anatomical x-ray imaging with or without depth information. MRI and ultrasonography will have an increasingly important adjunctive role for imaging high-risk patients and women with dense breasts. Pilot studies with dedicated breast CT have demonstrated high-resolution three-dimensional imaging capabilities, but several technological barriers must be overcome before clinical adoption. Radionuclide based imaging techniques and x-ray imaging with intravenously injected contrast offer substantial potential as a diagnostic tools and for evaluation of suspicious lesions. Developing optical and electromagnetic imaging techniques hold significant potential for physiologic information and they are likely to be of most value when integrated with or adjunctively used with techniques that provide anatomic information. Experimental studies with breast specimens suggest that phase-sensitive x-ray imaging techniques can provide edge enhancement and contrast improvement but more research is needed to evaluate their potential role in clinical breast imaging. From the technological perspective, in addition to improvements within each modality, there is likely to be a trend towards multi-modality systems that combine anatomic with physiologic information. We are also likely to transition from a standardized screening, where all women undergo the same imaging exam (mammography), to selection of a screening modality or modalities based an

  18. Electroconvulsive therapy substantially reduces symptom severity and social disability associated with multiple chemical sensitivity: a case report.

    Science.gov (United States)

    Elberling, Jesper; Gulmann, Nils; Rasmussen, Alice

    2010-09-01

    Multiple chemical sensitivity (MCS) is a chronic nonallergic, multisymptom disorder triggered by common environmental chemicals in concentrations considered nontoxic for most individuals. The condition may lead to loss of occupation and social isolation, and no effective treatment has been reported. Electroconvulsive therapy (ECT) is a safe and effective treatment of severe depression and medical conditions such as chronic pain disorders. We report a case of a 45-year-old man with a 5-year history of MCS who had to quit his job to live a solitary life without his wife and children because of the condition. The patient had no history of psychiatric illness and no signs of clinical depression at treatment start. Over a 3-week period, he underwent a course of 8 ECTs, giving a remarkable effect on symptom severity and social functional level. After a partial symptom relapse, maintenance treatment was started with 1 ECT every second week. No memory impairment or other complications of ECT were reported at the 4-month follow-up. In this case, a substantial, positive effect on symptom severity and social disability related to MCS was obtained by an initial ECT course and maintenance treatment. Electroconvulsive therapy should be considered an option in severe and socially disabling MCS, but more studies are needed to evaluate if ECT can be recommended as a treatment in MCS.

  19. Epidural Hematoma and Abscess Related to Thoracic Epidural Analgesia: A Single-Center Study of 2,907 Patients Who Underwent Lung Surgery.

    Science.gov (United States)

    Kupersztych-Hagege, Elisa; Dubuisson, Etienne; Szekely, Barbara; Michel-Cherqui, Mireille; François Dreyfus, Jean; Fischler, Marc; Le Guen, Morgan

    2017-04-01

    To report the major complications (epidural hematoma and abscess) of postoperative thoracic epidural analgesia in patients who underwent lung surgery. Prospective, monocentric study. A university hospital. All lung surgical patients who received postoperative thoracic epidural analgesia between November 2007 and November 2015. Thoracic epidural analgesia for patients who underwent lung surgery. During the study period, data for 2,907 patients were recorded. The following 3 major complications were encountered: 1 case of epidural hematoma (0.34 case/1,000; 95% confidence interval 0.061-1.946), for which surgery was performed, and 2 cases of epidural abscesses (0.68 case/1,000; 95% confidence interval 0.189-2.505), which were treated medically. The risk range of serious complications was moderate; only the patient who experienced an epidural hematoma also experienced permanent sequelae. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Comparative study of short-term cardiovascular autonomic control in cardiac surgery patients who underwent coronary artery bypass grafting or correction of valvular heart disease.

    Science.gov (United States)

    Shvartz, Vladimir A; Kiselev, Anton R; Karavaev, Anatoly S; Vulf, Kristina A; Borovkova, Ekaterina I; Prokhorov, Mikhail D; Petrosyan, Andrey D; Bockeria, Olga L

    2018-01-01

    Introduction: Our aim was to perform a comparative study of short-term cardiovascular autonomic control in cardiac surgery patients who underwent coronary artery bypass grafting (CABG) or surgical correction of valvular heart disease (SCVHD ). Methods: The synchronous 15 minutes records of heart rate variability (HRV) and finger's photoplethysmographic waveform variability (PPGV) were performed in 42 cardiac surgery patients (12 women) aged 61.8 ± 8.6 years (mean ± standard deviation), who underwent CABG, and 36 patients (16 women) aged 54.2 ± 14.9 years, who underwent SCVHD , before surgery and in 5-7 days after surgery. Conventional time and frequency domain measures of HRV and index S of synchronization between the slow oscillations in PPGV and HRV were analyzed. We also calculated personal dynamics of these indices after surgery. Results: We found no differences ( Р > 0.05) in all studied autonomic indices (preoperative and post-surgery) between studied patients' groups, except for the preoperative heart rate, which was higher in patients who underwent SCVHD ( P = 0.013). We have shown a pronounced preoperative and post-surgery variability (magnitude of inter-quartile ranges) of all autonomic indices in studied patients. In the cluster analysis based on cardiovascular autonomic indices (preoperative and post-surgery), we divided all patients into two clusters (38 and 40 subjects) which did not differ in all clinical characteristics (except for the preoperative hematocrit, P = 0.038), index S, and all post-surgery HRV indices. First cluster (38 patients) had higher preoperative values of the HR, TP, HF, and HF%, and lower preoperative values of the LF% and LF/HF. Conclusion: The variability of cardiovascular autonomic indices in on-pump cardiac surgery patients (two characteristic clusters were identified based on preoperative indices) was not associated with their clinical characteristics and features of surgical procedure (including cardioplegia).

  1. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery

    OpenAIRE

    Maimaituxun, Gulinu; Shimabukuro, Michio; Salim, Hotimah Masdan; Tabata, Minoru; Yuji, Daisuke; Morimoto, Yoshihisa; Akasaka, Takeshi; Matsuura, Tomomi; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Sugimoto, Takaki; Tanaka, Masashi; Takanashi, Shuichiro

    2017-01-01

    Background Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD) are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV) in patients undergoing coronary artery bypass grafting (CABG) remains unknown. Methods Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57) who underwent CABG or non-coronary valvular surgery ...

  2. Potential decadal predictability and its sensitivity to sea ice albedo parameterization in a global coupled model

    Energy Technology Data Exchange (ETDEWEB)

    Koenigk, Torben; Caian, Mihaela; Doescher, Ralf; Wyser, Klaus [Swedish Meteorological and Hydrological Institute, Rossby Centre, Norrkoeping (Sweden); Koenig Beatty, Christof [Universite Catholique de Louvain, Louvain-la-Neuve (Belgium)

    2012-06-15

    Decadal prediction is one focus of the upcoming 5th IPCC Assessment report. To be able to interpret the results and to further improve the decadal predictions it is important to investigate the potential predictability in the participating climate models. This study analyzes the upper limit of climate predictability on decadal time scales and its dependency on sea ice albedo parameterization by performing two perfect ensemble experiments with the global coupled climate model EC-Earth. In the first experiment, the standard albedo formulation of EC-Earth is used, in the second experiment sea ice albedo is reduced. The potential prognostic predictability is analyzed for a set of oceanic and atmospheric parameters. The decadal predictability of the atmospheric circulation is small. The highest potential predictability was found in air temperature at 2 m height over the northern North Atlantic and the southern South Atlantic. Over land, only a few areas are significantly predictable. The predictability for continental size averages of air temperature is relatively good in all northern hemisphere regions. Sea ice thickness is highly predictable along the ice edges in the North Atlantic Arctic Sector. The meridional overturning circulation is highly predictable in both experiments and governs most of the decadal climate predictability in the northern hemisphere. The experiments using reduced sea ice albedo show some important differences like a generally higher predictability of atmospheric variables in the Arctic or higher predictability of air temperature in Europe. Furthermore, decadal variations are substantially smaller in the simulations with reduced ice albedo, which can be explained by reduced sea ice thickness in these simulations. (orig.)

  3. Comparison of PSA value at last follow-up of patients who underwent low-dose rate brachytherapy and intensity-modulated radiation therapy for prostate cancer.

    Science.gov (United States)

    Tanaka, Nobumichi; Asakawa, Isao; Nakai, Yasushi; Miyake, Makito; Anai, Satoshi; Fujii, Tomomi; Hasegawa, Masatoshi; Konishi, Noboru; Fujimoto, Kiyohide

    2017-08-25

    To compare the PSA value at the last follow-up of patients who underwent prostate low-dose rate brachytherapy (LDR-BT) with that of patients who underwent intensity-modulated radiation therapy (IMRT). A total of 610 prostate cancer patients (cT1c-3bN0M0) were enrolled, and 445 of them underwent LDR-BT, while 165 received IMRT (74-76 Gy). The median follow-up period of these two groups was 75 months (LDR-BT) and 78 months (IMRT), respectively. We also evaluated the biochemical recurrence (BCR)-free rate using two definitions (Phoenix definition and PSA ≥ 0.2 ng/mL). The percentage of patients who achieved PSA LDR-BT group and 49.7% in the IMRT group (p LDR-BT group and 32.1% in the IMRT group (p LDR-BT groups was 89.5 and 95.0% (p LDR-BT groups, respectively (p LDR-BT was significantly lower than that of IMRT, and this result was particularly marked in patients with a normal testosterone level at the last follow-up.

  4. SUBSTANTIAL EXCEPTIONS AND (DELIMITATIONS OF THE POWERS OF THE JUDGES ON CIVIL PROCEDURAL LAW

    Directory of Open Access Journals (Sweden)

    Igor Raatz

    2017-08-01

    Full Text Available This essay aims to unveil the role of the substantial exceptions on delimiting the powers of the judges on civil procedural law, especially regarding the ex officio judicial activity. This way, under a phenomenological method and based on a vision of guarantee of rights on procedural law, the article offers a brief explanation of the question concerning the content of the object under litigation and its role of (delimiting the powers of the judges. The work hypothesis is the addition of the substantial exceptions among the content of the object under litigation, along with the claim itself and the cause of action. The results lie on the premise that, by the substantial exceptions, the defendant extends the object under litigation – which is formed dynamically on civil procedure. The conclusion points towards the idea that the substantial exceptions act in a way of limiting the ex officio judicial activity on civil procedural law

  5. Main results of substantiation of the ecological safety of the Novovoronezh NPP-2 design

    International Nuclear Information System (INIS)

    Kopytov, I.I.; Kocher'yan, V.M.; Leonov, S.V.; Chionov, V.G.; Ehrnestova, L.S.

    2005-01-01

    Paper presents the results of the efforts to determine both the actual (hydrochemical, hydrobiological, geobotanical, soil, radiological) and the predicted parameters of the region ecology derived when substantiating the ecological safety of the Novovoronezh NPP-2 design [ru

  6. Cumulative stress and substantiated maltreatment: the importance of caregiver vulnerability and adult partner violence.

    Science.gov (United States)

    Wekerle, Christine; Wall, Anne-Marie; Leung, Eman; Trocmé, Nico

    2007-04-01

    Our goal is to assess the effect of caregiver vulnerabilities, singly and in combination, on the substantiation of child abuse (physical, sexual) and neglect, while controlling for relevant background variables. We test the moderator role of adult partner violence in qualifying the relationship between caregiver vulnerabilities and maltreatment substantiation. Secondary analyses of the 1998 Canadian Incidence Study of Reported Child Maltreatment (CIS) are used to predict child protective service investigation substantiation versus non-substantiation from a range of caregiver vulnerability factors. Involvement in partner violence was examined as a moderator in the relation between caregiver vulnerabilities and maltreatment substantiation. The CIS is an epidemiological survey of first-reported cases to child protective services, using a random sample of child welfare agencies across Canada. Child welfare workers completed a research form on the child, primary caregiver, family, perpetrator, severity and type of maltreatment, as well as services and court outcomes. All maltreatment classifications were assigned according to the Canadian legal definition of child abuse and neglect. Hierarchical logistic regression analyses were used, with stepped entry of: (1) demographic factors, socioeconomic disadvantage, and caregiver's own history of maltreatment; (2) caregiver vulnerability factors; (3) involvement in partner violence; (4) the interaction between caregiver vulnerability and partner violence. Caregiver substance abuse was found to be the single most potent kind of caregiver vulnerability in predicting maltreatment substantiation. When the total number of vulnerabilities was used as the predictor, prediction across all types of maltreatment increased, especially for substantiated neglect. Analyses also showed that the presence of partner violence in the home exacerbated the effect of caregiver vulnerability on substantiation. The total number of caregiver

  7. Trends in Type of Original Psoriasis Publications by Decade, 1960 to 2010.

    Science.gov (United States)

    Sako, Eric; Famenini, Shannon; Wu, Jashin J

    2016-01-01

    Research investigating psoriasis has spanned decades, and as our understanding of the disease has evolved, the focus of publications has changed. We sought to characterize the trends in original psoriasis-related research from 1960 to 2010 chronologically by decade. A literature review was performed using the keyword psoriasis in the MEDLINE database. All original psoriasis-related articles published at the beginning of each decade were searched and categorized by study type and topic. Number of articles per topic. A total of 869 original psoriasis-related articles were found. The number of publications increased 18 fold over 5 decades. The immunology and pathogenesis of psoriasis was the most frequently researched topic (36%), and retrospective studies were the most common study type (37%). Recent highly published topics included biologic therapy, genetics, and psoriasis-associated cardiovascular disease. Original psoriasis-related publications have grown substantially since 1960. Basic science research into the immunology and pathogenesis has been and continues to be the mainstay of psoriasis research. Recent research trends suggest the focus has expanded to topics such as psoriasis-associated cardiovascular disease, genetics, and biologic therapy.

  8. Physical Biology : challenges for our second decade

    Science.gov (United States)

    Levine, Herbert

    2014-06-01

    understand when the details of proteins and nucleic acids structure and function can be assumed constant when considering the cell. This problem is even more serious as we try to set higher sights and think of cells as constituents of tissue, organ and organism. Trying to understand higher-order biological systems is a bit like trying to play a board game where the pieces and rules are constantly changing, somehow in concert with what is happening at the scale of the game. Others will undoubtedly have their own view of what is really difficult and different about living systems. One of the roles of Physical Biology should therefore be to provide a needed forum to address some of these really difficult questions. Of course, most papers will operate with the safety-setting on, and will use established ideas in physics, either experimental or theoretical, to further our quantitative appreciation of living systems. These papers are without doubt an absolutely necessary part of the field, and we hope that our journal can serve as a home for the best of these. But, my real hope is that we can attract papers that really try to break new ground, that suggest ways in which the living world is not just an extremely messy example of the same phenomena that can be studied in non-biological contexts. Amazingly, this hope is actually shared by many leading biologists. In one of the most influential papers on cancer research in the past decades. Hanahan and Weinberg argue that 'one day, we imagine that cancer biology and treatment—at present, a patchwork quilt of cell biology, genetics, histopathology, biochemistry, immunology, and pharmacology—will become a science with a conceptual structure and logical coherence that rivals that of chemistry or physics.' We should take up the challenge, not just for cancer, and Physical Biology should help. Figuring out exactly how best to do this is now my responsibility, and I look forward to hearing from you and working with all of you, in order

  9. Prelude and first decade, 1951-1961

    Science.gov (United States)

    Shepherd, L. R.

    the eventual adoption of the new Constitution, the Bureau would function informally. In 1961 the Federation as we know it today emerged beginning with the spring meeting in Paris, held in premises shared by the IAF and IAA, and with the Executive Secretariat in place. The main business was for the informal Bureau to meet with the committee responsible for the draft of the new constitution, to amend it to a form acceptable to all member societies. This done, the proposed new Constitution was submitted to the ensuing congress in Washington D.C. The XIIth Congress saw the IAF emerge from its adolescence to adult status. The new Constitution was approved and the Bureau was formally established. Henceforth, the plenary gathering of member societies was designated the General Assembly and reference to the IAF Council discontinued. A radical innovation was the creation of the International Programme Committee with future responsibility for planning and co-ordinating the congress technical lecture sessions. At Washington the first task of the Bureau was to draw up the Terms of Reference and the functional duties of this committee which have remained substantially unchanged.

  10. Child protection decisions to substantiate hospital child protection teams' reports of suspected maltreatment.

    Science.gov (United States)

    Jedwab, Merav; Benbenishty, Rami; Chen, Wendy; Glasser, Saralee; Siegal, Gil; Lerner-Geva, Liat

    2015-02-01

    The present study focuses on the way child protection officers (CPOs) in Israel assess suspected abuse and neglect (SCAN) reports made by hospital child protection teams (CPTs), to determine whether the alleged maltreatment is substantiated. The study was conducted in six medical centers and included 358 reports investigated by CPOs for SCAN. A structured questionnaire was completed by hospital CPTs to capture all relevant information on each child referred to the CPTs. Structured phone interviews were conducted with each of the CPOs who received a CPT report. Bivariate associations and multivariate logistic regressions were conducted to estimate the substantiation rate of cases reported by CPTs and the types of maltreatment substantiated, as well as to identify case characteristics of the child and the family that were associated with the CPOs' substantiation decision. CPO follow-up investigations revealed a substantiation rate of 53.5%. The maltreatment type most commonly substantiated was neglect. The case characteristics associated with substantiation included socio-demographic background, parents' health and functioning, previous contact with social services, characteristics of the hospital referral, medical findings and an assessment of the parents' behaviors. The findings of the study highlighted the importance of cooperation between the health and welfare services and the policy makers. This cooperation is essential for identifying early signs of maltreatment. Enhanced cooperation and effective information transfer between various professionals would help prevent or at least reduce the recurrence of maltreatment and would ensure that the children and their families are treated appropriately. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. Impact of high-density lipoprotein 3 cholesterol subfraction on periprocedural myocardial injury in patients who underwent elective percutaneous coronary intervention.

    Science.gov (United States)

    Harada, Kazuhiro; Kikuchi, Ryosuke; Suzuki, Susumu; Tanaka, Akihito; Aoki, Toshijiro; Iwakawa, Naoki; Kojima, Hiroki; Hirayama, Kenshi; Mitsuda, Takayuki; Sumi, Takuya; Negishi, Yosuke; Ishii, Hideki; Murohara, Toyoaki

    2018-02-02

    Periprocedural myocardial injury (PMI) is a major complication of percutaneous coronary intervention (PCI) and is associated with atherosclerotic coronary plaque and worse clinical outcomes. High-density lipoprotein cholesterol (HDL-C) is a protective factor for cardiovascular disease. However, the role of HDL-C subfractions, such as HDL2 cholesterol (HDL2-C) or HDL3 cholesterol (HDL3-C), in cardiovascular disease remains unclear. The purpose of the study was to investigate the relationship between HDL2-C and HDL3-C subfractions and the incidence of PMI in patients who underwent elective PCI. We enrolled 129 patients who underwent elective PCI for stable angina pectoris. PMI was defined as an increase in high-sensitivity troponin T levels > 5 times the upper normal limit (> 0.070 ng/mL) at 24 h after PCI. Serum HDL-C subfractions (HDL2-C and HDL3-C) were assessed using ultracentrifugation in patients with and those without PMI. HDL3-C levels were significantly lower in patients with PMI than in those without (15.1 ± 3.0 mg/dL vs. 16.4 ± 2.9 mg/dL, p = 0.016) and had an independent and inverse association with PMI (odds ratio, 0.86; 95% confidence interval, 0.74-0.99; p = 0.038). When divided by the cut-off value of HDL3-C for PMI (14.3 mg/dL), the incidence of PMI was significantly higher in low HDL3-C patients than in high HDL3-C patients (51.2% vs. 30.2%, p = 0.020). HDL3-C was an independent inverse predictor of PMI in patients who underwent elective PCI.

  12. Effect of preinfarction angina pectoris on long-term survival in patients with ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention.

    Science.gov (United States)

    Taniguchi, Tomohiko; Shiomi, Hiroki; Toyota, Toshiaki; Morimoto, Takeshi; Akao, Masaharu; Nakatsuma, Kenji; Ono, Koh; Makiyama, Takeru; Shizuta, Satoshi; Furukawa, Yutaka; Nakagawa, Yoshihisa; Ando, Kenji; Kadota, Kazushige; Horie, Minoru; Kimura, Takeshi

    2014-10-15

    The influence of preinfarction angina pectoris (AP) on long-term clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI) remains controversial. In 5,429 patients with acute myocardial infarction (AMI) enrolled in the Coronary Revascularization Demonstrating Outcome Study in Kyoto AMI Registry, the present study population consisted of 3,476 patients with STEMI who underwent primary PCI within 24 hours of symptom onset and in whom the data on preinfarction AP were available. Preinfarction AP defined as AP occurring within 48 hours of hospital arrival was present in 675 patients (19.4%). Patients with preinfarction AP was younger and more often had anterior AMI and longer total ischemic time, whereas they less often had history of heart failure, atrial fibrillation, and shock presentation. The infarct size estimated by peak creatinine phosphokinase was significantly smaller in patients with than in patients without preinfarction AP (median [interquartile range] 2,141 [965 to 3,867] IU/L vs 2,462 [1,257 to 4,495] IU/L, p <0.001). The cumulative 5-year incidence of death was significantly lower in patients with preinfarction AP (12.4% vs 20.7%, p <0.001) with median follow-up interval of 1,845 days. After adjusting for confounders, preinfarction AP was independently associated with a lower risk for death (hazard ratio 0.69, 95% confidence interval 0.54 to 0.86, p = 0.001). The lower risk for 5-year mortality in patients with preinfarction AP was consistently observed across subgroups stratified by total ischemic time, initial Thrombolysis In Myocardial Infarction flow grade, hemodynamic status, infarct location, and diabetes mellitus. In conclusion, preinfarction AP was independently associated with lower 5-year mortality in patients with STEMI who underwent primary PCI. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. Patterns and Timing of Failure for Diffuse Large B-Cell Lymphoma After Initial Therapy in a Cohort Who Underwent Autologous Bone Marrow Transplantation for Relapse

    Energy Technology Data Exchange (ETDEWEB)

    Dhakal, Sughosh; Bates, James E. [Department of Radiation Oncology, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States); Casulo, Carla; Friedberg, Jonathan W.; Becker, Michael W.; Liesveld, Jane L. [Department of Medicine, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States); Constine, Louis S., E-mail: louis_constine@urmc.rochester.edu [Department of Radiation Oncology, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States)

    2016-10-01

    Purpose: To evaluate the location and timing of initial recurrence in patients with diffuse large B-cell lymphoma (DLBCL) who subsequently underwent high-dose chemotherapy with autologous stem cell transplant (HDC/ASCT), to direct approaches for disease surveillance, elucidate the patterns of failure of contemporary treatment strategies, and guide adjuvant treatment decisions. Methods and Materials: We analyzed consecutive patients with DLBCL who underwent HDC/ASCT between May 1992 and March 2014 at our institution. Of the 187 evaluable patients, 8 had incomplete data, and 79 underwent HDC/ASCT as a component of initial treatment for de novo or refractory DLBCL and were excluded from further analysis. Results: The median age was 50.8 years; the median time to relapse was 1.3 years. Patients were segregated according to the initial stage at diagnosis, with early stage (ES) defined as stage I/II and advanced stage (AS) defined as stage III/IV. In total, 40.4% of the ES and 75.5% of the AS patients relapsed in sites of initial disease; 68.4% of those with ES disease and 75.0% of those with AS disease relapsed in sites of initial disease only. Extranodal relapses were common (44.7% in ES and 35.9% in AS) and occurred in a variety of organs, although gastrointestinal tract/liver (n=12) was most frequent. Conclusions: Most patients with DLBCL who relapse and subsequently undergo HDC/ASCT initially recur in the previously involved disease site(s). Time to recurrence is brief, suggesting that frequency of screening is most justifiably greatest in the early posttherapy years. © 2016 Elsevier Inc.

  14. Retrospective, Demographic, and Clinical Investigation of the Causes of Postoperative Infection in Patients With Lumbar Spinal Stenosis Who Underwent Posterior Stabilization.

    Science.gov (United States)

    Yaldiz, Can; Yaldiz, Mahizer; Ceylan, Nehir; Kacira, Ozlem Kitiki; Ceylan, Davut; Kacira, Tibet; Kizilcay, Gokhan; Tanriverdi, Taner

    2015-07-01

    Owing to the increasing population of elderly patients, a large number of patients with degenerative spondylosis are currently being surgically treated. Although basic measures for decreasing postoperative surgical infections (PSIs) are considered, it still remains among the leading causes of morbidity and mortality. The aim of this retrospective analysis is to present possible causes leading to PSI in patients who underwent surgery for lumbar degenerative spondylosis and highlight how it can be avoided to decrease morbidity and mortality. The study included 540 patients who underwent posterior stabilization due to degenerative lumbar stenosis between January 2013 and January 2014. The data before and after surgery was retrieved from the hospital charts. Patients with degenerative lumbar stenosis who were operated upon in this study had >2 levels of laminectomy and facetectomy. For this reason, posterior stabilization was performed for all the patients included in this study. Determining the causes of postoperative infection (PI) following spinal surgeries performed with instrumentation is a struggle. Seventeen different parameters that may be related to PI were evaluated in this study. The presence of systemic diseases, unknown glove perforations, and perioperative blood transfusions were among the parameters that increased the prevalence of PI. Alternatively, prolene sutures, double-layered gloves, and the use of rifampicin Sv (RIS) decreased the incidence of PI. Although the presence of systemic diseases, unnoticed glove perforations, and perioperative blood transfusions increased PIs, prolene suture material, double-layered gloves, and the use of RIS decreased PIs.

  15. A New Risk Factor Profile for Contrast-Induced Acute Kidney Injury in Patients Who Underwent an Emergency Percutaneous Coronary Intervention.

    Science.gov (United States)

    Yuan, Ying; Qiu, Hong; Song, Lei; Hu, Xiaoying; Luo, Tong; Zhao, Xueyan; Zhang, Jun; Wu, Yuan; Qiao, Shubin; Yang, Yuejin; Gao, Runlin

    2018-07-01

    We developed a new risk factor profile for contrast-induced acute kidney injury (CI-AKI) under a new definition in patients who underwent an emergency percutaneous coronary intervention (PCI). Consecutive patients (n = 1061) who underwent an emergency PCI were divided into a derivation group (n = 761) and a validation group (n = 300). The rates of CI-AKI were 23.5% (definition 1: serum creatinine [SCr] increase ≥25% in 72 hours), 4.3% (definition 2: SCr increase ≥44.2 μmol/L in 72 hours), and 7.0% (definition 3: SCr increase ≥44.2 μmol/L in 7 days). Due to the high sensitivity of definition 1 and the high rate of missed cases for late diagnosis of CI-AKI under definition 2, definition 3 was used in the study. The risk factor profile included body surface area 15.00 × 10 9 /L ( P = .047), estimated glomerular filtration rate 133 μmol/L ( P = .007), intra-aortic balloon pump application ( P = .006), and diuretics administration ( P risk factor profile of CI-AKI under a new CI-AKI definition in emergency PCI patients is easily applicable with a useful predictive value.

  16. The importance of superficial basal cell carcinoma in a retrospective study of 139 patients who underwent Mohs micrographic surgery in a Brazilian university hospital

    Directory of Open Access Journals (Sweden)

    Luciana Takata Pontes

    2015-11-01

    Full Text Available OBJECTIVE: Mohs micrographic surgery is a specialized surgical procedure used to treat skin cancer. The purpose of this study was to better understand the profile of the patients who underwent the procedure and to determine how histology might be related to complications and the number of stages required for complete removal. METHODS: The records of patients who underwent Mohs micrographic surgery from October 2008 to November 2013 at the Dermatology Division of the Hospital of the Campinas University were assessed. The variables included were gender, age, anatomical location, histology, number of stages required and complications. RESULTS: Contingency tables were used to compare the number of stages with the histological diagnosis. The analysis showed that patients with superficial basal cell carcinoma were 9.03 times more likely to require more than one stage. A comparison between complications and histological diagnosis showed that patients with superficial basal cell carcinoma were 6.5 times more likely to experience complications. CONCLUSION: Although superficial basal cell carcinoma is typically thought to represent a less-aggressive variant of these tumors, its propensity for demonstrating “skip areas” and clinically indistinct borders make it a challenge to treat. Its particular nature may result in the higher number of surgery stages required, which may, as a consequence, result in more complications, including recurrence. Recurrence likely occurs due to the inadequate excision of the tumors despite their clear margins. Further research on this subtype of basal cell carcinoma is needed to optimize treatments and decrease morbidity.

  17. Vaginal delivery among women who underwent labor induction with vaginal dinoprostone (PGE2) insert: a retrospective study of 1656 women in China.

    Science.gov (United States)

    Zhao, Lei; Lin, Ying; Jiang, Ting-Ting; Wang, Ling; Li, Min; Wang, Ying; Sun, Guo-Qiang; Xiao, Mei

    2017-12-21

    This study aimed to qualify relevant factors for vaginal delivery among women who underwent labor induction with vaginal dinoprostone (PGE2) insert in a Chinese tertiary maternity hospital. A retrospective study was conducted in Hubei Maternal and Child Health Hospital. A total of 1656 pregnancies that underwent labor induction with vaginal dinoprostone insert between January and August 2016 were finally included in this study. Data were analyzed using univariate and multivariable regression modeling. Of 1656 women with PGE2-induced labor at term, 396 (23.91%) gave birth by cesarean section, 1260 (76.09%) had a vaginal delivery among which 921 (55.61%) delivered vaginally within 24 h. Multivariable regression analysis showed that maternal age (p labor induction, which was markedly higher than the overall annual vaginal delivery rate of 65.1% in China during 2014. Maternal age, parity, baseline fetal heart rate, and birth weight were significant factors for vaginal delivery. This study enables us to better understand the efficiency of dinoprostone and the potential predictors of vaginal delivery in dinoprostone-induced labor, which may be helpful to guide the clinical use of dinoprostone and therefore provide better service clinically.

  18. Association of Blood Fatty Acid Composition and Dietary Pattern with the Risk of Non-Alcoholic Fatty Liver Disease in Patients Who Underwent Cholecystectomy.

    Science.gov (United States)

    Shim, Poyoung; Choi, Dongho; Park, Yongsoon

    2017-01-01

    The relationship between diet and non-alcoholic fatty liver disease (NAFLD) in patients with gallstone disease and in those who have a high risk for NAFLD has not been investigated. This study was conducted to investigate the association between the risk of NAFLD and dietary pattern in patients who underwent cholecystectomy. Additionally, we assessed the association between erythrocyte fatty acid composition, a marker for diet, and the risk of NAFLD. Patients (n = 139) underwent liver ultrasonography to determine the presence of NAFLD before laparoscopic cholecystectomy, reported dietary intake using food frequency questionnaire, and were assessed for blood fatty acid composition. Fifty-eight patients were diagnosed with NAFLD. The risk of NAFLD was negatively associated with 2 dietary patterns: consuming whole grain and legumes and consuming fish, vegetables, and fruit. NAFLD was positively associated with the consumption of refined grain, meat, processed meat, and fried foods. Additionally, the risk of NAFLD was positively associated with erythrocyte levels of 16:0 and 18:2t, while it was negatively associated with 20:5n3, 22:5n3, and Omega-3 Index. The risk of NAFLD was negatively associated with a healthy dietary pattern of consuming whole grains, legumes, vegetables, fish, and fruit and with an erythrocyte level of n-3 polyunsaturated fatty acids rich in fish. © 2017 S. Karger AG, Basel.

  19. Complex researches on substantiation of construction and seismic stability of large dams in seismic region

    International Nuclear Information System (INIS)

    Negmatullaev, S.Kh.; Yasunov, P.A.

    2001-01-01

    This article is devoted to complex researches on substantiation of construction and seismic stability of large dams (Nurec hydroelectric power station) in seismic region. Geological, seismological, model, and engineering investigations are discussed in this work. At construction of Nurec hydroelectric power station the rich experience is accumulated. This experience can be used in analogous seismically active regions at construction similar hydroelectric power stations.

  20. Do substantial BMI reduction episodes among Swedish schoolchildren have any impact on their final height?

    Science.gov (United States)

    Nilsen, Bente B; Yngve, Agneta; Werner, Bo

    2018-02-06

    This study investigated whether substantial body mass index (BMI) reductions in Swedish schoolchildren aged seven years to 19 years, caused by disease, healthy or unhealthy behaviour, had any impact on their final height. We used height and weight data on 6572 subjects from two nationally representative longitudinal samples of Swedish children born in 1973 and 1981. These provided information on their final height and any BMI reduction episodes. Of the 6572 subjects (50.9% boys), among individuals with information on final height, 1118 had a BMI reduction of 5% and BMI reduction of 10% or more. On a group level, there was no statistically significant difference in the final height of individuals with BMI reductions of 10% or more and those without. The findings were independent of age and the subject's BMI at the start of the reduction episode. However, there were a number of cases where a substantial BMI reduction probably had an impact on the subject's final height. Our study found no evidence that a substantial BMI reduction had any impact on final height on a group level, but further analyses of specific case studies are necessary to determine whether substantial BMI reduction might have an impact on final height. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  1. Substantial secondary organic aerosol formation in a coniferous forest: observations of both day- and nighttime chemistry

    OpenAIRE

    A. K. Y. Lee; J. P. D. Abbatt; W. R. Leaitch; S.-M. Li; S. J. Sjostedt; S. J. Sjostedt; J. J. B. Wentzell; J. Liggio; A. M. Macdonald

    2016-01-01

    Substantial biogenic secondary organic aerosol (BSOA) formation was investigated in a coniferous forest mountain region at Whistler, British Columbia. A largely biogenic aerosol growth episode was observed, providing a unique opportunity to investigate BSOA formation chemistry in a forested environment with limited influence from anthropogenic emissions. Positive matrix factorization of aerosol mass spectrometry (AMS) measurement identifie...

  2. 76 FR 41424 - Finding of Substantial Inadequacy of Implementation Plan; Call for Iowa State Implementation Plan...

    Science.gov (United States)

    2011-07-14

    ... modeling requirement for this SIP call should allow for the use of the modeling protocol developed by Iowa... is making a finding that the Iowa State Implementation Plan (SIP) is substantially inadequate to... ) in Muscatine County, Iowa. The specific SIP deficiencies needing revision are described below. EPA is...

  3. 77 FR 65169 - Extension of Certain Timber Sale Contracts; Finding of Substantial Overriding Public Interest

    Science.gov (United States)

    2012-10-25

    ... that are in breach, or (6) contracts when the purchaser's processing facility has not operated during... DEPARTMENT OF AGRICULTURE Forest Service Extension of Certain Timber Sale Contracts; Finding of Substantial Overriding Public Interest AGENCY: Forest Service, USDA. ACTION: Notice of contract extensions...

  4. 26 CFR 1.6662-4 - Substantial understatement of income tax.

    Science.gov (United States)

    2010-04-01

    ... arrangement does not have as its principal purpose the avoidance or evasion of Federal income tax solely as a... 26 Internal Revenue 13 2010-04-01 2010-04-01 false Substantial understatement of income tax. 1... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Additions to the Tax, Additional Amounts, and Assessable...

  5. 75 FR 69454 - Emergency Homeowners' Loan Program: Notice of Allocation of Funding for Substantially Similar...

    Science.gov (United States)

    2010-11-12

    ... assistance and provide security for such repayment by recordation of a HUD mortgage as a junior lien on the... current first lien mortgage loan payments for which the homeowner remains responsible. IV. Submission of.... Nondiscrimination and Civil Rights Requirements States operating existing programs that provide substantially...

  6. 75 FR 27504 - Substantial Product Hazard List: Hand-Held Hair Dryers

    Science.gov (United States)

    2010-05-17

    ... immersion during their use. Section 15(a) of the CPSA defines ``substantial product hazard'' to include, a....'' Hand-held hair dryers routinely contain open-coil heating elements that are, in essence, uninsulated..., bathtub, or lavatory). The proposed rule would define ``hand-held hair dryer'' as ``an electrical...

  7. 76 FR 32215 - Agency Information Collection Activities; Proposed Collection; Comment Request; Substantiation...

    Science.gov (United States)

    2011-06-03

    ... of such disease in the United States [(U.S.)], describes the role of a nutrient or dietary ingredient... substantiation for their claims in the scientific literature. The time it takes to assemble the necessary... based on emerging science, where conducting literature searches and understanding the literature takes...

  8. Theoretical-and-Methodological Substantiation of Multilingual Model Activity in Kazakhstan Higher School Education System

    Science.gov (United States)

    Ospanova, Bikesh Revovna; Azimbayeva, Zhanat Amantayevna; Timokhina, Tatyana Vladimirovna; Seydakhmetova, Zergul Koblandiyevna

    2016-01-01

    The need of implementing the model of professional development in training an expert in the conditions of multilingualism is considered. The possibility of using the multilingual approach in the context of present day education with the use of innovative technologies of training is substantiated, the definition of "multilingual…

  9. 78 FR 889 - Finding of Substantial Inadequacy of Implementation Plan; Call for California State...

    Science.gov (United States)

    2013-01-07

    ... Resources Defense Council; and Physicians for Social Responsibility--Los Angeles, (``environmental and... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 [EPA-R09-OAR-2012-0721; FRL-9767-3] Finding of Substantial Inadequacy of Implementation Plan; Call for California State Implementation Plan Revision; South...

  10. 26 CFR 1.6662-5T - Substantial and gross valuation misstatements under chapter 1 (temporary).

    Science.gov (United States)

    2010-04-01

    ..., DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Additions to the Tax, Additional... persons). (iii) Property. For purposes of this section, the term property refers to both tangible and... adjustments. For rules relating to the penalty imposed with respect to a substantial or gross valuation...

  11. Domestic violence, parental substance misuse and the decision to substantiate child maltreatment.

    Science.gov (United States)

    Victor, Bryan G; Grogan-Kaylor, Andrew; Ryan, Joseph P; Perron, Brian E; Gilbert, Terri Ticknor

    2018-05-01

    Families that experience domestic violence and parental substance misuse are disproportionately involved with the child welfare system. Prior research suggests that child protective services (CPS) caseworkers are more likely to substantiate maltreatment allegations when domestic violence and parental substance misuse are identified during the investigation, pointing to one possible mechanism for this disproportionate involvement. While previous studies have relied on nationally representative data sets, the current study used administrative records from a large Midwestern child welfare agency that accounts for state-level variation in child welfare policy and practice. A total of 501,060 substantiation decisions made between 2009 and 2013 were examined to assess the influence of caseworker-perceived domestic violence and parental substance misuse on the decision to substantiate reported maltreatment. Results from multilevel modeling suggest that the identification of domestic violence and parental substance misuse during an investigation significantly increased the probability that an allegation would be substantiated. The implication of these findings for child welfare practice are considered in light of the fact that many child welfare agencies do not consider exposure to domestic violence and parental substance misuse in and of themselves to constitute child maltreatment. Copyright © 2018 Elsevier Ltd. All rights reserved.

  12. 26 CFR 301.6229(c)(2)-1T - Substantial omission of income (temporary).

    Science.gov (United States)

    2010-04-01

    ....6229(c)(2)-1T Substantial omission of income (temporary). (a) Partnership return—(1) General rule. (i) If any partnership omits from the gross income stated in its return an amount properly includible... omitted from gross income if information sufficient to apprise the Commissioner of the nature and amount...

  13. 26 CFR 1.162-17 - Reporting and substantiation of certain business expenses of employees.

    Science.gov (United States)

    2010-04-01

    ... Individuals and Corporations § 1.162-17 Reporting and substantiation of certain business expenses of employees.... The term “ordinary and necessary business expenses” means only those expenses which are ordinary and..., reimbursements, or otherwise, exceeds the ordinary and necessary business expenses paid or incurred by the...

  14. 34 CFR 692.41 - What standards may a State use to determine substantial financial need?

    Science.gov (United States)

    2010-07-01

    ... PARTNERSHIP PROGRAM Leveraging Educational Assistance Partnership Program How Does A State Select Students... establishes that are approved by the Secretary. A State may define substantial financial need in terms of... “independent student” as defined under section 480(d) of the HEA. However, for good cause shown, the Secretary...

  15. Prognostic significance of nuclear factor of activated T-cells 5 expression in non-small cell lung cancer patients who underwent surgical resection.

    Science.gov (United States)

    Cho, Hyun Jin; Yun, Hwan-Jung; Yang, Hee Chul; Kim, Soo Jin; Kang, Shin Kwang; Che, Chengri; Lee, Sang Do; Kang, Min-Woong

    2018-06-01

    Nuclear factor of activated T-cells 5 (NFAT5) is known to be correlated with migration or invasion of tumor cells based on previous in vitro studies. The aim of this study was to analyze the relationship between NFAT5 expression and clinical prognosis in non-small cell lung cancer (NSCLC) patients who underwent surgical resection. A total of 92 NSCLC patients who underwent surgical resection were enrolled. The tissue microarray core was obtained from surgically resected tumor specimens. NFAT5 expression was evaluated by immunohistochemistry. Relationships of NFAT5 expression with disease recurrence, overall survival, and disease-free survival (DFS) were analyzed. The mean age of 92 patients was 63.7 y. The median follow-up duration was 63.3 mo. Fifty-one (55%) patients exhibited positive expression of NFAT5. Disease recurrence in the NFAT5-positive group was significantly (P = 0.022) higher than that in the NFAT5-negative group. NFAT5-positive expression (odds ratio: 2.632, 95% confidence interval: 1.071-6.465, P = 0.035) and pathologic N stage (N1-2 versus N0; odds ratio: 3.174, 95% confidence interval: 1.241-8.123, P = 0.016) were independent and significant risk factors for disease recurrence. DFS of the NFAT5-positive group was significantly worse than that of the NFAT5-negative group (89.7 versus 48.7 mo, P = 0.011). A multivariate analysis identified NFAT5 expression (P < 0.029) as a significant independent risk factor for DFS of patients with postoperative pathologic T and N stages (P < 0.001 and P = 0.017, respectively). NFAT5 expression is a useful prognostic biomarker for NSCLC patients who underwent surgical resection. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Climate drift of AMOC, North Atlantic salinity and arctic sea ice in CFSv2 decadal predictions

    Science.gov (United States)

    Huang, Bohua; Zhu, Jieshun; Marx, Lawrence; Wu, Xingren; Kumar, Arun; Hu, Zeng-Zhen; Balmaseda, Magdalena A.; Zhang, Shaoqing; Lu, Jian; Schneider, Edwin K.; Kinter, James L., III

    2015-01-01

    There are potential advantages to extending operational seasonal forecast models to predict decadal variability but major efforts are required to assess the model fidelity for this task. In this study, we examine the North Atlantic climate simulated by the NCEP Climate Forecast System, version 2 (CFSv2), using a set of ensemble decadal hindcasts and several 30-year simulations initialized from realistic ocean-atmosphere states. It is found that a substantial climate drift occurs in the first few years of the CFSv2 hindcasts, which represents a major systematic bias and may seriously affect the model's fidelity for decadal prediction. In particular, it is noted that a major reduction of the upper ocean salinity in the northern North Atlantic weakens the Atlantic meridional overturning circulation (AMOC) significantly. This freshening is likely caused by the excessive freshwater transport from the Arctic Ocean and weakened subtropical water transport by the North Atlantic Current. A potential source of the excessive freshwater is the quick melting of sea ice, which also causes unrealistically thin ice cover in the Arctic Ocean. Our sensitivity experiments with adjusted sea ice albedo parameters produce a sustainable ice cover with realistic thickness distribution. It also leads to a moderate increase of the AMOC strength. This study suggests that a realistic freshwater balance, including a proper sea ice feedback, is crucial for simulating the North Atlantic climate and its variability.

  17. The influence of anthropogenic aerosol on multi-decadal variations of historical global climate

    International Nuclear Information System (INIS)

    Wilcox, L J; Highwood, E J; Dunstone, N J

    2013-01-01

    Analysis of single forcing runs from CMIP5 (the fifth Coupled Model Intercomparison Project) simulations shows that the mid-twentieth century temperature hiatus, and the coincident decrease in precipitation, is likely to have been influenced strongly by anthropogenic aerosol forcing. Models that include a representation of the indirect effect of aerosol better reproduce inter-decadal variability in historical global-mean near-surface temperatures, particularly the cooling in the 1950s and 1960s, compared to models with representation of the aerosol direct effect only. Models with the indirect effect also show a more pronounced decrease in precipitation during this period, which is in better agreement with observations, and greater inter-decadal variability in the inter-hemispheric temperature difference. This study demonstrates the importance of representing aerosols, and their indirect effects, in general circulation models, and suggests that inter-model diversity in aerosol burden and representation of aerosol–cloud interaction can produce substantial variation in simulations of climate variability on multi-decadal timescales. (letter)

  18. Prostate cancer in East Asia: evolving trend over the last decade

    Directory of Open Access Journals (Sweden)

    Yao Zhu

    2015-02-01

    Full Text Available Prostate cancer is now becoming an emerging health priority in East Asia. Most of our current knowledge on Prostate cancer has been generated from studies conducted in Western population; however, there is considerable heterogeneity of Prostate cancer between East and West. In this article, we reviewed epidemiologic trends, risk factors, disease characteristics and management of Prostate cancer in East Asian population over the last decade. Growing evidence from East Asia suggests an important role of genetic and environmental risk factors interactions in the carcinogenesis of Prostate cancer. Exposure to westernized diet and life style and improvement in health care in combination contribute substantially to the increasing epidemic in this region. Diagnostic and treatment guidelines in East Asia are largely based on Western knowledge. Although there is a remarkable improvement in the outcome over the last decade, ample evidence suggests an inneglectable difference in diagnostic accuracy, treatment efficacy and adverse events between different populations. The knowledge from western countries should be calibrated in the Asian setting to provide a better race-based treatment approach. In this review, we intend to reveal the evolving trend of Prostate cancer in the last decade, in order to gain evidence to improve Prostate cancer prevention and control in East Asia.

  19. Status of the anesthesia workforce in 2011: evolution during the last decade and future outlook.

    Science.gov (United States)

    Schubert, Armin; Eckhout, Gifford V; Ngo, Anh L; Tremper, Kevin K; Peterson, Mary D

    2012-08-01

    The purpose of this review is to present a comprehensive assessment of the anesthesia workforce during the past decade and attempt forecasting the future based on present knowledge. The supply of anesthesiologists has gradually recovered from a deficit in the mid to late 1990 s. Current entry rates into our specialty are the highest in more than a decade, but are still below the level they were in 1993. These factors along with slower surgical growth and less capital available for expanding anesthetizing locations have resulted in greater availability of anesthesiologists in the labor market. Despite these recent events, the intermediate-term outlook of a rapidly aging population and greater access of previously uninsured patients portends the need to accommodate increasing medical and surgical procedures requiring anesthesia, barring disruptive industry innovations. Late in the decade, nationwide surveys found shortages of anesthesiologists and certified registered nurse anesthetists to persist. In response to increasing training program output with stagnant surgical growth, compensation increases for these allied health professionals have moderated in the present. Future projections anticipate increased personnel availability and, possibly, less compensation for this group. It is important to understand that many of the factors constraining current demand for anesthesia personnel are temporary. Anesthesiologist supply constrained by small graduation growth combined with generation- and gender-based decrements in workforce contribution is unlikely to keep pace with the substantial population and public policy-generated growth in demand for service, even in the face of productivity improvements and innovation.

  20. Functional Changes of Dendritic Cells in C6 Glioma-Bearing Rats That Underwent Combined Argon-Helium Cryotherapy and IL-12 Treatment.

    Science.gov (United States)

    Li, Ming; Cui, Yao; Li, Xiqing; Guo, Yanwu; Wang, Bin; Zhang, Jiadong; Xu, Jian; Han, Shuangyin; Shi, Xiwen

    2016-08-01

    The aim of this study was to explore changes in tumor tissues of glioma-bearing rats that underwent argon-helium cryoablation as well as changes in antitumor immunity before and after combined interleukin 12 treatment. Two hundred sixty Wistar rats were randomly divided into a blank control group, intravenous injection interleukin-12 group, cryotherapy group, and cryotherapy + intravenous injection group. C6 glioma cells proliferated in vitro were implanted subcutaneously on the backs of rats to establish C6 glioma-bearing animal models. Each group underwent the corresponding treatments, and morphological changes in tumor tissues were examined using hematoxylin-eosin staining. CD11c staining was examined using immunohistochemistry, and differences in dendritic cells and T-cell subsets before and after treatment were analyzed using flow cytometry. The control group showed no statistical changes in terms of tumor tissue morphology and cellular immunity, cryotherapy group, and cryotherapy + intravenous injection group, among which the count for the cryotherapy + intravenous injection group was significantly higher than those of all other groups. In the argon-helium cryotherapy group, tumor cells were damaged and dendritic cell markers were positive. The number of CD11c+ and CD86+ cells increased significantly after the operation as did the cytokine interferon-γ level (P < .01), suggesting a shift toward Th1-type immunity. Combined treatment of argon-helium cryoablation and interleukin 12 for gliomas not only effectively injured tumor tissues but also boosted immune function and increased antitumor ability. Therefore, this approach is a promising treatment measure for brain gliomas. © The Author(s) 2015.

  1. HO-1 gene overexpression enhances the beneficial effects of superparamagnetic iron oxide labeled bone marrow stromal cells transplantation in swine hearts underwent ischemia/reperfusion: an MRI study.

    Science.gov (United States)

    Jiang, Yibo; Chen, Lijuan; Tang, Yaoliang; Ma, Genshan; Shen, Chengxing; Qi, Chunmei; Zhu, Qi; Yao, Yuyu; Liu, Naifeng

    2010-05-01

    To determine the effect of intracoronary transfer of superparamagnetic iron oxide (SPIO) labeled heme oxygenase-1 (HO-1) overexpressed bone marrow stromal cells (BMSCs) in a porcine myocardial ischemia/reperfusion model. Cell apoptosis was assayed and supernatant cytokine concentrations were measured in BMSCs that underwent hypoxia/reoxygen in vitro. Female mini-swines that underwent 1 h LAD occlusion followed by 1 h reperfusion were randomly allocated to receive intracoronary saline (control), 1 x 10(7) SPIO-labeled BMSCs transfected with pcDNA3.1-Lacz plasmid (Lacz-BMSCs), pcDNA3.1-human HO-1 (HO-1-BMSCs), pcDNA3.1-hHO-1 pretreated with a HO inhibitor, tin protoporphyrin (SnPP, n = 10 each). MRI and postmortem histological analysis were made at 1 week or 3 months thereafter. Post hypoxia/reoxygen in vitro, apoptosis was significantly reduced, supernatant VEGF significantly increased while TNF-alpha and IL-6 significantly reduced in HO-1-BMSCs group compared with Lacz-BMSCs group (all p < 0.05). Myocardial expression of VEGF was significantly higher in HO-1-BMSCs than in Lacz-BMSCs group at 1 week post transplantation (all p < 0.05). Signal voids induced by the SPIO were detected in the peri-infarction region in all BMSC groups at 1 week but not at 3 months post transplantation and the extent of the hypointense signal was the highest in HO-1-BMSCs group, and histological analysis showed that signal voids represented cardiac macrophages that engulfed the SPIO-labeled BMSCs. Pretreatment with SnPP significantly attenuated the beneficial effects of HO-1-BMSCs. Transplantation of HO-1-overexpressed BMSCs significantly enhanced the beneficial effects of BMSCs on improving cardiac function in this model.

  2. Improved predictive value of GRACE risk score combined with platelet reactivity for 1-year cardiovascular risk in patients with acute coronary syndrome who underwent coronary stent implantation.

    Science.gov (United States)

    Li, Shan; Liu, Hongbin; Liu, Jianfeng; Wang, Haijun

    2016-11-01

    Both high platelet reactivity (HPR) and Global Registry of Acute Coronary Events (GRACE) risk score have moderate predictive value for major adverse cardiovascular disease (CVD) events in patients with acute coronary syndrome (ACS) who underwent percutaneous coronary intervention (PCI), whereas the prognostic significance of GRACE risk score combined with platelet function testing remains unclear. A total of 596 patients with non-ST elevation ACS who underwent PCI were enrolled. The P2Y 12 reaction unit (PRU) value was measured by VerifyNow P2Y 12 assay and GRACE score was calculated by GRACE risk 2.0 calculator. Patients were stratified by a pre-specified cutoff value of PRU 230 and GRACE score 140 to assess 1-year risk of cardiovascular death, non-fatal myocardial infarction (MI), and stent thrombosis. Seventy-two (12.1%) patients developed CVD events during 1-year follow-up. Patients with CVD events had a higher PRU value (244.6 ± 50.9 vs. 203.7 ± 52.0, p risk independently. Compared to patients with normal platelet reactivity (NPR) and GRACE score risk (HR: 5.048; 95% CI: 2.268-11.237; p risk score yielded superior risk predictive capacity beyond GRACE score alone, which is shown by improved c-statistic value (0.871, p = 0.002) as well as net reclassification improvement (NRI 0.263, p risk of adverse CVD events. The combination of platelet function testing and GRACE score predicted 1-year CVD risk better.

  3. Vision and Voyages: Lessons Learned from the Planetary Decadal Survey

    Science.gov (United States)

    Squyres, S. W.

    2015-12-01

    The most recent planetary decadal survey, entitled Vision and Voyages for Planetary Science in the Decade 2013-2022, provided a detailed set of priorities for solar system exploration. Those priorities drew on broad input from the U.S. and international planetary science community. Using white papers, town hall meetings, and open meetings of the decadal committees, community views were solicited and a consensus began to emerge. The final report summarized that consensus. Like many past decadal reports, the centerpiece of Vision and Voyages was a set of priorities for future space flight projects. Two things distinguished this report from some previous decadals. First, conservative and independent cost estimates were obtained for all of the projects that were considered. These independent cost estimates, rather than estimates generated by project advocates, were used to judge each project's expected science return per dollar. Second, rather than simply accepting NASA's ten-year projection of expected funding for planetary exploration, decision rules were provided to guide program adjustments if actual funding did not follow projections. To date, NASA has closely followed decadal recommendations. In particular, the two highest priority "flagship" missions, a Mars rover to collect samples for return to Earth and a mission to investigate a possible ocean on Europa, are both underway. The talk will describe the planetary decadal process in detail, and provide a more comprehensive assessment of NASA's response to it.

  4. NASA ESTO Lidar Technologies Investment Strategy: 2016 Decadal Update

    Science.gov (United States)

    Valinia, Azita; Komar, George J.; Tratt, David M.; Lotshaw, William T.; Gaab, Kevin M.

    2017-01-01

    The NASA Earth Science Technology Office (ESTO) recently updated its investment strategy in the area of lidar technologies as it pertains to NASA's Earth Science measurement goals in the next decade. The last ESTO lidar strategy was documented in 2006. The current (2016) report assesses the state-of-the-art in lidar technologies a decade later. Lidar technology maturation in the past decade has been evaluated, and the ESTO investment strategy is updated and laid out in this report according to current NASA Earth science measurement needs and new emerging technologies.

  5. What would happen to Superstorm Sandy under the influence of a substantially warmer Atlantic Ocean?

    Science.gov (United States)

    Lau, William K. M.; Shi, J. J.; Tao, W. K.; Kim, K. M.

    2016-01-01

    Based on ensemble numerical simulations, we find that possible responses of Sandy-like superstorms under the influence of a substantially warmer Atlantic Ocean bifurcate into two groups. In the first group, storms are similar to present-day Sandy from genesis to extratropical transition, except they are much stronger, with peak Power Destructive Index (PDI) increased by 50-80%, heavy rain by 30-50%, and maximum storm size (MSS) approximately doubled. In the second group, storms amplify substantially over the interior of the Atlantic warm pool, with peak PDI increased by 100-160%, heavy rain by 70-180%, and MSS more than tripled compared to present-day Superstorm Sandy. These storms when exiting the warm pool, recurve northeastward out to sea, subsequently interact with the developing midlatitude storm by mutual counterclockwise rotation around each other and eventually amplify into a severe Northeastern coastal storm, making landfall over the extreme northeastern regions from Maine to Nova Scotia.

  6. Technique of research of severe accidents and substantiation of safety of nuclear systems

    International Nuclear Information System (INIS)

    Ivanov, E.A.; Tchenov, S.V.

    2001-01-01

    Work is devoted to development of possible ways of solution of the problems of nuclear safety substantiation. We believe that safety in severe accidents is one of significant factors, which restrict value of nuclear industry in future power production. In connection with it we can conclude followed items: -) Substantiation of safety in severe accidents in nuclear system should be built on a deterministic way of guaranteed exception of heavy consequences; -) It is easy that this aim can be achieved by modeling in functions of common type; -) Main purpose of this work is to show that it is possible to estimate physical allowed state of system in emergency and find of trajectory of heaviest scenarios by optimization procedure; and -) In this work we have developed new method and computer code purposed for study of accident conditions of water cooled un-managed nuclear systems such as cooling ponds of spent fuel, experimental facilities etc. (authors)

  7. Substantiating the Expediency of Costs on Introduction of the System of Economic Security of Enterprise

    Directory of Open Access Journals (Sweden)

    Melikhova Tetiana O.

    2018-01-01

    Full Text Available The article substantiates expediency of introduction of the system of economic security of enterprise on the basis of money flows. The methods proposed in the long-term period stipulate the use as sources of financing: accumulated conditional economic costs, accumulated conditional gross and net money flow; and as costs: cumulative advanced costs and the advanced value of fixed assets. The article suggests methods for calculation of: gross index of conditional yield; gross conditional income of project; gross conditional profitability; gross conditional profitability of money flow. The managerial decision on introduction of the system of economic security of enterprise in the short-term production period has been substantiated on the basis of calculations of the following indicators: gross profitability of annual depreciation; annual gross economic effect; index of conditional yield of the gross money flow; differences between the conditional gross cash flow and the depreciation deductions associated with the implementation of the enterprise’s economic security system.

  8. Extremely short duration high intensity interval training substantially improves insulin action in young healthy males

    DEFF Research Database (Denmark)

    Babraj, John A; Vollaard, Niels B J; Keast, Cameron

    2009-01-01

    BACKGROUND: Traditional high volume aerobic exercise training reduces cardiovascular and metabolic disease risk but involves a substantial time commitment. Extremely low volume high-intensity interval training (HIT) has recently been demonstrated to produce improvements to aerobic function...... cycle sprints per session). Aerobic performance (250-kJ self-paced cycling time trial), and glucose, insulin and NEFA responses to a 75-g oral glucose load (oral glucose tolerance test; OGTT) were determined before and after training. RESULTS: Following 2 weeks of HIT, the area under the plasma glucose......, to substantially improve insulin action in young sedentary subjects is remarkable. This novel time-efficient training paradigm can be used as a strategy to reduce metabolic risk factors in young and middle aged sedentary populations who otherwise would not adhere to time consuming traditional aerobic exercise...

  9. Substantial Churn In Health Insurance Offerings By Small Employers, 2014-15.

    Science.gov (United States)

    Vistnes, Jessica P; Rohde, Frederick; Miller, G Edward; Cooper, Philip F

    2017-09-01

    New data for 2014-15 from the Medical Expenditure Panel Survey-Insurance Component longitudinal survey show substantial churn in insurance offers by small employers (those with fifty or fewer workers), with 14.6 percent of employers that offered insurance in 2014 having dropped it in 2015 and 5.5 percent of those that did not offer it adding coverage. Project HOPE—The People-to-People Health Foundation, Inc.

  10. Substantiation for Approaches to Treatment of Latent Autoimmune Diabetes in Adults

    Directory of Open Access Journals (Sweden)

    T.M. Tykhonova

    2014-10-01

    Conclusions. Analysis of carbohydrate metabolism on the manifestation stage and over time development of latent autoimmune diabetes in adults as well as reduction of β-cells insulin-producing function associated with autoimmune insulitis and progressing while the development of this form of disease, substantiate the rational for insulin administration as this form of diabetes has been diagnosed. If patients with latent autoimmune diabetes in adults have metabolic syndrome clusters it is quite reasonable to add metformin to insulin.

  11. Principles of geological substantiation for toxic waste disposal facilities sites selection

    International Nuclear Information System (INIS)

    Khrushchov, D. P.; Matorin, Eu. M.; Shekhunova, S. B.

    2002-01-01

    Industrial, domestic and military activities result in accumulation of toxic and hazardous waste. Disposal of these waste comprises two main approaches: technological processing (utilization and destruction) and landfill. According to concepts and programs of advanced countries technological solutions are preferable, but in fact over 70 % of waste are buried in storages, prevailingly of near surface type. The target of this paper is to present principles of geological substantiation of sites selection for toxic and hazardous waste isolation facilities location. (author)

  12. Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps

    OpenAIRE

    Ortega, Alexander N.; Albert, Stephanie L.; Chan-Golston, Alec M.; Langellier, Brent A.; Glik, Deborah C.; Belin, Thomas R.; Garcia, Rosa Elena; Brookmeyer, Ron; Sharif, Mienah Z.; Prelip, Michael L.

    2016-01-01

    Background The effectiveness of food retail interventions is largely undetermined, yet substantial investments have been made to improve access to healthy foods in food deserts and swamps via grocery and corner store interventions. This study evaluated the effects of corner store conversions in East Los Angeles and Boyle Heights, California on perceived accessibility of healthy foods, perceptions of corner stores, store patronage, food purchasing, and eating behaviors. Methods Household data ...

  13. A Paleocene penguin from New Zealand substantiates multiple origins of gigantism in fossil Sphenisciformes

    OpenAIRE

    Mayr, Gerald; Scofield, R. Paul; De Pietri, Vanesa L.; Tennyson, Alan J. D.

    2017-01-01

    One of the notable features of penguin evolution is the occurrence of very large species in the early Cenozoic, whose body size greatly exceeded that of the largest extant penguins. Here we describe a new giant species from the late Paleocene of New Zealand that documents the very early evolution of large body size in penguins. Kumimanu biceae, n. gen. et sp. is larger than all other fossil penguins that have substantial skeletal portions preserved. Several plesiomorphic features place the ne...

  14. UNAVCO: A Decade Supporting EarthScope - Three Decades of Supporting Geodesy for Science Innovation

    Science.gov (United States)

    Miller, M.

    2013-12-01

    UNAVCO supports research that establishes Earth's reference frame, enabling mapping of the planet's shape and mass; determines changes in the distribution of ice, water resources, and sea level; characterizes processes that contribute to natural and man-made hazards; and recognizes land-use changes (including subsidence, soil moisture, and health of wetlands). UNAVCO began as an investigator cooperative in 1984 - with the goal of sharing equipment and technologies that were expensive, rapidly changing, and extraordinarily powerful. Today as NSF's National Earth Science Geodetic Facility, on the eve of our 30th anniversary, we are excited to highlight a decade of support for major components of EarthScope, especially the Plate Boundary Observatory (PBO). Innovations by UNAVCO and the UNAVCO community have supported steady advancement towards millimeter-level global geodesy. Modern space geodesy provides new observational capability for contemporary deformation and magmatism in active convergent margin systems that operate over a spectrum of temporal and spatial scales, especially the PBO. Time scales vary from seconds to millennia, and spatial scales from borehole nanostrains to the global plate circuit. High-precision strain or 3-D point observations with borehole strainmeter or Global Positioning System (GPS) observations and geodetic imaging with SAR and LiDAR are used in combination to reveal these complex systems. GPS now combines with strong ground motion accelerometer time series to provide important enhancements to conventional seismology. The resulting 3-D fully georeferenced dynamic positioning time series are free of ambiguities associated with seismometer tilt and displacement. Geodesy constrains plate kinematics for convergence rate and direction, co-seismic deformation during great and moderate earthquakes, episodic tremor and slip events and related transient deformation, tectono-magmatic interactions, and the possible triggering effects of

  15. Confidence Intervals: From tests of statistical significance to confidence intervals, range hypotheses and substantial effects

    Directory of Open Access Journals (Sweden)

    Dominic Beaulieu-Prévost

    2006-03-01

    Full Text Available For the last 50 years of research in quantitative social sciences, the empirical evaluation of scientific hypotheses has been based on the rejection or not of the null hypothesis. However, more than 300 articles demonstrated that this method was problematic. In summary, null hypothesis testing (NHT is unfalsifiable, its results depend directly on sample size and the null hypothesis is both improbable and not plausible. Consequently, alternatives to NHT such as confidence intervals (CI and measures of effect size are starting to be used in scientific publications. The purpose of this article is, first, to provide the conceptual tools necessary to implement an approach based on confidence intervals, and second, to briefly demonstrate why such an approach is an interesting alternative to an approach based on NHT. As demonstrated in the article, the proposed CI approach avoids most problems related to a NHT approach and can often improve the scientific and contextual relevance of the statistical interpretations by testing range hypotheses instead of a point hypothesis and by defining the minimal value of a substantial effect. The main advantage of such a CI approach is that it replaces the notion of statistical power by an easily interpretable three-value logic (probable presence of a substantial effect, probable absence of a substantial effect and probabilistic undetermination. The demonstration includes a complete example.

  16. Substantial population structure of Plasmodium vivax in Thailand facilitates identification of the sources of residual transmission.

    Directory of Open Access Journals (Sweden)

    Veerayuth Kittichai

    2017-10-01

    Full Text Available Plasmodium vivax transmission in Thailand has been substantially reduced over the past 10 years, yet it remains highly endemic along international borders. Understanding the genetic relationship of residual parasite populations can help track the origins of the parasites that are reintroduced into malaria-free regions within the country.A total of 127 P. vivax isolates were genotyped from two western provinces (Tak and Kanchanaburi and one eastern province (Ubon Ratchathani of Thailand using 10 microsatellite markers. Genetic diversity was high, but recent clonal expansion was detected in all three provinces. Substantial population structure and genetic differentiation of parasites among provinces suggest limited gene flow among these sites. There was no haplotype sharing among the three sites, and a reduced panel of four microsatellite markers was sufficient to assign the parasites to their provincial origins.Significant parasite genetic differentiation between provinces shows successful interruption of parasite spread within Thailand, but high diversity along international borders implies a substantial parasite population size in these regions. The provincial origin of P. vivax cases can be reliably determined by genotyping four microsatellite markers, which should be useful for monitoring parasite reintroduction after malaria elimination.

  17. Substantial population structure of Plasmodium vivax in Thailand facilitates identification of the sources of residual transmission.

    Science.gov (United States)

    Kittichai, Veerayuth; Koepfli, Cristian; Nguitragool, Wang; Sattabongkot, Jetsumon; Cui, Liwang

    2017-10-01

    Plasmodium vivax transmission in Thailand has been substantially reduced over the past 10 years, yet it remains highly endemic along international borders. Understanding the genetic relationship of residual parasite populations can help track the origins of the parasites that are reintroduced into malaria-free regions within the country. A total of 127 P. vivax isolates were genotyped from two western provinces (Tak and Kanchanaburi) and one eastern province (Ubon Ratchathani) of Thailand using 10 microsatellite markers. Genetic diversity was high, but recent clonal expansion was detected in all three provinces. Substantial population structure and genetic differentiation of parasites among provinces suggest limited gene flow among these sites. There was no haplotype sharing among the three sites, and a reduced panel of four microsatellite markers was sufficient to assign the parasites to their provincial origins. Significant parasite genetic differentiation between provinces shows successful interruption of parasite spread within Thailand, but high diversity along international borders implies a substantial parasite population size in these regions. The provincial origin of P. vivax cases can be reliably determined by genotyping four microsatellite markers, which should be useful for monitoring parasite reintroduction after malaria elimination.

  18. TECHNICAL AND ECONOMIC SUBSTANTIATION OF PROJECTS OF THE AFFORDABLE HOUSING CONSTRUCTION

    Directory of Open Access Journals (Sweden)

    KRAVCHUNOVSKA T. S.

    2015-12-01

    Full Text Available Summary. Problem statement. The development of inhabitant locality of Ukraine is characterized by significant differences in levels of socio and economic development. An excessive concentration of population and industry in large cities, inefficient, slow development of most medium and small cities, towns and villages, considerable territorial disproportions of economic development of the country, considerable shortcomings in the territorial organization of society are observed. At the same time the tendency of the total area of increasing of inhabitant locality. The lands are used inefficiently. Among the most common problems of inhabitant locality is the housing problem. When making a decision on the design of affordable housing construction is one of the most important stages in the development of the technique and economic substantiation of the project is determination of the advisability and effectiveness of construction. The substantiation of advisability and effectiveness of affordable housing based on the definition of technical and economic indicators of projects, one of the most important among them is the cost, in its calculation is necessary to take into account the influence of organizational and technological factors, reflecting the features of construction in condition of compacted construction. Purpose. Development of methodical recommendations on substantiation of cost construction of affordable housing in the conditions of compacted construction. Conclusion. To provide a processing and the analysis of data is necessary development of the applied software on the basis of the developed block scheme of justification of cost construction of affordable housing.

  19. Decadal Anthropogenic Carbon Storage Along P16 and P02

    Science.gov (United States)

    Carter, B. R.; Feely, R. A.; Talley, L. D.; Cross, J. N.; Macdonald, A. M.; Mecking, S.; Siedlecki, S. A.

    2016-02-01

    The Pacific Ocean has the largest ocean basin anthropogenic carbon (Canth) inventory due to the large size of the basin. We estimate anthropogenic carbon (Canth) concentrations and decadal storages along the meridional P16 and zonal P02 lines since the mid 90s using a modified version of the extended multiple linear regression (EMLR) technique with data from the WOCE, CLIVAR, and GO-SHIP occupations of these lines. We present our estimates and map the aragonite saturation state (ΩA) decreases and saturation horizon shoaling resulting from continued Canth storage. The average storage rate was larger along both sections during the most recent decade (2000's to 2010's) than during the previous decade (1990's to 2000's), especially along P02. Significant decadal concentration increases were found in the mixed layers, shallow thermoclines, mode waters, and portions of the intermediate water masses.

  20. Landmark survey tracks decade of changes in India's rural schools ...

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

    2011-12-21

    Dec 21, 2011 ... These are just a few comments from parents of school-aged children in rural ... Landmark survey tracks decade of changes in India's rural schools ... funded by Canada's International Development Research Centre (IDRC).

  1. Comparative assessment of electricity generation options using DECADES

    International Nuclear Information System (INIS)

    Perez Martin, D.; Lopez Lopez, I.; Turtos Carbonell, L.

    1999-01-01

    Cuba is poor in primary energy resources. In 1998, 99.4% of electricity generated by the National Electric System came from fossil fuel with the environment implications that this Situation causes. Cuba joint DECADES project (Databases and methodologies for Comparative Assessment of Different Energy Sources) to support planning and decision making process with Appropriated tools. The paper presents the main work carried out with DECADES. An important Effort was devoted to implement the Country Specific Database, to assess power plants and Chains, to select and evaluate different expansion scenarios taking into consideration its Environment implications. At the same time an effort was dedicated to correct, test and Implement DECADES capabilities. The potential role of nuclear power in the expansion policy of Cuban electric system, the Influence of an Oil Steam Boiler project and control technology installation, were performed. Conclusions of the main task done with DECADES are presented

  2. Mortality for chronic-degenerative diseases in Tuscany: Ecological study comparing neighboring areas with substantial differences in environmental pollution.

    Science.gov (United States)

    Marabotti, Claudio; Piaggi, Paolo; Scarsi, Paolo; Venturini, Elio; Cecchi, Romina; Pingitore, Alessandro

    2017-06-19

    Environmental pollution is associated with morbidity and mortality for chronic-degenerative diseases. Recent data points out a relationship between proximity to industrial plants and mortality due to neoplasms. The aim of this study has been to compare mortality due to chronic-degenerative diseases in the area of Tuscany (Bassa Val di Cecina), Italy, characterized by the presence of 2 neighboring municipalities similar in terms of size but with substantial differences in industrial activities: Rosignano (the site of chemical, energy production and waste processing industries) and Cecina (with no polluting activity). Standardized mortality rates for the 2001-2010 decade were calculated; the data of the whole Tuscany was assumed as reference. Environmental levels of pollutants were obtained by databases of the Environmental Protection Agency of Tuscany Region (Agenzia Regionale per la Protezione Ambientale della Toscana - ARPAT). Maximum tolerated pollutant levels set by national laws were assumed as reference. In the whole Bassa Val di Cecina, significantly elevated standardized mortality rates due to mesothelioma, ischemic heart diseases, cerebrovascular diseases and Alzheimer and other degenerative diseases of nervous system were observed. In the municipality of Rosignano, a significant excess of mortality for all these groups of diseases was confirmed. On the contrary, the municipality of Cecina showed only significantly higher mortality rates for ischemic heart diseases. Elevated levels of heavy metals in sea water and of particulate matter which contains particles of diameter ≤ 10 mm (PM10) and ozone in air were detected in Rosignano. This study shows an excess of mortality for chronic-degenerative diseases in the area with elevated concentration of polluting factories. Proximity to industrial plants seems to represent a risk factor for those diseases. Int J Occup Med Environ Health 2017;30(4):641-653. This work is available in Open Access model and licensed

  3. Mortality for chronic-degenerative diseases in Tuscany: Ecological study comparing neighboring areas with substantial differences in environmental pollution

    Directory of Open Access Journals (Sweden)

    Claudio Marabotti

    2017-08-01

    Full Text Available Objectives: Environmental pollution is associated with morbidity and mortality for chronic-degenerative diseases. Recent data points out a relationship between proximity to industrial plants and mortality due to neoplasms. The aim of this study has been to compare mortality due to chronic-degenerative diseases in the area of Tuscany (Bassa Val di Cecina, Italy, characterized by the presence of 2 neighboring municipalities similar in terms of size but with substantial differences in industrial activities: Rosignano (the site of chemical, energy production and waste processing industries and Cecina (with no polluting activity. Material and Methods: Standardized mortality rates for the 2001–2010 decade were calculated; the data of the whole Tuscany was assumed as reference. Environmental levels of pollutants were obtained by databases of the Environmental Protection Agency of Tuscany Region (Agenzia Regionale per la Protezione Ambientale della Toscana – ARPAT. Maximum tolerated pollutant levels set by national laws were assumed as reference. Results: In the whole Bassa Val di Cecina, significantly elevated standardized mortality rates due to mesothelioma, ischemic heart diseases, cerebrovascular diseases and Alzheimer and other degenerative diseases of nervous system were observed. In the municipality of Rosignano, a significant excess of mortality for all these groups of diseases was confirmed. On the contrary, the municipality of Cecina showed only significantly higher mortality rates for ischemic heart diseases. Elevated levels of heavy metals in sea water and of particulate matter which contains particles of diameter ≤ 10 mm (PM10 and ozone in air were detected in Rosignano. Conclusions: This study shows an excess of mortality for chronic-degenerative diseases in the area with elevated concentration of polluting factories. Proximity to industrial plants seems to represent a risk factor for those diseases. Int J Occup Med Environ Health

  4. SUBSTANTIATION OF THE NEED AND POSSIBILITIES FOR OPTIMIZATION ON PHARMACEUTICAL SUPPORT FOR WOMEN WITH THYTOID GLAND PATHOLOGY

    Directory of Open Access Journals (Sweden)

    G. T. Glembotskaya

    2015-01-01

    Full Text Available Last decades the amount of people with thynoid gland diseases has increased significantly all over the globe. This disease has more negative consequences for women organism during all aging hormonal changes. Similarity of symptoms of thynoid glands diseases and a range of aging hormonal changes complicates the problem. At that the question of pharmaceutical assistance for women with this pathology was not the object of organizational and economical researches in the Russian Federation, despite their relevance. The purpose is the study of a degree of scientific development of the mentioned problem and representation of the elements of problem situation in the chosen segment of medical and pharmaceutical assistance consumers. Based on the analysis of literature and statistic data, content analysis of rules and regulations, concerning procedures and the relations in the pharmaceutical assistance system, and the results of the conducted sociological survey, we have formed the elements of a problem situation in the chosen segment of medical and pharmaceutical support consumers. Sociological, graphic, logic, contentanalysis were used as methods of the study. We have substantiated a scientific and practice need in development of methodological principals of pharmaceutical support optimization for women with thynoid gland pathology; we have reasoned the opportunities and principal directions of specialized pharmaceutical assistance to the given segment of drug consumers. We have proved the timeliness of the study for organization of pharmaceutical assistance for women with thynoid gland pathology due to its specifically negative consequences during all aging hormonal changes in an organism. We have revealed the presence of risk factors and exceptionally low awareness of women in thynoid gland pathology against the background of excessive occupation of women in active working ages. We have determined a niche in formation of informational mass with

  5. Hypertension: New perspective on its definition and clinical management by bedtime therapy substantially reduces cardiovascular disease risk.

    Science.gov (United States)

    Hermida, Ramón C; Ayala, Diana E; Fernández, José R; Mojón, Artemio; Smolensky, Michael H

    2018-05-01

    Diagnosis of hypertension-elevated blood pressure (BP) associated with increased cardiovascular disease (CVD) risk-and its management for decades have been based primarily on single time-of-day office BP measurements (OBPM) assumed representative of systolic (SBP) and diastolic BP (DBP) during the entire 24-hours span. Around-the-clock ambulatory blood pressure monitoring (ABPM), however, reveals BP undergoes 24-hours patterning characterized in normotensives and uncomplicated hypertensives by striking morning-time rise, 2 daytime peaks-one ~2-3 hours after awakening and the other early evening, small midafternoon nadir and 10-20% decline (BP dipping) in the asleep BP mean relative to the wake-time BP mean. A growing number of outcome trials substantiate correlation between BP and target organ damage, vascular and other risks is greater for the ABPM-derived asleep BP mean, independent and stronger predictor of CVD risk, than daytime OBPM or ABPM-derived awake BP. Additionally, bedtime hypertension chronotherapy, that is, ingestion of ≥1 conventional hypertension medications at bedtime to achieve efficient attenuation of asleep BP, better reduces total CVD events by 61% and major events (CVD death, myocardial infarction, ischaemic and haemorrhagic stroke) by 67%-even in more vulnerable chronic kidney disease, diabetes and resistant hypertension patients-than customary on-awaking therapy that targets wake-time BP. Such findings of around-the-clock ABPM and bedtime hypertension outcome trials, consistently indicating greater importance of asleep BP than daytime OBPM or ambulatory awake BP, call for a new definition of true arterial hypertension plus modern approaches for its diagnosis and management. © 2018 Stichting European Society for Clinical Investigation Journal Foundation.

  6. Estimation of absorbed dose of radiosensitive organs and effective sose in patients underwent abdominopelvic spiral CT scan using impact CT patient dosimetry

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    Ayoub Amirnia

    2017-05-01

    Full Text Available Background: Due to the presence of radiosensitive organs in the abdominopelvic region and increasing the number of requests for CT scan examinations, concerns about increasing radiation doses in patients has been greatly elevated. Therefore, the goal of this study was to determine the absorbed dose of radiosensitive organs and the effective dose in patients underwent abdominopelvic CT scan using ImPACT CT patient dosimetry Calculator (version 1.0.4, Imaging Performance Assessment on Computed Tomography, www.impactscan.org. Methods: This prospective cross-sectional study was conducted in Imam Reza Hospital from November to February 2015 February 2015 in the Imam Reza Hospital, in Urmia, Iran. The demographic and dosimetric information of 100 patients who underwent abdominopelvic CT scan in a 6-slice CT scanner were obtained through the data collection forms. The demographic data of the patients included age, weight, gender, and BMI. The dosimetric parameters included pitch value, CT dose volume index (CTDIvol, dose-length product (DLP, tube voltage, tube current, exposure time, collimation size, scan length, and scan time. To determine the absorbed dose of radiosensitive organs and also the effective dose in patients, ImPACT CT patient dosimetry calculator was used. Results: The results of this study demonstrated that the mean and standard deviation (SD of patients' effective dose in abdominopelvic CT scan was 4.927±0.164 mSv. The bladder in both genders had the greatest mean organ dose, which was 64.71±17.15 mGy for men and 77.56±18.48 mGy for women (P<0.001. Conclusion: The effective dose values of this examination are in the same range as previous studies, as well as International Commission on Radiological Protection (ICRP recommendations. However, the radiation dose from CT scan has the largest contribution to the medical imaging. According to the ALARA principle, it is recommended that the scan parameters, especially mAs, should be

  7. A controlled clinical study of serosa-invasive gastric carcinoma patients who underwent surgery plus intraperitoneal hyperthermo-chemo-perfusion (IHCP).

    Science.gov (United States)

    Kim, J Y; Bae, H S

    2001-01-01

    Despite recent advances in the treatment of advanced gastric carcinomas, no satisfactory outcomes are available because of micrometastases and free-floating carcinoma cells already existing in the peritoneal cavity. From 1990, we started using intraperitoneal hyperthermo-chemo-perfusion (IHCP) to prevent and to treat peritoneal metastasis after surgical resection of stomach cancer. We analyzed 103 serosa-invasive gastric carcinoma patients who underwent surgical resection between 1990 and 1995. Fifty-two patients who received surgery plus IHCP were compared with 51 patients who underwent surgery only, as controls. IHCP was administered for 2 h with an automatic IHCP device (closed-circuit system) just after surgical resection, with the patient under hypothermic general anesthesia (32.4 degrees C-34.0 degrees C). As perfusate, we used 1.5% peritoneal dialysis solution mixed with 10 micrograms/ml of mitomycin-C (MMC), warmed at an inflow temperature of over 44 degrees C. The overall 5-year survival rate (5-YSR) of the 103 patients was 29.97%. The 5-YSR was higher in the IHCP group than in the control group, at 32.7% and 27.1%, respectively, but this difference was not significant. However, in the 65 serosa-invasive gastric carcinoma patients (excluding those in stage IV) the 5-YSR was significantly higher (P = 0.0379) in the IHCP group than in the control group, at 58.6% and 44.4%, respectively. On multivariate analysis of all 103 patients, depth of tumor invasion and lymph node metastasis were significant factors for survival, whereas significant factors on univariate analysis, such as combined operation, distant metastasis, and peritoneal metastasis, were not significant. The most common recurrence patterns were loco-regional in the IHCP group and peritoneal in the control group. Complete cytoreductive surgery plus IHCP is effective to prevent and to treat peritoneal metastasis, and it should lead to long-term survival for serosa-invasive gastric carcinoma patients

  8. RELIGIOUS DEMOCRATIZATION IN INDONESIA: STRENGTHENING THE PRO-CEDURAL AND SUBSTANTIAL RELIGIOUS DEMOCRACY

    Directory of Open Access Journals (Sweden)

    Eka Hendry AR.

    2013-06-01

    Full Text Available Inspired by the book of Michael Mann about the dark side of democracy that discusses the paradox between the ideality of democratic values and empirical realities of violence in the name of freedom (democracy, this paper begins with the exposure of the paradox, such as the rise of the violent conflict between groups of people (both ethnic and religious-based and the high prevalence of violence between religious groups in Indonesia. Even worse, a very wrenching violence involves state actors (rulers. This paper tries to understand the roots of the paradox, with a look at how the relationship between state and religion and the religious community trend of Indonesia (especially Muslims. The author argues that the democratization of religion is a solution to the issues. To answer what kind of religious democracy lives in Indonesia, the author analyzes through a religious procedural (or constitutional democratic dimension and religious substantial democratic dimension. The phenomenon of disobedience of law and system and the euphoria of law-making that reflects “intolerance” in several places in Indonesia display the fundamental issue in the religious procedural democracy. Whereas in the context of religious substantial democracy, the prevailing trend of religion that serves as a political and economic vehicle and ignores religion as a substantial aspect of the behavior of the Indonesian society has resulted in the marginalization of religious position and function. Then, the infiltration of the model of political Islam has also led to alienation of the character of the Islamic society of Indonesia, from a democratic pattern to a revival (radical one. In this light, the author needs to present a strategy to encourage religious democracy in Indonesia, structurally through formulating the ideal relation model between state and religion and culturally through a substantial pattern of religion embedded with the character of Indonesian religious

  9. [Multiple pregnancies prevalence: its raise on last decade].

    Science.gov (United States)

    Herrera, Ricardo Jorge Hernández; Torres, Mauro Ochoa; Santos, Roberto Flores; Flores, Raúl Cortés; Sánchez, Gerardo Forsbasch

    2008-09-01

    Multiple pregnancies prevalence has been increasing in last decade, which have also increased the requirements of neonatal intensive care units and all problems related to premature neonate or low birth weight. Prevalence rate of twin (18 to 26 in 1,000 births), and triple pregnancies (0.37 to 1.74 in 1,000 births) have raised too, perhaps due to assisted reproductive techniques. To know incidence of multiple pregnancies at Unidad Medica de Alta Especialidad no. 23, from Institute Mexicano del Seguro Social. Retrospective and descriptive study. We review the files of multiple pregnancies from 1972 to 2006 to estimate its rate and change every five and ten years. We registered 9,055 twin pregnancies during the period, with a rate of 7.1 to 14.4 in 1,000 (63% of increase in the last decade [12.6 in 1,000 births] compared with the previous decade [7.7 in 1,000 births]; p < 0.005). Pregnancies with three or more fetuses were 202, with 191 triplets, 13 with four, three with five, and one with six products (646 newborns). Incidence of multiple pregnancies with four or more products has also increased in last decade: 230 times higher than two decades before. Multiple pregnancies rate has increased in last decade: 63% in twin pregnancies, 217% in triplets, and 230 times more than expected in four or more products pregnancies.

  10. Marine proxy evidence linking decadal North Pacific and Atlantic climate

    Energy Technology Data Exchange (ETDEWEB)

    Hetzinger, S. [University of Toronto Mississauga, CPS-Department, Mississauga, ON (Canada); Leibniz Institute of Marine Sciences, IFM-GEOMAR, Kiel (Germany); Halfar, J. [University of Toronto Mississauga, CPS-Department, Mississauga, ON (Canada); Mecking, J.V.; Keenlyside, N.S. [Leibniz Institute of Marine Sciences, IFM-GEOMAR, Kiel (Germany); University of Bergen, Geophysical Institute and Bjerknes Centre for Climate Research, Bergen (Norway); Kronz, A. [University of Goettingen, Geowissenschaftliches Zentrum, Goettingen (Germany); Steneck, R.S. [University of Maine, Darling Marine Center, Walpole, ME (United States); Adey, W.H. [Smithsonian Institution, Department of Botany, Washington, DC (United States); Lebednik, P.A. [ARCADIS U.S. Inc., Walnut Creek, CA (United States)

    2012-09-15

    Decadal- to multidecadal variability in the extra-tropical North Pacific is evident in 20th century instrumental records and has significant impacts on Northern Hemisphere climate and marine ecosystems. Several studies have discussed a potential linkage between North Pacific and Atlantic climate on various time scales. On decadal time scales no relationship could be confirmed, potentially due to sparse instrumental observations before 1950. Proxy data are limited and no multi-centennial high-resolution marine geochemical proxy records are available from the subarctic North Pacific. Here we present an annually-resolved record (1818-1967) of Mg/Ca variations from a North Pacific/Bering Sea coralline alga that extends our knowledge in this region beyond available data. It shows for the first time a statistically significant link between decadal fluctuations in sea-level pressure in the North Pacific and North Atlantic. The record is a lagged proxy for decadal-scale variations of the Aleutian Low. It is significantly related to regional sea surface temperature and the North Atlantic Oscillation (NAO) index in late boreal winter on these time scales. Our data show that on decadal time scales a weaker Aleutian Low precedes a negative NAO by several years. This atmospheric link can explain the coherence of decadal North Pacific and Atlantic Multidecadal Variability, as suggested by earlier studies using climate models and limited instrumental data. (orig.)

  11. A decade of continuous NEE measurements at a Scottish peatland

    Science.gov (United States)

    Helfter, Carole; Campbell, Claire; Coyle, Mhairi; Anderson, Margaret; Drewer, Julia; Levy, Peter; Famulari, Daniela; Twigg, Marsailidh; Skiba, Ute; Billett, Michael; Dinsmore, Kerry; Nemitz, Eiko; Sutton, Mark

    2013-04-01

    Eddy-covariance measurements of carbon dioxide (CO2) fluxes have been running continuously at the Auchencorth Moss peatland site in Scotland (55o47'32N, 3o14'35W, 267 m a.s.l.) since the spring of 2002 which makes this study one of the longest ones to date on a peatland system. Auchencorth Moss is a low-lying, ombrotrophic peatland situated ca. 20 km south-west of Edinburgh. Peat depth ranges from 0.5 m and the site has a mean annual precipitation of 1155 mm. The open moorland site has an extensive uniform fetch of blanket bog to the south, west and north. The vegetation present within the flux measurement footprint comprises mixed grass species, heather and substantial areas of moss species (Sphagnum spp. and Polytrichum spp.). The eddy-covariance system consists of a Licor 7000 closed-path infrared gas analyser operating at 10 Hz for the simultaneous measurement of carbon dioxide and water vapour and of a Gill Windmaster Pro ultrasonic anemometer, operating at 20 Hz, and mounted atop a 3 m mast. The effective measurement height is 3.5 m with a vertical separation of 20 cm between the anemometer and the inlet of the sampling line. Air is sampled at 20 litres per minute through a 40 m long Dekabon line (internal diameter 4 mm). In addition to eddy-covariance measurements, the site is equipped with a weather station, soil temperature measurements, total solar radiation and photosynthetically active radiation (PAR) sensors, a tipping bucket for rainfall and, since April 2007, water table depth has been recorded at half-hourly interval. On an annual basis, the peatland at Auchencorth Moss has consistently been a net sink of CO2 in the study period 2002-2012 with a mean net ecosystem exchange (NEE) of - 69.1 ± 33.6 g C-CO2 m-2 yr-1. This value is at the high end of other recent studies as is the inter-annual range of NEE (-31.4 to -135.9 g C-CO2 m-2 yr-1). Inter-annual variations in NEE are significant and strongly correlated to the length of the growing seasons

  12. Accuracy of MDCT in the preoperative definition of Peritoneal Cancer Index (PCI) in patients with advanced ovarian cancer who underwent peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC).

    Science.gov (United States)

    Mazzei, Maria Antonietta; Khader, Leila; Cirigliano, Alfredo; Cioffi Squitieri, Nevada; Guerrini, Susanna; Forzoni, Beatrice; Marrelli, Daniele; Roviello, Franco; Mazzei, Francesco Giuseppe; Volterrani, Luca

    2013-12-01

    To evaluate the accuracy of MDCT in the preoperative definition of Peritoneal Cancer Index (PCI) in patients with advanced ovarian cancer who underwent a peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC) after neoadjuvant chemotherapy to obtain a pre-surgery prognostic evaluation and a prediction of optimal cytoreduction surgery. Pre-HIPEC CT examinations of 43 patients with advanced ovarian cancer after neoadjuvant chemotherapy were analyzed by two radiologists. The PCI was scored according to the Sugarbaker classification, based on lesion size and distribution. The results were compared with macroscopic and histologic data after peritonectomy and HIPEC. To evaluate the accuracy of MDCT to detect and localize peritoneal carcinomatosis, both patient-level and regional-level analyses were conducted. A correlation between PCI CT and histologic values for each patient was searched according to the PCI grading. Considering the patient-level analysis, CT shows a sensitivity, specificity, PPV, NPV, and an accuracy in detecting the peritoneal carcinomatosis of 100 %, 40 %, 93 % 100 %, and 93 %, respectively. Considering the regional level analysis, a sensitivity, specificity, PPV, NPV, and diagnostic accuracy of 72 %, 80 %, 66 %, 84 %, and 77 %, respectively were obtained for the correlation between CT and histology. Our results encourage the use of MDCT as the only technique sufficient to select patients with peritoneal carcinomatosis for cytoreductive surgery and HIPEC on the condition that a CT examination will be performed using a dedicated protocol optimized to detect minimal peritoneal disease and CT images will be analyzed by an experienced reader.

  13. Improved image quality in abdominal CT in patients who underwent treatment for hepatocellular carcinoma with small metal implants using a raw data-based metal artifact reduction algorithm.

    Science.gov (United States)

    Sofue, Keitaro; Yoshikawa, Takeshi; Ohno, Yoshiharu; Negi, Noriyuki; Inokawa, Hiroyasu; Sugihara, Naoki; Sugimura, Kazuro

    2017-07-01

    To determine the value of a raw data-based metal artifact reduction (SEMAR) algorithm for image quality improvement in abdominal CT for patients with small metal implants. Fifty-eight patients with small metal implants (3-15 mm in size) who underwent treatment for hepatocellular carcinoma were imaged with CT. CT data were reconstructed by filtered back projection with and without SEMAR algorithm in axial and coronal planes. To evaluate metal artefact reduction, mean CT number (HU and SD) and artefact index (AI) values within the liver were calculated. Two readers independently evaluated image quality of the liver and pancreas and visualization of vasculature using a 5-point visual score. HU and AI values and image quality on images with and without SEMAR were compared using the paired Student's t-test and Wilcoxon signed rank test. Interobserver agreement was evaluated using linear-weighted κ test. Mean HU and AI on images with SEMAR was significantly lower than those without SEMAR (P small metal implants by reducing metallic artefacts. • SEMAR algorithm significantly reduces metallic artefacts from small implants in abdominal CT. • SEMAR can improve image quality of the liver in dynamic CECT. • Confidence visualization of hepatic vascular anatomies can also be improved by SEMAR.

  14. In vitro fertilization surrogate pregnancy in a patient who underwent radical hysterectomy followed by ovarian transposition, lower abdominal wall radiotherapy, and chemotherapy.

    Science.gov (United States)

    Steigrad, Stephen; Hacker, Neville F; Kolb, Bradford

    2005-05-01

    To describe an IVF surrogate pregnancy from a patient who had a radical hysterectomy followed by excision of a laparoscopic port site implantation with ovarian transposition followed by abdominal wall irradiation and chemotherapy, which resulted in premature ovarian failure from which there was partial recovery. Case report. Tertiary referral university women's hospital in Sydney, Australia and private reproductive medicine clinic in California. A 34-year-old woman who underwent laparoscopy for pelvic pain, shortly afterward followed by radical hysterectomy and pelvic lymph node dissection, who subsequently developed a laparoscopic port site recurrence, which was excised in association with ovarian transposition before abdominal wall irradiation and chemotherapy. Modified IVF treatment, transabdominal oocyte retrieval, embryo cryopreservation in Australia, and transfer to a surrogate mother in the United States. Pregnancy. Miscarriage in the second cycle and a twin pregnancy in the fourth cycle. This is the first case report of ovarian stimulation and oocyte retrieval performed on transposed ovaries after a patient developed premature ovarian failure after radiotherapy and chemotherapy with subsequent partial ovarian recovery.

  15. Diagnosis of accessory conduction pathway using ECG-gated emission CT analysis. Studies in patients with WPW syndrome who underwent surgery

    Energy Technology Data Exchange (ETDEWEB)

    Misaki, Takuro; Mukai, Keiichi; Tsubota, Makoto; Iwa, Takashi; Nakajima, Ken-ichi; Hisada, Kin-ichi

    1987-09-01

    Pinpointing the location of accessory conduction pathway (ACP) is of great importance in the surgical treatment for Wolff-Parkinson-White (WPW) syndrome. For this purpose, this study explored the usefulness of ECG-gated emission computed tomography (Gated-ECT) in 30 patients who preoperatively underwent Gated-ECT. The site of earliest contraction at level of atrioventicular valves, obtained on tomographic phase analysis, was compared with the site of earliest activation, obtained on epicardial mapping during surgery. The concordance rate of the two methods was 94 % (28/30). Among them, one patient was found to have the association of corrected transposition of great arteries on Gated-ECT. Gated-ECT was, however, of limited value in differentiating right posterior ACP from right postseptal ACP. The discordance between the sites of earliest contraction and activation, which was observed in the two others, was likely due to decreased wall motion resulting from myocardial disturbance. Gated-ECT may have a diagnostic potential for the location of ACP, especially in view of providing images that corresponded to the surgical anatomy. (Namekawa, K.).

  16. Recursive partition analysis of peritoneal and systemic recurrence in patients with gastric cancer who underwent D2 gastrectomy: Implications for neoadjuvant therapy consideration.

    Science.gov (United States)

    Chang, Jee Suk; Kim, Kyung Hwan; Keum, Ki Chang; Noh, Sung Hoon; Lim, Joon Seok; Kim, Hyo Song; Rha, Sun Young; Lee, Yong Chan; Hyung, Woo Jin; Koom, Woong Sub

    2016-12-01

    To classify patients with nonmetastatic advanced gastric cancer who underwent D2-gastrectomy into prognostic groups based on peritoneal and systemic recurrence risks. Between 2004 and 2007, 1,090 patients with T3-4 or N+ gastric cancer were identified from our registry. Recurrence rates were estimated using a competing-risk analysis. Different prognostic groups were defined using recursive partitioning analysis (RPA). Median follow-up was 7 years. In the RPA-model for peritoneal recurrence risk, the initial node was split by T stage, indicating that differences between patients with T1-3 and T4 cancer were the greatest. The 5-year peritoneal recurrence rates for patients with T4 (n = 627) and T1-3 (n = 463) disease were 34.3% and 9.1%, respectively. N stage and neural invasion had an additive impact on high-risk patients. The RPA model for systemic relapse incorporated N stage alone and gave two terminal nodes: N0-2 (n = 721) and N3 (n = 369). The 5-year cumulative incidences were 7.7% and 24.5%, respectively. We proposed risk stratification models of peritoneal and systemic recurrence in patients undergoing D2-gastrectomy. This classification could be used for stratification protocols in future studies evaluating adjuvant therapies such as preoperative chemoradiotherapy. J. Surg. Oncol. 2016;114:859-864. © 2016 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  17. The Biological Activity of Propolis-Containing Toothpaste on Oral Health Environment in Patients Who Underwent Implant-Supported Prosthodontic Rehabilitation

    Directory of Open Access Journals (Sweden)

    Tadeusz Morawiec

    2013-01-01

    Full Text Available The soft and periodontal tissues surrounding dental implants are particularly susceptible to bacteria invasion and inflammatory reactions due to complex histological structures. This study was carried out to investigate the influence of a propolis-containing hygienic agent on selected oral health parameters, oral microflora, and the condition of periodontal health. Sixteen subjects who underwent an oral rehabilitation with dental implants were selected and randomly assigned into two groups, which received a newly formulated propolis-containing toothpaste (3% (CA or a negative control without an active ingredient (CC. Approximal plaque index (API, oral hygiene index (OHI, debris component, and sulcus bleeding index (SBI were assessed in three subsequent stages. During the first and last examinations, the swabs were employed for microbiological inoculation. Propolis-containing toothpaste was found to be distinctively effective in improving oral health and the occurrence of gingivitis triggered by dental plaque. The qualitative and quantitative changes in oral bacteria spectrum were observed. Antibacterial measures containing propolis might be used as a natural adjuvant to other active substances in individuals with a high risk of periodontal problems against pathogenic oral microflora.

  18. The preoperative plasma fibrinogen level is an independent prognostic factor for overall survival of breast cancer patients who underwent surgical treatment.

    Science.gov (United States)

    Wen, Jiahuai; Yang, Yanning; Ye, Feng; Huang, Xiaojia; Li, Shuaijie; Wang, Qiong; Xie, Xiaoming

    2015-12-01

    Previous studies have suggested that plasma fibrinogen contributes to tumor cell proliferation, progression and metastasis. The current study was performed to evaluate the prognostic relevance of preoperative plasma fibrinogen in breast cancer patients. Data of 2073 consecutive breast cancer patients, who underwent surgery between January 2002 and December 2008 at the Sun Yat-sen University Cancer Center, were retrospectively evaluated. Plasma fibrinogen levels were routinely measured before surgeries. Participants were grouped by the cutoff value estimated by the receiver operating characteristic (ROC) curve analysis. Overall survival (OS) was assessed using Kaplan-Meier analysis, and multivariate Cox proportional hazards regression model was performed to evaluate the independent prognostic value of plasma fibrinogen level. The optimal cutoff value of preoperative plasma fibrinogen was determined to be 2.83 g/L. The Kaplan-Meier analysis showed that patients with high fibrinogen levels had shorter OS than patients with low fibrinogen levels (p factor for OS in breast cancer patients (HR = 1.475, 95% confidence interval (CI): 1.177-1.848, p = 0.001). Subgroup analyses revealed that plasma fibrinogen level was an unfavorable prognostic parameter in stage II-III, Luminal subtypes and triple-negative breast cancer patients. Elevated preoperative plasma fibrinogen was independently associated with poor prognosis in breast cancer patients and may serve as a valuable parameter for risk assessment in breast cancer patients. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. Changes in neurotic personality profile associated with reduction of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders.

    Science.gov (United States)

    Rodziński, Paweł; Rutkowski, Krzysztof; Sobański, Jerzy A; Mielimąka, Michał; Murzyn, Agnieszka; Cyranka, Katarzyna; Dembińska, Edyta; Grządziel, Karolina; Klasa, Katarzyna; Müldner-Nieckowski, Łukasz; Smiatek-Mazgaj, Bogna

    2015-01-01

    Analysis of associations between changes in neurotic personality profile and reductionof suicidal ideation (SI) - or lack of such reduction - defined as its elimination or reduction of its intensity in patients who underwent a course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach. Symptom Checklist KO"O", Neurotic Personality Questionnaire KON-2006 and Life Inventory completed by 461 women and 219 men treated due to neurotic, behavioral or personality disorders in a day hospital between 2005-2013. During the qualification for the therapy 134 women and 80 men reported SI, of whom 84.3% and 77.5% respectively improved. Patients who improved in terms of SI obtained significantly greater reduction of global neurotic personality disintegration (neuroticism) than others (ppsychotherapy as a treatment method that leads to comprehensive improvement encompassing reduction of neurotic personality disorders (neuroticism) and of majority of neurotic personality traits, as well as SI reduction. The revealed associations weigh in favor of hypothesis on neuroticism as SI predisposing factor in patients with neurotic, behavioral and personality disorders.

  20. Stress-induced Aldosterone Hyper-Secretion in a Substantial Subset of Patients With Essential Hypertension.

    Science.gov (United States)

    Markou, Athina; Sertedaki, Amalia; Kaltsas, Gregory; Androulakis, Ioannis I; Marakaki, Chrisanthi; Pappa, Theodora; Gouli, Aggeliki; Papanastasiou, Labrini; Fountoulakis, Stelios; Zacharoulis, Achilles; Karavidas, Apostolos; Ragkou, Despoina; Charmandari, Evangelia; Chrousos, George P; Piaditis, George P

    2015-08-01

    Aldosterone (ALD) secretion is regulated mainly by angiotensin II, K(+), and adrenocorticotropic hormone (ACTH). Mineralocorticoid receptor antagonists (MRAs) have effectively been used for the treatment of patients with hypertension who do not have primary aldosteronism (PA). We tested whether chronic stress-related ACTH-mediated ALD hypersecretion and/or zona glomerulosa hypersensitivity could be implicated in the pathogenesis of essential hypertension (ESHT). One hundred thirteen hypertensives without PA and 61 normotensive controls underwent an ultralow-dose (0.03-μg) ACTH stimulation and a treadmill test. Patients with ALD hyper-response according to the cutoffs obtained from controls received treatment with MRAs and underwent genomic DNA testing for the presence of the CYP11B1/CYP11B2 chimeric gene and KCNJ5 gene mutations. A control group of 22 patients with simple ESHT received treatment with MRAs. Based on the cutoffs of ALD and aldosterone-to-renin ratio (ARR) post-ACTH stimulation obtained from controls, 30 patients (27%) exhibited an ALD but not cortisol (F) hyper-response (HYPER group). This group had no difference in basal ACTH/renin (REN) concentrations compared with controls and the 83 patients with hypertension (73%) without an ALD hyper-response to ACTH stimulation. Patients in the HYPER group demonstrated significantly higher ALD concentrations, ARR, and ALD/ACTH ratio (AAR) in the treadmill test. Treatment with MRAs alone produced normalization of blood pressure in these patients whereas patients with hypertension with neither PA nor ALD hyper-response to ACTH stimulation who served as a control group failed to lower blood pressure. Also, two novel germline heterozygous KCNJ5 mutations were detected in the HYPER group. A number of patients with hypertension without PA show ACTH-dependent ALD hyper-secretion and benefit from treatment with MRAs. This could be related to chronic stress via ACTH hyper secretion and/or gene-mutations increasing the

  1. Substantiated childhood maltreatment and young adulthood cannabis use disorders: A pre-birth cohort study.

    Science.gov (United States)

    Abajobir, Amanuel Alemu; Najman, Jake Moses; Williams, Gail; Strathearn, Lane; Clavarino, Alexandra; Kisely, Steve

    2017-10-01

    This study investigates the association between exposure to prospectively-substantiated childhood maltreatment between 0 and 14 years of age and lifetime cannabis use, abuse and dependence reported at 21 years. Data were taken from 2526 (51.6% female) participants in the Mater Hospital-University of Queensland Study of Pregnancy, a pre-birth, prospective, cohort study. Prospectively-substantiated cases of childhood maltreatment, reported to the government child protection agencies between 0 and 14 years of age, were linked to CIDI DSM-IV self-report data from the 21-year follow-up. Exposure to any childhood maltreatment, and childhood neglect in particular, predicted subsequent cannabis abuse with adjusted odds ratios (AORs) of 1.79 and 2.62, respectively. Any childhood maltreatment, physical abuse, emotional abuse and neglect predicted cannabis dependence with AORs of 2.47, 2.81, 2.44 and 2.68, respectively. The associations for an early age of onset of cannabis abuse and dependence were significant and consistent for maltreated children. In addition, frequency of maltreatment substantiations predicted cannabis abuse, dependence and an early age of onset of these disorders. The AORs for cannabis ever use without any DSM-IV cannabis disorder were 1.78 for any maltreatment and 2.15 for emotional abuse. Any childhood maltreatment and neglect predicted lifetime ever cannabis use, as well as cannabis use disorder. There was little evidence for any interaction between gender and different forms of childhood maltreatment and its association with cannabis use disorders. Physical abuse, emotional abuse and neglect, as well as multiple episodes of maltreatment independently predicted cannabis use disorders. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. To what extent can isotopes help substantiate natural attenuation of chlorinated ethenes?

    DEFF Research Database (Denmark)

    Badin, A.; Broholm, Mette Martina; Hunkeler, D.

    to which isotopes could help substantiate natural attenuation of chlorinated ethenes at the field scale. Our work hence aims at exploring the latter based on data acquired in 2006 in a site located in Denmark which is contaminated with PCE and its end-products TCE, cDCE, and VC. Previous work on this site...... has enabled to demonstrate that PCE and TCE were undergoing reductive dechlorination while cDCE would be at least partially degraded through reductive dechlorination1. However, the magnitude of the contaminants attenuation by biodegradation was not evaluated. Based on simple modeling including...

  3. Method for the substantial reduction of quenching effects in luminescence spectrometry

    Science.gov (United States)

    Demas, J.N.; Jones, W.M.; Keller, R.A.

    1987-06-26

    Method for reducing quenching effects in analytical luminescence measurements. Two embodiments of the present invention are described which relate to a form of time resolution based on the amplitudes and phase shifts of modulated emission signals. In the first embodiment, the measured modulated emission signal is substantially independent of sample quenching at sufficiently high frequencies. In the second embodiment, the modulated amplitude and the phase shift between the emission signal and the excitation source are simultaneously measured. Using either method, the observed modulated amplitude may be reduced to its unquenched value. 3 figs.

  4. Substantiation of vibration strength of nuclear reactor and steam generator internals. Main problems

    International Nuclear Information System (INIS)

    Fyodorov, V.G.; Sinyavasky, V.F.

    1977-01-01

    The report details the scope and priority of studies necessary for substantiation of vibration strength of steam generator tube bundles and reactor fuel assemblies, and design modifications helping to reduce flow-induced vibration of the internals specified. Steam generator tube bundles are studied on the basis of a standard establishing vibration requirements at various stages of design, manufacture and operation of a steam generator at a nuclear power station. The main vibration characteristics of tubes obtained through model and full-scale tests are compared with calculation results. Results are provided concerning test-stand vibration tests of fuel elements and fuel assemblies. (author)

  5. Further substantial improvement of interventional diagnosis and treatment via portal vein system

    International Nuclear Information System (INIS)

    Yang Weizhu; Chen Yongde

    2006-01-01

    Along with the development of interventional appliances and proficiency of operational skills, the interventional diagnosis and treatment via hepatic portal vein system have achieved great progress and improvement. However, in order to further exploit the advantages of interventional diagnosis and treatment, the review of the anatomical structures, normal aberrance of portal venous system were needed. Getting familiar with pathologic condition to discover the new interventional appliances and embolic agents, and then in term of conduct the research on a very tough substantial base in a down-to-earth manner were important. (authors)

  6. Decadal changes in channel morphology of a freely meandering river—Powder River, Montana, 1975–2016

    Science.gov (United States)

    Moody, John A.; Meade, Robert H.

    2018-03-19

    Few studies exist on the long-term geomorphic effects of floods. However, the U.S. Geological Survey (USGS) was able to begin such a study after a 50-year recurrence interval flood in 1978 because 20 channel cross sections along a 100-kilometer reach of river were established in 1975 and 1977 as part of a study for a proposed dam on Powder River in southeastern Montana. These cross-section measurements (data for each channel cross section are available at the USGS ScienceBase website) have been repeated about 30 times during four decades (1975–2016) and provide a unique dataset for understanding long-term changes in channel morphology caused by an extreme flood and a spectrum of annual floods.Changes in channel morphology of a 100-kilometer reach of Powder River are documented in a series of narratives for each channel cross section that include a time series of photographs as a record of these changes. The primary change during the first decade (1975–85) was the rapid vertical growth of a new inset flood plain within the flood-widened channel. Changes during the second decade (1985–95) were characterized by slower growth of the flood plain, and the effects of ice-jam floods typical of a northward-flowing river. Changes during the third decade (1995–2005) showed little vertical growth of the inset flood plain, which had reached a height that limited overbank deposition. And changes during the final decade (2005–16) covered in this report showed that, because the new inset flood plain had reached a limiting height, the effects of the large annual flood of 2008 (largest flood since 1978) were relatively small compared to smaller floods in previous decades. Throughout these four decades, the riparian vegetation, which interacts with the river, has undergone a gradual but substantial change that may have lasting effects on the channel morphology.

  7. The Effect of Two Different Hand Exercises on Grip Strength, Forearm Circumference, and Vascular Maturation in Patients Who Underwent Arteriovenous Fistula Surgery

    Science.gov (United States)

    Kong, Sangwon; Lee, Kyung Soo; Kim, Junho

    2014-01-01

    Objective To compare the effect of two different hand exercises on hand strength and vascular maturation in patients who underwent arteriovenous fistula surgery. Methods We recruited 18 patients who had chronic kidney disease and had undergone arteriovenous fistula surgery for hemodialysis. After the surgery, 10 subjects performed hand-squeezing exercise with GD Grip, and other 8 subjects used Soft Ball. The subjects continued the exercises for 4 weeks. The hand grip strength, pinch strength (tip, palmar and lateral pinch), and forearm circumference of the subjects were assessed before and after the hand-squeezing exercise. The cephalic vein size, blood flow velocity and volume were also measured by ultrasonography in the operated limb. Results All of the 3 types of pinch strengths, grip strength, and forearm circumference were significantly increased in the group using GD Grip. Cephalic vein size and blood flow volume were also significantly increased. However, blood flow velocity showed no difference after the exercise. The group using Soft Ball showed a significant increase in the tip and lateral pinch strength and forearm circumference. The cephalic vein size and blood flow volume were also significantly increased. On comparing the effect of the two different hand exercises, hand-squeezing exercise with GD Grip had a significantly better effect on the tip and palmar pinch strength than hand-squeezing exercise with Soft Ball. The effect on cephalic vein size was not significantly different between the two groups. Conclusion The results showed that hand squeezing exercise with GD Grip was more effective in increasing the tip and palmar pinch strength compared to hand squeezing exercise with soft ball. PMID:25379494

  8. Evaluation of long-term results and quality of life in patients who underwent rib fixation with titanium devices after trauma.

    Science.gov (United States)

    Billè, Andrea; Okiror, Lawrence; Campbell, Aideen; Simons, Jason; Routledge, Tom

    2013-06-01

    To describe the long-term results, quality of life and chronic pain after chest wall fixation for traumatic rib fracture using a quality of life (QOL) score and a numeric pain score. Retrospective analysis of 10 consecutive patients who underwent surgery for rib fractures after trauma and reconstruction between October 2010 and March 2012. Chest rib fractures were fixed with titanium clips and bars or titanium plates and screws through a posterolateral thoracotomy. Pain was assessed with a numeric pain scale 0-10 and quality of life (QOL) with the EORTC questionnaire QLQ-C30. There were 5 males and 5 females. The median age was 58 years (range 21-80). There were no postoperative deaths. The only postoperative complication observed was a contralateral pleural effusion requiring drainage. Median length of stay of the drain and median length of hospital stay were 2 days (range 0-8) and 4 days (range 1-42 days), respectively. The average follow-up period of operatively managed patients was 14 months (range 8-23.5 months). Seven patients scored the pain as 0, one as 1 (mild), one as 4 (moderate) and one as 8 (severe). Only two patients are taking occasionally pain killers. Only one patient presents severe limitation in his life scoring his QOL as poor. Titanium devices (clips and bars; screws and plates) are effective and safe for repair of rib fractures and showed good long-term results in terms of pain and quality of life after the operation.

  9. Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip.

    Science.gov (United States)

    Tuhanioğlu, Ümit; Cicek, Hakan; Ogur, Hasan U; Seyfettinoglu, Firat; Kapukaya, Ahmet

    2017-10-16

    The goal in the treatment of developmental dysplasia of the hip (DDH) is to achieve a stable and concentric reduction and to create a congruent relationship between the femoral head and the acetabulum. This study discusses the causes of loss of reduction in DDH patients who had a concentrically reduced hip at the time of removal of the hip spica cast and cessation of brace use and who later appeared with hip redislocation after mobilisation and ambulation. In addition, the possible interventions in such cases are also discussed. A retrospective evaluation was made of 13 patients diagnosed with DDH who developed redislocation following primary surgery. 6 of them had undergone the 1st surgery in our department between 2008 and 2016 and 7 had udergone surgery in another centre. For comparison reasons a 2nd group was formed of 13 demographically and clinically matched patients who had no loss of reduction. The groups were compared in terms of acetabular index, pelvic length, pelvic width, abduction degree of plaster, ossifying nucleus diameter, acetabular depth, and acetabular volume parameters. The average age of the patients was 23 months at initial surgery and 29 months at the time of revision surgery. No significant difference was found between the groups in terms of acetabular inclination angle, ossifying nucleus diameter, pelvic size, pelvic width, centre edge angle, acetabular volume, and depth. Contracted inferomedial capsule was found in 1 patient who underwent revision surgery and intact transverse acetabular ligament was seen in 1 patient. The loss of reduction in the remaining 11 patients was associated with high total anteversion of the femoral head and acetabulum. Correction of increased combined anteversion by femoral osteotomy can create a safe zone in terms of redislocation and can significantly contribute to the stability provided by capsulorrhaphy and pelvic osteotomy.

  10. A Case Series of Patients Who Underwent Laparoscopic Extraperitoneal Radical Prostatectomy with the Simultaneous Implant of a Penile Prosthesis: Focus on Penile Length Preservation

    Science.gov (United States)

    2018-01-01

    Purpose There are many grey areas in the field of penile rehabilitation after radical prostatectomy (RP). The preservation of the full dimensions of the penis is an important consideration for improving patients' compliance for the treatment. We present the first case series of patients treated by laparoscopic extraperitoneal RP and simultaneous penile prosthesis implantation (PPI) in order to preserve the full length of the penis and to improve patients' satisfaction. Materials and Methods From June 2013 to June 2014, 10 patients underwent simultaneous PPI (with an AMS InhibiZone prosthesis) and RP. Patients were evaluated by means of urological visits, questionnaires, and objective measurements before surgery, at discharge from the hospital, on postoperative days 21 to 28, each 3 months for the first year, and each 6 months thereafter. The main outcome measures were biochemical recurrence-free rate, penile length, and quality of life. Results Ten patients (mean age of 61 years; completed the study follow-up period (median, 32.2 months). No difference was found between the time of surgery and the 2-year follow-up evaluation in terms of penile length. The pre-surgery 36-Item Short Form Health Survey (SF-36) median score was 97. Patients were satisfied with their penile implants, and couples' level of sexual satisfaction was rated median 8. The median postoperative SF-36 score was 99 at 3 months follow-up. Conclusions Laparoscopic extraperitoneal RP surgery with simultaneous PPI placement seems to be an interesting possibility to propose to motivated patients for preserving the length of the penis and improving their satisfaction. PMID:29623695

  11. Changes in blood glucose level during and after light sedations using propofol-fentanyl and midazolam-fentanyl in diabetic patients who underwent cataract surgery.

    Science.gov (United States)

    Khalighinejad, Pooyan; Rahimi, Mojtaba; Naghibi, Khosro; Niknam, Negar

    2015-01-01

    Surgeries may trigger the stress response which leads to changes in blood glucose level, and studies suggest that different sedation and anesthesia methods have different effects on blood glucose level. The aim of this study was to investigate changes of blood glucose levels in diabetic patients and compare them in two sedation methods of propofol + fentanyl and midazolam + fentanyl. Totally, 80 diabetic candidates for cataract surgery who had all the inclusion criteria, underwent cataract surgery using two methods of propofol (1 mg/kg/h) + fentanyl (2 μg/kg) (Group P) and midazolam (0.03 mg/kg) + fentanyl (2 μg/kg) (Group M) for light sedation. In the end, 70 patients (Group P n = 35 and Group M n = 35) remained in the study. Patients' blood glucose levels, vital signs, and hemodynamic data were assessed 30 min prior to the surgery, each 15 min during surgery and at the end of surgery. Hemodynamic parameters did not have a statistically significant difference between the two groups mean blood glucose level in Group M was 149.15 mg/dl and in Group P was 149.2 mg/dl, and based on repeated measures analysis of variance test, significant differences were not observed between the two groups (P = 0.99). T-test showed no significant differences in the blood glucose level at any time of the study between the two groups. Light sedation methods of propofol + fentanyl and midazolam + fentanyl did not have any differences in alteration of blood glucose level.

  12. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery.

    Directory of Open Access Journals (Sweden)

    Gulinu Maimaituxun

    Full Text Available Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV in patients undergoing coronary artery bypass grafting (CABG remains unknown.Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57 who underwent CABG or non-coronary valvular surgery (non-CABG.In men, EATV, EATV index (EATV/body surface area and the markers of adiposity such as body mass index, waist circumference and visceral fat area were higher in the CABG group than in the non-CABG group. Traditional ASCVD risk factors were also prevalent in the CABG group. In women, EATV and EATV index were higher in the CABG group, but other adiposity markers were comparable between CABG and non-CABG groups. Multivariate logistic regression analysis showed that in men, CABG was determined by EATV Index and other ASCVD risk factors including hypertension, dyslipidemia, adiponectin, high sensitive C-reactive protein (hsCRP and type 2 diabetes mellitus (Corrected R2 = 0.262, p < 0.0001, while in women, type 2 diabetes mellitus is a single strong predictor for CABG, excluding EATV Index (Corrected R2 = 0.266, p = 0.005.Our study found that multiple risk factors, including epicardial adipose tissue volume and traditional ASCVD factors are determinants for CABG in men, but type 2 diabetes mellitus was the sole determinant in women. Gender-specific disparities in risk factors of CABG prompt us to evaluate new diagnostic and treatment strategies and to seek underlying mechanisms.

  13. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery.

    Science.gov (United States)

    Maimaituxun, Gulinu; Shimabukuro, Michio; Salim, Hotimah Masdan; Tabata, Minoru; Yuji, Daisuke; Morimoto, Yoshihisa; Akasaka, Takeshi; Matsuura, Tomomi; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Sugimoto, Takaki; Tanaka, Masashi; Takanashi, Shuichiro; Sata, Masataka

    2017-01-01

    Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD) are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV) in patients undergoing coronary artery bypass grafting (CABG) remains unknown. Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57) who underwent CABG or non-coronary valvular surgery (non-CABG). In men, EATV, EATV index (EATV/body surface area) and the markers of adiposity such as body mass index, waist circumference and visceral fat area were higher in the CABG group than in the non-CABG group. Traditional ASCVD risk factors were also prevalent in the CABG group. In women, EATV and EATV index were higher in the CABG group, but other adiposity markers were comparable between CABG and non-CABG groups. Multivariate logistic regression analysis showed that in men, CABG was determined by EATV Index and other ASCVD risk factors including hypertension, dyslipidemia, adiponectin, high sensitive C-reactive protein (hsCRP) and type 2 diabetes mellitus (Corrected R2 = 0.262, p EATV Index (Corrected R2 = 0.266, p = 0.005). Our study found that multiple risk factors, including epicardial adipose tissue volume and traditional ASCVD factors are determinants for CABG in men, but type 2 diabetes mellitus was the sole determinant in women. Gender-specific disparities in risk factors of CABG prompt us to evaluate new diagnostic and treatment strategies and to seek underlying mechanisms.

  14. Effect of right ventricular electrode location (outflow tract vs. apex) on mechanical Ventricular synchrony in patients that underwent pacemaker implant therapy

    International Nuclear Information System (INIS)

    Rincon, Oscar S; Saenz, Luis C; Salazar, Gabriel; Hernandez, Edgar

    2008-01-01

    Objective: to assess in depth the effect of ventricular stimulation from the right ventricular outflow tract and the apex on mechanical ventricular synchrony. Materials And Methods: cohort analytical study. 20 patients with indication of definitive pacemaker indication underwent trans thoracic echocardiogram before and after pacemaker implant with electrode implantation in the right ventricular outflow tract and in the apex (10 patients in each group). There was no structural cardiopathy, ejection fraction was ? 50%, QRS and AV conduction were normal. Mechanical ventricular asynchrony (M mode and tissue doppler) and implant and device parameters were evaluated. Statistical Analysis: results are given as mean values, standard deviation or percentages.Continuous variables were compared using Chi-square test and ANOVA. A p <0.05 value was considered statistically significant. Results: in five patients (25%) a pre-implant ventricular asynchrony was found; in seven (70%) ventricular asynchrony post-implant in the right ventricle outflow tract and in 5 (50%) in the apex. Mean interventricular pot-implant delay was 21,6 ms in the right ventricular outflow tract and 11,5 ms in the apex (p = 0,8); mean septal to lateral wall delay was 73 ms in the right ventricular outflow tract and 26 ms in the apex (p = 0,8). QRS post-implant delay was 134 ms in the right ventricular outflow tract and 140 ms in the apex (p = 0,1). No differences between implant parameters and device programming were found. Conclusions: presence of ventricular asynchrony was evidenced in patients with normal QRS and structurally healthy heart. Ventricular stimulation with pacemaker from the apex or the right ventricular outflow tract suggests acute ventricular asynchrony at least in 60% of the cases, without statistically significant difference between both groups.

  15. Phytophthora megakarya and Phytophthora palmivora, Closely Related Causal Agents of Cacao Black Pod Rot, Underwent Increases in Genome Sizes and Gene Numbers by Different Mechanisms

    Science.gov (United States)

    Ali, Shahin S.; Shao, Jonathan; Lary, David J.; Kronmiller, Brent A.; Shen, Danyu; Strem, Mary D.; Amoako-Attah, Ishmael; Akrofi, Andrew Yaw; Begoude, B.A. Didier; ten Hoopen, G. Martijn; Coulibaly, Klotioloma; Kebe, Boubacar Ismaël; Melnick, Rachel L.; Guiltinan, Mark J.; Tyler, Brett M.; Meinhardt, Lyndel W.

    2017-01-01

    Phytophthora megakarya (Pmeg) and Phytophthora palmivora (Ppal) are closely related species causing cacao black pod rot. Although Ppal is a cosmopolitan pathogen, cacao is the only known host of economic importance for Pmeg. Pmeg is more virulent on cacao than Ppal. We sequenced and compared the Pmeg and Ppal genomes and identified virulence-related putative gene models (PGeneM) that may be responsible for their differences in host specificities and virulence. Pmeg and Ppal have estimated genome sizes of 126.88 and 151.23 Mb and PGeneM numbers of 42,036 and 44,327, respectively. The evolutionary histories of Pmeg and Ppal appear quite different. Postspeciation, Ppal underwent whole-genome duplication whereas Pmeg has undergone selective increases in PGeneM numbers, likely through accelerated transposable element-driven duplications. Many PGeneMs in both species failed to match transcripts and may represent pseudogenes or cryptic genetic reservoirs. Pmeg appears to have amplified specific gene families, some of which are virulence-related. Analysis of mycelium, zoospore, and in planta transcriptome expression profiles using neural network self-organizing map analysis generated 24 multivariate and nonlinear self-organizing map classes. Many members of the RxLR, necrosis-inducing phytophthora protein, and pectinase genes families were specifically induced in planta. Pmeg displays a diverse virulence-related gene complement similar in size to and potentially of greater diversity than Ppal but it remains likely that the specific functions of the genes determine each species’ unique characteristics as pathogens. PMID:28186564

  16. Decadal features of heavy rainfall events in eastern China

    Science.gov (United States)

    Chen, Huopo; Sun, Jianqi; Fan, Ke

    2012-06-01

    Based on daily precipitation data, the spatial-temporal features of heavy rainfall events (HREs) during 1960-2009 are investigated. The results indicate that the HREs experienced strong decadal variability in the past 50 years, and the decadal features varied across regions. More HRE days are observed in the 1960s, 1980s, and 1990s over Northeast China (NEC); in the 1960s, 1970s, and 1990s over North China (NC); in the early 1960s, 1980s, and 2000s over the Huaihe River basin (HR); in the 1970s-1990s over the mid-lower reaches of the Yangtze River valley (YR); and in the 1970s and 1990s over South China (SC). These decadal changes of HRE days in eastern China are closely associated with the decadal variations of water content and stratification stability of the local atmosphere. The intensity of HREs in each sub-region is also characterized by strong decadal variability. The HRE intensity and frequency co-vary on the long-term trend, and show consistent variability over NEC, NC, and YR, but inconsistent variability over SC and HR. Further analysis of the relationships between the annual rainfall and HRE frequency as well as intensity indicates that the HRE frequency is the major contributor to the total rainfall variability in eastern China, while the HRE intensity shows only relative weak contribution.

  17. Substantiating the Target Level of Economic Security of Transport Enterprises and the Instrumentarium for Its Provision

    Directory of Open Access Journals (Sweden)

    Lebedko Sergiy A.

    2017-10-01

    Full Text Available The article is aimed at substantiating the methodology for assessing the economic security of transport enterprises, determining the target level and the instrumentarium for its provision. The proposed methodical approach to the assessment of the level of economic security of transport enterprises includes the determination of the level of counteracting threats and is based on the principles of integral estimation. The formed integrated indicator includes both indicators of counteracting the internal (human, managerial and technological, force majeure, financial and external threats (market, stakeholder, power-based, natural, infrastructural. Each measure of counteracting threats is determined by results of assessment of dynamics of the three indicators. A practical testing of the proposed approach is carried out in the case of transport enterprises. Based on the established equation of the regression relationship between the level of economic security and the financial strength, a target level of economic security of transport enterprises has been substantiated. The instrumentarium to provide a targeted level of economic security according to the threat types, including preventive and reactive measures, has been developed.

  18. Predicting risk of substantial weight gain in German adults-a multi-center cohort approach.

    Science.gov (United States)

    Bachlechner, Ursula; Boeing, Heiner; Haftenberger, Marjolein; Schienkiewitz, Anja; Scheidt-Nave, Christa; Vogt, Susanne; Thorand, Barbara; Peters, Annette; Schipf, Sabine; Ittermann, Till; Völzke, Henry; Nöthlings, Ute; Neamat-Allah, Jasmine; Greiser, Karin-Halina; Kaaks, Rudolf; Steffen, Annika

    2017-08-01

    A risk-targeted prevention strategy may efficiently utilize limited resources available for prevention of overweight and obesity. Likewise, more efficient intervention trials could be designed if selection of subjects was based on risk. The aim of the study was to develop a risk score predicting substantial weight gain among German adults. We developed the risk score using information on 15 socio-demographic, dietary and lifestyle factors from 32 204 participants of five population-based German cohort studies. Substantial weight gain was defined as gaining ≥10% of weight between baseline and follow-up (>6 years apart). The cases were censored according to the theoretical point in time when the threshold of 10% baseline-based weight gain was crossed assuming linearity of weight gain. Beta coefficients derived from proportional hazards regression were used as weights to compute the risk score as a linear combination of the predictors. Cross-validation was used to evaluate the score's discriminatory accuracy. The cross-validated c index (95% CI) was 0.71 (0.67-0.75). A cutoff value of ≥475 score points yielded a sensitivity of 71% and a specificity of 63%. The corresponding positive and negative predictive values were 10.4% and 97.6%, respectively. The proposed risk score may support healthcare providers in decision making and referral and facilitate an efficient selection of subjects into intervention trials. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association.

  19. Predicting risk of substantial weight gain in German adults—a multi-center cohort approach

    Science.gov (United States)

    Bachlechner, Ursula; Boeing, Heiner; Haftenberger, Marjolein; Schienkiewitz, Anja; Scheidt-Nave, Christa; Vogt, Susanne; Thorand, Barbara; Peters, Annette; Schipf, Sabine; Ittermann, Till; Völzke, Henry; Nöthlings, Ute; Neamat-Allah, Jasmine; Greiser, Karin-Halina; Kaaks, Rudolf

    2017-01-01

    Abstract Background A risk-targeted prevention strategy may efficiently utilize limited resources available for prevention of overweight and obesity. Likewise, more efficient intervention trials could be designed if selection of subjects was based on risk. The aim of the study was to develop a risk score predicting substantial weight gain among German adults. Methods We developed the risk score using information on 15 socio-demographic, dietary and lifestyle factors from 32 204 participants of five population-based German cohort studies. Substantial weight gain was defined as gaining ≥10% of weight between baseline and follow-up (>6 years apart). The cases were censored according to the theoretical point in time when the threshold of 10% baseline-based weight gain was crossed assuming linearity of weight gain. Beta coefficients derived from proportional hazards regression were used as weights to compute the risk score as a linear combination of the predictors. Cross-validation was used to evaluate the score’s discriminatory accuracy. Results The cross-validated c index (95% CI) was 0.71 (0.67–0.75). A cutoff value of ≥475 score points yielded a sensitivity of 71% and a specificity of 63%. The corresponding positive and negative predictive values were 10.4% and 97.6%, respectively. Conclusions The proposed risk score may support healthcare providers in decision making and referral and facilitate an efficient selection of subjects into intervention trials. PMID:28013243

  20. Neighborhood-level social processes and substantiated cases of child maltreatment.

    Science.gov (United States)

    Molnar, Beth E; Goerge, Robert M; Gilsanz, Paola; Hill, Andrea; Subramanian, S V; Holton, John K; Duncan, Dustin T; Beatriz, Elizabeth D; Beardslee, William R

    2016-01-01

    Child maltreatment is a preventable public health problem. Research has demonstrated that neighborhood structural factors (e.g. poverty, crime) can influence the proportion of a neighborhood's children who are victims of maltreatment. A newer strategy is the identification of potentially modifiable social processes at the neighborhood level that can also influence maltreatment. Toward this end, this study examines neighborhood-level data (maltreatment cases substantiated by Illinois' child protection agency, 1995-2005, social processes measured by the Project on Human Development in Chicago Neighborhoods, U.S. Census data, proportions of neighborhoods on public assistance, and crime data) that were linked across clusters of contiguous, relatively homogenous Chicago, IL census tracts with respect to racial/ethnic and socioeconomic composition. Our analysis-an ecological-level, repeated cross-sectional design utilizing random-intercept logit models-with a sensitivity analysis using spatial models to control for spatial autocorrelation-revealed consistent associations between neighborhood social processes and maltreatment. Neighborhoods higher in collective efficacy, intergenerational closure, and social networks, and lower in disorder had lower proportions of neglect, physical abuse, and sexual abuse substantiated cases, controlling for differences in structural factors. Higher collective efficacy and social network size also predicted a lower proportion of substance-exposed infants. This research indicates that strategies to mobilize neighborhood-level protective factors may decrease child maltreatment more effectively than individual and family-focused efforts alone. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Substantial equivalence--an appropriate paradigm for the safety assessment of genetically modified foods?

    International Nuclear Information System (INIS)

    Kuiper, Harry A.; Kleter, Gijs A.; Noteborn, Hub P.J.M.; Kok, Esther J.

    2002-01-01

    Safety assessment of genetically modified food crops is based on the concept of substantial equivalence, developed by OECD and further elaborated by FAO/WHO. The concept embraces a comparative approach to identify possible differences between the genetically modified food and its traditional comparator, which is considered to be safe. The concept is not a safety assessment in itself, it identifies hazards but does not assess them. The outcome of the comparative exercise will further guide the safety assessment, which may include (immuno)toxicological and biochemical testing. Application of the concept of substantial equivalence may encounter practical difficulties: (i) the availability of near-isogenic parental lines to compare the genetically modified food with; (ii) limited availability of methods for the detection of (un)intended effects resulting from the genetic modification; and (iii) limited information on natural variations in levels of relevant crop constituents. In order to further improve the methodology for identification of unintended effects, new 'profiling' methods are recommended. Such methods will allow for the screening of potential changes in the modified host organism at different integration levels, i.e. at the genome level, during gene expression and protein translation, and at the level of cellular metabolism

  2. Pharmaceutical manufacturing facility discharges can substantially increase the pharmaceutical load to U.S. wastewaters

    Science.gov (United States)

    Scott, Tia-Marie; Phillips, Patrick J.; Kolpin, Dana W.; Colella, Kaitlyn M.; Furlong, Edward T.; Foreman, William T.; Gray, James L.

    2018-01-01

    Discharges from pharmaceutical manufacturing facilities (PMFs) previously have been identified as important sources of pharmaceuticals to the environment. Yet few studies are available to establish the influence of PMFs on the pharmaceutical source contribution to wastewater treatment plants (WWTPs) and waterways at the national scale. Consequently, a national network of 13 WWTPs receiving PMF discharges, six WWTPs with no PMF input, and one WWTP that transitioned through a PMF closure were selected from across the United States to assess the influence of PMF inputs on pharmaceutical loading to WWTPs. Effluent samples were analyzed for 120 pharmaceuticals and pharmaceutical degradates. Of these, 33 pharmaceuticals had concentrations substantially higher in PMF-influenced effluent (maximum 555,000 ng/L) compared to effluent from control sites (maximum 175 ng/L). Concentrations in WWTP receiving PMF input are variable, as discharges from PMFs are episodic, indicating that production activities can vary substantially over relatively short (several months) periods and have the potential to rapidly transition to other pharmaceutical products. Results show that PMFs are an important, national-scale source of pharmaceuticals to the environment.

  3. Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study

    Directory of Open Access Journals (Sweden)

    Barbe MA Pieters

    2016-01-01

    Full Text Available Background and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of the oral cavity by different videolaryngoscopes (VLS in a manikin model. Methods: We measured light intensity from the mouth opening of a Laerdal intubation trainer comparing different direct and indirect VLS at three occasions, resembling optimal to less-than-optimal intubation conditions; at the photographer′s dark room, in an operating theatre and outdoors in bright sunlight. Results: Substantial differences in luminance were detected between VLS. The use of LED light significantly improved light production. All VLS produced substantial higher luminance values in a well-luminated environment compared to the dark photographer′s room. The experiments outside-in bright sunlight-were interfered with by direct sunlight penetration through the synthetic material of the manikin, making correct measurement of luminance in the oropharynx invalid. Conclusion: Illumination of the oral cavity differs widely among direct and indirect VLS. The clinician should be aware of the possibility of suboptimal illumination of the oral cavity and the potential risk this poses for the patient.

  4. Two decades of organizational change in health care: what have we learned?

    Science.gov (United States)

    Bazzoli, Gloria J; Dynan, Linda; Burns, Lawton R; Yap, Clarence

    2004-09-01

    The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what was learned through two decades of research on organizational change in health care.

  5. Opportunities in Nuclear Science: A Long-Range Plan for the Next Decade

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2002-04-01

    The DOE/NSF Nuclear Science Advisory Committee of the Department of Energy and the National Science Foundation is charged with providing advice on a continuing basis regarding the management of the national basic nuclear science research program. In July 2000, the Committee was asked to study the opportunities and priorities for U.S. nuclear physics research, and to develop a long-range plan that will serve as a frame-work for the coordinated advancement of the field for the next decade. The plan contained here is the fifth that has been pre-pared since the Committee was established. Each of the earlier plans has had substantial impact on new directions and initiatives in the field.

  6. Decadal Variability of Total Alkalinity in the North Pacific Ocean

    Science.gov (United States)

    Cross, J. N.; Carter, B. R.; Siedlecki, S. A.; Alin, S. R.; Dickson, A. G.; Feely, R. A.; Mathis, J. T.; Wanninkhof, R. H.; Macdonald, A. M.; Mecking, S.; Talley, L. D.

    2016-02-01

    Recent observations of acidification-driven shoaling of the calcium carbonate saturation horizon in the North Pacific have prompted new interest in carbonate cycling in this region, particularly related to impacts on biogenic calcification at the surface layer. Some estimates project that the impacts of OA on alkalinity cycling are beginning to emerge. Here, we present total alkalinity concentrations along a meridional transect of the North Pacific (WOCE, CLIVAR, and US GO-SHIP line P16N; 152 °W) over a period of three decades. The largest source of variability in alkalinity concentrations is related to North Pacific circulation, particularly in the surface mixed layer. Precise normalization of these data reveal some small spatial and temporal variability in the background. We explore these decadal trends in the context of decadal oscillations, ocean biogeochemical cycles, and global change processes such as ocean acidification.

  7. Space strategy for Europe and the International Lunar Decade

    Science.gov (United States)

    Beldavs, VZ

    2017-09-01

    The 2020-2030 decade offers extraordinary opportunity for the European space sector that is largely not recognized in present space strategy which does not recognize commercial space activities beyond communications satellites, launchers, and earth observation and navigation and downstream activities. Lunar and cislunar development can draw on the extensive experience of Europe in mining, clean energy, ecological systems as well as deep experience in managing the development of technologies through TRL1 through commercial sale via Horizon 2020 and previous Framework programs. The EU has unrivalled experience in coordinating research and advanced technology development from research centers, major firms and SMEs across multiple sovereign states. This capacity to coordinate across national boundaries can be a significant contribution to a global cooperative program like the International Lunar Decade. This paper will present a European space strategy for beyond 2020 and how this can mesh with the International Lunar Decade.

  8. EGS4 in '94: A decade of enhancements

    International Nuclear Information System (INIS)

    Nelson, W.R.; Bielajew, A.F.; Rogers, D.W.O.

    1994-01-01

    This paper presents an overview of the developments made to the EGS4 code over the past decade. This code is a Monte Carlo code developed to study electron-photon transport properties. It is widely used, in particular in the medical physics field, it has been updated, expanded, benchmarked, and applied to a wide array of problems. The paper covers precursors to this code, a basic snapshop of its physics and calculation methods, and an overview of how it has been expanded during the past decade

  9. The history of Korea electric times for four decades

    International Nuclear Information System (INIS)

    2004-11-01

    This book reports the history of Korea electric times for four decades, which is comprised of six parts, it deals with establishment of electric times and organizational systems and an editorial policy, status and pains for rebirth, open up new future, foundation of growth for the electric times, stability of organization extension of organization, establishing independent corporation, carrying out a radical reform, changing reading newspaper into seeing newspaper, ensuring internal stability, for the daily newspaper, development of contents on power industry technology, strategy for specialization, plan for campaign for patriotism, major business for four decades, today's electric times newspaper and future, and electric times years through the paper.

  10. The first decade of the Massachusetts Tobacco Control Program.

    Science.gov (United States)

    Koh, Howard K; Judge, Christine M; Robbins, Harriet; Celebucki, Carolyn Cobb; Walker, Deborah K; Connolly, Gregory N

    2005-01-01

    This article provides a comprehensive overview of the first decade of the Massachusetts Tobacco Control Program (MTCP). Born after Massachusetts passed a 1992 ballot initiative raising cigarette excise taxes to fund the program, MTCP greatly reduced statewide cigarette consumption before being reduced to a skeletal state by funding cuts. The article describes the program's components and goals, details outcomes, presents a summary of policy accomplishments, and reviews the present status of MTCP in the current climate of national and state fiscal crises. The first decade of the MTCP offers many lessons learned for the future of tobacco control.

  11. EGS4 in `94: A decade of enhancements

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, W.R. [Stanford Univ., CA (United States); Bielajew, A.F.; Rogers, D.W.O. [National Research Council of Canada, Ottawa (Canada). Institute for National Measurement Standards; Hirayama, H. [National Lab. for High Energy Physics, Ibaraki-ken (Japan)

    1994-08-18

    This paper presents an overview of the developments made to the EGS4 code over the past decade. This code is a Monte Carlo code developed to study electron-photon transport properties. It is widely used, in particular in the medical physics field, it has been updated, expanded, benchmarked, and applied to a wide array of problems. The paper covers precursors to this code, a basic snapshop of its physics and calculation methods, and an overview of how it has been expanded during the past decade.

  12. Grammatical Conception of Yuriy Shevel'ov: Nominative ↔ Vocative in the System of Substantial Categoriality

    Directory of Open Access Journals (Sweden)

    Anatoliy Zahnitko

    2016-08-01

    Full Text Available Background. Analysis of Yuriy Shevel'ov’s approaches to the interpretation of the morphological tier of language, as well as his examination of particular phenomena of this level – substantiality, verbality, and others – reflects not only the author's understanding itself of all the grammatical system as a whole, and morphological one in particular, but also represents the features of modification of scientific approaches in the history of linguistic thought of mid-twentieth century, its strengthening in the studies of the XX – XXI century. The researcher’s definition of nominative and vocative cases as interrelated within the categorical substantiality is of particular importance. Purpose: to determine the main components of interpretation of the status dimension of the nominative and vocative cases within morpho-substantial categoriality of Yuriy Shevel'ov with the definition of theoretical foundations and practical principles, revealing the patterns of establishing internal sentence dimension of the nominative and vocative cases. Results: In the case theory with reliance on the sequence of forms of dependencies in the internal sentence space Yuriy Shevel'ov distinguishes five cases: genitive, dative, accusative, ablative, locative. In the statement about the nominative as grammatically independent case the scientist relies on sentence. Two-dimensionality of grammatically independent case opposes to the one-dimensional grammatically dependent nominative that is traceable in syntactic positions of predicate and apposition. Yuriy Shevel'ov did not consider addressing that is not grammatically linked to the sentence with a specific expression as an individual case. The forms of vocative case show functional three-componentity, because in its functional-semantic paradigm it covers the function of the addressee – potential subject of action (primary function that is represented in formal grammar sentence structure by the main element of

  13. The Disability Impact and Associated Cost per Disability in Women Who Underwent Surgical Revision of Transvaginal Mesh Kits for Prolapse Repair.

    Science.gov (United States)

    Javadian, Pouya; Shobeiri, S Abbas

    2017-09-13

    The aim of this study was to investigate disability impact in patients and cost to the families of patients who have had complications of transvaginal prolapse mesh kits and underwent surgical revision. Patients who developed complications of transvaginal mesh kits for prolapse and who had undergone vaginal prolapse mesh surgical revision/removal in 2009 to 2014 at a single institution were identified by Current Procedural Terminology codes. The group was invited to complete a phone survey pertaining to the initial vaginal mesh used for prolapse surgery utilizing Sheehan Disability Scale (scale 0-10) and Years of life Lived with Disability (YLDs) questionnaires. The data collected were used to estimate the disability and cost analysis. We used our data to estimate the economic and quality-of-life impact of vaginal mesh complications on patients in the United States RESULTS: Sixty-two patients (62/198 [31.2%]) were consented to participate and completed the questionnaires by phone. Extremely disabled patients were 18 (29%) of 62 of whole cases, and 5 (8%) of 62 reported that they had no disability after vaginal mesh surgery. The median for overall disability score after vaginal mesh procedure was 8 (which reflects marked disability on a scale of 0-10). The majority of patients missed a median of 12 months of their school or work because of their mesh complications. Thirty-seven (59.6%) of 62 did not improve after mesh removal. Twenty-one (33.9%) of 62 stated that their family income dropped because of productivity loss related to mesh complications. The mean time between vaginal mesh surgery and mesh removal procedure was 4.7 years. Sheehan Disability Scale scores are significantly correlated with YLDs outcomes. Patients' overall disability score showed a significant correlation with YLDs scores (P mesh for prolapse reduction complications had a sustained disability impact that continued despite mesh removal. Likewise, the complications were associated with

  14. KRAS Mutant Status, p16 and β-catenin Expression May Predict Local Recurrence in Patients Who Underwent Transanal Endoscopic Microsurgery (TEMS) for Stage I Rectal Cancer.

    Science.gov (United States)

    Sideris, Michail; Moorhead, Jane; Diaz-Cano, Salvador; Bjarnason, Ingvar; Haji, Amyn; Papagrigoriadis, Savvas

    2016-10-01

    Transanal endoscopic microsurgery (TEMS) is emerging as an alternative treatment for rectal cancer Stage I. There remains a risk of local recurrence. The Aim of the study was to study the effect of biomarkers in local recurrence for Stage I rectal cancer following TEMS plus or minus radiotherapy. This is a case control study where we compared 10 early rectal cancers that had recurred, against 19 cases with no recurrence, total 29 patients (age=28.25-86.87, mean age=67.92 years, SD=14.91, Male, N=18, Female, N=11). All patients underwent TEMS for radiological Stage I rectal cancer (yT1N0M0 or yT2N0M0) established with combination of magnetic resonance imaging (MRI) and endorectal ultrasound. We prospectively collected all data on tumour histology, morphological features, as well as follow-up parameters. Molecular analysis was performed to identify their status on BRAF, KRAS, p16 O 6 -methylguanine-DNA methyltransferase (MGMT) and β-catenin. Out of 29 specimens analyzed, 19 were KRAS wild type (65.9%) and 10 mutant (34.5%). Recurrence of the tumour was noted in 10 cases (34.5%) from which 60% were pT1 (N=6) and 40% pT2 (N=4). There was a statistically significant association between KRAS mutant status and local recurrence (N=6, p=0.037). P16 expression greater than 5% (mean=10.8%, min=0, max=95) is linked with earlier recurrence within 11.70 months (N=7, p=0.004). Membranous β-catenin expression (N=12, 48%) was also related with KRAS mutant status (p=0.006) but not with survival (p>0.05). BRAF gene was found to be wild type in all cases tested (N=23). KRAS/p16/β-catenin could be used as a combined biomarker for prediction of local recurrence and stratification of the risk for further surgery. Copyright© 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  15. The first decade: 2004 - 2014. 10 years of renewable energy progress

    International Nuclear Information System (INIS)

    Lins, Christine; Williamson, Laura E.; Leitner, Sarah; Teske, Sven; Hankins, Mark; Sosis, Karin; Kiene, Ansgar; Mali, Thembakazi; Auth, Katie; Musolino, Evan; Iida, Tetsunari; Thornton, Kane; Haugwitz, Frank; Hinrichs-Rahlwes, Rainer; Subramanian, Venkataraman; Bravo, Gonzalo; McQueen, Dane; Sawin, Janet L.; Wiser, Ryan; Schweinfurth, Arne

    2014-01-01

    The evolution of renewable energy over the past decade has surpassed all expectations. Global installed capacity and production from all renewable technologies have increased substantially, and supporting policies have continued to spread to more countries in all regions of the world. Developments in the early 2000's showed upward trends in global renewable energy investment, capacity, and integration across all sectors, yet most mainstream projections did not predict the extraordinary expansion of renewables that was to unfold over the decade ahead. Several factors set the foundation for this rapid growth. The various energy crises-beginning in the 1970's - and the subsequent economic downturns underscored the role of energy for both national and economic security. At the same time, a handful of pioneering countries-such as Germany, Denmark, Spain, and the United States-created critical markets for renewables, which drove early technological advances and economies of scale, setting the stage and helping to fuel the past decade of explosive market expansion. Growing emphasis on mitigating climate change and adapting to its impacts has further contributed to the momentum. Renewable energy's contribution to the global heat, power and transport sectors has increased steadily. While growth in renewable's share of total energy use has been moderated by increases in both population and world energy demand-most notably in developing and emerging economies-renewable energy markets and technology developments have accelerated quickly, even when compared to other rapidly developing technologies such as mobile phones. Although the last decade has seen tremendous advances in the electricity sector, the renewable heating and cooling sector has lagged behind. This is despite the marked growth since 2004 in the use of geothermal, solar thermal, and biomass heating technologies for water and space heating, process heat, and cooling. Given that the share of

  16. Substantial variability in postoperative treatment, and convalescence recommendations following vaginal repair. A nationwide questionnaire study

    DEFF Research Database (Denmark)

    Ottesen, Marianne; Møller, Charlotte; Kehlet, H

    2001-01-01

    -employed gynecologists, and gynecologists in private practice, to patients undergoing vaginal repair. METHOD: In 1999 all Danish gynecologists (n=433) received a tested questionnaire about postoperative treatment and convalescence recommendations following vaginal repair. Non-responders received one reminder. OUTCOME...... MEASURES: Pre and postoperative treatment, and expected hospital stay. Furthermore, lifting restrictions, sick leave, and convalescence before resumption of defined activities. RESULTS: The overall response rate was 82%. The expected postoperative hospital stay was median 3 days (range, 1-7) following...... anterior repair, and 2 days (range, 1-7) following posterior repair. The recommended sick leave was median 6 weeks (range, 2-12) for patients with work with heavy lifts. There were substantial differences in recommendations. Recommended lifting restrictions were median 3 kg (range, 0-20) for median 4 weeks...

  17. Recommendations for successful substantiation of new health claims in the European Union

    DEFF Research Database (Denmark)

    Pravst, Igor; Kušar, Anita; Žmitek, Katja

    2018-01-01

    Background While functional foods offer promise for public health and innovation in the food industry, the efficiency of such foods should be assured to protect consumers from misleading claims. Globally, many countries regulate the communication of the health effects of such foods to final...... consumers. Scope and approach In the European Union (EU), the use of health claims was harmonized in 2006. All claims need to be scientifically assessed by the European Food Safety Authority (EFSA) and pre-approved. Implementing the regulation has involved a steep learning curve for stakeholders, resulting...... recommendations should be seen as a starting point for researchers in the area of nutrition and food technology, and for those dealing with functional foods, including the food industry. Keywords Functional foods; Health claims; Food labelling; Substantiation; Regulation; European Union...

  18. Challenges in Archiving and Sharing Video Data: Considering Moral, Pragmatic, and Substantial Arguments

    Directory of Open Access Journals (Sweden)

    Terhi Kirsi Korkiakangas

    2014-05-01

    Full Text Available Social science researchers are facing new challenges in data archiving and sharing. The challenges encountered for video data are different from those encountered for other types of qualitative data. I will consider these challenges with respect to the moral, pragmatic, and substantial arguments with which funding bodies justify data archiving and sharing. Throughout the article, I will draw on a recent Economic and Social Research Council funded project, “Transient Teams in the Operating Theatre,” in which our research team video recorded work activities in the operating theatre of a UK hospital, thereby dealing with highly sensitive footage. I will consider how video data, on most occasions, cannot be archived for re-use by the wider research community, but how new avenues could be developed so as to benefit from further research on such “unarchivable” datasets.

  19. Experimental and calculating substantiation of reactivity balance and energy-release distribution in BN-600 core

    International Nuclear Information System (INIS)

    Moiseev, A.V.; Khomyakov, Yu.S.; Surov, S.V.

    2013-01-01

    This paper presents the results of experimental and theoretical work done in 2003-2010 years on substantiation of neutron-physical characteristics of the BN-600 core. 1. Transition to the new core 01M2 with high burnup 11.2% h.a. (the 4-th upgrade of the BN-600 core). Transfer was made without changing the constructive of the core almost by reducing conservatism of design decisions. 2. The end of BN-600 design life cycle and extending it to 10-15 years. Need for analysis and comprehension of the BN-600 experience. 3. Development and introduction of new methods of analysis (precision method of Monte Carlo). 4. In the experiments was a change of equipment and measurement techniques

  20. Substantially Enhancing Quantum Coherence of Electrons in Graphene via Electron-Plasmon Coupling.

    Science.gov (United States)

    Cheng, Guanghui; Qin, Wei; Lin, Meng-Hsien; Wei, Laiming; Fan, Xiaodong; Zhang, Huayang; Gwo, Shangjr; Zeng, Changgan; Hou, J G; Zhang, Zhenyu

    2017-10-13

    The interplays between different quasiparticles in solids lay the foundation for a wide spectrum of intriguing quantum effects, yet how the collective plasmon excitations affect the quantum transport of electrons remains largely unexplored. Here we provide the first demonstration that when the electron-plasmon coupling is introduced, the quantum coherence of electrons in graphene is substantially enhanced with the quantum coherence length almost tripled. We further develop a microscopic model to interpret the striking observations, emphasizing the vital role of the graphene plasmons in suppressing electron-electron dephasing. The novel and transformative concept of plasmon-enhanced quantum coherence sheds new insight into interquasiparticle interactions, and further extends a new dimension to exploit nontrivial quantum phenomena and devices in solid systems.

  1. An unknown oxidative metabolism substantially contributes to soil CO2 emissions

    Directory of Open Access Journals (Sweden)

    T. Shahzad

    2013-02-01

    Full Text Available The respiratory release of CO2 from soils is a major determinant of the global carbon cycle. It is traditionally considered that this respiration is an intracellular metabolism consisting of complex biochemical reactions carried out by numerous enzymes and co-factors. Here we show that the endoenzymes released from dead organisms are stabilised in soils and have access to suitable substrates and co-factors to permit function. These enzymes reconstitute an extracellular oxidative metabolism (EXOMET that may substantially contribute to soil respiration (16 to 48% of CO2 released from soils in the present study. EXOMET and respiration from living organisms should be considered separately when studying effects of environmental factors on the C cycle because EXOMET shows specific properties such as resistance to high temperature and toxic compounds.

  2. Substantiation of basic scheme of grain cleaning machine for preparation of agricultural crops seeds

    Science.gov (United States)

    Giyevskiy, A. M.; Orobinsky, V. I.; Tarasenko, A. P.; Chernyshov, A. V.; Kurilov, D. O.

    2018-03-01

    The article presents data on the feasibility of the concept of a high-efficiency seed cleaner with the consistent use of the air flow in aspiration and the multi-tier placement of the sorting grids in grating mills. As a result of modeling, the directions for further improvement of air-screen seed cleaning machines have been identified: an increase in the proportion of sorting grids in the mills up to 70 ... 80% and an increase in the speed of the air flow in the channel of the pre-filter cleaning up to 8.0 m / s. Experiments have established the competence of using mathematical modeling of airflow in the pneumatic system with the use of a finite-volume method for solving hydrodynamic equations for substantiating the basic parameters of the pneumatic system.

  3. Substantial and sustained seizure reduction with ketogenic diet in a patient with Ohtahara syndrome

    Directory of Open Access Journals (Sweden)

    Adithya Sivaraju

    2015-01-01

    Full Text Available Ketogenic diet has been shown to be efficacious in some epileptic encephalopathies but rarely reported as being useful in children with Ohtahara syndrome. This could possibly be attributed to the rarity of the disease and associated short survival period. We report on a 5-year-old child with Ohtahara syndrome, whose seizures failed to improve with all known medications, continued to show persistent suppression-burst pattern on the electroencephalography (EEG and had substantial reduction in seizure frequency for one year post-initiation of ketogenic diet. He has not had a single visit to the emergency room because of seizures in the last one year, and more importantly, there has been a clear improvement noted in his level of interaction and temperament. Patients with Ohtahara syndrome invariably have medically intractable seizures and catastrophic neurodevelopmental outcome. Ketogenic diet is a treatment modality that might be worth considering even in this group of patients.

  4. Experimental substantiation of methodic of 11-13 years old boxers’ coordination development

    Directory of Open Access Journals (Sweden)

    Yong Qiang Liu

    2015-06-01

    Full Text Available Purpose: experimental substantiation of methodic of junior boxers’ coordination training. Material: in the research 18 boxers of 11-13 year old age participated. In total, during 4 months 42 trainings were conducted. Total time of coordination load’s fulfillment at each training was 15-45 minutes. Results: dynamic of results in control tests was statistically confident in the tested parameters of movements. It proves effectiveness of usage the tasks with complex-coordination orientation, accented on impact on sensor-informational and motor systems of movements in junior boxers’ trainings. Conclusions: coordination training in boxing at initial stage shall include specialized varied means and methods, which would facilitate formation of motor condition and skills’ basis. Motor condition and skills are a reserve for further rising of coordination abilities’ level of junior sportsmen.

  5. Dynamics of aboveground phytomass of the circumpolar Arctic tundra during the past three decades

    International Nuclear Information System (INIS)

    Epstein, Howard E; Raynolds, Martha K; Walker, Donald A; Bhatt, Uma S; Tucker, Compton J; Pinzon, Jorge E

    2012-01-01

    Numerous studies have evaluated the dynamics of Arctic tundra vegetation throughout the past few decades, using remotely sensed proxies of vegetation, such as the normalized difference vegetation index (NDVI). While extremely useful, these coarse-scale satellite-derived measurements give us minimal information with regard to how these changes are being expressed on the ground, in terms of tundra structure and function. In this analysis, we used a strong regression model between NDVI and aboveground tundra phytomass, developed from extensive field-harvested measurements of vegetation biomass, to estimate the biomass dynamics of the circumpolar Arctic tundra over the period of continuous satellite records (1982–2010). We found that the southernmost tundra subzones (C–E) dominate the increases in biomass, ranging from 20 to 26%, although there was a high degree of heterogeneity across regions, floristic provinces, and vegetation types. The estimated increase in carbon of the aboveground live vegetation of 0.40 Pg C over the past three decades is substantial, although quite small relative to anthropogenic C emissions. However, a 19.8% average increase in aboveground biomass has major implications for nearly all aspects of tundra ecosystems including hydrology, active layer depths, permafrost regimes, wildlife and human use of Arctic landscapes. While spatially extensive on-the-ground measurements of tundra biomass were conducted in the development of this analysis, validation is still impossible without more repeated, long-term monitoring of Arctic tundra biomass in the field. (letter)

  6. Dynamics of Aboveground Phytomass of the Circumpolar Arctic Tundra During the Past Three Decades

    Science.gov (United States)

    Epstein, Howard E.; Raynolds, Martha K.; Walker, Donald A.; Bhatt, Uma S.; Tucker, Compton J.; Pinzon, Jorge E.

    2012-01-01

    Numerous studies have evaluated the dynamics of Arctic tundra vegetation throughout the past few decades, using remotely sensed proxies of vegetation, such as the normalized difference vegetation index (NDVI). While extremely useful, these coarse-scale satellite-derived measurements give us minimal information with regard to how these changes are being expressed on the ground, in terms of tundra structure and function. In this analysis, we used a strong regression model between NDVI and aboveground tundra phytomass, developed from extensive field-harvested measurements of vegetation biomass, to estimate the biomass dynamics of the circumpolar Arctic tundra over the period of continuous satellite records (1982-2010). We found that the southernmost tundra subzones (C-E) dominate the increases in biomass, ranging from 20 to 26%, although there was a high degree of heterogeneity across regions, floristic provinces, and vegetation types. The estimated increase in carbon of the aboveground live vegetation of 0.40 Pg C over the past three decades is substantial, although quite small relative to anthropogenic C emissions. However, a 19.8% average increase in aboveground biomass has major implications for nearly all aspects of tundra ecosystems including hydrology, active layer depths, permafrost regimes, wildlife and human use of Arctic landscapes. While spatially extensive on-the-ground measurements of tundra biomass were conducted in the development of this analysis, validation is still impossible without more repeated, long-term monitoring of Arctic tundra biomass in the field.

  7. Decadal ecosystem response to an anomalous melt season in a polar desert in Antarctica.

    Science.gov (United States)

    Gooseff, Michael N; Barrett, John E; Adams, Byron J; Doran, Peter T; Fountain, Andrew G; Lyons, W Berry; McKnight, Diane M; Priscu, John C; Sokol, Eric R; Takacs-Vesbach, Cristina; Vandegehuchte, Martijn L; Virginia, Ross A; Wall, Diana H

    2017-09-01

    Amplified climate change in polar regions is significantly altering regional ecosystems, yet there are few long-term records documenting these responses. The McMurdo Dry Valleys (MDV) cold desert ecosystem is the largest ice-free area of Antarctica, comprising soils, glaciers, meltwater streams and permanently ice-covered lakes. Multi-decadal records indicate that the MDV exhibited a distinct ecosystem response to an uncharacteristic austral summer and ensuing climatic shift. A decadal summer cooling phase ended in 2002 with intense glacial melt ('flood year')-a step-change in water availability triggering distinct changes in the ecosystem. Before 2002, the ecosystem exhibited synchronous behaviour: declining stream flow, decreasing lake levels, thickening lake ice cover, decreasing primary production in lakes and streams, and diminishing soil secondary production. Since 2002, summer air temperatures and solar flux have been relatively consistent, leading to lake level rise, lake ice thinning and elevated stream flow. Biological responses varied; one stream cyanobacterial mat type immediately increased production, but another stream mat type, soil invertebrates and lake primary productivity responded asynchronously a few years after 2002. This ecosystem response to a climatic anomaly demonstrates differential biological community responses to substantial perturbations, and the mediation of biological responses to climate change by changes in physical ecosystem properties.

  8. Technique of Substantiating Requirements for the Vision Systems of Industrial Robotic Complexes

    Directory of Open Access Journals (Sweden)

    V. Ya. Kolyuchkin

    2015-01-01

    Full Text Available In references, there is a lack of approaches to describe the justified technical requirements for the vision systems (VS of industrial robotics complexes (IRC. Therefore, an objective of the work is to develop a technique that allows substantiating requirements for the main quality indicators of VS, functioning as a part of the IRC.The proposed technique uses a model representation of VS, which, as a part of the IRC information system, sorts the objects in the work area, as well as measures their linear and angular coordinates. To solve the problem of statement there is a proposal to define the target function of a designed IRC as a dependence of the IRC indicator efficiency on the VS quality indicators. The paper proposes to use, as an indicator of the IRC efficiency, the probability of a lack of fault products when manufacturing. Based on the functions the VS perform as a part of the IRC information system, the accepted indicators of VS quality are as follows: a probability of the proper recognition of objects in the working IRC area, and confidential probabilities of measuring linear and angular orientation coordinates of objects with the specified values of permissible error. Specific values of these errors depend on the orientation errors of working bodies of manipulators that are a part of the IRC. The paper presents mathematical expressions that determine the functional dependence of the probability of a lack of fault products when manufacturing on the VS quality indicators and the probability of failures of IRC technological equipment.The offered technique for substantiating engineering requirements for the VS of IRC has novelty. The results obtained in this work can be useful for professionals involved in IRC VS development, and, in particular, in development of VS algorithms and software.

  9. Lack of Substantial Post-Cessation Weight Increase in Electronic Cigarettes Users

    Directory of Open Access Journals (Sweden)

    Cristina Russo

    2018-03-01

    Full Text Available Minimization of post-cessation weight gain in quitters is important, but existing approaches (e.g., antismoking medications shows only limited success. We investigated changes in body weight in smokers who quit or reduced substantially their cigarette consumption by switching to electronic cigarettes (ECs use. Body weight and smoking/vaping history were extracted from medical records of smokers and ex-smokers to match three study groups: (1 regular EC users on at least two consecutive follow-up visits; (2 regular smokers (and not using ECs; (3 subjects who reported sustained smoking abstinence after completing a cessation program. Review of their medical records was conducted at two follow-up visits at 6- (F/U 6m and 12-months (F/U 12m. A total of 86 EC users, 93 regular smokers, and 44 quitters were studied. In the EC users study group, cigarettes/day use decreased from 21.1 at baseline to 1.8 at F/U 12m (p < 0.0001. Dual usage was reported by approximately 50% of EC users. Both within factor (time, p < 0.0001 and between factor (study groups, p < 0.0001 produced significant effect on weight (% change from baseline, with a significant 4.8% weight gain from baseline in the quitters study group at F/U 12m. For the EC users, weight gain at F/U 12m was only 1.5% of baseline. There was no evidence of post-cessation weight increase in those who reduced substantially cigarette consumption by switching to ECs (i.e., dual users and only modest post-cessation weight increase was reported in exclusive EC users at F/U 12m. By reducing weight gain and tobacco consumption, EC-based interventions may promote an overall improvement in quality of life.

  10. Substantial Differences between Organ and Muscle Specific Tracer Incorporation Rates in a Lactating Dairy Cow.

    Directory of Open Access Journals (Sweden)

    Nicholas A Burd

    Full Text Available We aimed to produce intrinsically L-[1-(13C]phenylalanine labeled milk and beef for subsequent use in human nutrition research. The collection of the various organ tissues after slaughter allowed for us to gain insight into the dynamics of tissue protein turnover in vivo in a lactating dairy cow. One lactating dairy cow received a constant infusion of L-[1-(13C]phenylalanine (450 µmol/min for 96 h. Plasma and milk were collected prior to, during, and after the stable isotope infusion. Twenty-four hours after cessation of the infusion the cow was slaughtered. The meat and samples of the various organ tissues (liver, heart, lung, udder, kidney, rumen, small intestine, and colon were collected and stored. Approximately 210 kg of intrinsically labeled beef (bone and fat free with an average L-[1-(13C]phenylalanine enrichment of 1.8±0.1 mole percent excess (MPE was obtained. The various organ tissues differed substantially in L-[1-(13C]phenylalanine enrichments in the tissue protein bound pool, the highest enrichment levels were achieved in the kidney (11.7 MPE and the lowest enrichment levels in the skeletal muscle tissue protein of the cow (between 1.5-2.4 MPE. The estimated protein synthesis rates of the various organ tissues should be regarded as underestimates, particularly for the organs with the higher turnover rates and high secretory activity, due to the lengthened (96 h measurement period necessary for the production of the intrinsically labeled beef. Our data demonstrates that there are relatively small differences in L-[1-(13C]phenylalanine enrichments between the various meat cuts, but substantial higher enrichment values are observed in the various organ tissues. We conclude that protein turnover rates of various organs are much higher when compared to skeletal muscle protein turnover rates in large lactating ruminants.

  11. Assessing the impact of a future volcanic eruption on decadal predictions

    Science.gov (United States)

    Illing, Sebastian; Kadow, Christopher; Pohlmann, Holger; Timmreck, Claudia

    2018-06-01

    The likelihood of a large volcanic eruption in the future provides the largest uncertainty concerning the evolution of the climate system on the timescale of a few years, but also an excellent opportunity to learn about the behavior of the climate system, and our models thereof. So the following question emerges: how predictable is the response of the climate system to future eruptions? By this we mean to what extent will the volcanic perturbation affect decadal climate predictions and how does the pre-eruption climate state influence the impact of the volcanic signal on the predictions? To address these questions, we performed decadal forecasts with the MiKlip prediction system, which is based on the MPI-ESM, in the low-resolution configuration for the initialization years 2012 and 2014, which differ in the Pacific Decadal Oscillation (PDO) and North Atlantic Oscillation (NAO) phase. Each forecast contains an artificial Pinatubo-like eruption starting in June of the first prediction year and consists of 10 ensemble members. For the construction of the aerosol radiative forcing, we used the global aerosol model ECHAM5-HAM in a version adapted for volcanic eruptions. We investigate the response of different climate variables, including near-surface air temperature, precipitation, frost days, and sea ice area fraction. Our results show that the average global cooling response over 4 years of about 0.2 K and the precipitation decrease of about 0.025 mm day-1 is relatively robust throughout the different experiments and seemingly independent of the initialization state. However, on a regional scale, we find substantial differences between the initializations. The cooling effect in the North Atlantic and Europe lasts longer and the Arctic sea ice increase is stronger in the simulations initialized in 2014. In contrast, the forecast initialized in 2012 with a negative PDO shows a prolonged cooling in the North Pacific basin.

  12. On the mechanisms behind decadal heat content changes in the eastern subpolar gyre

    Science.gov (United States)

    Desbruyères, Damien; Mercier, Herlé; Thierry, Virginie

    2015-03-01

    Historical and modern hydrographic data show substantial decadal variability in the heat content (HC) of the eastern subpolar North Atlantic. Those changes are here investigated in an eddy-permitting simulation (ORCA025-G70) forced by reanalysis products for the period 1965-2004. The observed and simulated decadal signal is characterized by a strong cooling in the 1960s and 1970s, a period of minor changes in the 1980s, and a strong warming in the 1990s and 2000s. A heat budget calculation is performed within a box bounded by the Greenland-Scotland sills and the Cape Farewell (Greenland)-Portugal A25-Ovide section. The decadal variability of HC is mainly governed by the integrated effect of anomalous oceanic heat transport across A25-Ovide (HTA25), with local air-sea heat fluxes playing a damping role. The impact of temperature changes acting upon the mean oceanic circulation is shown to dominate the long-term behavior of HTA25 . Through Lagrangian experiments, we show that temperature anomalies advected by the mean circulation across A25-Ovide are mostly created by the gyre circulation anomalies upstream of A25-Ovide and the associated changes in the relative proportion of cold subpolar and warm subtropical waters feeding the northern and southern branches of the North Atlantic Current. These temperature anomalies induce large-scale changes in the pycnocline slope east of Reykjanes Ridge along A25-Ovide: when the NAC is relatively cold (warm), the main pycnocline moves upward (downward) in the Iceland Basin and on top of Reykjanes Ridge, thereby increasing (decreasing) the pycnocline slope. The resulting velocity anomalies lead to heat transport changes that strongly oppose the thermally-driven heat transport anomalies.

  13. Tourette Syndrome and Tic Disorders: A Decade of Progress

    Science.gov (United States)

    Swain, James E.; Scahill, Lawrence; Lombroso, Paul J.; King, Robert A.; Leckman, James F.

    2007-01-01

    Objective: This is a review of progress made in the understanding of Tourette syndrome (TS) during the past decade including models of pathogenesis, state-of-the-art assessment techniques, and treatment. Method: Computerized literature searches were conducted under the key words "Tourette syndrome," "Tourette disorder," and "tics." Only references…

  14. Ignoring the Evidence: Another Decade of Decline for School Libraries

    Science.gov (United States)

    Oberg, Dianne

    2012-01-01

    Four decades of research indicates that well-staffed, well-stocked, and well-used school libraries are correlated with increases in student achievement. Well-staffed school libraries have qualified teacher-librarians with qualifications in librarianship, digital technologies, and inquiry-based pedagogies. Well-stocked school libraries include…

  15. Media Coverage of International Women's Decade: Feminism and Conflict.

    Science.gov (United States)

    Cooper, Anne; Davenport, Lucinda

    A study examined changes in the treatment of women's issues and feminism from 1975 to 1985--the United Nations (UN) designated "Women's Decade"--by two nationally circulated newspapers. The purpose was to find out how much and what kind of news was reported during the three UN World conferences for women held in 1975, 1980, and 1985;…

  16. Adolescent Contraceptive Use and Communication: Changes over a Decade.

    Science.gov (United States)

    Poppen, Paul J.

    1994-01-01

    Compared sexual experiences of 186 college students in 1979 to those of 215 college students in 1989. Found that self-reported condom use increased over decade. Percentage of respondents using any method of contraception and percentage who discussed contraception with partner increased from first to current partner but did not increase between…

  17. Apparel shopping orientation: Two decades of research | Visser ...

    African Journals Online (AJOL)

    Apparel shopping orientation: Two decades of research. EM Visser, R du Preez. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's ...

  18. A Decade of Change in Australia's DBA Landscape

    Science.gov (United States)

    Wallace, Michelle; Byrne, Cathy; Vocino, Andrea; Sloan, Terry; Pervan, Simon J.; Blackman, Deborah

    2015-01-01

    Purpose: The purpose of this paper is to examine the dynamics of the Doctorate of Business Administration (DBA) in Australia through the lens of a changing higher education landscape. The paper reflects on issues raised in a previous analysis of DBA programmes undertaken a decade ago, and highlights persistent challenges and emerging opportunities…

  19. Breastfeeding Duration Predicts Greater Maternal Sensitivity over the Next Decade

    Science.gov (United States)

    Weaver, Jennifer M.; Schofield, Thomas J.; Papp, Lauren M.

    2018-01-01

    The current study represents the first longitudinal investigation of the potential effects of breastfeeding duration on maternal sensitivity over the following decade. This study also examined whether infant attachment security at 24 months would mediate longitudinal relations between breastfeeding duration and changes in maternal sensitivity over…

  20. Ventilation coefficient trends in the recent decades over four major ...

    Indian Academy of Sciences (India)

    viz., Mumbai, Delhi, Kolkata and Chennai is analysed to study the trends and long term ... terized by their economic development and large ... in ventilation coefficient over different regions in. India as ... VC trends in recent decades over major Indian Metropolitan cities ..... M 2009 A case study of atmospheric boundary layer.

  1. Puberty and Its Measurement: A Decade in Review

    Science.gov (United States)

    Dorn, Lorah D.; Biro, Frank M.

    2011-01-01

    Since the early 1980s, the focus on the importance of puberty to adolescent development has continued with variability in the methodology selected to measure puberty. To capture the relevant and important issues regarding the measurement of puberty in the last decade, this paper will address (1) the neuroendocrine aspects of puberty and its…

  2. African Women Commuter Traders in Nairobi in the First Decade ...

    African Journals Online (AJOL)

    This article investigates African women commuter trading activities in Nairobi in the first decade after World War One. Its findings derive mainly from a research project carried out in 1989-1996. The major source of data for the study was oral interviews with the women who traded in Nairobi during the years under study, ...

  3. Marriage and Family Therapy: A Decade in Review.

    Science.gov (United States)

    Piercy, Fred P.; Sprenkle, Douglas H.

    1990-01-01

    Summarizes trends in theory and research on marriage and family therapy over the past decade. Finds particularly noteworthy the debates over the "new epistemology" and the feminist critique of family therapy. On basis of identified trends, makes recommendations for research in the 1990s. (Author/NB)

  4. Poverty and the American Family: A Decade in Review

    Science.gov (United States)

    Edin, Kathryn; Kissane, Rebecca Joyce

    2010-01-01

    Because of dramatic levels of economic volatility and massive changes in welfare policies, scholars in this decade worried anew about whether our official poverty measure, adopted in the 1960s, is adequate. Poverty's causes continued to be debated, with demographic factors often pitted against policy and maternal employment changes. Some scholars…

  5. Landmark survey tracks decade of changes in India's rural schools ...

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

    These parents were from the close to 1,600 households surveyed in 2006 to assess changes in primary education in villages of north Indian states, a decade after a first survey. The resulting Public Report on Basic Education (PROBE) made a significant contribution to primary education policy in India. IDRC supported both ...

  6. Gender and leadership styles : A review of the past decade

    NARCIS (Netherlands)

    van Engen, M.L.; Willemsen, T.M.

    2000-01-01

    Research on sex differences in leadership styles over the past decade (1987-1999) is reviewed and compared with the results of a meta-analysis of studies of the previous period by Eagly and Johnson (1990). Research on transformational or charismatic leadership is included in this review. As was the

  7. A decade of experience with the European Company

    NARCIS (Netherlands)

    Cremers, J.; Stollt, M.; Vitols, S.

    2013-01-01

    A little more than a decade ago one of the most significant developments in European company law and worker participation occurred: the European Union passed a Regulation and Directive on the European Company (or Societas Europaea, hereafter SE). This legislation is a major innovation in that it

  8. Four Decades of Change in Geographical Education in Finland

    Science.gov (United States)

    Kaivola, Taina; Rikkinen, Hannele

    2007-01-01

    Geography teaching has been under constant change over the last decades. Innovations from research in geography and higher education have diffused in school practices in various ways. International trends have been applied to national contexts in co-operation among academics, administrators and school teachers depending on policies and educational…

  9. Contribution of Dynamic Vegetation Phenology to Decadal Climate Predictability

    NARCIS (Netherlands)

    Weiss, M.; Miller, P.A.; Hurk, van den B.J.J.M.; Noije, van T.; Stefanescu, S.; Haarsma, R.; Ulft, van L.H.; Hazeleger, W.; Sager, Le P.; Smith, B.; Schurgers, G.

    2014-01-01

    In this study, the impact of coupling and initializing the leaf area index from the dynamic vegetation model Lund-Potsdam-Jena General Ecosystem Simulator (LPJ-GUESS) is analyzed on skill of decadal predictions in the fully coupled atmosphere-land-ocean-sea ice model, the European Consortium Earth

  10. Decadal variation of ocean heat content and tropical cyclone activity ...

    Indian Academy of Sciences (India)

    The upper ocean heat content up to 700 m depth (OHC700) is an important ... made to examine the inter-decadal variations of tropical cyclone (TC) activity and OHC700 over the ..... In: Climate change 2007: The physical science basis (eds).

  11. Meridional Modes and Increasing Pacific Decadal Variability Under Anthropogenic Forcing

    Science.gov (United States)

    Liguori, Giovanni; Di Lorenzo, Emanuele

    2018-01-01

    Pacific decadal variability has strong impacts on the statistics of weather, atmosphere extremes, droughts, hurricanes, marine heatwaves, and marine ecosystems. Sea surface temperature (SST) observations show that the variance of the El Niño-like decadal variability has increased by 30% (1920-2015) with a stronger coupling between the major Pacific climate modes. Although we cannot attribute these trends to global climate change, the examination of 30 members of the Community Earth System Model Large Ensemble (LENS) forced with the RCP8.5 radiative forcing scenario (1920-2100) suggests that significant anthropogenic trends in Pacific decadal variance will emerge by 2020 in response to a more energetic North Pacific Meridional Mode (PMM)—a well-known El Niño precursor. The PMM is a key mechanism for energizing and coupling tropical and extratropical decadal variability. In the LENS, the increase in PMM variance is consistent with an intensification of the winds-evaporation-SST thermodynamic feedback that results from a warmer mean climate.

  12. Investigating MBA Degrees Earned by Women: A Decade of Change

    Science.gov (United States)

    McConnell, Cheryl; Rush, Douglas; Gartland, Myles

    2016-01-01

    The authors examined master of business administration (MBA) degrees earned by women at U.S. higher education institutions at three specific years spanning a decade: 2003, 2008, and 2013 to determine whether there was a significant difference in the percentage of MBA degrees earned by women based on the independent variables of institutional type,…

  13. Decadal climate predictions improved by ocean ensemble dispersion filtering

    Science.gov (United States)

    Kadow, C.; Illing, S.; Kröner, I.; Ulbrich, U.; Cubasch, U.

    2017-06-01

    Decadal predictions by Earth system models aim to capture the state and phase of the climate several years in advance. Atmosphere-ocean interaction plays an important role for such climate forecasts. While short-term weather forecasts represent an initial value problem and long-term climate projections represent a boundary condition problem, the decadal climate prediction falls in-between these two time scales. In recent years, more precise initialization techniques of coupled Earth system models and increased ensemble sizes have improved decadal predictions. However, climate models in general start losing the initialized signal and its predictive skill from one forecast year to the next. Here we show that the climate prediction skill of an Earth system model can be improved by a shift of the ocean state toward the ensemble mean of its individual members at seasonal intervals. We found that this procedure, called ensemble dispersion filter, results in more accurate results than the standard decadal prediction. Global mean and regional temperature, precipitation, and winter cyclone predictions show an increased skill up to 5 years ahead. Furthermore, the novel technique outperforms predictions with larger ensembles and higher resolution. Our results demonstrate how decadal climate predictions benefit from ocean ensemble dispersion filtering toward the ensemble mean.Plain Language SummaryDecadal predictions aim to predict the climate several years in advance. Atmosphere-ocean interaction plays an important role for such climate forecasts. The ocean memory due to its heat capacity holds big potential skill. In recent years, more precise initialization techniques of coupled Earth system models (incl. atmosphere and ocean) have improved decadal predictions. Ensembles are another important aspect. Applying slightly perturbed predictions to trigger the famous butterfly effect results in an ensemble. Instead of evaluating one prediction, but the whole ensemble with its

  14. Identifying and Analyzing Preferences for the Next Decade of Astrophysics

    Science.gov (United States)

    Mesmer, Bryan; Weger, Kristin

    2018-06-01

    The Decadal Survey is conducted by the United States National Academies and is a summary of opinions from individuals in the Astronomy community, used to recommend the next decade of prioritized astrophysics missions and activities. From a systems engineering and psychology perspective, the Decadal Survey process is interesting due to the: large and diverse community being sampled, the diverse preferences, and the group interactions that result in a common voice. When preparing input to be reviewed in such a process, it is important to recognize and understand both individual factors, as well as group factors. By understanding these dynamics it is possible to better predict the likely outcome.This research looks to better understand the preferences of the Astronomy community as they relate to the coming decade. Preferences are the desires held by an individual. Along with beliefs and alternatives, preferences are one of three necessary elements to make a decision, according to normative decision analysis. Hence, by understanding preferences, and making assumptions on beliefs and available alternatives, one can determine what decision an individual ought to make through normative decision analysis. Due to the community focus of the Decadal Study, it is important to understand the interactions of individuals that results in a group outcome. This is where game theory is an effective tool, enabling the mathematical analysis of interacting individuals.Before any analysis is performed preferences must be captured and mathematically represented through value models, which is precisely what this research examines. This Iposter is associated with a questionnaire to better understand the preferences of individuals. The questionnaire will be promoted through the Iposter as well as by the authors at the conference. The questionnaire will attempt to gather data to enable the formation of value functions resulting in a better understanding of the community likings. The research

  15. Infective Endocarditis Epidemiology Over Five Decades: A Systematic Review

    Science.gov (United States)

    Slipczuk, Leandro; Codolosa, J. Nicolas; Davila, Carlos D.; Romero-Corral, Abel; Yun, Jeong; Pressman, Gregg S.; Figueredo, Vincent M.

    2013-01-01

    Aims To Assess changes in infective endocarditis (IE) epidemiology over the last 5 decades. Methods and Results We searched the published literature using PubMed, MEDLINE, and EMBASE from inception until December 2011. Data From Einstein Medical Center, Philadelphia, PA were also included. Criteria for inclusion in this systematic review included studies with reported IE microbiology, IE definition, description of population studied, and time frame. Two authors independently extracted data and assessed manuscript quality. One hundred sixty studies (27,083 patients) met inclusion criteria. Among hospital-based studies (n=142; 23,606 patients) staphylococcal IE percentage increased over time, with coagulase-negative staphylococcus (CNS) increasing over each of the last 5 decades (p<0.001) and Staphylococcus aureus (SA) in the last decade (21% to 30%; p<0.05). Streptococcus viridans (SV) and culture negative (CN) IE frequency decreased over time (p<0.001), while enterococcal IE increased in the last decade (p<0.01). Patient age and male predominance increased over time as well. In subgroup analysis, SA frequency increased in North America, but not the rest of the world. This was due, in part, to an increase in intravenous drug abuse IE in North America (p<0.001). Among population-based studies (n=18; 3,477 patients) no significant changes were found. Conclusion Important changes occurred in IE epidemiology over the last half-century, especially in the last decade. Staphylococcal and enterococcal IE percentage increased while SV and CN IE decreased. Moreover, mean age at diagnosis increased together with male:female ratio. These changes should be considered at the time of decision-making in treatment of and prophylaxis for IE. PMID:24349331

  16. Infective endocarditis epidemiology over five decades: a systematic review.

    Directory of Open Access Journals (Sweden)

    Leandro Slipczuk

    Full Text Available AIMS: To Assess changes in infective endocarditis (IE epidemiology over the last 5 decades. METHODS AND RESULTS: We searched the published literature using PubMed, MEDLINE, and EMBASE from inception until December 2011. DATA FROM: Einstein Medical Center, Philadelphia, PA were also included. Criteria for inclusion in this systematic review included studies with reported IE microbiology, IE definition, description of population studied, and time frame. Two authors independently extracted data and assessed manuscript quality. One hundred sixty studies (27,083 patients met inclusion criteria. Among hospital-based studies (n=142; 23,606 patients staphylococcal IE percentage increased over time, with coagulase-negative staphylococcus (CNS increasing over each of the last 5 decades (p<0.001 and Staphylococcus aureus (SA in the last decade (21% to 30%; p<0.05. Streptococcus viridans (SV and culture negative (CN IE frequency decreased over time (p<0.001, while enterococcal IE increased in the last decade (p<0.01. Patient age and male predominance increased over time as well. In subgroup analysis, SA frequency increased in North America, but not the rest of the world. This was due, in part, to an increase in intravenous drug abuse IE in North America (p<0.001. Among population-based studies (n=18; 3,477 patients no significant changes were found. CONCLUSION: Important changes occurred in IE epidemiology over the last half-century, especially in the last decade. Staphylococcal and enterococcal IE percentage increased while SV and CN IE decreased. Moreover, mean age at diagnosis increased together with male:female ratio. These changes should be considered at the time of decision-making in treatment of and prophylaxis for IE.

  17. Pediatric testicular cancer: Two decades of Saudi national data

    Directory of Open Access Journals (Sweden)

    Mohammed Abomelha

    2017-01-01

    Full Text Available Pediatric testicular cancer is exceedingly rare. There are no data available touching Saudi children. The aim of the study is to determine the trends and patterns of testicular cancer among Saudi children over a period of 20 years. The national database of the Saudi Cancer Registry (SCR on pediatric testicular cancer over the last two decades was examined including epidemiological and histological patterns. From 1994 to 2013, 82 cases of testicular cancer among Saudi children aged 1–14 years were accumulated at the SCR. The annual percentage change rate was 3.3%. Of all cases, 62% appeared within the first 2 years of life. Seminomas were seen in 39%, nonseminomas in 40.3%, and paratesticular tumors in 20.7%. No gonadal stromal tumors observed. About 91% of the seminomas accrued in the first decade (1994–2003, while all nonseminomas fell in the last decade (2004–2013. The most common subtypes of the nonseminomas were yolk sac tumors and mixed tumors. More than 80% of the paratesticular tumors were rhabdomyosarcomas and lymphomas. The SEER summary stage of seminomas was localized in 56%, regional in 22%, and distant in 16%, while of nonseminomas was 56%, 16%, and 28%, respectively, and no stage improvement over the studied period was noted. No temporal trend in incidence rate was observed. The most affected age group was the first 2 years of life. Noteworthy was the high incidence of seminoma and the low rate of teratomas and stromal tumors, when compared to Western data. Notable was the dominance of the seminomas in the first decade and of the nonseminomas in the second decade. At the time of diagnosis, nonseminomas were more advanced than seminomas. No stage improvement noted over the studied period.

  18. Decadal Prediction Skill in the GEOS-5 Forecast System

    Science.gov (United States)

    Ham, Yoo-Geun; Rienecker, Michele M.; Suarez, Max J.; Vikhliaev, Yury; Zhao, Bin; Marshak, Jelena; Vernieres, Guillaume; Schubert, Siegfried D.

    2013-01-01

    A suite of decadal predictions has been conducted with the NASA Global Modeling and Assimilation Office's (GMAO's) GEOS-5 Atmosphere-Ocean general circulation model. The hind casts are initialized every December 1st from 1959 to 2010, following the CMIP5 experimental protocol for decadal predictions. The initial conditions are from a multivariate ensemble optimal interpolation ocean and sea-ice reanalysis, and from GMAO's atmospheric reanalysis, the modern-era retrospective analysis for research and applications. The mean forecast skill of a three-member-ensemble is compared to that of an experiment without initialization but also forced with observed greenhouse gases. The results show that initialization increases the forecast skill of North Atlantic sea surface temperature compared to the uninitialized runs, with the increase in skill maintained for almost a decade over the subtropical and mid-latitude Atlantic. On the other hand, the initialization reduces the skill in predicting the warming trend over some regions outside the Atlantic. The annual-mean Atlantic meridional overturning circulation index, which is defined here as the maximum of the zonally-integrated overturning stream function at mid-latitude, is predictable up to a 4-year lead time, consistent with the predictable signal in upper ocean heat content over the North Atlantic. While the 6- to 9-year forecast skill measured by mean squared skill score shows 50 percent improvement in the upper ocean heat content over the subtropical and mid-latitude Atlantic, prediction skill is relatively low in the sub-polar gyre. This low skill is due in part to features in the spatial pattern of the dominant simulated decadal mode in upper ocean heat content over this region that differ from observations. An analysis of the large-scale temperature budget shows that this is the result of a model bias, implying that realistic simulation of the climatological fields is crucial for skillful decadal forecasts.

  19. A decade of sustainability reporting: developments and significance

    NARCIS (Netherlands)

    Kolk, A.

    2004-01-01

    Since the publication of the first separate environmental reports in 1989, the number of companies that has started to publish information on its environmental, social or sustainability policies and/or impacts has increased substantially. This article gives an overview of worldwide trends in the

  20. Comparison of strategies for substantiating freedom from scrapie in a sheep flock.

    Science.gov (United States)

    Durand, Benoit; Martinez, Marie-José; Calavas, Didier; Ducrot, Christian

    2009-04-30

    The public health threat represented by a potential circulation of bovine spongiform encephalopathy agent in sheep population has led European animal health authorities to launch large screening and genetic selection programmes. If demonstrated, such a circulation would have dramatic economic consequences for sheep breeding sector. In this context, it is important to evaluate the feasibility of qualification procedures that would allow sheep breeders demonstrating their flock is free from scrapie. Classical approaches, based on surveys designed to detect disease presence, do not account for scrapie specificities: the genetic variations of susceptibility and the absence of live diagnostic test routinely available. Adapting these approaches leads to a paradoxical situation in which a greater amount of testing is needed to substantiate disease freedom in genetically resistant flocks than in susceptible flocks, whereas probability of disease freedom is a priori higher in the former than in the latter. The goal of this study was to propose, evaluate and compare several qualification strategies for demonstrating a flock is free from scrapie. A probabilistic framework was defined that accounts for scrapie specificities and allows solving the preceding paradox. Six qualification strategies were defined that combine genotyping data, diagnostic tests results and flock pedigree. These were compared in two types of simulated flocks: resistant and susceptible flocks. Two strategies allowed demonstrating disease freedom in several years, for the majority of simulated flocks: a strategy in which all the flock animals are genotyped, and a strategy in which only founders animals are genotyped, the flock pedigree being known. In both cases, diagnostic tests are performed on culled animals. The less costly strategy varied according to the genetic context (resistant or susceptible) and to the relative costs of a genotyping exam and of a diagnostic test. This work demonstrates that

  1. Substantial variation in the interpretation of financial disclosure policies for orthopaedic society meetings.

    Science.gov (United States)

    Jegede, Kolawole; Whang, Peter; Grauer, Jonathan N

    2011-07-06

    Physician disclosure of potential conflicts of interest is currently controversial. To address this issue, orthopaedic societies have implemented a variety of guidelines related to potential conflict-of-interest disclosure. Transparency is crucial to address the concerns about potential conflict-of-interest disclosure. Nonetheless, prior studies have noted substantial discrepancies in disclosures to societies for individual authors who present their research work at multiple conferences. Our goal was to evaluate the ability of orthopaedic surgeons to interpret disclosure policy statements regarding project-specific or global disclosure instructions. The disclosure policy statements of the ten conferences most frequently attended by this group were collected, and selected statements were compiled into a questionnaire survey that was administered to orthopaedic faculty and trainees at our institution. Subjects were asked to read each statement and identify whether they interpreted the policy to be requesting project-specific disclosures (potential conflict of interest related to the research work in the abstract being submitted) or global disclosure (inclusive of all potential conflicts of interest, including those not associated with the abstract being submitted). The correct responses were identified by communicating with the individual societies and determining the responses desired by the society. The study had a 100% return rate from seventeen orthopaedic faculty, twenty-five orthopaedic residents and fellows, and twenty-five medical students. The average number of incorrect responses to the ten questions was 2.8. Forty-six percent of respondents had three or more incorrect responses, 24% had two incorrect responses, 19% had one incorrect response, and 10% had no incorrect responses. There was no significant difference in responses between those of different training levels. Subjects were no more likely to answer a project-specific question incorrectly than they

  2. Methodological substantiation of the professional functions of Responsible persons of pharmaceutical and hospital institutions

    Directory of Open Access Journals (Sweden)

    N. O. Vetiutneva

    2018-03-01

    Full Text Available The aim of the work is the content analysis and methodological justification of the professional functions of the Responsible persons for quality assurance of medicines in pharmaceutical and hospital institutions. Materials and methods. The following research methods were used: system and comparative analysis, generalization, systematization, graphic modeling, observation. Research materials: normative legal acts, normative documents, recommendations of international organizations, information of wholesale and retail pharmaceutical companies, pharmaceutical and hospital institutions, professional non-governmental organizations, placed on official web-sites and collected in the process of direct observation. Results. The personnel and qualification aspects of professional activity of Responsible persons of pharmaceutical and hospital institutions were discussed. On the basis of analysis of the modern legal and regulatory framework, a general list of professional functions of the Responsible persons of health care institutions had been formed. The content analysis and comparison of the number of the functions of Responsible persons performed in health care institutions of different types is carried out. The new functions of the Responsible persons of health care institutions are considered. The managerial nature of the professional functions of the Responsible persons and the expediency of their complementing with the leadership functions are substantiated. On the basis of international management standards, requirements of GPP and GPEP, systematization of the functions of the Responsible persons of health care institutions in the groups and subgroups was performed. Conclusions. The generalization and systematization of the professional functions of the Responsible persons of health care institutions had been carried out for five classification groups of functions, namely: leadership, planning, organizational, control and information, of which the

  3. The association between substantiated childhood maltreatment, asthma and lung function: A prospective investigation.

    Science.gov (United States)

    Abajobir, Amanuel Alemu; Kisely, Steve; Williams, Gail; Strathearn, Lane; Suresh, Sadasivam; Najman, Jake Moses

    2017-10-01

    Asthma reflects multiple and likely complex causal pathways. We investigate the possibility that childhood maltreatment is one such causal pathway. Childhood maltreatment can be interpreted as a form of early life adversity and like other life adversities may predict a range of negative health outcomes, including asthma. A total of 3762 young adults (52.63% female) from the Mater Hospital-University of Queensland Study of Pregnancy (MUSP) participated in this study. MUSP is a prospective Australian birth cohort study of mothers consecutively recruited during their first antenatal clinic visit at Brisbane's Mater Hospital from 1981 to 1983. The study followed both mother-child dyads to the age of 21years after birth. Participants reported whether they had been diagnosed by a physician with asthma by the 21-year follow-up. Trained research assistants also performed gender- and height-standardized lung function tests using a Spirobank G spirometer system attached to a laptop computer. We linked this dataset with data obtained from the child protection services and which comprised all substantiated cases of childhood maltreatment in the MUSP cohort. Substantiations of childhood maltreatment included children in an age range of 0-14years. The experience of any childhood maltreatment, particularly emotional abuse, was independently associated with self-reported physician-diagnosed asthma by the 21-year follow-up. The association was no longer significant after adjustment for a range of confounders and covariates in neglected children. Childhood maltreatment, including multiple events, was not associated with lung function in adjusted models. Childhood maltreatment, including emotional abuse, was associated with lifetime ever asthma. This was in contrast to the absence of an association with objective measures of lung function. More research is indicated on the effect of childhood maltreatment on lung function using objective measures. In the meantime, there should be a

  4. Simulated carbon emissions from land-use change are substantially enhanced by accounting for agricultural management

    International Nuclear Information System (INIS)

    Pugh, T A M; Arneth, A; Bayer, A D; Olin, S; Lindeskog, M; Schurgers, G; Ahlström, A; Klein Goldewijk, K

    2015-01-01

    It is over three decades since a large terrestrial carbon sink (S T ) was first reported. The magnitude of the net sink is now relatively well known, and its importance for dampening atmospheric CO 2 accumulation, and hence climate change, widely recognised. But the contributions of underlying processes are not well defined, particularly the role of emissions from land-use change (E LUC ) versus the biospheric carbon uptake (S L ; S T  = S L  − E LUC ). One key aspect of the interplay of E LUC and S L is the role of agricultural processes in land-use change emissions, which has not yet been clearly quantified at the global scale. Here we assess the effect of representing agricultural land management in a dynamic global vegetation model. Accounting for harvest, grazing and tillage resulted in cumulative E LUC since 1850 ca. 70% larger than in simulations ignoring these processes, but also changed the timescale over which these emissions occurred and led to underestimations of the carbon sequestered by possible future reforestation actions. The vast majority of Earth system models in the recent IPCC Fifth Assessment Report omit these processes, suggesting either an overestimation in their present-day S T , or an underestimation of S L , of up to 1.0 Pg C a −1 . Management processes influencing crop productivity per se are important for food supply, but were found to have little influence on E LUC . (letter)

  5. Solar Energy Potentials and Benefits in the Gulf Cooperation Council Countries: A Review of Substantial Issues

    Directory of Open Access Journals (Sweden)

    Abdullahi Abubakar Mas’ud

    2018-02-01

    Full Text Available It is a well-known fact that the fossil fuel industry has dominated the economy of the Gulf Cooperation Council (GCC countries during the last few decades. However, recent developments show that most of the GCC countries plan to increase the share of renewable energy (RE in their future electrical power production. To ensure realistic increase in the share of RE in the production of electricity in the future, firm policies must be laid down with the objective to promote and market the benefit of RE to their citizens. Due to the high-solar radiation in the GCC region, the focus is now on solar energy development. This paper presents an up-to-date review of the progress made on solar energy in the GCC together with the challenges and the way forward. Some of the challenges and barriers hindering the development of RE in the GCC are in the area of technological know-how, policy development, and insufficient application of RE technology integrated in the buildings among others. Areas of improvement include promoting research and development, public/private initiatives, legislation and regulatory framework, solutions to technical issues and exchange of knowledge, scientific advice, and last but not the least is the issue of building integration with RE.

  6. A Novel Terpenoid from Elephantopus Scaber – Antibacterial Activity on Staphylococcus Aureus: A Substantiate Computational Approach

    Science.gov (United States)

    Daisy, P.; Mathew, Salu; Suveena, S.; Rayan, Nirmala A.

    2008-01-01

    Staphylococcus aureus has gained much attention in the last decade as it is a major cause of the Urinary Tract Infection in Diabetic patients. The Extended Spectrum β-Lactamases (ESβL) producers are highly resistant to several conventional antibiotics. This limits the therapeutic options.Hence efforts are now taken to screen few medicinal plants, which are both economic and less toxic. Among the several plants screened, we have chosen the acetone extract of Elephantopus scaber from which we purified a new terpenoid for our study. Its structure was generated using CHEMSKETCH software and the activity prediction was done using PASS PREDICTION software. We have confirmed the mechanism of anti-bacterial effect of terpenoid using Computer – Aided Drug Design (CADD) with computational methods to simulate drug – receptor interactions. The Protein-Ligand interaction plays a significant role in the structural based drug designing. In this present study we have taken the Autolysin, the bacteriolytic enzyme, that digest the cell wall peptidoglycon. The autolysin and terpenoid were docked using HEX docking software and the docking score with minimum energy value of -209.54 was calculated. It infers that the terpenoid can inhibit the activity of autolysin by forming a strong atomic interaction with the active site residues. Hence the terpenoid can act as a drug for bacterial infections. Further investigations can be carried out to predict the activity of terpeniod on other targets. PMID:23675090

  7. Holocene Multi-Decadal to Millennial-Scale Hydrologic Variability on the South American Altiplano

    Science.gov (United States)

    Fritz, S. C.; Baker, P. A.; Ekdahl, E.; Burns, S.

    2006-12-01

    On orbital timescales, lacustrine sediment records in the tropical central Andes show massive changes in lake level due to mechanisms related to global-scale drivers, varying at precessional timescales. Here we use stable isotopic and diatom records from two lakes in the Lake Titicaca drainage basin to reconstruct multi- decadal to millennial scale precipitation variability during the last 7000 to 8000 years. The records are tightly coupled at multi-decadal to millennial scales with each other and with lake-level fluctuations in Lake Titicaca, indicating that the lakes are recording a regional climate signal. A quantitative reconstruction of precipitation from stable isotopic data indicates that the central Andes underwent significant wet to dry alternations at multi- centennial frequencies with an amplitude of 30 to 40% of total precipitation. A strong millennial-scale component, similar in duration to periods of increased ice rafted debris flux in the North Atlantic, is observed in both lake records, suggesting that tropical North Atlantic sea-surface temperature (SST) variability may partly control regional precipitation. No clear relationship is evident between these records and the inferred ENSO history from Lago Pallcacocha in the northern tropical Andes. In the instrumental period, regional precipitation variability on inter-annual timescales is clearly influenced by Pacific modes; for example, most El Ninos produce dry and warm conditions in this part of the central Andes. However, on longer timescales, the control of tropical Pacific modes is less clear. Our reconstructions suggest that the cold intervals of the Holocene Bond events are periods of increased precipitation in the central Andes, thus indicating an anti-phasing of precipitation variation in the southern tropics of South America relative to the Northern Hemisphere monsoon region.

  8. DECADES Tools. User's manual for version 1.0

    International Nuclear Information System (INIS)

    2000-01-01

    Comprehensive comparative assessment studies of electricity options and strategies rely upon methodological approaches integrating technical, economic and human health, environmental and social aspects, and on comprehensive, reliable and up-to-date information covering all relevant characteristics of the energy chains for electricity generation. Often, however, the information available for national or regional studies cannot be directly compared or adapted to new conditions because it has been collected in different formats or is based on different assumptions. Some countries, particularly developing countries, lack sufficient resources to explore the benefits of applying new technologies and to carry out comprehensive comparative assessments of different energy sources. The inter-agency joint project on databases and methodologies for comparative assessment of different energy sources for electricity generation, in short DECADES, was established at the beginning of 1993, when nine international organizations (EC, ESCAP, IAEA, IIASA, IBRD, OECD/NEA, OPEC, UNIDO and WMO) agreed to join their efforts towards a common objective of enhancing the capabilities for comparative assessment of different energy sources in the process of planning and decision making for the electricity sector. One of the major achievements of the project is that an integrated software package for use on personal computers (PCs), called DECADES Tools, was developed to provide senior analysts and energy planners with an easy to use tool for carrying out decision support studies for the power sector. These tools consist of: several databases providing a comprehensive, harmonized set of technical, economic and environmental data for energy chains that use fossil fuels, nuclear power and, renewable energy sources for electricity generation; a data management system which provides user friendly access to the DECADES databases; an analytical software designed to access the information stored in the

  9. Large rainfall changes consistently projected over substantial areas of tropical land

    Science.gov (United States)

    Chadwick, Robin; Good, Peter; Martin, Gill; Rowell, David P.

    2016-02-01

    Many tropical countries are exceptionally vulnerable to changes in rainfall patterns, with floods or droughts often severely affecting human life and health, food and water supplies, ecosystems and infrastructure. There is widespread disagreement among climate model projections of how and where rainfall will change over tropical land at the regional scales relevant to impacts, with different models predicting the position of current tropical wet and dry regions to shift in different ways. Here we show that despite uncertainty in the location of future rainfall shifts, climate models consistently project that large rainfall changes will occur for a considerable proportion of tropical land over the twenty-first century. The area of semi-arid land affected by large changes under a higher emissions scenario is likely to be greater than during even the most extreme regional wet or dry periods of the twentieth century, such as the Sahel drought of the late 1960s to 1990s. Substantial changes are projected to occur by mid-century--earlier than previously expected--and to intensify in line with global temperature rise. Therefore, current climate projections contain quantitative, decision-relevant information on future regional rainfall changes, particularly with regard to climate change mitigation policy.

  10. Substantiation of health related power lifting training methodic for univeristies students with muscular skeletal apparatuse affections.

    Directory of Open Access Journals (Sweden)

    San. Zhen Qiang

    2015-11-01

    Full Text Available Purpose: substantiation of health related power lifting training methodic for universities students, who have disorders of muscular skeletal apparatus. Material: in experimental researches 126 students of 18-24 years’ age, having disorders of muscular skeletal apparatus, participated. With the help of testing we registered changes of students’ functional, physical and psycho-physiological fitness indicators. Results: optimal correlation of specific and non specific loads was found: 60% of specific and 40% of non specific. It is recommended to follow certain correlation of exercises in easy and complicated conditions: for first year students - 3:2; for second year students - 3:2; for third year - 2:3; for forth year - 2:3; for fifth year students - 1:3. Specific only for power lifting conditions and temps of students’ (with muscular skeletal apparatus affections functional, physical and psycho-physiological fitness improvement were determined. Conclusions: The requirements of the training methodic envisage correction of loads for bringing every indicator on proper level.

  11. Covering chemical diversity of genetically-modified tomatoes using metabolomics for objective substantial equivalence assessment.

    Directory of Open Access Journals (Sweden)

    Miyako Kusano

    Full Text Available As metabolomics can provide a biochemical snapshot of an organism's phenotype it is a promising approach for charting the unintended effects of genetic modification. A critical obstacle for this application is the inherently limited metabolomic coverage of any single analytical platform. We propose using multiple analytical platforms for the direct acquisition of an interpretable data set of estimable chemical diversity. As an example, we report an application of our multi-platform approach that assesses the substantial equivalence of tomatoes over-expressing the taste-modifying protein miraculin. In combination, the chosen platforms detected compounds that represent 86% of the estimated chemical diversity of the metabolites listed in the LycoCyc database. Following a proof-of-safety approach, we show that % had an acceptable range of variation while simultaneously indicating a reproducible transformation-related metabolic signature. We conclude that multi-platform metabolomics is an approach that is both sensitive and robust and that it constitutes a good starting point for characterizing genetically modified organisms.

  12. Substantial variability in postoperative treatment, and convalescence recommendations following vaginal repair. A nationwide questionnaire study

    DEFF Research Database (Denmark)

    Ottesen, Marianne; Møller, Charlotte; Kehlet, H

    2001-01-01

    BACKGROUND: Postoperative care and convalescence recommendations following vaginal surgery are generally not evidence based. The aim of this study was to describe pre and postoperative treatment, and advice and restrictions for the convalescence period, given by Danish hospital-employed gynecolog......BACKGROUND: Postoperative care and convalescence recommendations following vaginal surgery are generally not evidence based. The aim of this study was to describe pre and postoperative treatment, and advice and restrictions for the convalescence period, given by Danish hospital......-employed gynecologists, and gynecologists in private practice, to patients undergoing vaginal repair. METHOD: In 1999 all Danish gynecologists (n=433) received a tested questionnaire about postoperative treatment and convalescence recommendations following vaginal repair. Non-responders received one reminder. OUTCOME...... anterior repair, and 2 days (range, 1-7) following posterior repair. The recommended sick leave was median 6 weeks (range, 2-12) for patients with work with heavy lifts. There were substantial differences in recommendations. Recommended lifting restrictions were median 3 kg (range, 0-20) for median 4 weeks...

  13. Substantial Physician Turnover And Beneficiary 'Churn' In A Large Medicare Pioneer ACO.

    Science.gov (United States)

    Hsu, John; Vogeli, Christine; Price, Mary; Brand, Richard; Chernew, Michael E; Mohta, Namita; Chaguturu, Sreekanth K; Weil, Eric; Ferris, Timothy G

    2017-04-01

    Alternative payment models, such as accountable care organizations (ACOs), attempt to stimulate improvements in care delivery by better alignment of payer and provider incentives. However, limited attention has been paid to the physicians who actually deliver the care. In a large Medicare Pioneer ACO, we found that the number of beneficiaries per physician was low (median of seventy beneficiaries per physician, or less than 5 percent of a typical panel). We also found substantial physician turnover: More than half of physicians either joined (41 percent) or left (18 percent) the ACO during the 2012-14 contract period studied. When physicians left the ACO, most of their attributed beneficiaries also left the ACO. Conversely, about half of the growth in the beneficiary population was because of new physicians affiliating with the ACO; the remainder joined after switching physicians. These findings may help explain the muted financial impact ACOs have had overall, and they raise the possibility of future gaming on the part of ACOs to artificially control spending. Policy refinements include coordinated and standardized risk-sharing parameters across payers to prevent any dilution of the payment incentives or confusion from a cacophony of incentives across payers. Project HOPE—The People-to-People Health Foundation, Inc.

  14. ECOLOGICAL AND ECONOMIC SUBSTANTIATION OF SELECTION OF THE METHOD FOR PLASTIC WASTE MANAGEMENT

    Directory of Open Access Journals (Sweden)

    T. P. Shanina

    2015-11-01

    Full Text Available Analysis of the classifications of plastic waste from production and consumption is made by various criteria. Distinctive features of the specifi ed waste behavior under various treatment methods (deposition at landfill, incineration and recycling are discussed. Clustering of the polymeric waste by hazard categories of the combustion products is performed. The polyvinyl-chlorides and polycarbonates which generate the most hazardous products under  the combustion are singled out in a particular cluster. The qualitative and quantitative descrip- The qualitative and quantitative description of the plastic waste generated in Ukraine from 2011 to 2013 is provided. Grossemissions of the polyvinylchloride and polystyrene waste incineration products are calculated. Evaluation of the environmental damage resulting from implementation of various methods for plastic waste management is based on an environmental tax rate having a compensatory nature. Potential profit from selling the secondary raw materials, produced from plastic waste, is analysed. Ranking of the potential methods for plastic waste management is presented in the context of ecological and economic substantiation: the most preferable method is production of secondary raw materials (recycled resources; the least preferable one is incineration of the specified wastes.

  15. Safety Design Criteria and Approaches to Safety Substantiation of the BN-1200

    International Nuclear Information System (INIS)

    Ashurko, I.

    2013-01-01

    Russian experience in SFR area: Activities on development of safety design criteria for SFRs of the 4th generation is carried out within the GIF framework. Although this reactor technology is considered as innovative that is relevant to the 4th generation, however, it has already a certain history. In this relation, it seems to be useful to analyze the corresponding experience that is available in various countries. 4 SFRs have been successfully operated in the USSR and in the Russian Federation: • Experimental reactor BR-5/10; • Research reactor BOR-60; • Prototype BN-350 power reactor; • Commercial BN-600 power unit at the Beloyarsk NPP. Thus, Russia gained a considerable experience of design, construction and operation of SFRs. In particular, a certain experience has been acquired on safety substantiation of reactors of this type and their licensing. Now BOR-60 and BN-600 continue their operation, BN-800 power unit is under construction, development of the commercial BN-1200 power unit, that is considered as the 4th generation reactor, has been started. Due to limited number of operating SFRs in the world, successful Russian experience in this area should be taken into account for further development and improvement of SFR SDC developed by the GIF Task Force. In particular, participation of SFR designers in this activities would be fruitful and useful

  16. Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps

    Directory of Open Access Journals (Sweden)

    Alexander N. Ortega

    2016-05-01

    Full Text Available Abstract Background The effectiveness of food retail interventions is largely undetermined, yet substantial investments have been made to improve access to healthy foods in food deserts and swamps via grocery and corner store interventions. This study evaluated the effects of corner store conversions in East Los Angeles and Boyle Heights, California on perceived accessibility of healthy foods, perceptions of corner stores, store patronage, food purchasing, and eating behaviors. Methods Household data (n = 1686 were collected at baseline and 12- to 24-months post-intervention among residents surrounding eight stores, three of which implemented a multi-faceted intervention and five of which were comparisons. Bivariate analyses and logistic and linear regressions were employed to assess differences in time, treatment, and the interaction between time and treatment to determine the effectiveness of this intervention. Results Improvements were found in perceived healthy food accessibility and perceptions of corner stores. No changes were found, however, in store patronage, purchasing, or consumption of fruits and vegetables. Conclusions Results suggest limited effectiveness of food retail interventions on improving health behaviors. Future research should focus on other strategies to reduce community-level obesity.

  17. Substantial secondary organic aerosol formation in a coniferous forest: observations of both day- and nighttime chemistry

    Directory of Open Access Journals (Sweden)

    A. K. Y. Lee

    2016-06-01

    Full Text Available Substantial biogenic secondary organic aerosol (BSOA formation was investigated in a coniferous forest mountain region in Whistler, British Columbia. A largely biogenic aerosol growth episode was observed, providing a unique opportunity to investigate BSOA formation chemistry in a forested environment with limited influence from anthropogenic emissions. Positive matrix factorization of aerosol mass spectrometry (AMS measurement identified two types of BSOA (BSOA-1 and BSOA-2, which were primarily generated by gas-phase oxidation of monoterpenes and perhaps sesquiterpenes. The temporal variations of BSOA-1 and BSOA-2 can be explained by gas–particle partitioning in response to ambient temperature and the relative importance of different oxidation mechanisms between day and night. While BSOA-1 arises from gas-phase ozonolysis and nitrate radical chemistry at night, BSOA-2 is likely less volatile than BSOA-1 and consists of products formed via gas-phase oxidation by OH radical and ozone during the day. Organic nitrates produced through nitrate radical chemistry can account for 22–33 % of BSOA-1 mass at night. The mass spectra of BSOA-1 and BSOA-2 have higher values of the mass fraction of m/z 91 (f91 compared to the background organic aerosol. Using f91 to evaluate BSOA formation pathways in this unpolluted, forested region, heterogeneous oxidation of BSOA-1 is a minor production pathway of BSOA-2.

  18. Technical considerations for evaluating substantially complete containment of high-level waste within the waste package

    International Nuclear Information System (INIS)

    Manaktala, H.K.; Interrante, C.G.

    1990-12-01

    This report deals with technical information that is considered essential for demonstrating the ability of the high-level radioactive waste package to provide ''substantially complete containment'' of its contents (vitrified waste form or spent light-water reactor fuel) for a period of 300 to 1000 years in a geological repository environment. The discussion is centered around technical considerations of the repository environment, materials and fabrication processes for the waste package components, various degradation modes of the materials of construction of the waste packages, and inspection and monitoring of the waste package during the preclosure and retrievability period, which could begin up to 50 years after initiation of waste emplacement. The emphasis in this report is on metallic materials. However, brief references have been made to other materials such as ceramics, graphite, bonded ceramic-metal systems, and other types of composites. The content of this report was presented to an external peer review panel of nine members at a workshop held at the Center for Nuclear Waste Regulatory Analyses (CNWRA), Southwest Research Institute, San Antonio, Texas, April 2--4, 1990. The recommendations of the peer review panel have been incorporated in this report. There are two companion reports; the second report in the series provides state-of-the-art techniques for uncertainty evaluations. 97 refs., 1 fig

  19. Substantiation of the safety in the technical project of Belene NPP

    International Nuclear Information System (INIS)

    Boyadzhiev, A.

    1990-01-01

    The chapter contains an evaluation of the safety of Belene NPP project, based on an experts study of the corresponding volume of the Technical Project documentation of the main contractor and also on other related documents. The authors state that most of the remarks are constitutive, part of them requiring additional information or research. The general explicit conclusion is that the materials on the safety substantiation provided in the project are insufficient for making final statements on the safety of the NPP and there is a need for a detailed analysis and expertise. There are 12 topical conclusion paragraphs and each of them comprises a number of remarks. Among the remarks there are some related to the reactivity coefficient values in certain modes of operation, the problem of the mechanical safety and control system efficiency, the unacceptable operation at nominal power in case of stringent safety rules enforcement, the insufficiency of the PSA, the automatic control systems and the software codes not standing up to the contemporary requirements. (R.Ts.)

  20. Covering Chemical Diversity of Genetically-Modified Tomatoes Using Metabolomics for Objective Substantial Equivalence Assessment

    Science.gov (United States)

    Hirai, Tadayoshi; Oikawa, Akira; Matsuda, Fumio; Fukushima, Atsushi; Arita, Masanori; Watanabe, Shin; Yano, Megumu; Hiwasa-Tanase, Kyoko; Ezura, Hiroshi; Saito, Kazuki

    2011-01-01

    As metabolomics can provide a biochemical snapshot of an organism's phenotype it is a promising approach for charting the unintended effects of genetic modification. A critical obstacle for this application is the inherently limited metabolomic coverage of any single analytical platform. We propose using multiple analytical platforms for the direct acquisition of an interpretable data set of estimable chemical diversity. As an example, we report an application of our multi-platform approach that assesses the substantial equivalence of tomatoes over-expressing the taste-modifying protein miraculin. In combination, the chosen platforms detected compounds that represent 86% of the estimated chemical diversity of the metabolites listed in the LycoCyc database. Following a proof-of-safety approach, we show that % had an acceptable range of variation while simultaneously indicating a reproducible transformation-related metabolic signature. We conclude that multi-platform metabolomics is an approach that is both sensitive and robust and that it constitutes a good starting point for characterizing genetically modified organisms. PMID:21359231

  1. Technical considerations for evaluating substantially complete containment of high-level waste within the waste package

    Energy Technology Data Exchange (ETDEWEB)

    Manaktala, H.K. (Southwest Research Inst., San Antonio, TX (USA). Center for Nuclear Waste Regulatory Analyses); Interrante, C.G. (Nuclear Regulatory Commission, Washington, DC (USA). Div. of High-Level Waste Management)

    1990-12-01

    This report deals with technical information that is considered essential for demonstrating the ability of the high-level radioactive waste package to provide substantially complete containment'' of its contents (vitrified waste form or spent light-water reactor fuel) for a period of 300 to 1000 years in a geological repository environment. The discussion is centered around technical considerations of the repository environment, materials and fabrication processes for the waste package components, various degradation modes of the materials of construction of the waste packages, and inspection and monitoring of the waste package during the preclosure and retrievability period, which could begin up to 50 years after initiation of waste emplacement. The emphasis in this report is on metallic materials. However, brief references have been made to other materials such as ceramics, graphite, bonded ceramic-metal systems, and other types of composites. The content of this report was presented to an external peer review panel of nine members at a workshop held at the Center for Nuclear Waste Regulatory Analyses (CNWRA), Southwest Research Institute, San Antonio, Texas, April 2--4, 1990. The recommendations of the peer review panel have been incorporated in this report. There are two companion reports; the second report in the series provides state-of-the-art techniques for uncertainty evaluations. 97 refs., 1 fig.

  2. SUBSTANTIATION OF THE COST OF HOUSING CONSTRUCTION INCLUDING THE FACTOR OF INVESTMENT ATTRACTIVENESS OF TERRITORIES

    Directory of Open Access Journals (Sweden)

    ZAIATS Yi. I.

    2015-11-01

    Full Text Available Problem statement. For planning and organization of urban construction is necessary to analyze the use of areas. Territorial resources of the city, being used for construction and other urban purposes, consists of plots of land: disposable, reserved and undeveloped in previous years of construction in progress; residential districts and blocks of obsolete housing fund; industrial and municipal and warehouse enterprises being used irrationally or stopped to work; the defence department, where the amortized warehouses and other main funds are that are not used by purpose; agricultural enterprises where the obsolete industrial funds, haying, nurseries, greenhouses. The number of free areas suitable for future urban development is extremely limited. However a considerable part of the territories of almost all functional zones is used inefficiently. Purpose. Formalization of a factor of investment attractiveness of territories for the further identification and research of the connection between it and the cost of housing construction is necessary. Conclusion. The identification of regularities of influence of the factor of investment attractiveness of territories on the cost of construction of high-rise buildings allow to obtain a quantitative estimate of this effect and can be used in the development of the methodology of substantiation of the expediency and effectiveness of the implementation of highrise construction projects, based on organizational and technological aspects.

  3. Substantial Humic Acid Adsorption to Activated Carbon Air Cathodes Produces a Small Reduction in Catalytic Activity.

    Science.gov (United States)

    Yang, Wulin; Watson, Valerie J; Logan, Bruce E

    2016-08-16

    Long-term operation of microbial fuel cells (MFCs) can result in substantial degradation of activated carbon (AC) air-cathode performance. To examine a possible role in fouling from organic matter in water, cathodes were exposed to high concentrations of humic acids (HA). Cathodes treated with 100 mg L(-1) HA exhibited no significant change in performance. Exposure to 1000 mg L(-1) HA decreased the maximum power density by 14% (from 1310 ± 30 mW m(-2) to 1130 ± 30 mW m(-2)). Pore blocking was the main mechanism as the total surface area of the AC decreased by 12%. Minimization of external mass transfer resistances using a rotating disk electrode exhibited only a 5% reduction in current, indicating about half the impact of HA adsorption was associated with external mass transfer resistance and the remainder was due to internal resistances. Rinsing the cathodes with deionized water did not restore cathode performance. These results demonstrated that HA could contribute to cathode fouling, but the extent of power reduction was relatively small in comparison to large mass of humics adsorbed. Other factors, such as biopolymer attachment, or salt precipitation, are therefore likely more important contributors to long-term fouling of MFC cathodes.

  4. A Substantial Plume of Escaping Planetary Ions in the MSE Northern Hemisphere Observed by MAVEN

    Science.gov (United States)

    Dong, Y.; Fang, X.; Brain, D. A.; McFadden, J. P.; Halekas, J. S.; Connerney, J. E. P.; Curry, S.; Harada, Y.; Luhmann, J. G.; Jakosky, B. M.

    2015-12-01

    The Mars-solar wind interaction accelerates and transports planetary ions away from Mars through a number of processes, including pick-up by the electromagnetic fields. The Mars Atmospheric and Volatile EvolutioN (MAVEN) spacecraft has frequently detected strong escaping planetary ion fluxes in both tailward and upstream solar wind motional electric field directions since the beginning of its science phase in November 2014. Our statistical study using three-month MAVEN data from November 2014 through February 2015 illustrates a substantial plume-like escaping planetary ion population organized by the upstream electric field with strong fluxes widely distributed in the northern hemisphere of the Mars-Sun-Electric-field (MSE) coordinate system, which is generally consistent with model predictions. The plume constitutes an important planetary ion escape channel from the Martian atmosphere in addition to the tailward escape. The >25eV O+ escape rate through the plume is estimated to be ~35% of the tailward escape and ~25% of the total escape. We will compare the dynamics of the plume and tailward escaping ions based on their velocity-space distributions with respect to the electromagnetic fields. We will also discuss the variations of the plume characteristics between different ion species (O+, O2+, and CO2+) and from the effect of different solar wind and interplanetary magnetic field (IMF) conditions.

  5. Intraoperative crystalloid overload leads to substantial inflammatory infiltration of intestinal anastomoses-a histomorphological analysis.

    Science.gov (United States)

    Kulemann, Birte; Timme, Sylvia; Seifert, Gabriel; Holzner, Philipp A; Glatz, Torben; Sick, Olivia; Chikhladze, Sophia; Bronsert, Peter; Hoeppner, Jens; Werner, Martin; Hopt, Ulrich T; Marjanovic, Goran

    2013-09-01

    It has been shown that crystalloid fluid-overload promotes anastomotic instability. As physiologic anastomotic healing requires the sequential infiltration of different cells, we hypothesized this to be altered by liberal fluid regimes and performed a histomorphological analysis. 36 Wistar rats were randomized into 4 groups (n=8-10 rats/group) and treated with either liberal (+) or restrictive (-) perioperative crystalline (Jonosteril = Cry) or colloidal fluid (Voluven = Col). Anastomotic samples were obtained on postoperative day 4, routinely stained and histophathologically reviewed. Anastomotic healing was assessed using a semiquantitative score, assessing inflammatory cells, anastomotic repair and collagenase activity. Overall, the crystalloid overload group (Cry (+)) showed the worst healing score (P < 0.01). A substantial increase of lymphocytes and macrophages was found in this group compared to the other three (P < 0.01). Both groups that received colloidal fluid (Col (+) and Col (-)) as well as the group that received restricted crystalloid fluid resuscitation (Cry (-)) had better intestinal healing. Collagenase activity was significantly higher in the Cry (+) group. Intraoperative infusion of high-volume crystalloid fluid leads to a pathological anastomotic inflammatory response with a marked infiltration of leukocytes and macrophages resulting in accelerated collagenolysis. Copyright © 2013 Mosby, Inc. All rights reserved.

  6. Six-Month Market Exclusivity Extensions To Promote Research Offer Substantial Returns For Many Drug Makers.

    Science.gov (United States)

    Kesselheim, Aaron S; Rome, Benjamin N; Sarpatwari, Ameet; Avorn, Jerry

    2017-02-01

    To incentivize pharmaceutical manufacturers to invest in areas of unmet medical need, policy makers frequently propose extending the market exclusivity period of desired drugs. Some such proposals are modeled after the pediatric exclusivity patent extension program, which since 1997 has provided six additional months of market exclusivity for drugs studied in children. The most recent proposal would encourage rare disease research by providing six months of extended exclusivity for any existing drug that is granted subsequent FDA approval for a new rare disease indication. Yet the economic impact of such proposals is rarely addressed. We found that for the thirteen FDA-approved drugs that gained supplemental approval for a rare disease indication from 2005 through 2010, the median projected cost of clinical trials leading to approval was $29.8 million. If the exclusivity extension had been in place, the median discounted financial gain to manufacturers would have been $94.6 million. Median net returns would have been $82.4 million, with higher returns for drugs with higher annual sales. Extending market exclusivity would provide substantial compensation to many manufacturers, particularly for top-selling products, far in excess of the cost of conducting these trials. Alternative strategies to incentivize the study of approved drugs for rare diseases may offer similar benefits at a lower cost. Project HOPE—The People-to-People Health Foundation, Inc.

  7. Monitoring failure rates of commercial implant brands; substantial equivalence in question?

    Science.gov (United States)

    Hujoel, Philippe; Becker, William; Becker, Burton

    2013-07-01

    The aim of this study was to report on the failure rates of two distinct dental implant systems in a clinical practice setting. Date of implant placement and loss were entered prospectively in a data registry system. Failure rates of two commercially pure titanium implants, one with a porous oxydized surface (POS) and the other with a chemically altered surface (CAS), were assessed using a quality control chart and survival analyses. A total of 860 POS and 759 CAS implants were placed. A warning of an increased failure rate of the CAS implant was identified by means of the quality control chart. Survival analyses indicated that the CAS implant failure rate was twice that of the POS implant (Hazard Ratio: 2.08; 95% CI: 1.33-3.28, P-value POS implant was associated with a non-significant 64% drop in the implant failure rate within less than a year (HR: 0.36; 95% CI: 0.12-1.14; P-value POS implant and an 8% failure with the CAS implant appears inconsistent with the assumption of substantial equivalence. © 2012 John Wiley & Sons A/S.

  8. A Paleocene penguin from New Zealand substantiates multiple origins of gigantism in fossil Sphenisciformes.

    Science.gov (United States)

    Mayr, Gerald; Scofield, R Paul; De Pietri, Vanesa L; Tennyson, Alan J D

    2017-12-12

    One of the notable features of penguin evolution is the occurrence of very large species in the early Cenozoic, whose body size greatly exceeded that of the largest extant penguins. Here we describe a new giant species from the late Paleocene of New Zealand that documents the very early evolution of large body size in penguins. Kumimanu biceae, n. gen. et sp. is larger than all other fossil penguins that have substantial skeletal portions preserved. Several plesiomorphic features place the new species outside a clade including all post-Paleocene giant penguins. It is phylogenetically separated from giant Eocene and Oligocene penguin species by various smaller taxa, which indicates multiple origins of giant size in penguin evolution. That a penguin rivaling the largest previously known species existed in the Paleocene suggests that gigantism in penguins arose shortly after these birds became flightless divers. Our study therefore strengthens previous suggestions that the absence of very large penguins today is likely due to the Oligo-Miocene radiation of marine mammals.

  9. Grammar Clinical Marker Yields Substantial Heritability for Language Impairments in 16-Year-Old Twins.

    Science.gov (United States)

    Dale, Philip S; Rice, Mabel L; Rimfeld, Kaili; Hayiou-Thomas, Marianna E

    2018-01-22

    There is a need for well-defined language phenotypes suitable for adolescents in twin studies and other large-scale research projects. Rice, Hoffman, and Wexler (2009) have developed a grammatical judgment measure as a clinical marker of language impairment, which has an extended developmental range to adolescence. We conducted the first twin analysis, along with associated phenotypic analyses of validity, of an abridged, 20-item version of this grammatical judgment measure (GJ-20), based on telephone administration using prerecorded stimuli to 405 pairs of 16-year-olds (148 monozygotic and 257 dizygotic) drawn from the Twins Early Development Study (Haworth, Davis, & Plomin, 2012). The distribution of scores is markedly skewed negatively, as expected for a potential clinical marker. Low performance on GJ-20 is associated with lower maternal education, reported learning disability (age 7 years), and low scores on language tests administered via the Twins Early Development Study (age 16 years) as well as General Certificate of Secondary Education English and Math examination performance (age 16 years). Liability threshold estimates for the genetic influence on low performance on GJ-20 are substantial, ranging from 36% with a lowest 10% criterion to 74% for a lowest 5% criterion. The heritability of GJ-20 scores, especially at more extreme cutoffs, along with the score distribution and association with other indicators of language impairments, provides additional evidence for the potential value of this measure as a clinical marker of specific language impairment.

  10. 21 CFR 101.43 - Substantial compliance of food retailers with the guidelines for the voluntary nutrition labeling...

    Science.gov (United States)

    2010-04-01

    ... FOR HUMAN CONSUMPTION FOOD LABELING Specific Nutrition Labeling Requirements and Guidelines § 101.43 Substantial compliance of food retailers with the guidelines for the voluntary nutrition labeling of raw fruit... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Substantial compliance of food retailers with the...

  11. 75 FR 64683 - Liability for Termination of Single-Employer Plans; Treatment of Substantial Cessation of Operations

    Science.gov (United States)

    2010-10-20

    ... Termination of Single-Employer Plans; Treatment of Substantial Cessation of Operations AGENCY: Pension Benefit... cessations of operations by employers that maintain single-employer plans. DATES: Comments must be submitted... 4062(e), which provides for reporting of and liability for certain substantial cessations of operations...

  12. Suicide in children over two decades: 1993-2008.

    Science.gov (United States)

    Malone, K M; Quinlivani, L; McGuinness, S; McNicholas, F; Kelleher, C

    2012-01-01

    Suicide rates have increased in Ireland's youth over the past two decades. However, no research report has focussed on suicide rates in those aged under 18--the children of Ireland. We retrieved national disaggregated age and sex-specific suicide mortality data from 1993-1998 and compared it with similar suicide mortality data from 2003-2008. Significant age (older vs younger) and sex effects (boys greater risk than girls) are apparent in both decades Suicide rates in both males and females have increased (males: 9.3-13.5/100,000), (females: 2.4-5.1/100,000. Suicide rates in under 15 year olds boys and girls is extremely rare for both time periods studied (1.6/100,000). Results are discussed in light of the rights of children and the obligation of the nation in this regard, as well as more child-specific and transition to adulthood-specific suicide prevention policy implications.

  13. Convectively driven decadal zonal accelerations in Earth's fluid core

    Science.gov (United States)

    More, Colin; Dumberry, Mathieu

    2018-04-01

    Azimuthal accelerations of cylindrical surfaces co-axial with the rotation axis have been inferred to exist in Earth's fluid core on the basis of magnetic field observations and changes in the length-of-day. These accelerations have a typical timescale of decades. However, the physical mechanism causing the accelerations is not well understood. Scaling arguments suggest that the leading order torque averaged over cylindrical surfaces should arise from the Lorentz force. Decadal fluctuations in the magnetic field inside the core, driven by convective flows, could then force decadal changes in the Lorentz torque and generate zonal accelerations. We test this hypothesis by constructing a quasi-geostrophic model of magnetoconvection, with thermally driven flows perturbing a steady, imposed background magnetic field. We show that when the Alfvén number in our model is similar to that in Earth's fluid core, temporal fluctuations in the torque balance are dominated by the Lorentz torque, with the latter generating mean zonal accelerations. Our model reproduces both fast, free Alfvén waves and slow, forced accelerations, with ratios of relative strength and relative timescale similar to those inferred for the Earth's core. The temporal changes in the magnetic field which drive the time-varying Lorentz torque are produced by the underlying convective flows, shearing and advecting the magnetic field on a timescale associated with convective eddies. Our results support the hypothesis that temporal changes in the magnetic field deep inside Earth's fluid core drive the observed decadal zonal accelerations of cylindrical surfaces through the Lorentz torque.

  14. Trade finance and Latin America's lost decade: The forgotten link

    OpenAIRE

    Alvarez, Sebastian; Flores Zendejas, Juan

    2014-01-01

    The Great recession has brought back to foreground the link between trade credit international trade and economic growth. Scholars have recently found that the effects of the fall in trade finance are strong and accurately explain the recent fall in international trade. We argue that the lost decade that followed Latin America's debt crisis is a useful comparative benchmark to recognize the scope of impact on international trade stemming from a sharp decline in trade finance. The years that f...

  15. Two decades of ocean CO2 sink and variability

    International Nuclear Information System (INIS)

    Quere, C. Le; Bopp, L.; Heimann, M.; Prentice, I.C.; Aumont, O.; Bousquet, P.; Ciais, P.; Francey, R.; Rayner, P.J.; Keeling, C.D.; Keeling, R.F.; Piper, S.C.; Kheshgi, H.; Peyliln, P.

    2003-01-01

    Atmospheric CO 2 has increased at a nearly identical average rate of 3.3 and 3.2 Pg C/yr for the decades of the 1980s and the 1990s, in spite of a large increase in fossil fuel emissions from 5.4 to 6.3 Pg C/yr. Thus, the sum of the ocean and land CO 2 sinks was 1 Pg C/yr larger in the 1990s than in to the 1980s. Here we quantify the ocean and land sinks for these two decades using recent atmospheric inversions and ocean models. The ocean and land sinks are estimated to be, respectively, 0.3 (0.1 to 0.6) and 0.7 (0.4 to 0.9) Pg C/yr larger in the 1990s than in the 1980s. When variability less than 5 yr is removed, all estimates show a global oceanic sink more or less steadily increasing with time, and a large anomaly in the land sink during 1990-1994. For year-to-year variability, all estimates show 1/3 to 1/2 less variability in the ocean than on land, but the amplitude and phase of the oceanic variability remain poorly determined. A mean oceanic sink of 1.9 Pg C/yr for the 1990s based on O 2 observations corrected for ocean outgassing is supported by these estimates, but an uncertainty on the mean value of the order of ±0.7 Pg C/yr remains. The difference between the two decades appears to be more robust than the absolute value of either of the two decades

  16. Changes in a box turtle population during three decades

    Science.gov (United States)

    Stickel, L.F.

    1978-01-01

    Studies of a Maryland population of marked box-turtles (Terrapene carolina) in 1945, 1955, 1965 and 1975 showed a pronounced decline in population size during the three decades; the greatest change came between 1965 and 1975, when numbers were reduced by half. Proportions of females and of young also declined. Fifteen % of the males and 11% of the females that were more than 20 years old in 1945 still were present in 1975; some probably were more than 80 years old.

  17. BMC Medicine: a decade of open access medical research.

    Science.gov (United States)

    Alam, Sabina; Patel, Jigisha

    2014-01-09

    On 24 November 2003, BMC Medicine published its first article. Ten years and over 900 articles later we look back at some of the most notable milestones for the journal and discuss advances and innovations in medicine over the last decade. Our editorial board members, Leslie Biesecker, Thomas Powles, Chris Del Mar, Robert Snow and David Moher, also comment on the changes they expect to see in their fields over the coming years.

  18. A Standardized Evaluation System for Decadal Climate Prediction

    Science.gov (United States)

    Kadow, C.; Cubasch, U.

    2012-12-01

    The evaluation of decadal prediction systems is a scientific challenge as well as a technical challenge in the climate research. The major project MiKlip (www.fona-miklip.de) for medium-term climate prediction funded by the Federal Ministry of Education and Research in Germany (BMBF) has the aim to create a model system that can provide reliable decadal forecasts on climate and weather. The model system to be developed will be novel in several aspects, with great challenges for the methodology development. This concerns especially the determination of the initial conditions, the inclusion into the model of processes relevant to decadal predictions, the increase of the spatial resolution through regionalisation, the improvement or adjustment of statistical post-processing, and finally the synthesis and validation of the entire model system. Therefore, a standardized evaluation system will be part of the MiKlip system to validate it - developed by the project 'Integrated data and evaluation system for decadal scale prediction' (INTEGRATION). The presentation gives an overview of the different linkages of such a project, shows the different development stages and gives an outlook for users and possible end users in climate service. The technical interface combines all projects inside of MiKlip and invites them to participate in a common evaluation system. The system design and the validation strategy from a standalone tool in the beginning to a user friendly web based system using GRID technologies to an integrated part of the operational MiKlip system for industry and society will give the opportunity to enhance the MiKlip strategy. First results of different possibilities of such a system will be shown to present the scientific background through Taylor diagrams, ensemble skill scores and e.g. climatological means to show the usability and possibilities of MiKlip and the INTEGRATION project.

  19. The first decade of the Massachusetts Tobacco Control Program.

    OpenAIRE

    Koh, Howard K.; Judge, Christine M.; Robbins, Harriet; Celebucki, Carolyn Cobb; Walker, Deborah K.; Connolly, Gregory N.

    2005-01-01

    This article provides a comprehensive overview of the first decade of the Massachusetts Tobacco Control Program (MTCP). Born after Massachusetts passed a 1992 ballot initiative raising cigarette excise taxes to fund the program, MTCP greatly reduced statewide cigarette consumption before being reduced to a skeletal state by funding cuts. The article describes the program's components and goals, details outcomes, presents a summary of policy accomplishments, and reviews the present status of M...

  20. Deconstructing hydro: the BC electricity sector in this decade

    International Nuclear Information System (INIS)

    Jaccard, M.

    2001-01-01

    This paper provided speculation regarding the world-wide trend to deregulate electric utilities with particular focus on power deregulation in British Columbia. The four main issues facing electricity reform in British Columbia are to determine if publicly-owned assets should be privatised, how to achieve competitive electricity commodity prices in a de-regulated generation market, to determine the extent to which customers will be allowed direct access to sellers of electricity, and to determine which changes in industry structure are needed to ensure that control over the common carrier does not hinder fair competition. BC Hydro recently issued a plan for the next decade entitled the Integrated Electricity Plan which suggests that almost all growth in supply on the Hydro system will be limited to a few large projects totalling 900 megawatts, to be owned and operated by either BC Hydro or by the Columbia Power Corporation, another Crown entity. This plan is in complete contrast to the evolution of the electricity industry nearly everywhere else in the world where demand growth is being met almost entirely by small- and medium-scale non-utility resources issuing from competitive markets with minimal public funding. This article looks at why BC Hydro will probably be transformed significantly, even dismantled, in the coming decade. The article begins with a section explaining the cause and effects of major changes in the world-wide electricity industry. This is followed by a section reviewing what BC Hydro did in the 1990s while reform was taking place. The article also describes what BC Hydro intends to do in the next decade and explores reasons why this outcome is unlikely. The final section of the article provides an alternative vision of BC Hydro's future over the next decade. 1 tab., 3 figs

  1. Laparoscopic sleeve gastrectomy achieves substantial weight loss in an adolescent girl with morbid obesity.

    Science.gov (United States)

    Till, H K-H; Muensterer, O; Keller, A; Körner, A; Blueher, S; Merkle, R; Kiess, W

    2008-02-01

    The European guidelines for bariatric surgery clearly define criteria for operating children with morbid obesity. However the appropriate technique for this age-group has not been identified yet. So far gastric banding and Roux-Y bypass represent the standards, but they demand life-long tolerance of either an artificial device or significant malabsorption. Although laparoscopic sleeve gastrectomy (LSG) demands neither, it has not been advocated for this age-group as a stand-alone technique. We report the outcome and the rationale for this approach in a 16-year-old girl with morbid obesity. The patient had been in an intensive weight loss programme for several years, but within the last 12 months her body weight had increased again dramatically. At referral she presented with a body mass index (BMI) of 43.1 kg/m(2) (height 169 cm, preoperative weight 121 kg) and suffered from co-morbidities as features of a developing metabolic-vascular syndrome such as dyslipidemia and arterial hypertension. Our obesity team and her parents opted for surgery at that time. The patient underwent LSG with a 5-trocar technique. With a gastroscope protecting the lesser curvature, the stomach was resected from the antrum to the fundus using an EndoGIA stapler. The operative time was 95 minutes, there were no perioperative complications and the patient was extubated immediately. An upper GI contrast study on postoperative day 4 showed a tubular gastric remnant with a volume of about 200 ml. The patient's diet was advanced as tolerated to full oral intake, and she was followed-up regularly in our special obesity outpatient clinic. After 12 months she had lost 36 kg (BMI 29 kg/m(2)) and enjoyed sports and activities with friends again. Laboratory studies ruled out malnutrition or vitamin deficiency. LSG is a safe and effective option for bariatric surgery in obese adolescents. It can be offered as a stand-alone restrictive operation and could be extended to a malabsorptive procedure at any

  2. Decadal trends in Red Sea maximum surface temperature.

    Science.gov (United States)

    Chaidez, V; Dreano, D; Agusti, S; Duarte, C M; Hoteit, I

    2017-08-15

    Ocean warming is a major consequence of climate change, with the surface of the ocean having warmed by 0.11 °C decade -1 over the last 50 years and is estimated to continue to warm by an additional 0.6 - 2.0 °C before the end of the century 1 . However, there is considerable variability in the rates experienced by different ocean regions, so understanding regional trends is important to inform on possible stresses for marine organisms, particularly in warm seas where organisms may be already operating in the high end of their thermal tolerance. Although the Red Sea is one of the warmest ecosystems on earth, its historical warming trends and thermal evolution remain largely understudied. We characterized the Red Sea's thermal regimes at the basin scale, with a focus on the spatial distribution and changes over time of sea surface temperature maxima, using remotely sensed sea surface temperature data from 1982 - 2015. The overall rate of warming for the Red Sea is 0.17 ± 0.07 °C decade -1 , while the northern Red Sea is warming between 0.40 and 0.45 °C decade -1 , all exceeding the global rate. Our findings show that the Red Sea is fast warming, which may in the future challenge its organisms and communities.

  3. Decadal trends in Red Sea maximum surface temperature

    KAUST Repository

    Chaidez, Veronica

    2017-08-09

    Ocean warming is a major consequence of climate change, with the surface of the ocean having warmed by 0.11 °C decade-1 over the last 50 years and is estimated to continue to warm by an additional 0.6 - 2.0 °C before the end of the century1. However, there is considerable variability in the rates experienced by different ocean regions, so understanding regional trends is important to inform on possible stresses for marine organisms, particularly in warm seas where organisms may be already operating in the high end of their thermal tolerance. Although the Red Sea is one of the warmest ecosystems on earth, its historical warming trends and thermal evolution remain largely understudied. We characterized the Red Sea\\'s thermal regimes at the basin scale, with a focus on the spatial distribution and changes over time of sea surface temperature maxima, using remotely sensed sea surface temperature data from 1982 - 2015. The overall rate of warming for the Red Sea is 0.17 ± 0.07 °C decade-1, while the northern Red Sea is warming between 0.40 and 0.45 °C decade-1, all exceeding the global rate. Our findings show that the Red Sea is fast warming, which may in the future challenge its organisms and communities.

  4. Decadal trends in Red Sea maximum surface temperature

    KAUST Repository

    Chaidez, Veronica; Dreano, Denis; Agusti, Susana; Duarte, Carlos M.; Hoteit, Ibrahim

    2017-01-01

    Ocean warming is a major consequence of climate change, with the surface of the ocean having warmed by 0.11 °C decade-1 over the last 50 years and is estimated to continue to warm by an additional 0.6 - 2.0 °C before the end of the century1. However, there is considerable variability in the rates experienced by different ocean regions, so understanding regional trends is important to inform on possible stresses for marine organisms, particularly in warm seas where organisms may be already operating in the high end of their thermal tolerance. Although the Red Sea is one of the warmest ecosystems on earth, its historical warming trends and thermal evolution remain largely understudied. We characterized the Red Sea's thermal regimes at the basin scale, with a focus on the spatial distribution and changes over time of sea surface temperature maxima, using remotely sensed sea surface temperature data from 1982 - 2015. The overall rate of warming for the Red Sea is 0.17 ± 0.07 °C decade-1, while the northern Red Sea is warming between 0.40 and 0.45 °C decade-1, all exceeding the global rate. Our findings show that the Red Sea is fast warming, which may in the future challenge its organisms and communities.

  5. Relay Telecommunications for the Coming Decade of Mars Exploration

    Science.gov (United States)

    Edwards, C.; DePaula, R.

    2010-01-01

    Over the past decade, an evolving network of relay-equipped orbiters has advanced our capabilities for Mars exploration. NASA's Mars Global Surveyor, 2001 Mars Odyssey, and Mars Reconnaissance Orbiter (MRO), as well as ESA's Mars Express Orbiter, have provided telecommunications relay services to the 2003 Mars Exploration Rovers, Spirit and Opportunity, and to the 2007 Phoenix Lander. Based on these successes, a roadmap for continued Mars relay services is in place for the coming decade. MRO and Odyssey will provide key relay support to the 2011 Mars Science Laboratory (MSL) mission, including capture of critical event telemetry during entry, descent, and landing, as well as support for command and telemetry during surface operations, utilizing new capabilities of the Electra relay payload on MRO and the Electra-Lite payload on MSL to allow significant increase in data return relative to earlier missions. Over the remainder of the decade a number of additional orbiter and lander missions are planned, representing new orbital relay service providers and new landed relay users. In this paper we will outline this Mars relay roadmap, quantifying relay performance over time, illustrating planned support scenarios, and identifying key challenges and technology infusion opportunities.

  6. Evaluating decadal predictions of northern hemispheric cyclone frequencies

    Directory of Open Access Journals (Sweden)

    Tim Kruschke

    2014-04-01

    Full Text Available Mid-latitudinal cyclones are a key factor for understanding regional anomalies in primary meteorological parameters such as temperature or precipitation. Extreme cyclones can produce notable impacts on human society and economy, for example, by causing enormous economic losses through wind damage. Based on 41 annually initialised (1961–2001 hindcast ensembles, this study evaluates the ability of a single-model decadal forecast system (MPI-ESM-LR to provide skilful probabilistic three-category forecasts (enhanced, normal or decreased of winter (ONDJFM extra-tropical cyclone frequency over the Northern Hemisphere with lead times from 1 yr up to a decade. It is shown that these predictions exhibit some significant skill, mainly for lead times of 2–5 yr, especially over the North Atlantic and Pacific. Skill for intense cyclones is generally higher than for all detected systems. A comparison of decadal hindcasts from two different initialisation techniques indicates that initialising from reanalysis fields yields slightly better results for the first forecast winter (month 10–15, while initialisation based on an assimilation experiment provides better skill for lead times between 2 and 5 yr. The reasons and mechanisms behind this predictive skill are subject to future work. Preliminary analyses suggest a strong relationship of the model's skill over the North Atlantic with the ability to predict upper ocean temperatures modulating lower troposphere baroclinicity for the respective area and time scales.

  7. Topsoil depth substantially influences the responses to drought of the foliar metabolomes of Mediterranean forests

    Energy Technology Data Exchange (ETDEWEB)

    Rivas-Ubach, Albert; Barbeta, Adrià; Sardans, Jordi; Guenther, Alex; Ogaya, Romà; Oravec, Michal; Urban, Otmar; Peñuelas, Josep

    2016-08-01

    Soils provide physical support, water, and nutrients to terrestrial plants. Upper soil layers are crucial for forest dynamics, especially under drought conditions, because many biological processes occur there and provide support, water and nutrients to terrestrial plants. We postulated that tree size and overall plant function manifested in the metabolome composition, the total set of metabolites, were dependent on the depth of upper soil layers and on water availability. We sampled leaves for stoichiometric and metabolomic analyses once per season from differently sized Quercus ilex trees under natural and experimental drought conditions as projected for the coming decades. Different sized trees had different metabolomes and plots with shallower soils had smaller trees. Soil moisture of the upper soil did not explain the tree size and smaller trees did not show higher concentrations of biomarker metabolites related to drought stress. However, the impact of drought treatment on metabolomes was higher in smaller trees in shallower soils. Our results suggested that tree size was more dependent on the depth of the upper soil layers, which indirectly affect the metabolomes of the trees, than on the moisture content of the upper soil layers. Metabolomic profiling of Q. ilex supported the premise that water availability in the upper soil layers was not necessarily correlated with tree size. The higher impact of drought on trees growing in shallower soils nevertheless indicates a higher vulnerability of small trees to the future increase in frequency, intensity, and duration of drought projected for the Mediterranean Basin and other areas. Metabolomics has proven to be an excellent tool detecting significant metabolic changes among differently sized individuals of the same species and it improves our understanding of the connection between plant metabolomes and environmental variables such as soil depth and moisture content.

  8. Substantial Loss of Conserved and Gain of Novel MicroRNA Families in Flatworms

    Science.gov (United States)

    Fromm, Bastian; Worren, Merete Molton; Hahn, Christoph; Hovig, Eivind; Bachmann, Lutz

    2013-01-01

    Recent studies on microRNA (miRNA) evolution focused mainly on the comparison of miRNA complements between animal clades. However, evolution of miRNAs within such groups is poorly explored despite the availability of comparable data that in some cases lack only a few key taxa. For flatworms (Platyhelminthes), miRNA complements are available for some free-living flatworms and all major parasitic lineages, except for the Monogenea. We present the miRNA complement of the monogenean flatworm Gyrodactylus salaris that facilitates a comprehensive analysis of miRNA evolution in Platyhelminthes. Using the newly designed bioinformatics pipeline miRCandRef, the miRNA complement was disentangled from next-generation sequencing of small RNAs and genomic DNA without a priori genome assembly. It consists of 39 miRNA hairpin loci of conserved miRNA families, and 22 novel miRNAs. A comparison with the miRNA complements of Schmidtea mediterranea (Turbellaria), Schistosoma japonicum (Trematoda), and Echinococcus granulosus (Cestoda) reveals a substantial loss of conserved bilaterian, protostomian, and lophotrochozoan miRNAs. Eight of the 46 expected conserved miRNAs were lost in all flatworms, 16 in Neodermata and 24 conserved miRNAs could not be detected in the cestode and the trematode. Such a gradual loss of miRNAs has not been reported before for other animal phyla. Currently, little is known about miRNAs in Platyhelminthes, and for the majority of the lost miRNAs there is no prediction of function. As suggested earlier they might be related to morphological simplifications. The presence and absence of 153 conserved miRNAs was compared for platyhelminths and 32 other metazoan taxa. Phylogenetic analyses support the monophyly of Platyhelminthes (Turbellaria + Neodermata [Monogenea {Trematoda + Cestoda}]). PMID:24025793

  9. Female adolescents with severe substance and conduct problems have substantially less brain gray matter volume.

    Directory of Open Access Journals (Sweden)

    Manish S Dalwani

    Full Text Available Structural neuroimaging studies have demonstrated lower regional gray matter volume in adolescents with severe substance and conduct problems. These research studies, including ours, have generally focused on male-only or mixed-sex samples of adolescents with conduct and/or substance problems. Here we compare gray matter volume between female adolescents with severe substance and conduct problems and female healthy controls of similar ages.Female adolescents with severe substance and conduct problems will show significantly less gray matter volume in frontal regions critical to inhibition (i.e. dorsolateral prefrontal cortex and ventrolateral prefrontal cortex, conflict processing (i.e., anterior cingulate, valuation of expected outcomes (i.e., medial orbitofrontal cortex and the dopamine reward system (i.e. striatum.We conducted whole-brain voxel-based morphometric comparison of structural MR images of 22 patients (14-18 years with severe substance and conduct problems and 21 controls of similar age using statistical parametric mapping (SPM and voxel-based morphometric (VBM8 toolbox. We tested group differences in regional gray matter volume with analyses of covariance, adjusting for age and IQ at p<0.05, corrected for multiple comparisons at whole-brain cluster-level threshold.Female adolescents with severe substance and conduct problems compared to controls showed significantly less gray matter volume in right dorsolateral prefrontal cortex, left ventrolateral prefrontal cortex, medial orbitofrontal cortex, anterior cingulate, bilateral somatosensory cortex, left supramarginal gyrus, and bilateral angular gyrus. Considering the entire brain, patients had 9.5% less overall gray matter volume compared to controls.Female adolescents with severe substance and conduct problems in comparison to similarly aged female healthy controls showed substantially lower gray matter volume in brain regions involved in inhibition, conflict processing, valuation

  10. Agroecological Substantiation for the Use of Treated Wastewater for Irrigation of Agricultural Land

    Directory of Open Access Journals (Sweden)

    Yulia Domashenko

    2018-01-01

    Full Text Available The objective of this work is the agroecological substantiation of the use of treated wastewater for irrigation of agricultural land. As the result of the experimental research, it was established that the soil microfloraplays an essential role in strengthening or weakening the biological activity of soil. Therefore, with an irrigation rate of 250 m 3 /ha of wastewater, a 1.5 times increase in the number of microbiota colonies is observed on average both in hog farms and cattle breeding complexes; with a rate of 350 m 3 /ha – a 2-fold increase; with a rate of 450 m 3 /ha – a 3.5–4-fold increase. An increase in nitrifying soil features has also been observed. Thus, if the value on the control in the soil layer from 0 cm to 60 cm is 27.2 mg of nitrate per 1 kg of arid soil, in the version with wastewater irrigation it reaches 46.7 mg. According to the research results, the use of defecate, the waste of sugar production, in the treatment of wastewater of livestock farms does not have a negative agroecological impact on the soil. Therefore, the method of wastewater treatment of pig-breeding complexes and farms can be recommended for use in irrigation reclamation, which includes treatment of wastewater with burnt defecate in the dose of 50–200 mg/dm 3 , with the pH value varying in the range of 7.5–8.5. After settling-out of the obtained mixture in settlers, it is divided into a transparent liquid fraction and the sediment, i.e. an organomineral fertilizer. Afterwards, the fluidbody is fed to irrigation of agricultural land, and its excess is discharged into waterways and reservoirs. The sediment is fed to the vortex layer equipment with mobile ferromagnetic particles or thermolized, where their complete disinfection takes place.

  11. Results of a "GWAS plus:" general cognitive ability is substantially heritable and massively polygenic.

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    Robert M Kirkpatrick

    Full Text Available We carried out a genome-wide association study (GWAS for general cognitive ability (GCA plus three other analyses of GWAS data that aggregate the effects of multiple single-nucleotide polymorphisms (SNPs in various ways. Our multigenerational sample comprised 7,100 Caucasian participants, drawn from two longitudinal family studies, who had been assessed with an age-appropriate IQ test and had provided DNA samples passing quality screens. We conducted the GWAS across ∼ 2.5 million SNPs (both typed and imputed, using a generalized least-squares method appropriate for the different family structures present in our sample, and subsequently conducted gene-based association tests. We also conducted polygenic prediction analyses under five-fold cross-validation, using two different schemes of weighting SNPs. Using parametric bootstrapping, we assessed the performance of this prediction procedure under the null. Finally, we estimated the proportion of variance attributable to all genotyped SNPs as random effects with software GCTA. The study is limited chiefly by its power to detect realistic single-SNP or single-gene effects, none of which reached genome-wide significance, though some genomic inflation was evident from the GWAS. Unit SNP weights performed about as well as least-squares regression weights under cross-validation, but the performance of both increased as more SNPs were included in calculating the polygenic score. Estimates from GCTA were 35% of phenotypic variance at the recommended biological-relatedness ceiling. Taken together, our results concur with other recent studies: they support a substantial heritability of GCA, arising from a very large number of causal SNPs, each of very small effect. We place our study in the context of the literature-both contemporary and historical-and provide accessible explication of our statistical methods.

  12. Orange juice substantially reduces the bioavailability of the beta-adrenergic-blocking agent celiprolol.

    Science.gov (United States)

    Lilja, Jari J; Juntti-Patinen, Laura; Neuvonen, Pertti J

    2004-03-01

    Grapefruit juice was recently found to decrease plasma concentrations of the beta-adrenergic receptor-blocking agent celiprolol. Our objective was to investigate the effect of orange juice on the pharmacokinetics of celiprolol in healthy subjects. In a randomized crossover study with 2 phases and a washout of 2 weeks, 10 healthy volunteers ingested either 200 mL normal-strength orange juice or water 3 times a day for 2 days. On the morning of day 3, 1 hour after ingestion of 200 mL orange juice or water, each subject ingested 100 mg celiprolol with either 200 mL orange juice or water. In addition, 200 mL orange juice or water was ingested at 4, 10, 22, and 27 hours after celiprolol intake. The concentrations of celiprolol in plasma and its excretion into urine were measured up to 33 hours after its dosing. Systolic and diastolic blood pressures and heart rate were recorded up to 10 hours. Orange juice reduced the mean peak plasma concentration of celiprolol by 89% (P orange juice. Orange juice reduced the urinary excretion of celiprolol by 77% (P Orange juice substantially reduces the bioavailability of celiprolol, but the mechanism of this interaction remains to be resolved. For example, modulation of intestinal pH and of function of transporters implicated in the absorption of celiprolol may be involved. Because of the great extent of the orange juice-celiprolol interaction and a wide use of orange juice, this interaction is likely to have clinical importance in some patients, although hemodynamic consequences were not seen in young healthy subjects.

  13. USING SPLINE FUNCTIONS FOR THE SUBSTANTIATION OF TAX POLICIES BY LOCAL AUTHORITIES

    Directory of Open Access Journals (Sweden)

    Otgon Cristian

    2011-07-01

    Full Text Available The paper aims to approach innovative financial instruments for the management of public resources. In the category of these innovative tools have been included polynomial spline functions used for budgetary sizing in the substantiating of fiscal and budgetary policies. In order to use polynomial spline functions there have been made a number of steps consisted in the establishment of nodes, the calculation of specific coefficients corresponding to the spline functions, development and determination of errors of approximation. Also in this paper was done extrapolation of series of property tax data using polynomial spline functions of order I. For spline impelementation were taken two series of data, one reffering to property tax as a resultative variable and the second one reffering to building tax, resulting a correlation indicator R=0,95. Moreover the calculation of spline functions are easy to solve and due to small errors of approximation have a great power of predictibility, much better than using ordinary least squares method. In order to realise the research there have been used as methods of research several steps, namely observation, series of data construction and processing the data with spline functions. The data construction is a daily series gathered from the budget account, reffering to building tax and property tax. The added value of this paper is given by the possibility of avoiding deficits by using spline functions as innovative instruments in the publlic finance, the original contribution is made by the average of splines resulted from the series of data. The research results lead to conclusion that the polynomial spline functions are recommended to form the elaboration of fiscal and budgetary policies, due to relatively small errors obtained in the extrapolation of economic processes and phenomena. Future research directions are taking in consideration to study the polynomial spline functions of second-order, third

  14. One Minute of Marijuana Secondhand Smoke Exposure Substantially Impairs Vascular Endothelial Function.

    Science.gov (United States)

    Wang, Xiaoyin; Derakhshandeh, Ronak; Liu, Jiangtao; Narayan, Shilpa; Nabavizadeh, Pooneh; Le, Stephenie; Danforth, Olivia M; Pinnamaneni, Kranthi; Rodriguez, Hilda J; Luu, Emmy; Sievers, Richard E; Schick, Suzaynn F; Glantz, Stanton A; Springer, Matthew L

    2016-07-27

    Despite public awareness that tobacco secondhand smoke (SHS) is harmful, many people still assume that marijuana SHS is benign. Debates about whether smoke-free laws should include marijuana are becoming increasingly widespread as marijuana is legalized and the cannabis industry grows. Lack of evidence for marijuana SHS causing acute cardiovascular harm is frequently mistaken for evidence that it is harmless, despite chemical and physical similarity between marijuana and tobacco smoke. We investigated whether brief exposure to marijuana SHS causes acute vascular endothelial dysfunction. We measured endothelial function as femoral artery flow-mediated dilation (FMD) in rats before and after exposure to marijuana SHS at levels similar to real-world tobacco SHS conditions. One minute of exposure to marijuana SHS impaired FMD to a comparable extent as impairment from equal concentrations of tobacco SHS, but recovery was considerably slower for marijuana. Exposure to marijuana SHS directly caused cannabinoid-independent vasodilation that subsided within 25 minutes, whereas FMD remained impaired for at least 90 minutes. Impairment occurred even when marijuana lacked cannabinoids and rolling paper was omitted. Endothelium-independent vasodilation by nitroglycerin administration was not impaired. FMD was not impaired by exposure to chamber air. One minute of exposure to marijuana SHS substantially impairs endothelial function in rats for at least 90 minutes, considerably longer than comparable impairment by tobacco SHS. Impairment of FMD does not require cannabinoids, nicotine, or rolling paper smoke. Our findings in rats suggest that SHS can exert similar adverse cardiovascular effects regardless of whether it is from tobacco or marijuana. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  15. Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance.

    Science.gov (United States)

    Griffiths, R R; Richards, W A; McCann, U; Jesse, R

    2006-08-01

    Although psilocybin has been used for centuries for religious purposes, little is known scientifically about its acute and persisting effects. This double-blind study evaluated the acute and longer-term psychological effects of a high dose of psilocybin relative to a comparison compound administered under comfortable, supportive conditions. The participants were hallucinogen-naïve adults reporting regular participation in religious or spiritual activities. Two or three sessions were conducted at 2-month intervals. Thirty volunteers received orally administered psilocybin (30 mg/70 kg) and methylphenidate hydrochloride (40 mg/70 kg) in counterbalanced order. To obscure the study design, six additional volunteers received methylphenidate in the first two sessions and unblinded psilocybin in a third session. The 8-h sessions were conducted individually. Volunteers were encouraged to close their eyes and direct their attention inward. Study monitors rated volunteers' behavior during sessions. Volunteers completed questionnaires assessing drug effects and mystical experience immediately after and 2 months after sessions. Community observers rated changes in the volunteer's attitudes and behavior. Psilocybin produced a range of acute perceptual changes, subjective experiences, and labile moods including anxiety. Psilocybin also increased measures of mystical experience. At 2 months, the volunteers rated the psilocybin experience as having substantial personal meaning and spiritual significance and attributed to the experience sustained positive changes in attitudes and behavior consistent with changes rated by community observers. When administered under supportive conditions, psilocybin occasioned experiences similar to spontaneously occurring mystical experiences. The ability to occasion such experiences prospectively will allow rigorous scientific investigations of their causes and consequences.

  16. Biological substantiation of antipsychotic-associated pneumonia: Systematic literature review and computational analyses.

    Science.gov (United States)

    Sultana, Janet; Calabró, Marco; Garcia-Serna, Ricard; Ferrajolo, Carmen; Crisafulli, Concetta; Mestres, Jordi; Trifirò', Gianluca

    2017-01-01

    Antipsychotic (AP) safety has been widely investigated. However, mechanisms underlying AP-associated pneumonia are not well-defined. The aim of this study was to investigate the known mechanisms of AP-associated pneumonia through a systematic literature review, confirm these mechanisms using an independent data source on drug targets and attempt to identify novel AP drug targets potentially linked to pneumonia. A search was conducted in Medline and Web of Science to identify studies exploring the association between pneumonia and antipsychotic use, from which information on hypothesized mechanism of action was extracted. All studies had to be in English and had to concern AP use as an intervention in persons of any age and for any indication, provided that the outcome was pneumonia. Information on the study design, population, exposure, outcome, risk estimate and mechanism of action was tabulated. Public repositories of pharmacology and drug safety data were used to identify the receptor binding profile and AP safety events. Cytoscape was then used to map biological pathways that could link AP targets and off-targets to pneumonia. The literature search yielded 200 articles; 41 were included in the review. Thirty studies reported a hypothesized mechanism of action, most commonly activation/inhibition of cholinergic, histaminergic and dopaminergic receptors. In vitro pharmacology data confirmed receptor affinities identified in the literature review. Two targets, thromboxane A2 receptor (TBXA2R) and platelet activating factor receptor (PTAFR) were found to be novel AP target receptors potentially associated with pneumonia. Biological pathways constructed using Cytoscape identified plausible biological links potentially leading to pneumonia downstream of TBXA2R and PTAFR. Innovative approaches for biological substantiation of drug-adverse event associations may strengthen evidence on drug safety profiles and help to tailor pharmacological therapies to patient risk

  17. National South African HIV prevalence estimates robust despite substantial test non-participation

    Directory of Open Access Journals (Sweden)

    Guy Harling

    2017-07-01

    Full Text Available Background. South African (SA national HIV seroprevalence estimates are of crucial policy relevance in the country, and for the worldwide HIV response. However, the most recent nationally representative HIV test survey in 2012 had 22% test non-participation, leaving the potential for substantial bias in current seroprevalence estimates, even after controlling for selection on observed factors. Objective. To re-estimate national HIV prevalence in SA, controlling for bias due to selection on both observed and unobserved factors in the 2012 SA National HIV Prevalence, Incidence and Behaviour Survey. Methods. We jointly estimated regression models for consent to test and HIV status in a Heckman-type bivariate probit framework. As selection variable, we used assigned interviewer identity, a variable known to predict consent but highly unlikely to be associated with interviewees’ HIV status. From these models, we estimated the HIV status of interviewed participants who did not test. Results. Of 26 710 interviewed participants who were invited to test for HIV, 21.3% of females and 24.3% of males declined. Interviewer identity was strongly correlated with consent to test for HIV; declining a test was weakly associated with HIV serostatus. Our HIV prevalence estimates were not significantly different from those using standard methods to control for bias due to selection on observed factors: 15.1% (95% confidence interval (CI 12.1 - 18.6 v. 14.5% (95% CI 12.8 - 16.3 for 15 - 49-year-old males; 23.3% (95% CI 21.7 - 25.8 v. 23.2% (95% CI 21.3 - 25.1 for 15 - 49-year-old females. Conclusion. The most recent SA HIV prevalence estimates are robust under the strongest available test for selection bias due to missing data. Our findings support the reliability of inferences drawn from such data.

  18. Expansion of a globally pervasive grass occurs without substantial trait differences between home and away populations.

    Science.gov (United States)

    Leifso, A; MacDougall, A S; Husband, B; Hierro, J L; Köchy, M; Pärtel, M; Peltzer, D A

    2012-12-01

    The global expansion of species beyond their ancestral ranges can derive from mechanisms that are trait-based (e.g., post-establishment evolved differences compared to home populations) or circumstantial (e.g., propagule pressure, with no trait-based differences). These mechanisms can be difficult to distinguish following establishment, but each makes unique predictions regarding trait similarity between ancestral ('home') and introduced ('away') populations. Here, we tested for trait-based population differences across four continents for the globally distributed grass Dactylis glomerata, to assess the possible role of trait evolution in its worldwide expansion. We used a common-environment glasshouse experiment to quantify trait differences among home and away populations, and the potential relevance of these differences for competitive interactions. Few significant trait differences were found among continents, suggesting minimal change during global expansion. All populations were polyploids, with similar foliar carbon:nitrogen ratios (a proxy for defense), chlorophyll content, and biomass. Emergence time and growth rate favored home populations, resulting in their competitive superiority over away populations. Small but significant trait differences among away populations suggest different introductory histories or local adaptive responses following establishment. In summary, the worldwide distribution of this species appears to have arisen from its pre-adapted traits promoting growth, and its repeated introduction with cultivation and intense propagule pressure. Global expansion can thus occur without substantial shifts in growth, reproduction, or defense. Rather than focusing strictly on the invader, invasion success may also derive from the traits found (or lacking) in the recipient community and from environmental context including human disturbance.

  19. NSRD-06. Computational Capability to Substantiate DOE-HDBK-3010 Data

    Energy Technology Data Exchange (ETDEWEB)

    Louie, David L.Y. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Brown, Alexander L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-12-01

    Safety basis analysts throughout the U.S. Department of Energy (DOE) complex rely heavily on the information provided in the DOE Hand book, DOE-HDBK-3010, Airborne Release Fractions/Rates and Resp irable Fractions for Nonreactor Nuclear Facilities , to determine source terms. In calcula ting source terms, analysts tend to use the DOE Handbook's bounding values on airbor ne release fractions (ARFs) and respirable fractions (RFs) for various cat egories of insults (representing potential accident release categories). This is typica lly due to both time constraints and the avoidance of regulatory critique. Unfort unately, these bounding ARFs/RFs represent extremely conservative values. Moreover, th ey were derived from very limited small- scale table-top and bench/labo ratory experiments and/or fr om engineered judgment. Thus the basis for the data may not be re presentative to the actual unique accident conditions and configura tions being evaluated. The goal of this res earch is to develop a more ac curate method to identify bounding values for the DOE Handbook using the st ate-of-art multi-physics-based high performance computer codes. This enable s us to better understand the fundamental physics and phenomena associated with the ty pes of accidents for the data described in it. This research has examined two of the DOE Handbook's liquid fire experiments to substantiate the airborne release frac tion data. We found th at additional physical phenomena (i.e., resuspension) need to be included to derive bounding values. For the specific cases of solid powder under pre ssurized condition and mechanical insult conditions the codes demonstrated that we can simulate the phenomena. This work thus provides a low-cost method to establis h physics-justified sa fety bounds by taking into account specific geometri es and conditions that may not have been previously measured and/or are too costly to do so.

  20. Gait biomechanics of skipping are substantially different than those of running.

    Science.gov (United States)

    McDonnell, Jessica; Willson, John D; Zwetsloot, Kevin A; Houmard, Joseph; DeVita, Paul

    2017-11-07

    The inherit injury risk associated with high-impact exercises calls for alternative ways to achieve the benefits of aerobic exercise while minimizing excessive stresses to body tissues. Skipping presents such an alternative, incorporating double support, flight, and single support phases. We used ground reaction forces (GRFs), lower extremity joint torques and powers to compare skipping and running in 20 healthy adults. The two consecutive skipping steps on each limb differed significantly from each other, and from running. Running had the longest step length, the highest peak vertical GRF, peak knee extensor torque, and peak knee negative and positive power and negative and positive work. Skipping had the greater cadence, peak horizontal GRF, peak hip and ankle extensor torques, peak ankle negative power and work, and peak ankle positive power. The second vs first skipping step had the shorter step length, higher cadence, peak horizontal GRF, peak ankle extensor torque, and peak ankle negative power, negative work, and positive power and positive work. The first skipping step utilized predominately net negative joint work (eccentric muscle action) while the second utilized predominately net positive joint work (concentric muscle action). The skipping data further highlight the persistence of net negative work performed at the knee and net positive work performed at the ankle across locomotion gaits. Evidence of step segregation was seen in distribution of the braking and propelling impulses and net work produced across the hip, knee, and ankle joints. Skipping was substantially different than running and was temporally and spatially asymmetrical with successive foot falls partitioned into a dominant function, either braking or propelling whereas running had a single, repeated step in which both braking and propelling actions were performed equally. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Substantiation of strength of TVSA-ALPHA fuel assembly under dynamic seismic loads

    International Nuclear Information System (INIS)

    Tutnov, A.; Kiselev, A.; Kiselev, A.; Krutko, E.; Kiselev, I.; Samoilov, O.; Kaydalov, V.

    2009-01-01

    A special place in the substantiation of the safe operation of fuel assemblies is the assessment their operating capability under seismic loads, leading to short-term (several seconds or tens of seconds) the dynamic effects on the reactor core. The level of acceleration of various elements of the reactor installation can be higher than 1,5 g (g - acceleration of gravity) and depends on the height of these elements relatively the ground, which movement causes an earthquake. This dynamic load cause significant deformation of the active zones design element, in particular of the fuel assemblies (FA), which could lead to a contact (or impact) interaction between them. The report presents the results of studies of stress-strain state of FA of TVSA-ALPHA type under the influence of seismic loads of the 8th level on Richter scale using standard approach. According to a normative approach the natural frequencies and modes of FA are calculated in the preliminary stage. The obtained results are conservative from the point of view that in the real FA design the most loaded SG in the middle of the fuel assemblies are made in a combined with mixing grid variant, which are joint by a common rim. This increases the overall carrying capacity of SG as compared with the calculation SG model. It is also necessary to bear in mind that the dynamic (impact) loading the basic mechanical properties of the material may have a significant difference from static (standard) values. This refers in particular to the yield limit, the value of which can be several times higher than specified in the calculation

  2. Morphological substantiation for acute immobilization stress-related disorders of adaptation mechanisms.

    Science.gov (United States)

    Koptev, Mykhailo M; Vynnyk, Nataliia I

    Nowadays, an individual is being constantly accompanied by stresses in his/her everyday life. Stress reactions, produced in the process of evolution, have become the organisms' response to emergency action or pathological factors and are the important link in adaptation process. However, the adverse course of stress reaction can lead to derangement of the adaptation mechanisms in the body and become the element of the pathogenesis of various diseases. The study was aimed at morphological substantiation of derangement of adaptation mechanisms in white Wistar rats caused by the acute immobilization stress. 40 Wistar white male rats of 240-260 g body weight aged 8-10 months were involved into study. 20 laboratory animals were assigned to the main group and the rest 20 rats formed the control (II) group. Experimental stress model was simulated by immobilization of rats, lying supine, for 6 hours. Morphological examination of heart, lungs and kidneys was carried out after animals' decapitation, which proved the derangement of rats' adaptation mechanisms caused by the acute immobilization stress. It has been established that six-hour immobility of rats, lying in the supine position, led to the development of destructive phenomena, hemorrhagic lesions and impaired hemomicrocirculation. Microscopically, the acute immobilization stress causes significant subendocardial hemorrhages, plethora of vessels of hemomicrocirculatory flow with dysdiemorrhysis, myocardial intersticium edema in the heart. Histologically, immobilization-induced trauma causes significant hemodynamic disorders, spasm of arterioles and considerable venous hyperemia, concomitant with microthrombosis in kidneys; at the same time dystrophic lesions and desquamation of epithelium of renal tubules has been observed in renal corpuscles. The abovementioned structural changes can contribute to origination and development of multiple lesions, demonstrating the morphologically grounded role of the acute

  3. Co-Inheritance Analysis within the Domains of Life Substantially Improves Network Inference by Phylogenetic Profiling.

    Directory of Open Access Journals (Sweden)

    Junha Shin

    Full Text Available Phylogenetic profiling, a network inference method based on gene inheritance profiles, has been widely used to construct functional gene networks in microbes. However, its utility for network inference in higher eukaryotes has been limited. An improved algorithm with an in-depth understanding of pathway evolution may overcome this limitation. In this study, we investigated the effects of taxonomic structures on co-inheritance analysis using 2,144 reference species in four query species: Escherichia coli, Saccharomyces cerevisiae, Arabidopsis thaliana, and Homo sapiens. We observed three clusters of reference species based on a principal component analysis of the phylogenetic profiles, which correspond to the three domains of life-Archaea, Bacteria, and Eukaryota-suggesting that pathways inherit primarily within specific domains or lower-ranked taxonomic groups during speciation. Hence, the co-inheritance pattern within a taxonomic group may be eroded by confounding inheritance patterns from irrelevant taxonomic groups. We demonstrated that co-inheritance analysis within domains substantially improved network inference not only in microbe species but also in the higher eukaryotes, including humans. Although we observed two sub-domain clusters of reference species within Eukaryota, co-inheritance analysis within these sub-domain taxonomic groups only marginally improved network inference. Therefore, we conclude that co-inheritance analysis within domains is the optimal approach to network inference with the given reference species. The construction of a series of human gene networks with increasing sample sizes of the reference species for each domain revealed that the size of the high-accuracy networks increased as additional reference species genomes were included, suggesting that within-domain co-inheritance analysis will continue to expand human gene networks as genomes of additional species are sequenced. Taken together, we propose that co

  4. Plasma processing conditions substantially influence circulating microRNA biomarker levels.

    Science.gov (United States)

    Cheng, Heather H; Yi, Hye Son; Kim, Yeonju; Kroh, Evan M; Chien, Jason W; Eaton, Keith D; Goodman, Marc T; Tait, Jonathan F; Tewari, Muneesh; Pritchard, Colin C

    2013-01-01

    Circulating, cell-free microRNAs (miRNAs) are promising candidate biomarkers, but optimal conditions for processing blood specimens for miRNA measurement remain to be established. Our previous work showed that the majority of plasma miRNAs are likely blood cell-derived. In the course of profiling lung cancer cases versus healthy controls, we observed a broad increase in circulating miRNA levels in cases compared to controls and that higher miRNA expression correlated with higher platelet and particle counts. We therefore hypothesized that the quantity of residual platelets and microparticles remaining after plasma processing might impact miRNA measurements. To systematically investigate this, we subjected matched plasma from healthy individuals to stepwise processing with differential centrifugation and 0.22 µm filtration and performed miRNA profiling. We found a major effect on circulating miRNAs, with the majority (72%) of detectable miRNAs substantially affected by processing alone. Specifically, 10% of miRNAs showed 4-30x variation, 46% showed 30-1,000x variation, and 15% showed >1,000x variation in expression solely from processing. This was predominantly due to platelet contamination, which persisted despite using standard laboratory protocols. Importantly, we show that platelet contamination in archived samples could largely be eliminated by additional centrifugation, even in frozen samples stored for six years. To minimize confounding effects in microRNA biomarker studies, additional steps to limit platelet contamination for circulating miRNA biomarker studies are necessary. We provide specific practical recommendations to help minimize confounding variation attributable to plasma processing and platelet contamination.

  5. Time trends in recurrence of juvenile nasopharyngeal angiofibroma: Experience of the past 4 decades.

    Science.gov (United States)

    Mishra, Anupam; Mishra, Subhash Chandra

    2016-01-01

    An analysis of time distribution of juvenile nasopharyngeal angiofibroma (JNA) from the last 4 decades is presented. Sixty recurrences were analyzed as per actuarial survival. SPSS software was used to generate Kaplan-Meier (KM) curves and time distributions were compared by Log-rank, Breslow and Tarone-Ware test. The overall recurrence rate was 17.59%. Majority underwent open transpalatal approach(es) without embolization. The probability of detecting a recurrence was 95% in first 24months and comparison of KM curves of 4 different time periods was not significant. This is the first and largest series to address the time-distribution. The required follow up period is 2years. Our recurrence is just half of the largest series (reported so far) suggesting the superiority of transpalatal techniques. The similarity of curves suggests less likelihood for recent technical advances to influence the recurrence that as per our hypothesis is more likely to reflect tumor biology per se. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. PATHOGENESIS OF OSTEOARTHRITIS AND SUBSTANTIATION OF THE USE OF STRONTIUM RANELATE

    Directory of Open Access Journals (Sweden)

    Elena Mikhailovna Zaitseva

    2013-01-01

    Full Text Available Osteoarthritis (OA is one of the most common diseases, pain and joint dysfunction being its main symptoms. Although OA is a progressive disease causing disability, rapid progression is observed only in some patients. According to the data obtained by different authors, the progressive course of gonarthrosis is typical of 34–55% patients, which is likely to be attributed to variability of the risk factors of disease progression that every single patient has. As the reasons behind OA progression have been studied more thoroughly, the notion of the disease pathogenesis has recently changed. While articular cartilage lesion was considered to be the main reason and the joint space narrowing and concomitant changes in the subchondral bone (SCB were regarded as a secondary process SCB is now believed to play the initiating role in disease evolution. It was found that acceleration of metabolic processes in SCB in OA patients causes incomplete mineralization of bone and reduces its biomechanical properties. These data initiated the search for new approaches to therapy for OA. A large number of medications that are potentially able to inhibit disease progression are being actively studied. Special attention is paid to the agents affecting the processes of bone tissue remodeling. In addition to bisphosphonates and calcitonin (whose effectiveness in treating OA has been studied over the past decades, much attention has recently been paid to strontium derivatives, in particular, to strontium ranelate (SR. It has been proved that SR stimulates preosteoblast replication, osteoblast differentiation, type 1 collagen synthesis, and mineralization of bone matrix. Meanwhile, SR inhibits osteoclast differentiation and activity, resulting in the reduction of SCB resorption, which is a potentially significant effect in OA therapy. In addition to its effect on SCB, SR can influence the bone tissue. It wasfound during the studies that SR reliably enhances

  7. Cigarette smoking substantially alters plasma microRNA profiles in healthy subjects

    Energy Technology Data Exchange (ETDEWEB)

    Takahashi, Kei; Yokota, Shin-ichi; Tatsumi, Naoyuki; Fukami, Tatsuki; Yokoi, Tsuyoshi; Nakajima, Miki, E-mail: nmiki@p.kanazawa-u.ac.jp

    2013-10-01

    Circulating microRNAs (miRNAs) are receiving attention as potential biomarkers of various diseases, including cancers, chronic obstructive pulmonary disease, and cardiovascular disease. However, it is unknown whether the levels of circulating miRNAs in a healthy subject might vary with external factors in daily life. In this study, we investigated whether cigarette smoking, a habit that has spread throughout the world and is a risk factor for various diseases, affects plasma miRNA profiles. We determined the profiles of 11 smokers and 7 non-smokers by TaqMan MicroRNA array analysis. A larger number of miRNAs were detected in smokers than in non-smokers, and the plasma levels of two-thirds of the detected miRNAs (43 miRNAs) were significantly higher in smokers than in non-smokers. A principal component analysis of the plasma miRNA profiles clearly separated smokers and non-smokers. Twenty-four of the miRNAs were previously reported to be potential biomarkers of disease, suggesting the possibility that smoking status might interfere with the diagnosis of disease. Interestingly, we found that quitting smoking altered the plasma miRNA profiles to resemble those of non-smokers. These results suggested that the differences in the plasma miRNA profiles between smokers and non-smokers could be attributed to cigarette smoking. In addition, we found that an acute exposure of ex-smokers to cigarette smoke (smoking one cigarette) did not cause a dramatic change in the plasma miRNA profile. In conclusion, we found that repeated cigarette smoking substantially alters the plasma miRNA profile, interfering with the diagnosis of disease or signaling potential smoking-related diseases. - Highlights: • Plasma miRNA profiles were unambiguously different between smokers and non-smokers. • Smoking status might interfere with the diagnosis of disease using plasma miRNAs. • Changes of plasma miRNA profiles may be a signal of smoking-related diseases.

  8. Wnt5a signaling is a substantial constituent in bone morphogenetic protein-2-mediated osteoblastogenesis

    International Nuclear Information System (INIS)

    Nemoto, Eiji; Ebe, Yukari; Kanaya, Sousuke; Tsuchiya, Masahiro; Nakamura, Takashi; Tamura, Masato; Shimauchi, Hidetoshi

    2012-01-01

    Highlights: ► Wnt5a is identified in osteoblasts in tibial growth plate and bone marrow. ► Osteoblastic differentiation is associated with increased expression of Wnt5a/Ror2. ► Wnt5a/Ror2 signaling is important for BMP-2-mediated osteoblastic differentiation. ► Wnt5a/Ror2 operates independently of BMP-Smad pathway. -- Abstract: Wnts are secreted glycoproteins that mediate developmental and post-developmental physiology by regulating cellular processes including proliferation, differentiation, and apoptosis through β-catenin-dependent canonical and β-catenin-independent noncanonical pathway. It has been reported that Wnt5a activates noncanonical Wnt signaling through receptor tyrosine kinase-like orphan receptor 2 (Ror2). Although it appears that Wnt5a/Ror2 signaling supports normal bone physiology, the biological significance of noncanonical Wnts in osteogenesis is essentially unknown. In this study, we identified expression of Wnt5a in osteoblasts in the ossification zone of the tibial growth plate as well as bone marrow of the rat tibia as assessed by immunohistochemistry. In addition, we show that osteoblastic differentiation mediated by BMP-2 is associated with increased expression of Wnt5a and Ror2 using cultured pre-osteoblasts, MC3T3-E1 cells. Silencing gene expression of Wnt5a and Ror2 in MC3T3-E1 cells results in suppression of BMP-2-mediated osteoblastic differentiation, suggesting that Wnt5a and Ror2 signaling are of substantial importance for BMP-2-mediated osteoblastic differentiation. BMP-2 stimulation induced phosphorylation of Smad1/5/8 in a similar fashion in both siWnt5a-treated cells and control cells, suggesting that Wnt5a was dispensable for the phosphorylation of Smads by BMP-2. Taken together, our results suggest that Wnt5a/Ror2 signaling appears to be involved in BMP-2-mediated osteoblast differentiation in a Smad independent pathway.

  9. Evidence that global evapotranspiration makes a substantial contribution to the global atmospheric temperature slowdown

    Science.gov (United States)

    Leggett, L. Mark W.; Ball, David A.

    2018-02-01

    The difference between the time series trend for temperature expected from the increasing level of atmospheric CO2 and that for the (more slowly rising) observed temperature has been termed the global surface temperature slowdown. In this paper, we characterise the single time series made from the subtraction of these two time series as the `global surface temperature gap'. We also develop an analogous atmospheric CO2 gap series from the difference between the level of CO2 and first-difference CO2 (that is, the change in CO2 from one period to the next). This paper provides three further pieces of evidence concerning the global surface temperature slowdown. First, we find that the present size of both the global surface temperature gap and the CO2 gap is unprecedented over a period starting at least as far back as the 1860s. Second, ARDL and Granger causality analyses involving the global surface temperature gap against the major candidate physical drivers of the ocean heat sink and biosphere evapotranspiration are conducted. In each case where ocean heat data was available, it was significant in the models: however, evapotranspiration, or its argued surrogate precipitation, also remained significant in the models alongside ocean heat. In terms of relative scale, the standardised regression coefficient for evapotranspiration was repeatedly of the same order of magnitude as—typically as much as half that for—ocean heat. The foregoing is evidence that, alongside the ocean heat sink, evapotranspiration is also likely to be making a substantial contribution to the global atmospheric temperature outcome. Third, there is evidence that both the ocean heat sink and the evapotranspiration process might be able to continue into the future to keep the temperature lower than the level-of-CO2 models would suggest. It is shown that this means there can be benefit in using the first-difference CO2 to temperature relationship shown in Leggett and Ball (Atmos Chem Phys 15

  10. A SUBSTANTIAL POPULATION OF MASSIVE QUIESCENT GALAXIES AT z ∼ 4 FROM ZFOURGE

    Energy Technology Data Exchange (ETDEWEB)

    Straatman, Caroline M. S.; Labbé, Ivo [Leiden Observatory, Leiden University, P.O. Box 9513, 2300 RA Leiden (Netherlands); Spitler, Lee R. [Department of Physics and Astronomy, Faculty of Sciences, Macquarie University, Sydney, NSW 2109 (Australia); Allen, Rebecca; Glazebrook, Karl; Kacprzak, Glenn G. [Centre for Astrophysics and Supercomputing, Swinburne University, Hawthorn, VIC 3122 (Australia); Altieri, Bruno [European Space Astronomy Centre (ESAC)/ESA, Villanueva de la Cañada, 28691, Madrid (Spain); Brammer, Gabriel B. [European Southern Observatory, Alonso de Córdova 3107, Casilla 19001, Vitacura, Santiago (Chile); Dickinson, Mark; Inami, Hanae [National Optical Astronomy Observatory, Tucson, AZ (United States); Van Dokkum, Pieter [Department of Astronomy, Yale University, New Haven, CT 06520 (United States); Kawinwanichakij, Lalit; Mehrtens, Nicola; Papovich, Casey [George P. and Cynthia W. Mitchell Institute for Fundamental Physics and Astronomy, Department of Physics and Astronomy, Texas A and M University, College Station, TX 77843 (United States); Kelson, Daniel D.; McCarthy, Patrick J.; Monson, Andy; Murphy, David; Persson, S. Eric; Quadri, Ryan, E-mail: straatman@strw.leidenuniv.nl [Carnegie Observatories, Pasadena, CA 91101 (United States); and others

    2014-03-01

    We report the likely identification of a substantial population of massive M ∼ 10{sup 11} M {sub ☉} galaxies at z ∼ 4 with suppressed star formation rates (SFRs), selected on rest-frame optical to near-IR colors from the FourStar Galaxy Evolution Survey (ZFOURGE). The observed spectral energy distributions show pronounced breaks, sampled by a set of near-IR medium-bandwidth filters, resulting in tightly constrained photometric redshifts. Fitting stellar population models suggests large Balmer/4000 Å breaks, relatively old stellar populations, large stellar masses, and low SFRs, with a median specific SFR of 2.9 ± 1.8 × 10{sup –11} yr{sup –1}. Ultradeep Herschel/PACS 100 μm, 160 μm and Spitzer/MIPS 24 μm data reveal no dust-obscured SFR activity for 15/19(79%) galaxies. Two far-IR detected galaxies are obscured QSOs. Stacking the far-IR undetected galaxies yields no detection, consistent with the spectral energy distribution fit, indicating independently that the average specific SFR is at least 10 × smaller than that of typical star-forming galaxies at z ∼ 4. Assuming all far-IR undetected galaxies are indeed quiescent, the volume density is 1.8 ± 0.7 × 10{sup –5} Mpc{sup –3} to a limit of log{sub 10} M/M {sub ☉} ≥ 10.6, which is 10 × and 80 × lower than at z = 2 and z = 0.1. They comprise a remarkably high fraction (∼35%) of z ∼ 4 massive galaxies, suggesting that suppression of star formation was efficient even at very high redshift. Given the average stellar age of 0.8 Gyr and stellar mass of 0.8 × 10{sup 11} M {sub ☉}, the galaxies likely started forming stars before z = 5, with SFRs well in excess of 100 M {sub ☉} yr{sup –1}, far exceeding that of similarly abundant UV-bright galaxies at z ≥ 4. This suggests that most of the star formation in the progenitors of quiescent z ∼ 4 galaxies was obscured by dust.

  11. Cigarette smoking substantially alters plasma microRNA profiles in healthy subjects

    International Nuclear Information System (INIS)

    Takahashi, Kei; Yokota, Shin-ichi; Tatsumi, Naoyuki; Fukami, Tatsuki; Yokoi, Tsuyoshi; Nakajima, Miki

    2013-01-01

    Circulating microRNAs (miRNAs) are receiving attention as potential biomarkers of various diseases, including cancers, chronic obstructive pulmonary disease, and cardiovascular disease. However, it is unknown whether the levels of circulating miRNAs in a healthy subject might vary with external factors in daily life. In this study, we investigated whether cigarette smoking, a habit that has spread throughout the world and is a risk factor for various diseases, affects plasma miRNA profiles. We determined the profiles of 11 smokers and 7 non-smokers by TaqMan MicroRNA array analysis. A larger number of miRNAs were detected in smokers than in non-smokers, and the plasma levels of two-thirds of the detected miRNAs (43 miRNAs) were significantly higher in smokers than in non-smokers. A principal component analysis of the plasma miRNA profiles clearly separated smokers and non-smokers. Twenty-four of the miRNAs were previously reported to be potential biomarkers of disease, suggesting the possibility that smoking status might interfere with the diagnosis of disease. Interestingly, we found that quitting smoking altered the plasma miRNA profiles to resemble those of non-smokers. These results suggested that the differences in the plasma miRNA profiles between smokers and non-smokers could be attributed to cigarette smoking. In addition, we found that an acute exposure of ex-smokers to cigarette smoke (smoking one cigarette) did not cause a dramatic change in the plasma miRNA profile. In conclusion, we found that repeated cigarette smoking substantially alters the plasma miRNA profile, interfering with the diagnosis of disease or signaling potential smoking-related diseases. - Highlights: • Plasma miRNA profiles were unambiguously different between smokers and non-smokers. • Smoking status might interfere with the diagnosis of disease using plasma miRNAs. • Changes of plasma miRNA profiles may be a signal of smoking-related diseases

  12. Mutations in gp41 are correlated with coreceptor tropism but do not improve prediction methods substantially.

    Science.gov (United States)

    Thielen, Alexander; Lengauer, Thomas; Swenson, Luke C; Dong, Winnie W Y; McGovern, Rachel A; Lewis, Marilyn; James, Ian; Heera, Jayvant; Valdez, Hernan; Harrigan, P Richard

    2011-01-01

    The main determinants of HIV-1 coreceptor usage are located in the V3-loop of gp120, although mutations in V2 and gp41 are also known. Incorporation of V2 is known to improve prediction algorithms; however, this has not been confirmed for gp41 mutations. Samples with V3 and gp41 genotypes and Trofile assay (Monogram Biosciences, South San Francisco, CA, USA) results were taken from the HOMER cohort (n=444) and from patients screened for the MOTIVATE studies (n=1,916; 859 with maraviroc outcome data). Correlations of mutations with tropism were assessed using Fisher's exact test and prediction models trained using support vector machines. Models were validated by cross-validation, by testing models from one dataset on the other, and by analysing virological outcome. Several mutations within gp41 were highly significant for CXCR4 usage; most strikingly an insertion occurring in 7.7% of HOMER-R5 and 46.3% of HOMER-X4 samples (MOTIVATE 5.7% and 25.2%, respectively). Models trained on gp41 sequence alone achieved relatively high areas under the receiver-operating characteristic curve (AUCs; HOMER 0.713 and MOTIVATE 0.736) that were almost as good as V3 models (0.773 and 0.884, respectively). However, combining the two regions improved predictions only marginally (0.813 and 0.902, respectively). Similar results were found when models were trained on HOMER and validated on MOTIVATE or vice versa. The difference in median log viral load decrease at week 24 between patients with R5 and X4 virus was 1.65 (HOMER 2.45 and MOTIVATE 0.79) for V3 models, 1.59 for gp41-models (2.42 and 0.83, respectively) and 1.58 for the combined predictor (2.44 and 0.86, respectively). Several mutations within gp41 showed strong correlation with tropism in two independent datasets. However, incorporating gp41 mutations into prediction models is not mandatory because they do not improve substantially on models trained on V3 sequences alone.

  13. Substantial decline in sugar-sweetened beverage consumption among California’s children and adolescents

    Directory of Open Access Journals (Sweden)

    Lu Shi

    2010-08-01

    Full Text Available Lu Shi, Jeroen van MeijgaardUCLA Health Forecasting, UCLA School of Public Health, Los Angeles, CA, USAIntroduction: Few studies have looked at changes among risk factors that might help explain why childhood obesity prevalence in the US has leveled off in recent years. We present an analysis of the California Health Interview Survey (CHIS that examines trends in childhood and adolescent obesity as well as trends in sugar-sweetened beverage (SSB consumption.Method: We compared 3 separate cross-sectional samples (2003, 2005, and 2007 from biennial CHIS for 3 age groups, age 2–5, age 6–11 and age 12–17. We calculated the prevalence of high SSB consumption (defined as having more than one SSB during the previous day. 2 measures of obesity were used – weight-for-age at or above the 95th percentile on national growth charts for children aged 2–11, and body mass index for age at or above the 95th percentile on national growth charts for adolescents aged 12–17. Logistic regression analysis is used to estimate adjusted odds ratios of high SSB consumption in 2005 and 2007 compared with the baseline year of 2003.Results: From 2003 to 2007, each age group experienced a substantial decline in high SSB consumption (16.4%–5.0% for age 2–5, P < 0.001; 22.5%–9.9% for age 6–11, P < 0.001; 35.7%–25.7% for age 12–17, P < 0.001. Declines in the prevalence of children’s obesity were significant among children age 2–5 (P < 0.001 and age 6–11 (P < 0.05 but not among adolescents (P = 0.42. Children and teenagers in 2005 and 2007 were significantly less likely than those surveyed in 2003 to have high SSB consumption after adjusting for gender, age, race/ethnicity, poverty level, and parental education (P < 0.001.Conclusion: Policy actions may have impacted the prevalence of SSB consumption in the population. Further research is needed to examine the contribution of declining SSB consumption on the leveling off of obesity trends and the

  14. Decadal-Scale Forecasting of Climate Drivers for Marine Applications.

    Science.gov (United States)

    Salinger, J; Hobday, A J; Matear, R J; O'Kane, T J; Risbey, J S; Dunstan, P; Eveson, J P; Fulton, E A; Feng, M; Plagányi, É E; Poloczanska, E S; Marshall, A G; Thompson, P A

    Climate influences marine ecosystems on a range of time scales, from weather-scale (days) through to climate-scale (hundreds of years). Understanding of interannual to decadal climate variability and impacts on marine industries has received less attention. Predictability up to 10 years ahead may come from large-scale climate modes in the ocean that can persist over these time scales. In Australia the key drivers of climate variability affecting the marine environment are the Southern Annular Mode, the Indian Ocean Dipole, the El Niño/Southern Oscillation, and the Interdecadal Pacific Oscillation, each has phases that are associated with different ocean circulation patterns and regional environmental variables. The roles of these drivers are illustrated with three case studies of extreme events-a marine heatwave in Western Australia, a coral bleaching of the Great Barrier Reef, and flooding in Queensland. Statistical and dynamical approaches are described to generate forecasts of climate drivers that can subsequently be translated to useful information for marine end users making decisions at these time scales. Considerable investment is still needed to support decadal forecasting including improvement of ocean-atmosphere models, enhancement of observing systems on all scales to support initiation of forecasting models, collection of important biological data, and integration of forecasts into decision support tools. Collaboration between forecast developers and marine resource sectors-fisheries, aquaculture, tourism, biodiversity management, infrastructure-is needed to support forecast-based tactical and strategic decisions that reduce environmental risk over annual to decadal time scales. © 2016 Elsevier Ltd. All rights reserved.

  15. Vegetation Change in Interior Alaska Over the Last Four Decades

    Science.gov (United States)

    Huhman, H.; Dewitz, J.; Cristobal, J.; Prakash, A.

    2017-12-01

    The Arctic has become a generally warmer place over the past decades leading to earlier snowmelt, permafrost degradation and changing plant communities. One area in particular, vegetation change, is responding relatively rapidly to climate change, impacting the surrounding environment with changes to forest fire regime, forest type, forest resiliency, habitat availability for subsistence flora and fauna, hydrology, among others. To quantify changes in vegetation in the interior Alaska boreal forest over the last four decades, this study uses the National Land Cover Database (NLCD) decision-tree based classification methods, using both C5 and ERDAS Imagine software, to classify Landsat Surface Reflectance Images into the following NLCD-consistent vegetation classes: planted, herbaceous, shrubland, and forest (deciduous, evergreen and mixed). The results of this process are a total of four vegetation cover maps, that are freely accessible to the public, one for each decade in the 1980's, 1990's, 2000's, and a current map for 2017. These maps focus on Fairbanks, Alaska and the surrounding area covering approximately 36,140 square miles. The maps are validated with over 4,000 ground truth points collected through organizations such as the Landfire Project and the Long Term Ecological Research Network, as well as vegetation and soil spectra collected from the study area concurrent with the Landsat satellite over-passes with a Spectral Evolution PSR+ 3500 spectro-radiometer (0.35 - 2.5 μm). We anticipate these maps to be viewed by a wide user-community and may aid in preparing the residents of Alaska for changes in their subsistence food sources and will contribute to the scientific community in understanding the variety of changes that can occur in response to changing vegetation.

  16. ESRD management in Africa during the last decade.

    Science.gov (United States)

    El Matri, Aziz

    2015-01-01

    This study was initiated under the auspices of the African Association of Nephrology to evaluate end-stage renal disease (ESRD) development by using data collected in 3 successive surveys performed during the last decade. Questionnaires were sent in 2004, 2006, and 2012 to national renal societies and to leading nephrologists. Data were also collected from dialysis supply companies, personal communication, and by using research on Medline, Pubmed, etc. So data could be obtained from 33 countries. During the last decade the total number of nephrologists increased from 1,022 to 2,500 in 33 countries - i.e., an average growth rate of 15% per year. But there are still few hospital units dedicated to renal healthcare. The number of dialysis units increased from 1,200 to 1,600 and the number of dialysis patients (97% on hemodialysis) grew from 36,000 to 87,400 i.e., an average growth rate of 14% per year. Peritoneal dialysis, which covers less than 3% of RRT, increased from 1,300 to 2,400 with a yearly growth rate of 8% but it is still located in few countries. Renal transplant is implemented mainly in public hospitals in 5 North African and 7 sub. Saharan and South African countries. Only 5 countries have sustained programs that perform more than 100 operations per year. During the last decade, several countries improved the quality and quantity of care offered to ESRD patients. It is hoped that there will be a sustained improvement with a greater emphasis on education and development of kidney transplantation.

  17. Decadal variability on the Northwest European continental shelf

    Science.gov (United States)

    Jones, Sam; Cottier, Finlo; Inall, Mark; Griffiths, Colin

    2018-02-01

    Decadal scale time series of the shelf seas are important for understanding both climate and process studies. Despite numerous investigations of long-term temperature variability in the shelf seas, studies of salinity variability are few. Salt is a more conservative tracer than temperature in shallow seas, and it can reveal changes in local hydrographic conditions as well as transmitted basin-scale changes. Here, new inter-annual salinity time series on the northwest European shelf are developed and a 13 year high resolution salinity record from a coastal mooring in western Scotland is presented and analysed. We find strong temporal variability in coastal salinity on timescales ranging from tidal to inter-annual, with the magnitude of variability greatest during winter months. There is little seasonality and no significant decadal trend in the coastal time series of salinity. We propose 4 hydrographic states to explain salinity variance in the shelf area west of Scotland based on the interaction between a baroclinic coastal current and wind-forced barotropic flow: while wind forcing is important, we find that changes in the buoyancy-driven flow are more likely to influence long-term salinity observations. We calculate that during prevailing westerly wind conditions, surface waters in the Sea of the Hebrides receive a mix of 62% Atlantic origin water to 38% coastal sources. This contrasts with easterly wind conditions, during which the mix is 6% Atlantic to 94% coastal sources on average. This 'switching' between hydrographic states is expected to impact nutrient transport and therefore modify the level of primary productivity on the shelf. This strong local variability in salinity is roughly an order of magnitude greater than changes in the adjacent ocean basin, and we infer from this that Scottish coastal waters are likely to be resilient to decadal changes in ocean climate.

  18. Decadal oxygen change in the eastern tropical North Atlantic

    Directory of Open Access Journals (Sweden)

    J. Hahn

    2017-07-01

    Full Text Available Repeat shipboard and multi-year moored observations obtained in the oxygen minimum zone (OMZ of the eastern tropical North Atlantic (ETNA were used to study the decadal change in oxygen for the period 2006–2015. Along 23° W between 6 and 14° N, oxygen decreased with a rate of −5.9 ± 3.5 µmol kg−1 decade−1 within the depth covering the deep oxycline (200–400 m, while below the OMZ core (400–1000 m oxygen increased by 4.0 ± 1.6 µmol kg−1 decade−1 on average. The inclusion of these decadal oxygen trends in the recently estimated oxygen budget for the ETNA OMZ suggests a weakened ventilation of the upper 400 m, whereas the ventilation strengthened homogeneously below 400 m. The changed ventilation resulted in a shoaling of the ETNA OMZ of −0.03 ± 0.02 kg m−3 decade−1 in density space, which was only partly compensated by a deepening of isopycnal surfaces, thus pointing to a shoaling of the OMZ in depth space as well (−22 ± 17 m decade−1. Based on the improved oxygen budget, possible causes for the changed ventilation are analyzed and discussed. Largely ruling out other ventilation processes, the zonal advective oxygen supply stands out as the most probable budget term responsible for the decadal oxygen changes.

  19. Initializing decadal climate predictions over the North Atlantic region

    Science.gov (United States)

    Matei, Daniela Mihaela; Pohlmann, Holger; Jungclaus, Johann; Müller, Wolfgang; Haak, Helmuth; Marotzke, Jochem

    2010-05-01

    Decadal climate prediction aims to predict the internally-generated decadal climate variability in addition to externally-forced climate change signal. In order to achieve this it is necessary to start the predictions from the current climate state. In this study we investigate the forecast skill of the North Atlantic decadal climate predictions using two different ocean initialization strategies. First we apply an assimilation of ocean synthesis data provided by the GECCO project (Köhl and Stammer, 2008) as initial conditions for the coupled model ECHAM5/MPI-OM. Hindcast experiments are then performed over the period 1952-2001. An alternative approach is one in which the subsurface ocean temperature and salinity are diagnosed from an ensemble of ocean model runs forced by the NCEP-NCAR atmospheric reanalyzes for the period 1948-2007, then nudge into the coupled model to produce initial conditions for the hindcast experiments. An anomaly coupling scheme is used in both approaches to avoid the hindcast drift and the associated initial shock. Differences between the two assimilation approaches are discussed by comparing them with the observational data in key regions and processes. We asses the skill of the initialized decadal hindcast experiments against the prediction skill of the non-initialized hindcasts simulation. We obtain an overview of the regions with the highest predictability from the regional distribution of the anomaly correlation coefficients and RMSE for the SAT. For the first year the hindcast skill is increased over almost all ocean regions in the NCEP-forced approach. This increase in the hindcast skill for the 1 year lead time is somewhat reduced in the GECCO approach. At lead time 5yr and 10yr, the skill enhancement is still found over the North Atlantic and North Pacific regions. We also consider the potential predictability of the Atlantic Meridional Overturning Circulation (AMOC) and Nordic Seas Overflow by comparing the predicted values to

  20. Road transportation challenges and systems for the next decade

    International Nuclear Information System (INIS)

    Welbourne, E.R.

    1992-01-01

    An overview is presented of the historical evolution in road transport systems technology and regulations, and of developments foreseen in the next decade, in the contexts of safety, energy consumption and emissions, and the environment. Collision reduction technology including high centre mounted stop lights, antilock braking systems, headlight glare reduction, crashworthiness, and impact modes are discussed. Technology for reducing energy consumption, global climate change implications, chlorofluorocarbons, urban air quality impacts, and the conflict between improved safety and the environment (larger cars tend to be safer) are discussed. 13 refs

  1. Looking Backward and Forward: A Decadal View of Volcanology

    Science.gov (United States)

    Fink, J. H.

    2010-12-01

    In many scientific fields, decades are the time intervals of choice for retrospective and prospective reflections and speculations. AGU Session V02 seeks to apply this perspective to the assessment of where volcanology has been since 2000 and where it is headed in the next ten years. Most sciences progress through incremental observational, experimental and theoretical steps, accelerated by the identification of new socially-relevant applications, technological breakthroughs or conceptual insights, and jolted by largely unanticipated events. Volcanology is unusual in the dominant role that unpredictable eruptive observations play in controlling the evolution of the discipline. As a result, the most important constraints on how the field will change are virtually unknowable. At a session at the Fall AGU meeting in 2000 on "Volcanology 2010" a dozen talks sought to forecast how volcano science and policy would change in the next ten years, focusing on such topics as seismology, petrology, remote sensing, deformation, volcano-tectonic interactions, communications, graduate education, international cooperation, numerical modeling, database querying, and networking of observatories. While progress occurred in many of these areas, what was perhaps the most important influence on volcanology was not mentioned: for the first 9.5 years of the decade, there were no eruptions disastrous or novel enough to garner global public or political attention, with associated prioritization by funding agencies. The notable exception was the eruption of Eyjafjallajökull in mid-2010, which captured the western world’s attention due to the magnitude of the disruption, the frustrating inability of scientists to provide guidance, and the fortunate lack of casualties. We can expect continuing technical advances in all aspects of geoscience to improve the understanding of volcanic processes in the coming decade. However, another natural disaster in 2010 might hold more relevance for how

  2. Adult Mammalian Neural Stem Cells and Neurogenesis: Five Decades Later

    Science.gov (United States)

    Bond, Allison M.; Ming, Guo-li; Song, Hongjun

    2015-01-01

    Summary Adult somatic stem cells in various organs maintain homeostatic tissue regeneration and enhance plasticity. Since its initial discovery five decades ago, investigations of adult neurogenesis and neural stem cells have led to an established and expanding field that has significantly influenced many facets of neuroscience, developmental biology and regenerative medicine. Here we review recent progress and focus on questions related to adult mammalian neural stem cells that also apply to other somatic stem cells. We further discuss emerging topics that are guiding the field toward better understanding adult neural stem cells and ultimately applying these principles to improve human health. PMID:26431181

  3. A decade of molecular cell biology: achievements and challenges.

    Science.gov (United States)

    Akhtar, Asifa; Fuchs, Elaine; Mitchison, Tim; Shaw, Reuben J; St Johnston, Daniel; Strasser, Andreas; Taylor, Susan; Walczak, Claire; Zerial, Marino

    2011-09-23

    Nature Reviews Molecular Cell Biology celebrated its 10-year anniversary during this past year with a series of specially commissioned articles. To complement this, here we have asked researchers from across the field for their insights into how molecular cell biology research has evolved during this past decade, the key concepts that have emerged and the most promising interfaces that have developed. Their comments highlight the broad impact that particular advances have had, some of the basic understanding that we still require, and the collaborative approaches that will be essential for driving the field forward.

  4. Role of nuclear energy in the next decades

    Energy Technology Data Exchange (ETDEWEB)

    Beckurts, K H [Kernforschungsanlage Juelich G.m.b.H. (Germany, F.R.)

    1978-01-01

    The dispute over nuclear energy has led in many countries to an extremely involved entanglement of technology, politics, economy, judiciary and ideology. The role of nuclear energy will be determined in the next decades more by politico-psychological factors than by economic-technical ones; predictions for the future are thus - as in many other fields - uncertain. However, as the case may be, the role of nuclear energy will very decisively depend on the state of development which the fuel cycle will have reached. The article concentrates therefore on this sector, and the questions of uranium supply, waste management and proliferation are dealt with in detail.

  5. Lessons about parks and poverty from a decade of forest loss and economic growth around Kibale National Park, Uganda.

    Science.gov (United States)

    Naughton-Treves, Lisa; Alix-Garcia, Jennifer; Chapman, Colin A

    2011-08-23

    We use field data linked to satellite image analysis to examine the relationship between biodiversity loss, deforestation, and poverty around Kibale National Park (KNP) in western Uganda, 1996-2006. Over this decade, KNP generally maintained forest cover, tree species, and primate populations, whereas neighboring communal forest patches were reduced by half and showed substantial declines in tree species and primate populations. However, a bad decade for forest outside the park proved a prosperous one for most local residents. Panel data for 252 households show substantial improvement in welfare indicators (e.g., safer water, more durable roof material), with the greatest increases found among those with highest initial assets. A combination of regression analysis and matching estimators shows that although the poor tend to be located on the park perimeter, proximity to the park has no measureable effect on growth of productive assets. The risk for land loss among the poor was inversely correlated with proximity to the park, initial farm size, and decline in adjacent communal forests. We conclude the current disproportionate presence of poor households at the edge of the park does not signal that the park is a poverty trap. Rather, Kibale appears to provide protection against desperation sales and farm loss among those most vulnerable.

  6. The abdominal technetium scan (a decade of experience)

    International Nuclear Information System (INIS)

    Cooney, D.R.; Duszynski, D.O.; Camboa, E.; Karp, M.P.; Jewett, T.C. Jr.

    1982-01-01

    Out of 270 children with gastrointestinal symptoms, the indications for technetium scanning were: gastrointestinal tract bleeding (165 patients), abdominal pain (99 patients) and a history of intussusception (6 patients). Thirty children had abnormal findings, while the remaining 240 patients had normal scans. Four of the 30 children with positive scans were not explored, while the others underwent laparotomy. Of the 26 operated patients, 12 (46%) had a Meckel's diverticulum. Nine patients (34%) had other pathologic lesions that were detected by the scan. Five had true false positives as no pathologic lesions were found. Of the 240 children with negative scans, 19 were eventually explored because of persistent symptoms or clinical findings. Two of these had a Meckel's diverticulum. Eleven had a negative exploration while six had other surgical lesions. Technitium scan should reliably detect around 80%-90% of Meckel's diverticula. It will also accurately exclude the diagnosis of Meckel's diverticulum in over 90% of patients

  7. Decadal-scale changes of dinoflagellates and diatoms in the anomalous baltic sea spring bloom.

    Directory of Open Access Journals (Sweden)

    Riina Klais

    Full Text Available The algal spring bloom in the Baltic Sea represents an anomaly from the winter-spring bloom patterns worldwide in terms of frequent and recurring dominance of dinoflagellates over diatoms. Analysis of approximately 3500 spring bloom samples from the Baltic Sea monitoring programs revealed (i that within the major basins the proportion of dinoflagellates varied from 0.1 (Kattegat to >0.8 (central Baltic Proper, and (ii substantial shifts (e.g. from 0.2 to 0.6 in the Gulf of Finland in the dinoflagellate proportion over four decades. During a recent decade (1995-2004 the proportion of dinoflagellates increased relative to diatoms mostly in the northernmost basins (Gulf of Bothnia, from 0.1 to 0.4 and in the Gulf of Finland, (0.4 to 0.6 which are typically ice-covered areas. We hypothesize that in coastal areas a specific sequence of seasonal events, involving wintertime mixing and resuspension of benthic cysts, followed by proliferation in stratified thin layers under melting ice, favors successful seeding and accumulation of dense dinoflagellate populations over diatoms. This head-start of dinoflagellates by the onset of the spring bloom is decisive for successful competition with the faster growing diatoms. Massive cyst formation and spreading of cyst beds fuel the expanding and ever larger dinoflagellate blooms in the relatively shallow coastal waters. Shifts in the dominant spring bloom algal groups can have significant effects on major elemental fluxes and functioning of the Baltic Sea ecosystem, but also in the vast shelves and estuaries at high latitudes, where ice-associated cold-water dinoflagellates successfully compete with diatoms.

  8. Understanding wind turbine price trends in the U.S. over the past decade

    International Nuclear Information System (INIS)

    Bolinger, Mark; Wiser, Ryan

    2012-01-01

    On a $/kW basis, wind turbine prices in the U.S. have declined by nearly one-third on average since 2008, after having previously doubled over the period from 2002 through 2008. These two substantial and opposing trends over the past decade – and particularly the earlier price doubling – run counter to the smooth, gradually declining cost trajectories predicted by standard learning curve theory. Taking a bottom-up approach, we examine seven possible drivers of wind turbine prices in the U.S., with the goal of estimating the degree to which each contributed to the doubling in turbine prices from 2002 through 2008, as well as the subsequent decline in prices through 2010. In aggregate, these seven drivers – which include changes in labor costs, warranty provisions, manufacturer profitability, turbine scaling, raw materials prices, energy prices, and foreign exchange rates – explain from 70% to 90% (depending on the year) of empirically observed wind turbine price movements in the U.S. through 2010. Turbine scaling is found to have been the largest single contributor to the price doubling through 2008, although the incremental cost of scaling has been justified by greater energy capture, resulting in a lower cost of wind generation. - Highlights: ► Having doubled from 2002 to 2008, wind turbine prices have since fallen by one-third. ► We analyze seven potential drivers of wind turbine prices over the past decade. ► Turbine scaling has had the largest influence, followed by weakness in the dollar. ► Changes in the price of energy inputs had the smallest impact.

  9. An effective drift correction for dynamical downscaling of decadal global climate predictions

    Science.gov (United States)

    Paeth, Heiko; Li, Jingmin; Pollinger, Felix; Müller, Wolfgang A.; Pohlmann, Holger; Feldmann, Hendrik; Panitz, Hans-Jürgen

    2018-04-01

    Initialized decadal climate predictions with coupled climate models are often marked by substantial climate drifts that emanate from a mismatch between the climatology of the coupled model system and the data set used for initialization. While such drifts may be easily removed from the prediction system when analyzing individual variables, a major problem prevails for multivariate issues and, especially, when the output of the global prediction system shall be used for dynamical downscaling. In this study, we present a statistical approach to remove climate drifts in a multivariate context and demonstrate the effect of this drift correction on regional climate model simulations over the Euro-Atlantic sector. The statistical approach is based on an empirical orthogonal function (EOF) analysis adapted to a very large data matrix. The climate drift emerges as a dramatic cooling trend in North Atlantic sea surface temperatures (SSTs) and is captured by the leading EOF of the multivariate output from the global prediction system, accounting for 7.7% of total variability. The SST cooling pattern also imposes drifts in various atmospheric variables and levels. The removal of the first EOF effectuates the drift correction while retaining other components of intra-annual, inter-annual and decadal variability. In the regional climate model, the multivariate drift correction of the input data removes the cooling trends in most western European land regions and systematically reduces the discrepancy between the output of the regional climate model and observational data. In contrast, removing the drift only in the SST field from the global model has hardly any positive effect on the regional climate model.

  10. Two Decades (almost) of Keck Observations of Io

    Science.gov (United States)

    De Pater, I.; Davies, A. G.; de Kleer, K.

    2015-12-01

    We have regularly observed Io with the 10-m Keck Telescope since 1998, initially using the speckle imaging technique, and switching to Adaptive Optics techniques when this became available in 2001. In this talk we will discuss several eruptions that we witnessed, and present 20-30 year timelines of thermal emission from Pele, Pillan, Janus Patera, Kanehekili Fluctus, and Loki Patera, updating timelines in recent publications [1, 2] with additional Keck adaptive optics data obtained between 2002 and 2015. These new timelines are the most comprehensive plots ever produced of the volcanic thermal emission variability for these or any other locations on Io, utilizing data from multiple ground- and space-based assets. Our continuing multi-decadal observing program forms the basis for charting the variability of Io's volcanic activity, of great importance for understanding the evolution of the Galilean satellite system, and with the expectation of new missions to the jovian system in the next decade. Acknowledgements: This research is in part supported by NSF grant AST-1313485 to UC Berkeley. AGD is supported by a grant from the NASA OPR Program. References: [1] Davies et al. (2012) Icarus, 221, 466-470. [2] Rathbun and Spencer (2010) Icarus, 209, 625-630.

  11. The Asian battery market—a decade of change

    Science.gov (United States)

    Eckfeld, S.; Manders, J. E.; Stevenson, M. W.

    The Asian battery industry will undergo significant change over the next decade as it adapts to the enormous economic and technological pressures of our rapidly changing world. Europe and North America in recent years have seen significant rationalisation in battery manufacturing capacity and ownership for a variety of reasons. Into the future, Asia will be no exception, but the rate and magnitude of change may conceivably be greater than that already experienced elsewhere. Rationalisation in battery manufacturing plants will occur as a result of the establishment of super plants to manufacture batteries in order to improve the economies of scale and to facilitate the heavy investment in new capital and equipment that will be required to supply the newer technology battery types. The impact of 42 V automotive systems and valve-regulated lead-acid (VRLA) batteries will be influential on this scenario. It is expected that China, Japan, South Korea, and Thailand will feature heavily in the future Asian battery scene at the expense of some established countries and producers. The current state of the battery industry in Asia, factors driving change in Asia, and the likely implications for those companies that are currently manufacturing batteries in Asia or considering a future role in Asia within the coming decade are examined in this paper.

  12. SIFT Meets CNN: A Decade Survey of Instance Retrieval.

    Science.gov (United States)

    Zheng, Liang; Yang, Yi; Tian, Qi

    2018-05-01

    In the early days, content-based image retrieval (CBIR) was studied with global features. Since 2003, image retrieval based on local descriptors (de facto SIFT) has been extensively studied for over a decade due to the advantage of SIFT in dealing with image transformations. Recently, image representations based on the convolutional neural network (CNN) have attracted increasing interest in the community and demonstrated impressive performance. Given this time of rapid evolution, this article provides a comprehensive survey of instance retrieval over the last decade. Two broad categories, SIFT-based and CNN-based methods, are presented. For the former, according to the codebook size, we organize the literature into using large/medium-sized/small codebooks. For the latter, we discuss three lines of methods, i.e., using pre-trained or fine-tuned CNN models, and hybrid methods. The first two perform a single-pass of an image to the network, while the last category employs a patch-based feature extraction scheme. This survey presents milestones in modern instance retrieval, reviews a broad selection of previous works in different categories, and provides insights on the connection between SIFT and CNN-based methods. After analyzing and comparing retrieval performance of different categories on several datasets, we discuss promising directions towards generic and specialized instance retrieval.

  13. Hydroxyurea revisited: a decade of clinical effects studies

    International Nuclear Information System (INIS)

    Sinclair, W.K.

    1981-01-01

    Over a decade ago hydroxyurea was shown to selectively kill cells in the S phase in a proliferating cell population and to block cells at the G 1 -S border. Consequently, blocked cells became sensitized to irradiation and were further sensitized when the drug was present after exposure. In the ensuing decade, many in vivo studies on hydroxyurea have confirmed that the main properties of hydroxyurea identified in the dish are also evident in vivo. During a period of about ten years, a considerable number of clinical studies have been performed, the results of which have been mixed, ranging from indeterminate to encouraging, depending to some extent on the site treated and whether careful randomized studies were done. The question arises whether the clinical studies have represented adequate tests, by laboratory standards, of the likely effectiveness of the drug in clinical circumstances. The clinical studies with hydroxyurea have been examined in this light, since the results might also bear on the use of many other such agents in combination therapy. This examination revealed that no attempts have been made to determine the concentration of hydroxyurea in the tumor and other relevant tissues as a function of time or to assess the cell kinetic features of the tumor and thus estimate the appropriate dose regimen. It would seem that a wide gap still exists between laboratory research and clinical application

  14. Seasonal and decadal information towards climate services: EUPORIAS

    Science.gov (United States)

    Buontempo, Carlo; Hewitt, Chris

    2013-04-01

    Societies have always faced challenges and opportunities arising from variations in climate, and have often flourished or collapsed depending on their ability to adapt to such changes. Recent advances in our understanding and ability to forecast climate variability and climate change have meant that skilful predictions are beginning to be routinely made on seasonal to decadal (s2d) timescales. Such forecasts have the potential to be of great value to a wide range of decision-making, where outcomes are strongly influenced by variations in the climate. The European Commission have recently commissioned a major four year long project (EUPORIAS) to develop prototype end-to-end climate impact prediction services operating on a seasonal to decadal timescale, and assess their value in informing decision-making. EUPORIAS commenced on 1 November 2012, coordinated by the UK Met Office leading a consortium of 24 organisations representing world-class European climate research and climate service centres, expertise in impacts assessments and seasonal predictions, two United Nations agencies, specialists in new media, and commercial companies in climate-vulnerable sectors such as energy, water and tourism. The paper describes the setup of the project, its main outcome and some of the very preliminary results.

  15. Separating decadal global water cycle variability from sea level rise.

    Science.gov (United States)

    Hamlington, B D; Reager, J T; Lo, M-H; Karnauskas, K B; Leben, R R

    2017-04-20

    Under a warming climate, amplification of the water cycle and changes in precipitation patterns over land are expected to occur, subsequently impacting the terrestrial water balance. On global scales, such changes in terrestrial water storage (TWS) will be reflected in the water contained in the ocean and can manifest as global sea level variations. Naturally occurring climate-driven TWS variability can temporarily obscure the long-term trend in sea level rise, in addition to modulating the impacts of sea level rise through natural periodic undulation in regional and global sea level. The internal variability of the global water cycle, therefore, confounds both the detection and attribution of sea level rise. Here, we use a suite of observations to quantify and map the contribution of TWS variability to sea level variability on decadal timescales. In particular, we find that decadal sea level variability centered in the Pacific Ocean is closely tied to low frequency variability of TWS in key areas across the globe. The unambiguous identification and clean separation of this component of variability is the missing step in uncovering the anthropogenic trend in sea level and understanding the potential for low-frequency modulation of future TWS impacts including flooding and drought.

  16. Complex licences: a decade of experience with internal inspections

    International Nuclear Information System (INIS)

    Boersma, Hielke Freerk; Bunskoeke, Erik J.

    2008-01-01

    Full text: In 2008 the University of Groningen has ten years of experience with the system of complex broad licences. This system was introduced on a larger scale in the Netherlands in the last decade of the twentieth century. Its main characteristics are an internal radiation protection organization and a system of internal permits or licences for all applications of ionizing radiation along with periodical inspections. Since 1998/9 we yearly conduct inspections of all users of ionizing radiation within the University of Groningen. In our presentation we will discuss the general scheme for these inspections as well as the development of its results over the past decade. Following a period of habituation the last few years show a adequate and continuous level of radiation protection. It is also concluded that continuation of the inspection projects is a prerequisite to preserve this situation. Combined with the inspection project of 2007 an informal study of the 'customer'-satisfaction with respect to various aspects of the radiation protection organization was performed. Our data were collected using a questionnaire filled out by local radiation safety officers. In this contribution detailed results of this investigation will be presented. Preliminary results show that the overall appreciation of the radiation protection organization is qualified as 'good'. (author)

  17. Hypertextualités décadentes // Decadent hypertextualities

    Directory of Open Access Journals (Sweden)

    Marie-Françoise Melmoux-Montaubin

    2015-12-01

    Full Text Available This article aims at demonstrating the double hypothesis that hypertextuality both constitutes the essence of the end of the century’s literature and explains the negative term of « decadence » used to describe the literary production of the 1880–1900’s. Reading the two founding texts of the decadence, Huysmans’ A rebours (1884 and Les Déliquescences, poèmes décadents d’Adoré Floupette (1885, one can draw some of the major consequences of these practices of rewriting. They mark the end of a mimetic regime of literature defended by the Classics and the Realists, in which the aim is to represent the world, and substitute a new form of creation based on the texts only. They destroy in the same way the claim of originality praised to the skies by the Romantics. Those rewrites also contribute to the setting of new reading strategies that demand culture and erudition. Literature is affected by the rewritings of which she is constantly the object and which sometimes take the appearance of mystifications more or less melancholic. The use of hypertextuality both threatens and enchants literature.

  18. Indo-Pacific sea level variability during recent decades

    Science.gov (United States)

    Yamanaka, G.; Tsujino, H.; Nakano, H.; Urakawa, S. L.; Sakamoto, K.

    2016-12-01

    Decadal variability of sea level in the Indo-Pacific region is investigated using a historical OGCM simulation. The OGCM driven by the atmospheric forcing removing long-term trends clearly exhibits decadal sea level variability in the Pacific Ocean, which is associated with eastern tropical Pacific thermal anomalies. During the period of 1977-1987, the sea level anomalies are positive in the eastern equatorial Pacific and show deviations from a north-south symmetric distribution, with strongly negative anomalies in the western tropical South Pacific. During the period of 1996-2006, in contrast, the sea level anomalies are negative in the eastern equatorial Pacific and show a nearly north-south symmetric pattern, with positive anomalies in both hemispheres. Concurrently, sea level anomalies in the south-eastern Indian Ocean vary with those in the western tropical Pacific. These sea level variations are closely related to large-scale wind fields. Indo-Pacific sea level distributions are basically determined by wind anomalies over the equatorial region as well as wind stress curl anomalies over the off-equatorial region.

  19. Bone and Joint Decade 2000-2010 in Neplease Perspective

    Directory of Open Access Journals (Sweden)

    B P Paudyal

    2010-09-01

    Full Text Available The Bone and Joint Decade is a worldwide multi-disciplinary initiative targeting the care of people with musculoskeletal disorders. It focuses on improving the quality of life of these people through advances in the understanding and treatment through education, research, and prevention strategies. Though the epidemiological data in Nepal are very scanty, worldwide statistics have shown that musculoskeletal conditions represent more than half of all chronic diseases, and are the most common cause of severe long-term pain and disability. There is acute shortage of specialist manpower that care for people with these disorders. Furthermore the teaching in musculoskeletal disorders in health institutions is very minimal. All of these problems highlight the need for expanding the teaching of musculoskeletal disorders at all levels of medical education; promotion of clinical research; improving diagnostic, treatment, and rehabilitative facilities; and implementation of preventive strategies to reduce the burden of these chronic debilitating conditions in the society. Keywords: bone and joint decade, musculoskeletal and rheumatic diseases, Nepal.

  20. A decade of industrial tracer applications in Australia

    International Nuclear Information System (INIS)

    Charlton, S.

    1999-01-01

    Full text: The application of radiotracer technology to the solution of problems in Australian industry dates back to the 1950's and has been well chronicled elsewhere. However, it may confidently be asserted that the most significant growth in industrial applications has taken place over the last decade. This is no accident. In the last Quarter of 1989, Tracerco Australasia was established as a partnership between ICI Australia and ANSTO with the specific remit of promoting and selling radioisotope applications to industry. Effectively, this marked the commencement of the 'commercialisation' of industrial radiotracing in Australia. Though organisational and ownership changes have subsequently taken place, the business established in 1989 continues to flourish and now, one decade after its inception, it is appropriate both to review the achievements of the last ten years and to identify the challenges and opportunities of the future. Accordingly, this paper describes the growth of the radiotracer applications business, analyses its current activities both geographically and by industrial sector and examines trends in technology utilisation. The criteria which need to be met to ensure the continuing expansions and development of industrial radiotracer applications are also discussed

  1. Biotechnology: Two Decades of Experimentation with Genetically Modified Foods

    Directory of Open Access Journals (Sweden)

    Marjan Ajami

    2016-10-01

    Full Text Available Background and Objective: Over the recent years, genetically modified food in varieties of corn, soybeans, canola and cotton have been introduced to the global market. This study reviews the health and nutritional value of genetically modified foods in the past two decades.Results and Conclusions: Contrary to the present biotechnological claims, transgenic products did not prove to be so flawless, and actually failed to maintain social satisfaction. Genetically modified foods could not gain an increase in the yield potential. Planting natural products and genetically modified products in parallel lines will absolutely result in genetic infection from the side of genetically modified foods. One of the major anxieties of the anti- genetically modified foods activism is the claim that genetically modified crops would alter the consumable parts of the plant quality and safety. Genetically modified foods have shown to have inadequate efficiency and potential adverse effects in both fields of health and biodiversity. This review has presented studies of genetically modified foods performances in the past two decades, and concludes that the wide application and the over generalization of genetically modified foods are not fundamentally recommended.Conflict of interest: Authors declare that there is no conflict of interest.

  2. A fruitful decade from 2005 to 2014 for anthraquinone patents.

    Science.gov (United States)

    Hussain, Hidayat; Al-Harrasi, Ahmed; Al-Rawahi, Ahmed; Green, Ivan R; Csuk, René; Ahmed, Ishtiaq; Shah, Afzah; Abbas, Ghulam; Rehman, Najeeb Ur; Ullah, Riaz

    2015-01-01

    Anthraquinones are aromatic compounds whose structures are related to anthracene (parent structure: 9,10-dioxoanthracene) for which various methods for their synthesis have been developed. In the past decade (2005 - 2014), much work has been done regarding anthraquinone chemistry in order to discover new compounds related to this scaffold as anticancer, antibacterial, antidiabetic, antiviral, anti-HCV, antifibrotic, fungicidal and anti-inflammatory agents. This review covers the patents on therapeutic activities of anthraquinones and their derivatives in the years between 2005 and 2014. A large portion of the therapeutic applications that were reported in international patents will be presented and discussed. Although a large number of patents have been registered over the last decade, this review is focused on important patents related to cancer, inflammation, infectious diseases, diabetic conditions and hepatitis C. The tricyclic planar ring system of anthraquinones displays a wide range of important pharmaceutical properties. By linking active anthraquinone analogs to other important pharmacophores or conjugates such as oximes, N-heterocycles, benzodiazepines or glycosyl ethers, their anticancer potential is enhanced. The ability of anthraquinone analogs to become more prominent as novel pharmaceutical agents may further be enhanced by fusing functionalized heterocyclic rings onto established anthraquinone cores.

  3. Transmutation: a decade of revival issues, relevant experiments and perspectives

    International Nuclear Information System (INIS)

    Salvatores, M.

    2001-01-01

    For more than a decade, transmutation studies have been again a topic of wide interest and have triggered numerous international activities, like bilateral/multilateral collaborations, information exchanges, state-of-the-art reports, conferences, but also some co-ordinated programmes and experiments. It is legitimate to ask at this point, whether transmutation studies are still 'fashionable' and why; what is known, what has been done and what should be done. Since the motivations of national programmes are often different, due to a different context, we will take for granted that transmutation is generally seen as an option for the back-end of the fuel cycle in order to reduce the burden of potential geological storages of radioactive wastes (whatever their nature). Finally, we also acknowledge the fact that some highly respected scientists have at several occasions during this decade expressed their doubts about the value of the transmutation option. A typical example is the position expressed by Pigford and Rasmussen, reporting the results of a study for the US National Research Council. (author)

  4. Survey of Four Decades of Addiction Prevalence Researches in Iran

    Directory of Open Access Journals (Sweden)

    Hamid Sarrami

    2013-07-01

    Full Text Available Objective: The main aim of this research is the survey of addiction and drug abuse and psychotropic drugs prevalence researches which have been done in our country in last decades Method: To do this research all addiction and drug abuse prevalence researches that have been taken place were collected and analyzed. Results: the results of the researches show that the statistics of addiction has been in an oscillation as in 1390, the survey in 15 to 64 years old people (according to 1385 census that is 50 million people, is equal to one million and three hundred thousand and twenty five persons. Conclusion: the results of the four decades of addiction prevalence in Iran show that in according to the size of the threat of drugs and psychotropic drugs and addiction prevalence and also the change of gender, matrimony, age, job and the level of addicts education, less attention has been given to the drug abuse prevalence researches in public, youngsters, students and governmental and governmental non- officials.

  5. An overview of cyanobacterial bloom occurrences and research in Africa over the last decade.

    Science.gov (United States)

    Ndlela, L L; Oberholster, P J; Van Wyk, J H; Cheng, P H

    2016-12-01

    Cyanobacterial blooms are a current cause for concern globally, with vital water sources experiencing frequent and increasingly toxic blooms in the past decade. These increases are resultant of both anthropogenic and natural factors, with climate change being the central concern. Of the more affected parts of the world, Africa has been considered particularly vulnerable due to its historical predisposition and lag in social economic development. This review collectively assesses the available information on cyanobacterial blooms in Africa as well as any visible trends associated with reported occurrences over the last decade. Of the 54 countries in Africa, only 21 have notable research information in the area of cyanobacterial blooms within the last decade, although there is substantial reason to attribute these blooms as some of the major water quality threats in Africa collectively. The collected information suggests that civil wars, disease outbreaks and inadequate infrastructure are at the core of Africa's delayed advancement. This is even more so in the area of cyanobacteria related research, with 11 out of 21 countries having recorded toxicity and physicochemical parameters related to cyanobacterial blooms. Compared to the rest of the continent, peripheral countries are at the forefront of research related to cyanobacteria, with countries such as Angola having sufficient rainfall, but poor water quality with limited information on bloom occurrences. An assessment of the reported blooms found nitrogen concentrations to be higher in the water column of more toxic blooms, validating recent global studies and indicating that phosphorous is not the only factor to be monitored in bloom mitigation. Blooms occurred at low TN: TP ratios and at temperatures above 12°C. Nitrogen was linked to toxicity and temperature also had a positive effect on bloom occurrence and toxicity. Microcystis was the most ubiquitous of the cyanobacterial strains reported in Africa and the

  6. Effects of leisure and non-leisure physical activity on mortality in U.S. adults over two decades.

    Science.gov (United States)

    Arrieta, Alejandro; Russell, Louise B

    2008-12-01

    To estimate the effects of the components of total physical activity, leisure-time and non-leisure activity, on all-cause mortality over two decades in a large, nationally representative sample of U.S. adults. We used the first National Health and Nutrition Examination Survey (NHANES I, 1971-1975) and its Epidemiologic Followup Study (NHEFS), which tracked deaths of NHANES I participants through 1992. Using multivariable Cox regression, and multiple imputation for missing values of control variables, we related baseline leisure-time and non-leisure physical activity to all-cause mortality during follow-up, controlling for other risk factors. Adults 35 through 59 years of age (N = 5884) and 60 through 74 years of age (N = 4590) were analyzed separately. For persons aged 35-59, moderate non-leisure activity at baseline significantly reduced mortality risk over the next two decades by about 26%, high non-leisure activity by about 37%, compared with low non-leisure activity. For persons 60-74, risk reductions were 34% and 38%, respectively. Leisure-time activity was associated with lower mortality, but was not consistently significant when both types of activity were entered in the regressions. Over two decades, non-leisure physical activity was associated with a substantial reduction in all-cause mortality. These results contribute to a growing number of studies that support the importance of measuring all physical activity.

  7. Forecasting fluid milk and cheese demands for the next decade.

    Science.gov (United States)

    Schmit, T M; Kaiser, H M

    2006-12-01

    Predictions of future market demands and farm prices for dairy products are important determinants in developing marketing strategies and farm-production planning decisions. The objective of this report was to use current aggregate forecast data, combined with existing econometric models of demand and supply, to forecast retail demands for fluid milk and cheese and the supply and price of farm milk over the next decade. In doing so, we can investigate whether projections of population and consumer food-spending patterns will extend or alter current consumption trends and examine the implications of future generic advertising strategies for dairy products. To conduct the forecast simulations and appropriately allocate the farm milk supply to various uses, we used a partial equilibrium model of the US domestic dairy sector that segmented the industry into retail, wholesale, and farm markets. Model simulation results indicated that declines in retail per capita demand would persist but at a reduced rate from years past and that retail per capita demand for cheese would continue to grow and strengthen over the next decade. These predictions rely on expected changes in the size of populations of various ages, races, and ethnicities and on existing patterns of spending on food at home and away from home. The combined effect of these forecasted changes in demand levels was reflected in annualized growth in the total farm-milk supply that was similar to growth realized during the past few years. Although we expect nominal farm milk prices to increase over the next decade, we expect real prices (relative to assumed growth in feed costs) to remain relatively stable and show no increase until the end of the forecast period. Supplemental industry model simulations also suggested that net losses in producer revenues would result if only nominal levels of generic advertising spending were maintained in forthcoming years. In fact, if real generic advertising expenditures are

  8. The angus mammoth: A decades-old scientific controversy resolved

    Science.gov (United States)

    Holen, S.R.; May, D.W.; Mahan, S.A.

    2011-01-01

    The Angus Mammoth site in south-central Nebraska has been controversial since its discovery in 1931 when a fluted artifact was reported to be associated with the mammoth. For nearly 80 years it has not been known if Angus was a paleontol??gica! site predating the human occupation of North America as has been asserted by some geologists and paleontologists, or an archaeological site dating to the late Pleistocene as has been advocated by some archaeologists. Geomorphic study and luminescence dating have finally solved the problem after nearly eight decades. Although microwear and technological analyses have determined that the Angus biface is an authentic artifact, TL and IRSL dates have shown that the matrix above the mammoth is much too old for a mammoth/fluted point association to be valid. Copyright ??2011 by the Society for American Archaeology.

  9. Die Another Day, James Bond's smoking over six decades.

    Science.gov (United States)

    Wilson, Nick; Tucker, Anne

    2016-09-01

    We aimed to examine smoking-related content in all 24 James Bond movies in the Eon Productions series from 1962 to 2015. There were favourable downward trends for any smoking by James Bond (p=0.015 for trend), and for tobacco-related spy-gadgetry (p=0.009). Around 20% of Bond's 60 sexual partners smoked in each decade, and most recently in 2012. There were regular mentions of smoking risks to health (starting from 1967) and product placement of branded packs was present in two movies. Overall, the persisting smoking content remains problematic from a public health perspective, especially given the popularity of this movie series. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  10. Recommendations from Inclusive Astronomy: Position Papers for The Decadal Survey

    Science.gov (United States)

    Coble, Kimberly A.; Inclusive Astronomy 2015 organizers

    2018-06-01

    In June 2015, 160 astronomers, sociologists, policy makers, and community leaders convened the first Inclusive Astronomy meeting at Vanderbilt University. The conference had a theme of intersectionality and was structured around four broad areas: (1) Eliminating Barriers to Access, (2) Creating Inclusive Environments, (3) Establishing a Community of Inclusive Practice, and (4) Policy, Power, and Leadership. From that meeting came the Nashville Recommendations, a road map for equity and inclusion in astronomy. At 41 pages long, the document is rich in topics for position papers relevant to the state of the profession section of the upcoming Decadal Survey. In this talk we will describe plans for position papers based on the recommendations relevant to various stake holders in the astronomical community, including funding agencies, professional societies, academic institutions, and other organizations. Feedback from Society members attending this session is encouraged.

  11. Physics in China: the Past and Next Decade

    Science.gov (United States)

    Wang, Enge

    2010-03-01

    In assessing the current status and future direction of physics research and education in China, one critical period receiving particular attention is the past and next decade. Riding with China's wave of unprecedented pace and stability of economical developments, the various natural sciences disciplines, including physics, have been experiencing a golden period as well for developments and advances. In this talk, I will review the recent progresses of physics in China, including those drawn from my own personal experience, and also share some prospective view on its future directions. Some of the examples are based on my own experience while working at the Institute of Physics, Chinese Academy of Sciences and in the School of Physics at Peking University.

  12. Induced pluripotent stem cell technology: a decade of progress.

    Science.gov (United States)

    Shi, Yanhong; Inoue, Haruhisa; Wu, Joseph C; Yamanaka, Shinya

    2017-02-01

    Since the advent of induced pluripotent stem cell (iPSC) technology a decade ago, enormous progress has been made in stem cell biology and regenerative medicine. Human iPSCs have been widely used for disease modelling, drug discovery and cell therapy development. Novel pathological mechanisms have been elucidated, new drugs originating from iPSC screens are in the pipeline and the first clinical trial using human iPSC-derived products has been initiated. In particular, the combination of human iPSC technology with recent developments in gene editing and 3D organoids makes iPSC-based platforms even more powerful in each area of their application, including precision medicine. In this Review, we discuss the progress in applications of iPSC technology that are particularly relevant to drug discovery and regenerative medicine, and consider the remaining challenges and the emerging opportunities in the field.

  13. The Forum on Stakeholder Confidence celebrates a decade of work

    International Nuclear Information System (INIS)

    Pescatore, C.; Mays, C.; Diaconu, D.

    2010-01-01

    Since its foundation in 2000, the NEA Radioactive Waste Management Committee (RWMC) Forum on Stakeholder Confidence (FSC) has fostered constructive dialogues and interactions with hundreds of interested parties in radioactive waste management, ranging from specialists and academic researchers, national and local politicians to local stakeholders and associations. Many of those partners came to Paris in September 2010 to participate in the colloquium 'Looking Back, Looking Forward in Stakeholder Engagement'. This Ten- year Anniversary Colloquium as well as the FSC's eleventh regular meeting on the following two days were open to all interested parties. This article describes the Forum and the online reports in which learning is shared. It highlights the two major topics discussed at the Colloquium and reviews the joint evaluation made there of FSC achievements. Finally, it points to the directions selected for a new decade of work

  14. A decade of innovation with laser speckle metrology

    Science.gov (United States)

    Ettemeyer, Andreas

    2003-05-01

    Speckle Pattern Interferometry has emerged from the experimental substitution of holographic interferometry to become a powerful problem solving tool in research and industry. The rapid development of computer and digital imaging techniques in combination with minaturization of the optical equipment led to new applications which had not been anticipated before. While classical holographic interferometry had always required careful consideration of the environmental conditions such as vibration, noise, light, etc. and could generally only be performed in the optical laboratory, it is now state of the art, to handle portable speckle measuring equipment at almost any place. During the last decade, the change in design and technique has dramatically influenced the range of applications of speckle metrology and opened new markets. The integration of recent research results into speckle measuring equipment has led to handy equipment, simplified the operation and created high quality data output.

  15. Dynamic vehicle routing problems: Three decades and counting

    DEFF Research Database (Denmark)

    Psaraftis, Harilaos N.; Wen, Min; Kontovas, Christos A.

    2016-01-01

    of DVRP papers according to 11 criteria. These are (1) type of problem, (2) logistical context, (3) transportation mode, (4) objective function, (5) fleet size, (6) time constraints, (7) vehicle capacity constraints, (8) the ability to reject customers, (9) the natureof the dynamic element, (10......Since the late 70s, much research activity has taken place on the class of dynamic vehicle routing problems (DVRP), with the time period after year 2000 witnessing areal explosion in related papers. Our paper sheds more light into work in this area over more than 3 decades by developing a taxonomy......) the nature of the stochasticity (if any), and (11) the solution method. We comment on technological vis-à-vis methodological advances for this class of problems and suggest directions for further research. The latter include alternative objective functions, vehicle speed as decision variable, more explicit...

  16. Coming attractions: sexual expression in the next decade.

    Science.gov (United States)

    Klein, M

    2000-01-01

    This article offers predictions concerning sexual expression in the US in the 21st century. Section 1 focuses on trends in sexuality education, aspects of programming, and the future by which sex education programs operate. Section 2 looks at HIV/AIDS in the next decade and the response of the American community, especially the young people and their view of lethal and chronic diseases. Section 3 provides insights on the possible state of reproductive rights that America will face, particularly in the areas of abortion, insurance coverage, hospital and pharmaceutical company involvement, and fertility technology. Section 4 focuses on the issue of sexual orientation, particularly homosexuality. Section 5 projects the continuing rise of censorship as a response to increased cultural diversity; this will affect various entities, such as libraries, strip clubs, erotica, retail, school curricula, nude beaches, museum exhibits, and the Internet. Thus, the 21st century will begin from where it ended: with sexual expression under siege from all directions.

  17. 2010-2020: a decisive decade for our climate

    International Nuclear Information System (INIS)

    Criqui, Patrick; Kitous, Alban

    2012-04-01

    The long term future of the planet's climate will depend of the policies implemented in the next decades. While economic development in the last two centuries has been based on an intensive use of fossil energy resources, the major challenge for the 21. century is the transition towards low carbon energy systems. This will impose drastic changes in the dynamics of some fundamentals variables of energy development in every region, in particular the energy intensity of GDP and the carbon intensity of the energy mix. The accumulation of greenhouse gas in the atmosphere and consequently the climate for the future generations will directly depend of the capability of the international community to implement the required changes in economic development patterns. (authors)

  18. Physical methods in air pollution research: The second decade

    International Nuclear Information System (INIS)

    Cahill, T.A.

    1985-01-01

    The ''Second Decade'' in the application of physical techniques to air pollution has been a profound change in the understanding and capabilities. A great deal remains to be done with the new tools. But what about the next phase? The author feels that it will probably involve greater chemical and biological emphasis, as opposed to merely elemental analysis. But this will not be easy, and one will again need an influx of new people and ideas into the field, most likely from the biological, organic chemical, and medical communities. The author predicts that because of the inherent complexity of the problem, it will not happen in just 10 years. In the meantime, one will somehow manage to keep busy rediscovering atmospheric aerosols yet again, but with the new eyes the improved physical methods have gained

  19. Decade of the Brain 1990--2000: Maximizing human potential

    Energy Technology Data Exchange (ETDEWEB)

    1991-04-01

    The US Decade of the Brain offers scientists throughout the Federal Government a unique opportunity to advance and apply scientific knowledge about the brain and nervous system. During the next 10 years, scientists hope to maximize human potential through studies of human behavior, senses and communication, learning and memory, genetic/chemical alterations, and environmental interactions. Progress in these areas should lead to reductions in mortality from brain and nervous system disorders and to improvements in the quality of life. This report identifies nine research areas that could form the basis of an integrated program in the brain and behavioral sciences. A chart summarizing the Federal activities in these nine areas may be found at the back of the report. In addition, three areas that span the nine research areas -- basic research, technology and international activities -- are considered.

  20. Multifunctional organic nitrates: A decade of TD-LIF Observations

    Science.gov (United States)

    Cohen, R. C.

    2012-12-01

    With our first observations of total RONO2 in 1999 a relatively routine and quantitative basis for assessing the prominent role RONO2s chemistry plays in our atmosphere emerged. In the decade since our ambient measurements have inspired us to think carefully about how RONO2 chemistry suppresses ozone formation in urban atmospheres (and more recently in regions dominated by oil and gas drilling), how RONO2 formation ss the dominant sink of NOx in rural continental locations affects the NOx lifetime, how RONO2 fits into our models of the NOy budget and the extent to which RONO2 aerosol are important. In this talk I will review the development of these ideas.