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Sample records for units factors limiting

  1. Factors limiting endurance of armor, artillery, and infantry units under simulated NBC conditions

    Energy Technology Data Exchange (ETDEWEB)

    Rauch, T.M.; Tharion, W.J.; Banderet, L.E.; Lussier, A.R.

    1986-03-13

    The war of the future will require 72-hour operations in environments contaminated with nuclear/biological/chemical (NBC) agents. The 1985 P2NBC2 (Physiological and Psychological Effects of NBC and Extended Operations on Combined Arms Crews) Program assessed soldier endurance and performance under simulated NBC conditions. A total of 175 soldiers were observed during four tests differing in design, site, climatic conditions, and performance demands. In all but one of the iterations where the full chemical-protective ensemble (MOPP 4) was used without cooling, soldier endurance fell far short of the projected requirement. Psychological data were analyzed to determine which factors were associated with the incidence of casualties. The findings showed that perceived intensity of symptoms resembling the hyperventilation syndrome was significantly greater in soldiers classified as Casualties. Five of these symptoms (painful breathing, difficulty breathing, shortness of breath, headache, and nausea) showed Casualty-Survivor differences in all tests. Symptom intensity was attributed to two factors. (1) External conditions. Thermal stress exacerbated the five basic symptoms, induced others (tetany and paresthesia), and decreased endurance. Periodic relief from respirator use attenuated these symptoms and enhanced endurance. (2) Individual differences. Significant Casualty-Survivor differences in anxiety, depression, and cognitive strategy scores indicated that perception of hyperventilation symptoms and endurance were related to personality variables. Hyperventilation symptoms could incapacitate the soldier or induce removal of the protective mask under actual chemical attack.

  2. Assessing streamflow characteristics as limiting factors on benthic invertebrate assemblages in streams across the western United States

    Science.gov (United States)

    Konrad, C.P.; Brasher, A.M.D.; May, J.T.

    2008-01-01

    1. Human use of land and water resources modifies many streamflow characteristics, which can have significant ecological consequences. Streamflow and invertebrate data collected at 111 sites in the western U.S.A. were analysed to identify streamflow characteristics (magnitude, frequency, duration, timing and variation) that are probably to limit characteristics of benthic invertebrate assemblages (abundance, richness, diversity and evenness, functional feeding groups and individual taxa) and, thus, would be important for freshwater conservation and restoration. Our analysis investigated multiple metrics for each biological and hydrological characteristic, but focuses on 14 invertebrate metrics and 13 streamflow metrics representing the key associations between streamflow and invertebrates.

  3. Landscape genetics and limiting factors

    Science.gov (United States)

    Samuel A. Cushman; Andrew J. Shirk; Erin L. Landguth

    2013-01-01

    Population connectivity is mediated by the movement of organisms or propagules through landscapes. However, little is known about how variation in the pattern of landscape mosaics affects the detectability of landscape genetic relationships. The goal of this paper is to explore the impacts of limiting factors on landscape genetic processes using simulation...

  4. Limiting factors of starch hydrolysis.

    Science.gov (United States)

    Colonna, P; Leloup, V; Buléon, A

    1992-10-01

    Foods appear as complex structures, in which starch may be present in different forms. These, including the molecular characteristics and the crystalline organization, depend on processing conditions and compositions of ingredients. The main changes in starch macro- and microstructures are the increase of surface area to volume ratio in the solid phase, the modification of the crystallinity as affected by gelatinization and gelation, and the depolymerization of amylose and amylopectin. Starch modification may be estimated by different methodologies, which should be selected according to the level of structure considered. When amylose and amylopectin are in solution, rapid and total hydrolysis leads to the formation of a mixture of linear oligosaccharides and branched alpha-limit dextrins. However, starch usually occurs in foods as solid structures. Structural factors of starchy materials influence their enzymic hydrolysis. A better understanding of the enzymatic process enables the identification of the structural factors limiting hydrolysis: diffusion of enzyme molecules, porosity of solid substrates, adsorption of enzymes onto solid substrates, and the catalytic event. A mechanistic modelling should be possible in the future.

  5. Limiting factors in caribou population ecology

    Directory of Open Access Journals (Sweden)

    David R. Klein

    1991-10-01

    Full Text Available Caribou and wild reindeer populations fluctuate over time. On this fact there is general agreement. Factors responsible for population limitation and subsequent declines have been examined within the framework of animal population theory. There is, however, little agreement when factors limiting specific populations are generalized to Rangifer populations over broad geographic regions. Comparative examinations of wild Rangifer populations worldwide discloses that factors that have regulated those populations are highly variable between populations, apparently as a reflection of the differences in environmental variables unique to each population. Examples exist of populations where major regulating factors have been climatic extremes, predation, hunting mortality, food limitation, insects, parasites, disease, interspecific competition, and human developmental impacts or combinations of these factors. This diversity of limiting factors affecting caribou and wild reindeer populations is a reflection of the ecologial complexity of the species, a concept that has often been ignored in past efforts to reach management decisions by extrapolation from the limited localized knowledge available on the species.

  6. Evaluation of Factors Limiting Corneal Donation.

    Science.gov (United States)

    Röck, Daniel; Wude, Johanna; Yoeruek, Efdal; Bartz-Schmidt, Karl Ulrich; Röck, Tobias

    2016-11-15

    BACKGROUND This study aimed to investigate factors limiting corneal donation at the University Hospital Tübingen. MATERIAL AND METHODS We retrospectively studied all hospital deaths from January 2012 to December 2015, considering each deceased patient as a potential corneal donor. During this period an ophthalmic resident managed corneal donor procurement on a full-time basis. Various factors limiting corneal donation were examined. RESULTS Among the 3412 deaths, 2937 (86.1%) displayed nonfulfillment of corneal donation. Consent for corneal donation was obtained in 475 cases (13.9%). The mean annual corneal donation rate was 13.9 donors per 100 deaths (range: 11.2-17.8). The leading causes of nonfulfillment of corneal donations were refusal to donate (49.8%, 1698 cases) and medical contraindications (23.6%, 805 cases). After next-of-kin interview of 2173 potential donors (109 potential donors were excluded because of logistical problems), willingness to participate in corneal donation was present in 475 cases (21.9%), whereas in 1698 cases (78.1%) corneal donation was refused. CONCLUSIONS Our study showed refusal to donate is the most important factor limiting corneal donation. It seems that increasing the knowledge of people about corneal donation through public education and media are necessary to address the corneal shortage.

  7. Metabolic factors limiting performance in marathon runners.

    Directory of Open Access Journals (Sweden)

    Benjamin I Rapoport

    Full Text Available Each year in the past three decades has seen hundreds of thousands of runners register to run a major marathon. Of those who attempt to race over the marathon distance of 26 miles and 385 yards (42.195 kilometers, more than two-fifths experience severe and performance-limiting depletion of physiologic carbohydrate reserves (a phenomenon known as 'hitting the wall', and thousands drop out before reaching the finish lines (approximately 1-2% of those who start. Analyses of endurance physiology have often either used coarse approximations to suggest that human glycogen reserves are insufficient to fuel a marathon (making 'hitting the wall' seem inevitable, or implied that maximal glycogen loading is required in order to complete a marathon without 'hitting the wall.' The present computational study demonstrates that the energetic constraints on endurance runners are more subtle, and depend on several physiologic variables including the muscle mass distribution, liver and muscle glycogen densities, and running speed (exercise intensity as a fraction of aerobic capacity of individual runners, in personalized but nevertheless quantifiable and predictable ways. The analytic approach presented here is used to estimate the distance at which runners will exhaust their glycogen stores as a function of running intensity. In so doing it also provides a basis for guidelines ensuring the safety and optimizing the performance of endurance runners, both by setting personally appropriate paces and by prescribing midrace fueling requirements for avoiding 'the wall.' The present analysis also sheds physiologically principled light on important standards in marathon running that until now have remained empirically defined: The qualifying times for the Boston Marathon.

  8. Quantifying environmental limiting factors on tree cover using geospatial data.

    Directory of Open Access Journals (Sweden)

    Jonathan A Greenberg

    Full Text Available Environmental limiting factors (ELFs are the thresholds that determine the maximum or minimum biological response for a given suite of environmental conditions. We asked the following questions: 1 Can we detect ELFs on percent tree cover across the eastern slopes of the Lake Tahoe Basin, NV? 2 How are the ELFs distributed spatially? 3 To what extent are unmeasured environmental factors limiting tree cover? ELFs are difficult to quantify as they require significant sample sizes. We addressed this by using geospatial data over a relatively large spatial extent, where the wall-to-wall sampling ensures the inclusion of rare data points which define the minimum or maximum response to environmental factors. We tested mean temperature, minimum temperature, potential evapotranspiration (PET and PET minus precipitation (PET-P as potential limiting factors on percent tree cover. We found that the study area showed system-wide limitations on tree cover, and each of the factors showed evidence of being limiting on tree cover. However, only 1.2% of the total area appeared to be limited by the four (4 environmental factors, suggesting other unmeasured factors are limiting much of the tree cover in the study area. Where sites were near their theoretical maximum, non-forest sites (tree cover < 25% were primarily limited by cold mean temperatures, open-canopy forest sites (tree cover between 25% and 60% were primarily limited by evaporative demand, and closed-canopy forests were not limited by any particular environmental factor. The detection of ELFs is necessary in order to fully understand the width of limitations that species experience within their geographic range.

  9. 75 FR 41996 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Pollock Catch Limit...

    Science.gov (United States)

    2010-07-20

    ... United States; Northeast Multispecies Fishery; Pollock Catch Limit Revisions AGENCY: National Marine... associated increases in pollock catch limits under the Northeast (NE) Multispecies Fishery Management Plan..., including Overfishing Levels (OFLs), Acceptable Biological Catches (ABCs), Annual Catch Limits (ACLs),...

  10. 13 Factors Limiting Women's Involvement in Development: Lesson ...

    African Journals Online (AJOL)

    Nekky Umera

    the persistent and increasing burdens of poverty, malnutrition, poor health ... This paper investigates factors limiting an active involvement of rural women in .... and children, but decisions on economic and political issues are solely undertaken ...

  11. Critical Success Factors for Limited Service Hotels in Malaysia

    OpenAIRE

    Wong, Chee Keng

    2015-01-01

    Critical success factors were used originally in Information technology areas when it was first introduced but has since been applied generically in other industries. This study explores the critical success factors for limited service hotels in Malaysia from both customer and hotel operator/ business owners’ perspective. The literature presents information from tourism in general and in Malaysia, definition of limited service hotels and its relevance to the hospitality industry in Malaysia, ...

  12. Maritime Limits and Boundaries of United States of America

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA is responsible for depicting on its nautical charts the limits of the 12 nautical mile Territorial Sea, 24 nautical mile Contiguous Zone, and 200 nautical mile...

  13. LIMITING FACTORS FOR THE DEVELOPMENT OF THE SERBIAN HOSPITALITY INDUSTRY

    OpenAIRE

    Nikolina Kosar; Sasa Masic; Lidija Barjaktarovic; Mihaela Lazovic

    2016-01-01

    Heterogeneity and complexity determine multidisciplinary approach to the hospitality research. Identification and analysis of limited hospitality development factors imply very complex scientific approach. Case study methodology is applied on Republic of Serbia, which is transition country and candidate for EU accession. Research results identified key factors which had impact on lag, stagnation and contemporary level of hospitality development. Firstly, way of executed privatizat...

  14. Dynamics of competitive systems with a single common limiting factor.

    Science.gov (United States)

    Kon, Ryusuke

    2015-02-01

    The concept of limiting factors (or regulating factors) succeeded in formulating the well-known principle of competitive exclusion. This paper shows that the concept of limiting factors is helpful not only to formulate the competitive exclusion principle, but also to obtain other ecological insights. To this end, by focusing on a specific community structure, we study the dynamics of Kolmogorov equations and show that it is possible to derive an ecologically insightful result only from the information about interactions between species and limiting factors. Furthermore, we find that the derived result is a generalization of the preceding work by Shigesada, Kawasaki, and Teramoto (1984), who examined a certain Lotka-Volterra equation in a different context.

  15. 76 FR 30035 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit Increase...

    Science.gov (United States)

    2011-05-24

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Increase for the Common Pool Fishery...), Commerce. ACTION: Temporary rule; inseason adjustment of trip limit. SUMMARY: NMFS increases the trip limit... Regional Administrator (RA) to adjust the trip limits for common pool vessels in order to optimize the...

  16. Corn Response to Competition: Growth Alteration vs. Yield Limiting Factors

    Science.gov (United States)

    Understanding competition mechanisms among adjacent plants can improve site-specific management recommendations. This 2-yr study compared two hypotheses, yield limiting factors vs. behavior modification, to explain plant interactions. Corn was grown under different levels of stress by varying light ...

  17. Quantifying Environmental Limiting Factors on Tree Cover Using Geospatial Data

    NARCIS (Netherlands)

    Greenberg, Jonathan; Ferreira Dos Santos, Maria Joao; Dobrowski, Solomon; Vanderbilt, Vern; Ustin, Susan

    2015-01-01

    Environmental limiting factors (ELFs) are the thresholds that determine the maximum or minimum biological response for a given suite of environmental conditions. We asked the following questions: 1) Can we detect ELFs on percent tree cover across the eastern slopes of the Lake Tahoe Basin, NV? 2) Ho

  18. Factors limiting heterotrophic bacterial production in the southern Pacific Ocean

    Directory of Open Access Journals (Sweden)

    F. Van Wambeke

    2007-10-01

    Full Text Available The role of potential factors limiting bacterial growth was investigated along vertical and longitudinal gradients across the South Eastern Pacific Gyre. The effects of glucose, nitrate, ammonium and phosphate additions on heterotrophic bacterial production (using leucine technique were studied in parallel in unfiltered seawater samples incubated under natural daily irradiance. Longitudinally, the enrichments realized on the subsurface showed three types of responses. From the Marquesas plateau (8° W to approx 125° W, bacteria were not bottom-up controlled, as confirmed by the huge potential of growth in non-enriched seawater (43±24 times in 24 h. Within the Gyre (125° W–95° W, nitrogen alone stimulated leucine incorporation rates by a factor of 5.6±3.6, but rapidly labile carbon (glucose became a second limiting factor (enhancement factor 49±32 when the two elements were added. Finally from the border of the gyre to the Chilean upwelling (95° W–73° W, labile carbon was the only factor stimulating heterotrophic bacterial production. Interaction between phytoplankton and heterotrophic bacterial communities and the direct versus indirect effect of iron and macronutrients on bacterial production were also investigated in four selected sites: two sites on the vicinity of the Marquesas plateau, the centre of the gyre and the Eastern border of the gyre. Both phytoplankton and heterotrophic bacteria were limited by availability of nitrogen within the gyre, but not by iron. While iron limited phytoplankton at Marquesas plateau and at the eastern border of the gyre, heterotrophic bacteria were only limited by availability of labile DOC in those environments.

  19. 78 FR 65888 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2013-11-04

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustments for the Common Pool Fishery... Handgear A, Handgear B, and Small Vessel Category permits be adjusted relative to the cod trip limits for DAS vessels, and these adjustments are specified in Table 3. These trip limit adjustments for all...

  20. 78 FR 10556 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2013-02-14

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustments for the Common Pool Fishery... fishing year. This rule also decreases the trip limits for white hake and pollock. This is intended to...) established the current trip limits for the common pool vessels fishing under a Category A day-at-sea (DAS...

  1. 76 FR 18661 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2011-04-05

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustments for the Common Pool Fishery... Southern New England (SNE)/Mid-Atlantic (MA) yellowtail flounder, and reduces the trip limit GOM cod and... additional overharvest of these stocks relative to the pertinent common pool sub-ACLs. DATES: The trip limit...

  2. 78 FR 54194 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2013-09-03

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustments for the Common Pool Fishery... percent of its Gulf of Maine (GOM) haddock allocation of 2 mt. Despite a trip limit reduction for SNE/MA... overharvest, the trip limit for SNE/MA winter flounder is reduced to 300 lb (136.1 kg) per trip, and the GOM...

  3. 78 FR 42478 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2013-07-16

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustment for the Common Pool Fishery... winter flounder and GOM haddock. DATES: The trip limit decrease for SNE/MA winter flounder is effective... of 136 mt (299,829 lb). The current trip limit for SNE/MA winter flounder is 5,000 lb (2,268 kg) per...

  4. Massive three-loop form factor in the planar limit

    CERN Document Server

    Henn, Johannes; Smirnov, Vladimir A; Steinhauser, Matthias

    2016-01-01

    We compute the three-loop QCD corrections to the massive quark-anti-quark-photon form factors $F_1$ and $F_2$ in the large-$N_c$ limit. The analytic results are expressed in terms of Goncharov polylogarithms. This allows for a straightforward numerical evaluation. We also derive series expansions, including power suppressed terms, for three kinematic regions corresponding to small and large invariant masses of the photon momentum, and small velocities of the heavy quarks.

  5. Total Factor Productivity Convergence in Africa: Panel Unit Root ...

    African Journals Online (AJOL)

    PROF. O. E. OSUAGWU

    2013-09-01

    Sep 1, 2013 ... ... were made. Keywords: Total factor productivity, Convergence, Panel Unit Root. .... variable or labour quality variable. Mankiw et al [31] ... America are increasing in their economic growth rate ... This line of argument centers.

  6. Limiting factors for reforestation of mine spoils from Galicia (Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Vega, F.A.; Covelo, E.F.; Andrade, M.L. [University of Vigo, Vigo (Spain)

    2005-02-01

    Mined areas are a continuing source of heavy metals and acidity that move off site in response to erosion. Revegetation of the mine tailings could limit the spread of these heavy metals and acidity. This study was conducted to evaluate, at four tailings on opencast mines of Galicia (Touro: copper mine; and Meirama: lignite mine, NW Spain), the chemical and physical soil quality indicators and limiting edaphic factors concerning forest production. Selected zones were: (1) The tailings formed by the waste materials from the depleted Touro mine; (2) the decantation site of deposited sludge coming from the copper extraction in the flotation stage; (3) and (4) tailings of 3 and 10 years old of the Meirama lignite mine. The main physical limitations of the mine soils are the low effective depth ({lt} 50cm), high stoniness ({gt} 30 percent) and high porosity ({gt} 60 percent); which make them vulnerable to soil erosion and seriously interferes with the forest production. Soils coming from the decantation site of copper mine do not have physical limitations. The main chemical limitations of mine soils are their acidity (pH from 3.62 to 5.71), and aluminium saturation ({gt} 60 per cent in copper mine soils, and {gt} 20 per cent in lignite mine soils), low CECe (from 5.34 to 9.47 cmol{sub +}) kg{sup -1}), organic carbon (from 0.47 to 7.52 mg kg{sup -1}) and Ca{sup 2+} and Mg{sup 2+} contents, and imbalance between exchange bases. Lime and organic amendments are the most important factors in providing a suitable medium for plant growth.

  7. LIMITING FACTORS FOR THE DEVELOPMENT OF THE SERBIAN HOSPITALITY INDUSTRY

    Directory of Open Access Journals (Sweden)

    Nikolina Kosar

    2016-12-01

    Full Text Available Heterogeneity and complexity determine multidisciplinary approach to the hospitality research. Identification and analysis of limited hospitality development factors imply very complex scientific approach. Case study methodology is applied on Republic of Serbia, which is transition country and candidate for EU accession. Research results identified key factors which had impact on lag, stagnation and contemporary level of hospitality development. Firstly, way of executed privatization process of hospitality companies in Serbia i.e. only ownership transformation, as part of business transformation, was done (organizational, management, technological, financial and human resources parts of business transformation didn’t implement. Secondly, non-acceptable terms and conditions of credit lines for financing privatization and future business of privatized hospitality companies. Furthermore, buyers of privatized hospitality companies didn’t prepared adequate projections of cash flow and sources of financing (owned and borrowed. Finally, technological development and human resources were result of the first mentioned limited factor. In order to improve business in hospitality industry in transition economies, all stakeholders should be involved. State should improve business environment. Educational institutions should create applicable programs on market. Investors should be ready to invest in technological and human resource development. Banks should implement the best financing practice from headquarters in EU.

  8. Radiation Pressure Acceleration: the factors limiting maximum attainable ion energy

    CERN Document Server

    Bulanov, S S; Schroeder, C B; Bulanov, S V; Esirkepov, T Zh; Kando, M; Pegoraro, F; Leemans, W P

    2016-01-01

    Radiation pressure acceleration (RPA) is a highly efficient mechanism of laser-driven ion acceleration, with with near complete transfer of the laser energy to the ions in the relativistic regime. However, there is a fundamental limit on the maximum attainable ion energy, which is determined by the group velocity of the laser. The tightly focused laser pulses have group velocities smaller than the vacuum light speed, and, since they offer the high intensity needed for the RPA regime, it is plausible that group velocity effects would manifest themselves in the experiments involving tightly focused pulses and thin foils. However, in this case, finite spot size effects are important, and another limiting factor, the transverse expansion of the target, may dominate over the group velocity effect. As the laser pulse diffracts after passing the focus, the target expands accordingly due to the transverse intensity profile of the laser. Due to this expansion, the areal density of the target decreases, making it trans...

  9. Success factors and limitations of efficient internal communication

    Directory of Open Access Journals (Sweden)

    Dariusz Tworzydło

    2015-03-01

    Full Text Available The article covers the key issues of internal communication within an organization. It highlights the benefits of implementation of transparent communication principles for a company. It identifies objectives and presents selected communication tools. In the article, also guidelines for carrying out research in the context of development of an internal communication strategy can be found. Selected research areas of the process of planning and implementation of strategic assumptions have been presented. Factors limiting effective implementation of an internal communication strategy have been discussed.

  10. IEA EBC Annex 59 - Possibilities, limitations and capacities of indoor terminal units

    DEFF Research Database (Denmark)

    Kazanci, Ongun Berk; Olesen, Bjarne W.

    2015-01-01

    on the chosen terminal units. Terminal units differ in their capabilities of addressing sensible and latent loads, methods of heat emission or removal, maximum heating and cooling capacities, medium of energy distribution, and local or total volume conditioning. In the present study, operation characteristics......, possibilities and limitations of different terminal units were specified. Considered terminal units were radiant heating and cooling systems, all-air systems (mixing, displacement, and personalized ventilation), passive and active beams. The results were summarized in a table, which aims at providing...

  11. Increased trends in the use of treatment-limiting decisions in a regional neurosurgical unit.

    Science.gov (United States)

    Wilson, William T; McMillan, Tristan; Young, Adam M H; White, Mark A J

    2017-04-01

    Treatment-limiting decisions (TLDs) are employed to actively withhold treatment from patients whom clinicians feel would derive no benefit or suffer detrimental effects from further intervention. The use of such decisions has been heavily discussed in the media and clinicians in the past have been reluctant to institute them, even though it is in the best interests of the patients. Their use is influenced by several ethical, religious and social factors all of which have changed significantly over time. This study reports the trends in use of TLDs in a regional neurosurgical unit over 23 years. Patient archives were reviewed to identify the number of admissions and procedures performed at the Institute of Neurological Sciences, Glasgow, in the years 1988, 1997 and 2011. Death certificate records were used to identify mortality in the unit in the year 2011. Patient records were used to obtain details of diagnosis, time from admission to death, and the presence and timing of a TLD. The results show an increase in the use of TLDs, with decisions made for 89% of those who died in 2011, compared to 68% in 1997 and 51% in 1988. The number of admissions has increased substantially since 1988 as has the percentage of patients undergoing surgery (46, 67 and 72% in 1988, 1997 and 2011, respectively). There is a trending increase in the number of patients who have a TLD in our regional neurosurgical unit. This demonstrates an increased willingness of clinicians to recognise poor prognosis and to withdraw or withhold treatment in these cases. Continued appropriate use of the TLD is recommended but it is to only ever reflect the best interests of the patient.

  12. Limitations of the Spike-Triggered Averaging for Estimating Motor Unit Twitch Force: A Theoretical Analysis

    OpenAIRE

    Francesco Negro; Ş Utku Yavuz; Dario Farina

    2014-01-01

    Contractile properties of human motor units provide information on the force capacity and fatigability of muscles. The spike-triggered averaging technique (STA) is a conventional method used to estimate the twitch waveform of single motor units in vivo by averaging the joint force signal. Several limitations of this technique have been previously discussed in an empirical way, using simulated and experimental data. In this study, we provide a theoretical analysis of this technique in the freq...

  13. ESTIMATING VITICULTURAL FAVORABILITY OF COTNARI VINEYARD AREA AND IDENTIFYING LIMITING FACTORS

    Directory of Open Access Journals (Sweden)

    Cristina Chiriac

    2012-12-01

    Full Text Available For estimating the favorability of agricultural lands for vine in Cotnari vineyard area, we used 16 indicators provided in the Methodology of Soil Survey (Second part and third part - 1986. To determine the average coefficient of evaluation, respectively the class of favorability for the vine in Cotnari Vineyard, we calculated the notes of evaluation for 10 administrative units from Cotnari Vineyard: Flămânzi, Frumuşica, Deleni, Hârlău, Scobinţi, Cepleniţa, Cotnari, Cucuteni, Todireşti, Târgu Frumos. For each administrative unit were selected the territorial units of soil (U.S. within Cotnari Vineyard, from which we extracted only the ecological homogeneous territories (TEO's that are planted with vine. Among the limiting factors identified in Cotnari Vineyard we mention the geomorphologic factor (slope, landslides, the pedological factor (gleying, stagnogleying,salinization/alkalization, texture, reaction, humus content, edaphic volume and the hydrological factor (groundwater depth, excess moisture in surface, flooding by overflow.

  14. The adiabatic limit of the exact factorization of the electron-nuclear wave function

    CERN Document Server

    Eich, Florian G

    2016-01-01

    We propose a procedure to analyze the relation between the exact factorization of the electron-nuclear wave function and the Born-Oppenheimer approximation. We define the adiabatic limit as the limit of infinite nuclear mass. To this end, we introduce a unit system that singles out the dependence on the electron-nuclear mass ratio of each term appearing in the equations of the exact factorization. We observe how non-adiabatic effects induced by the coupling to the nuclear motion affect electronic properties and we analyze the leading term, connecting it to the classical nuclear momentum. Its dependence on the mass ratio is tested numerically on a model proton- coupled electron transfer in different non-adiabatic regimes.

  15. 77 FR 14697 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2012-03-13

    ... Northeastern United States; Northeast Multispecies Fishery; Trip Limit Adjustments for the Common Pool Fishery... GB cod is 205,030 lb (93 mt). The initial FY 2011 trip limit for GB cod was 2,000 lb (907.2 kg) per day-at-sea (DAS), up to 20,000 lb (9,071.8 kg) per trip, for Category A DAS vessels. However, the...

  16. Limitations of the spike-triggered averaging for estimating motor unit twitch force: a theoretical analysis.

    Science.gov (United States)

    Negro, Francesco; Yavuz, Ş Utku; Yavuz, Utku Ş; Farina, Dario

    2014-01-01

    Contractile properties of human motor units provide information on the force capacity and fatigability of muscles. The spike-triggered averaging technique (STA) is a conventional method used to estimate the twitch waveform of single motor units in vivo by averaging the joint force signal. Several limitations of this technique have been previously discussed in an empirical way, using simulated and experimental data. In this study, we provide a theoretical analysis of this technique in the frequency domain and describe its intrinsic limitations. By analyzing the analytical expression of STA, first we show that a certain degree of correlation between the motor unit activities prevents an accurate estimation of the twitch force, even from relatively long recordings. Second, we show that the quality of the twitch estimates by STA is highly related to the relative variability of the inter-spike intervals of motor unit action potentials. Interestingly, if this variability is extremely high, correct estimates could be obtained even for high discharge rates. However, for physiological inter-spike interval variability and discharge rate, the technique performs with relatively low estimation accuracy and high estimation variance. Finally, we show that the selection of the triggers that are most distant from the previous and next, which is often suggested, is not an effective way for improving STA estimates and in some cases can even be detrimental. These results show the intrinsic limitations of the STA technique and provide a theoretical framework for the design of new methods for the measurement of motor unit force twitch.

  17. 76 FR 53832 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit Decrease...

    Science.gov (United States)

    2011-08-30

    ... National Oceanic and Atmospheric Administration 50 CFR Part 648 RIN 0648-XA652 Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit Decrease for the Common Pool Fishery AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration...

  18. Intensive Care Unit death and factors influencing family satisfaction of Intensive Care Unit care

    OpenAIRE

    2016-01-01

    Introduction: Family satisfaction of Intensive Care Unit (FS-ICU) care is believed to be associated with ICU survival and ICU outcomes. A review of literature was done to determine factors influencing FS-ICU care in ICU deaths. Results: Factors that positively influenced FS-ICU care were (a) communication: Honesty, accuracy, active listening, emphatic statements, consistency, and clarity; (b) family support: Respect, compassion, courtesy, considering family needs and wishes, and emotional and...

  19. Is iron a limiting factor of Nodularia spumigena blooms?

    Directory of Open Access Journals (Sweden)

    Lidia Paczuska

    2003-12-01

    Full Text Available It is well known that a deficiency of iron, a trace element essential to every living organism, limits the growth of algae and cyanobacteria. Nodularia spumigena Mertens is a blue-green algae species inhabiting the Baltic region that often forms toxic blooms.     The aim of the study was to assess the growth of the toxic cyanobacteria with respect to iron bioavailability. The measured growth parameters were the numbers of cells (optical density, chlorophyll a and pheopigment a concentrations. The iron concentrations used ranged from 10-7 to 10-4 mol dm-3. Under iron stress conditions (<5 × 10-7 mol dm-3, growth inhibition, gradual pigment decay and cell mortality were observed. However, enriching the medium with complexing factors like citric acid and EDTA significantly stimulated the growth rate and chlorophyll a production. The citric acid - EDTA - Fe (5 × 10-7 mol dm-3 complex was demonstrably effective in stimulating the rate of cell division. Starting with 10-6 mol dm-3, the higher the iron(III concentration used in the media, the more intensive the growth of the cyanobacteria populations. This was most rapid in the presence of high iron concentrations (10-4 mol dm-3, regardless of the presence of complexing agents.     It appears that the growth of toxic cyanobacteria N. spumigena, and thus also its ability to form blooms, may well depend on iron availability in the environment.

  20. Limitation to Advanced Life Support in patients admitted to intensive care unit with integrated palliative care

    Science.gov (United States)

    Mazutti, Sandra Regina Gonzaga; Nascimento, Andréia de Fátima; Fumis, Renata Rego Lins

    2016-01-01

    Objective To estimate the incidence of limitations to Advanced Life Support in critically ill patients admitted to an intensive care unit with integrated palliative care. Methods This retrospective cohort study included patients in the palliative care program of the intensive care unit of Hospital Paulistano over 18 years of age from May 1, 2011, to January 31, 2014. The limitations to Advanced Life Support that were analyzed included do-not-resuscitate orders, mechanical ventilation, dialysis and vasoactive drugs. Central tendency measures were calculated for quantitative variables. The chi-squared test was used to compare the characteristics of patients with or without limits to Advanced Life Support, and the Wilcoxon test was used to compare length of stay after Advanced Life Support. Confidence intervals reflecting p ≤ 0.05 were considered for statistical significance. Results A total of 3,487 patients were admitted to the intensive care unit, of whom 342 were included in the palliative care program. It was observed that after entering the palliative care program, it took a median of 2 (1 - 4) days for death to occur in the intensive care unit and 4 (2 - 11) days for hospital death to occur. Many of the limitations to Advanced Life Support (42.7%) took place on the first day of hospitalization. Cardiopulmonary resuscitation (96.8%) and ventilatory support (73.6%) were the most adopted limitations. Conclusion The contribution of palliative care integrated into the intensive care unit was important for the practice of orthothanasia, i.e., the non-extension of the life of a critically ill patient by artificial means. PMID:27626949

  1. 78 FR 70414 - Pricing for the 2013 United States Mint Limited Edition Silver Proof SetTM

    Science.gov (United States)

    2013-11-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY United States Mint Pricing for the 2013 United States Mint Limited Edition Silver Proof Set TM AGENCY: United States Mint, Department of the Treasury. ACTION: Notice. SUMMARY: The United States Mint...

  2. Factors associated with maternal death in an intensive care unit

    Science.gov (United States)

    Saintrain, Suzanne Vieira; de Oliveira, Juliana Gomes Ramalho; Saintrain, Maria Vieira de Lima; Bruno, Zenilda Vieira; Borges, Juliana Lima Nogueira; Daher, Elizabeth De Francesco; da Silva Jr, Geraldo Bezerra

    2016-01-01

    Objective To identify factors associated with maternal death in patients admitted to an intensive care unit. Methods A cross-sectional study was conducted in a maternal intensive care unit. All medical records of patients admitted from January 2012 to December 2014 were reviewed. Pregnant and puerperal women were included; those with diagnoses of hydatidiform mole, ectopic pregnancy, or anembryonic pregnancy were excluded, as were patients admitted for non-obstetrical reasons. Death and hospital discharge were the outcomes subjected to comparative analysis. Results A total of 373 patients aged 13 to 45 years were included. The causes for admission to the intensive care unit were hypertensive disorders of pregnancy, followed by heart disease, respiratory failure, and sepsis; complications included acute kidney injury (24.1%), hypotension (15.5%), bleeding (10.2%), and sepsis (6.7%). A total of 28 patients died (7.5%). Causes of death were hemorrhagic shock, multiple organ failure, respiratory failure, and sepsis. The independent risk factors associated with death were acute kidney injury (odds ratio [OR] = 6.77), hypotension (OR = 15.08), and respiratory failure (OR = 3.65). Conclusion The frequency of deaths was low. Acute kidney injury, hypotension, and respiratory insufficiency were independent risk factors for maternal death. PMID:28099637

  3. Limitations of the spike-triggered averaging for estimating motor unit twitch force: a theoretical analysis.

    Directory of Open Access Journals (Sweden)

    Francesco Negro

    Full Text Available Contractile properties of human motor units provide information on the force capacity and fatigability of muscles. The spike-triggered averaging technique (STA is a conventional method used to estimate the twitch waveform of single motor units in vivo by averaging the joint force signal. Several limitations of this technique have been previously discussed in an empirical way, using simulated and experimental data. In this study, we provide a theoretical analysis of this technique in the frequency domain and describe its intrinsic limitations. By analyzing the analytical expression of STA, first we show that a certain degree of correlation between the motor unit activities prevents an accurate estimation of the twitch force, even from relatively long recordings. Second, we show that the quality of the twitch estimates by STA is highly related to the relative variability of the inter-spike intervals of motor unit action potentials. Interestingly, if this variability is extremely high, correct estimates could be obtained even for high discharge rates. However, for physiological inter-spike interval variability and discharge rate, the technique performs with relatively low estimation accuracy and high estimation variance. Finally, we show that the selection of the triggers that are most distant from the previous and next, which is often suggested, is not an effective way for improving STA estimates and in some cases can even be detrimental. These results show the intrinsic limitations of the STA technique and provide a theoretical framework for the design of new methods for the measurement of motor unit force twitch.

  4. 75 FR 59154 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit...

    Science.gov (United States)

    2010-09-27

    ... United States; Northeast Multispecies Fishery; Trip Limit Reductions and Gear Modifications for the...) per days-at-sea (DAS) up to 1000 lb (453.6 kg) per trip, Georges Bank (GB) yellowtail flounder to 100 lb (45.4 kg) per trip, and white hake to 100 lb (45.4 kg) per DAS up to 500 lb (226.8 kg) per trip...

  5. Rapid method of determining factors limiting bacterial growth in soil

    OpenAIRE

    Aldén Demoling, Louise; Demoling, Fredrik; Bååth, Erland

    2001-01-01

    A technique to determine which nutrients limit bacterial growth in soil was developed. The method was based on measuring the thymidine incorporation rate of bacteria after the addition of C, N, and P in different combinations to soil samples. First, the thymidine incorporation method was tested in two different soils: an agricultural soil and a forest humus soil. Carbon (as glucose) was found to be the limiting substance for bacterial growth in both of these soils. The effect of adding differ...

  6. Establishing a pediatric cardiac intensive care unit - Special considerations in a limited resources environment

    Directory of Open Access Journals (Sweden)

    Nair Suresh

    2010-01-01

    Full Text Available Pediatric cardiac intensive care has evolved as a distinct discipline in well-established pediatric cardiac programs in developed nations. With increasing demand for pediatric heart surgery in emerging economies, a number of new programs are being established. The development of robust pediatric cardiac intensive care units (PCICU is critical to the success of these programs. Because of substantial resource limitations existing models of PCICU care cannot be applied in their existing forms and structure. A number of challenges need to be addressed to deliver pediatric cardiac intensive care in the developing world. Limitations in infrastructure, human, and material resources call for a number of innovations and adaptations. Additionally, a variety of strategies are required to minimize costs of care to the individual patient. This review provides a framework for the establishment of a new PCICU program in face of resource limitations typically encountered in the developing world and emerging economies.

  7. Limiter

    Science.gov (United States)

    Cohen, S.A.; Hosea, J.C.; Timberlake, J.R.

    1984-10-19

    A limiter with a specially contoured front face is provided. The front face of the limiter (the plasma-side face) is flat with a central indentation. In addition, the limiter shape is cylindrically symmetric so that the limiter can be rotated for greater heat distribution. This limiter shape accommodates the various power scrape-off distances lambda p, which depend on the parallel velocity, V/sub parallel/, of the impacting particles.

  8. Limiting factors of exercise performance 1 year after lung transplantation

    NARCIS (Netherlands)

    Reinsma, G. D.; ten Hacken, N. H. T.; Grevink, R. G.; van der Bij, W.; Koer, G. H.; van Weert, E.

    2006-01-01

    Background: After lung transplantation (LTx). exercise capacity frequently remains limited, despite significantly improved pulmonary function. The aim of this study was to evaluate maximal exercise capacity and peripheral muscle force before and 1 year after LTx, and to determine whether peripheral

  9. Housing growth in and near United States protected areas limits their conservation value

    Science.gov (United States)

    Radeloff, V.C.; Stewart, S.I.; Hawbaker, T.J.; Gimmi, U.; Pidgeon, A.M.; Flather, C.H.; Hammer, R.B.; Helmers, D.P.

    2010-01-01

    Protected areas are crucial for biodiversity conservation because they provide safe havens for species threatened by land-use change and resulting habitat loss. However, protected areas are only effective when they stop habitat loss within their boundaries, and are connected via corridors to other wild areas. The effectiveness of protected areas is threatened by development; however, the extent of this threat is unknown. We compiled spatially-detailed housing growth data from 1940 to 2030, and quantified growth for each wilderness area, national park, and national forest in the conterminous United States. Our findings show that housing development in the United States may severely limit the ability of protected areas to function as a modern "Noah's Ark." Between 1940 and 2000, 28 million housing units were built within 50 km of protected areas, and 940,000 were built within national forests. Housing growth rates during the 1990s within 1 km of protected areas (20% per decade) outpaced the national average (13%). If long-term trends continue, another 17 million housing units will be built within 50 km of protected areas by 2030 (1 million within 1 km), greatly diminishing their conservation value. US protected areas are increasingly isolated, housing development in their surroundings is decreasing their effective size, and national forests are even threatened by habitat loss within their administrative boundaries. Protected areas in the United States are thus threatened similarly to those in developing countries. However, housing growth poses the main threat to protected areas in the United States whereas deforestation is the main threat in developing countries.

  10. 40 CFR Table 1 to Subpart Aaaa of... - Emission Limits for New Small Municipal Waste Combustion Units

    Science.gov (United States)

    2010-07-01

    ... Waste Combustion Units 1 Table 1 to Subpart AAAA of Part 60 Protection of Environment ENVIRONMENTAL... Standards of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced... Combustion Units For the following pollutants You must meet thefollowing emission limits a Using the...

  11. [Opinion of professionals in an intensive care unit on the limitations of therapeutic effort].

    Science.gov (United States)

    González-Castro, A; Azcune, O; Peñasco, Y; Rodríguez, J C; Domínguez, M J; Rojas, R

    2016-01-01

    To determine the opinion held by professionals in an intensive care unit on the limitation of therapeutic effort process at the end-of-life (LTE). To collect this information, and then use it to improve the basic aspects that the LTE have on the quality of care by intensive care unit staff. A prospective descriptive study was carried out in the Intensive Care Unit of a third level public university hospital. A questionnaire was prepared that included questions on their demographic profile and others to provide an ethical valuation profile, as well as to find out the knowledge and information that the professional had on the LTE. Descriptive study of the sample and comparative statistics were performed using the chi-squared statistical test. A total of 65 valid questionnaires were obtained from a convenience sample of 70 professionals. Almost all of them (98%) were in favour of the limitation of therapeutic effort. The LTE was considered as some kind of euthanasia (active or passive) in up to 28% of the replies, valuations by professional categories is shown in. More than three-quarters (77%) had the belief that not to start treatment was not the same as withdrawing an already established treatment. Just over half (52%) of the respondents believe the value that should have more weight when considering LET would be the prognosis of the current illness of the patient, and 46% the future quality of life of the patient. The economic cost of treatment to be applied was not considered in any case. The LTE is approved by the majority of professionals in our Intensive Care Unit. Although a non-negligible percentage understood it as a form of euthanasia. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Six Sigma: Problems, Limitations, Critical Success Factors and Future Prospects

    Directory of Open Access Journals (Sweden)

    Paulo Mazieiro Pohlmann

    2015-12-01

    Full Text Available Six Sigma is a business strategy based on objective decision making and problem solving in order to achieve, maintain and maximize business success through understanding and meeting the needs of customers. The visualization of this methodology as a powerful tool in reducing variability and improving quality led to the interest in performing this bibliographical study, whose purpose was to assess the critical success factors and future prospects of this managerial system. A survey was conducted in order to discover the main critical success factors of the implementation of the methodology in organizations, among which stood out the proper selection of projects, connecting the project with the business strategy, customer focus, financial, human and infrastructure resources, the involvement of senior management, professional training, and cultural change.

  13. Limited field investigation report for the 100-HR-3 operable unit

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This limited field investigation (LFI) was conducted to assess the applicability of interim remedial measures (IRM) for reducing human health and environmental risks within the 100-HR-3 Groundwater Operable Unit. The 100-HR-3 Operable Unit is comprised of three subareas; the 100 D Area, the 100 H Area and those portions of the 600 Area between the two reactor areas. The operable unit is one of seven operable units associated with the 100 D and H Areas. Operable units 100-DR-1, 100-DR-2, 100-DR-3, 100-HR-1, 100-HR-2 and 100-IU-4 address contaminant sources while 100-HR-3 addresses contamination present in the underlying groundwater. The primary method of field investigation used during this LFI was the installation and sampling of monitoring wells. Samples were collected from the groundwater and soils, and submitted for laboratory analysis. Boreholes were surveyed for radiological contamination using downhole geophysical techniques to further delineate the locations and levels of contaminants. All samples were screened to ascertain the presence of volatile organic compounds and radionuclides. Analytical data were subjected to validation; all round one, two and three and a minimum of 10% of round four data associated with the LFI were validated. A screening method was used to identify contaminants of potential concern (COPC). This screening method eliminated from further consideration, constituents that were below background. Constituents which are considered non-toxic to humans were eliminated from the human health evaluation. Data consistency and blank contamination were also evaluated in the screening process. These COPC were then evaluated further in the qualitative risk assessment (QRA). A human health QRA was performed using conservative (maximum equilibrated contaminant levels from the LFI) analyses.

  14. Action potential waveform variability limits multi-unit separation in freely behaving rats.

    Directory of Open Access Journals (Sweden)

    Peter Stratton

    Full Text Available Extracellular multi-unit recording is a widely used technique to study spontaneous and evoked neuronal activity in awake behaving animals. These recordings are done using either single-wire or multiwire electrodes such as tetrodes. In this study we have tested the ability of single-wire electrodes to discriminate activity from multiple neurons under conditions of varying noise and neuronal cell density. Using extracellular single-unit recording, coupled with iontophoresis to drive cell activity across a wide dynamic range, we studied spike waveform variability, and explored systematic differences in single-unit spike waveform within and between brain regions as well as the influence of signal-to-noise ratio (SNR on the similarity of spike waveforms. We also modelled spike misclassification for a range of cell densities based on neuronal recordings obtained at different SNRs. Modelling predictions were confirmed by classifying spike waveforms from multiple cells with various SNRs using a leading commercial spike-sorting system. Our results show that for single-wire recordings, multiple units can only be reliably distinguished under conditions of high recording SNR (≥ 4 and low neuronal density (≈ 20,000/ mm(3. Physiological and behavioural changes, as well as technical limitations typical of awake animal preparations, reduce the accuracy of single-channel spike classification, resulting in serious classification errors. For SNR <4, the probability of misclassifying spikes approaches 100% in many cases. Our results suggest that in studies where the SNR is low or neuronal density is high, separation of distinct units needs to be evaluated with great caution.

  15. Racial Disparities in Functional Limitations Among Hispanic Women in the United States.

    Science.gov (United States)

    Chinn, Juanita J; Hummer, Robert A

    2016-04-01

    This article assesses whether there are race differences in functional health among Hispanic women in the United States; ascertains whether the race differences in functional health vary by age; and examines the extent to which race differences in functional health are attributable to key dimensions of demographic, geographic, and socioeconomic heterogeneity. The analysis is based on 15 years of aggregated data from the National Health Interview Survey. Both U.S.- and foreign-born Black and other race Hispanic women display a higher level of functional limitations than their White Hispanic counterparts. There is little evidence that such health differences widen with age. U.S.-born Black Hispanic women, however, suffer from a high burden of functional limitations across the adult age range. This research speaks to the need for greater attention to racial differences in health among Hispanics and particularly so within the U.S.-born segment of this rapidly aging population. © The Author(s) 2015.

  16. Understanding the Functional Central Limit Theorems with Some Applications to Unit Root Testing with Structural Change

    Directory of Open Access Journals (Sweden)

    Juan Carlos Aquino

    2013-06-01

    Full Text Available The application of different unit root statistics is by now a standard practice in empirical work. Even when it is a practical issue, these statistics have complex nonstandard distributions depending on functionals of certain stochastic processes, and their derivations represent a barrier even for many theoretical econometricians. These derivations are based on rigorous and fundamental statistical tools which are not (very well known by standard econometricians. This paper aims to fill this gap by explaining in a simple way one of these fundamental tools: namely, the Functional Central Limit Theorem. To this end, this paper analyzes the foundations and applicability of two versions of the Functional Central Limit Theorem within the framework of a unit root with a structural break. Initial attention is focused on the probabilistic structure of the time series to be considered. Thereafter, attention is focused on the asymptotic theory for nonstationary time series proposed by Phillips (1987a, which is applied by Perron (1989 to study the effects of an (assumed exogenous structural break on the power of the augmented Dickey-Fuller test and by Zivot and Andrews (1992 to criticize the exogeneity assumption and propose a method for estimating an endogenous breakpoint. A systematic method for dealing with efficiency issues is introduced by Perron and Rodriguez (2003, which extends the Generalized Least Squares detrending approach due to Elliot et al. (1996. An empirical application is provided.

  17. Human Factors Issues For Multi-Modular Reactor Units

    Energy Technology Data Exchange (ETDEWEB)

    Tuan Q Tran; Humberto E. Garcia; Ronald L. Boring; Jeffrey C. Joe; Bruce P. Hallbert

    2007-08-01

    Smaller and multi-modular reactor (MMR) will be highly technologically-advanced systems allowing more system flexibility to reactors configurations (e.g., addition/deletion of reactor units). While the technical and financial advantages of systems may be numerous, MMR presents many human factors challenges that may pose vulnerability to plant safety. An important human factors challenge in MMR operation and performance is the monitoring of data from multiple plants from centralized control rooms where human operators are responsible for interpreting, assessing, and responding to different system’s states and failures (e.g., simultaneously monitoring refueling at one plant while keeping an eye on another plant’s normal operating state). Furthermore, the operational, safety, and performance requirements for MMR can seriously change current staffing models and roles, the mode in which information is displayed, procedures and training to support and guide operators, and risk analysis. For these reasons, addressing human factors concerns in MMR are essential in reducing plant risk.

  18. Explanatory factors of female entrepreneurship and limiting elements

    Directory of Open Access Journals (Sweden)

    Carmina Pérez-Pérez

    2016-06-01

    Full Text Available Researches on entrepreneurship from a gender perspective reveal significant differences not only between the levels of participation of men and women in business, but also between the orientations, motives and business opportunities for both. Based on this fact, the following investigation is performed, whose objective is twofold: firstly, to know what are the aspects that influence the entrepreneurship of women and secondly, to identify what factors determine and/or difficult the creation and development of business that they undertake. To achieve both, it is reviewed, first, the literature on this subject and, second, are exposed the main results of the qualitative analysis with Atlas.ti from interviews with a group of Spanish entrepreneurs.

  19. Phosphorus as a limiting factor on sustainable greywater irrigation.

    Science.gov (United States)

    Turner, Ryan D R; Will, Geoffrey D; Dawes, Les A; Gardner, Edward A; Lyons, David J

    2013-07-01

    Water reuse through greywater irrigation has been adopted worldwide and has been proposed as a potential sustainable solution to increased water demands. Despite widespread adoption, there is limited domestic knowledge of greywater reuse. There is no pressure to produce low-level phosphorus products and current guidelines and legislation, such as those in Australia, may be inadequate due to the lack of long-term data to provide a sound scientific basis. Research has clearly identified phosphorus as a potential environmental risk to waterways from many forms of irrigation. To assess the sustainability of greywater irrigation, this study compared four residential lots that had been irrigated with greywater for four years and adjacent non-irrigated lots that acted as controls. Each lot was monitored for the volume of greywater applied and selected physic-chemical water quality parameters and soil chemistry profiles were analysed. The non-irrigated soil profiles showed low levels of phosphorus and were used as controls. The Mechlich3 Phosphorus ratio (M3PSR) and Phosphate Environmental Risk Index (PERI) were used to determine the environmental risk of phosphorus leaching from the irrigated soils. Soil phosphorus concentrations were compared to theoretical greywater irrigation loadings. The measured phosphorus soil concentrations and the estimated greywater loadings were of similar magnitude. Sustainable greywater reuse is possible; however incorrect use and/or lack of understanding of how household products affect greywater can result in phosphorus posing a significant risk to the environment.

  20. 27 CFR 70.226 - Suspension of running of period of limitation; taxpayer outside of United States.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Suspension of running of... Limitations § 70.226 Suspension of running of period of limitation; taxpayer outside of United States. The running of the period of limitations on collection after assessment prescribed in 26 U.S.C. 6502...

  1. Limited literacy and poor health: the role of social mobility in Germany and the United States.

    Science.gov (United States)

    Lunze, Karsten; Paasche-Orlow, Michael K

    2014-01-01

    The Organization for Economic Cooperation and Development (OECD) implemented the Program for the International Assessment of Adult Competencies (PIAAC) to provide policymakers with nationally representative profiles of knowledge, skills, and competencies. Results among participating countries indicate that the United States and Germany stand out as having the strongest relationship between literacy skills and self-reported health. Our analysis addresses factors that could mediate the particularly strong link between low literacy and poor health in these two countries and possible remedies for the problem. In particular, PIACC results also reveal that the United States and Germany share the most entrenched multigenerational literacy problem among the countries in the PIAAC survey. In spite of the many social differences that currently distinguish Germany and the United States, these countries share the lowest level of social mobility for education. Promoting social mobility by making higher education more accessible for those whose parents did not have the chance to access it might thus not only promote literacy and social capital, but indirectly also promote public health. Given the PIACC findings, the concept of social mobility and opportunities to dissolve the educational stratification merit more attention in public health research.

  2. Efficiency limit factor analysis for the Francis-99 hydraulic turbine

    Science.gov (United States)

    Zeng, Y.; Zhang, L. X.; Guo, J. P.; Guo, Y. K.; Pan, Q. L.; Qian, J.

    2017-01-01

    The energy loss in hydraulic turbine is the most direct factor that affects the efficiency of the hydraulic turbine. Based on the analysis theory of inner energy loss of hydraulic turbine, combining the measurement data of the Francis-99, this paper calculates characteristic parameters of inner energy loss of the hydraulic turbine, and establishes the calculation model of the hydraulic turbine power. Taken the start-up test conditions given by Francis-99 as case, characteristics of the inner energy of the hydraulic turbine in transient and transformation law are researched. Further, analyzing mechanical friction in hydraulic turbine, we think that main ingredients of mechanical friction loss is the rotation friction loss between rotating runner and water body, and defined as the inner mechanical friction loss. The calculation method of the inner mechanical friction loss is given roughly. Our purpose is that explore and research the method and way increasing transformation efficiency of water flow by means of analysis energy losses in hydraulic turbine.

  3. Readmission to medical intensive care units: risk factors and prediction.

    Science.gov (United States)

    Jo, Yong Suk; Lee, Yeon Joo; Park, Jong Sun; Yoon, Ho Il; Lee, Jae Ho; Lee, Choon-Taek; Cho, Young-Jae

    2015-03-01

    The objectives of this study were to find factors related to medical intensive care unit (ICU) readmission and to develop a prediction index for determining patients who are likely to be readmitted to medical ICUs. We performed a retrospective cohort study of 343 consecutive patients who were admitted to the medical ICU of a single medical center from January 1, 2008 to December 31, 2012. We analyzed a broad range of patients' characteristics on the day of admission, extubation, and discharge from the ICU. Of the 343 patients discharged from the ICU alive, 33 (9.6%) were readmitted to the ICU unexpectedly. Using logistic regression analysis, the verified factors associated with increased risk of ICU readmission were male sex [odds ratio (OR) 3.17, 95% confidence interval (CI) 1.29-8.48], history of diabetes mellitus (OR 3.03, 95% CI 1.29-7.09), application of continuous renal replacement therapy during ICU stay (OR 2.78, 95% CI 0.85-9.09), white blood cell count on the day of extubation (OR 1.13, 95% CI 1.07-1.21), and heart rate just before ICU discharge (OR 1.03, 95% CI 1.01-1.06). We established a prediction index for ICU readmission using the five verified risk factors (area under the curve, 0.76, 95% CI 0.66-0.86). By using specific risk factors associated with increased readmission to the ICU, a numerical index could be established as an estimation tool to predict the risk of ICU readmission.

  4. Limitation of life-sustaining treatment in severe trauma in the elderly after admission to an intensive care unit.

    Science.gov (United States)

    Peñasco, Y; González-Castro, A; Rodríguez Borregán, J C; Ortiz-Lasa, M; Jáuregui Solórzano, R; Sánchez Arguiano, M J; Escudero Acha, P

    2017-05-18

    To analyze the factors associated to limitation of life-sustaining treatment (LLST) measures in elderly patients admitted to an intensive care unit (ICU) due to trauma. A retrospective, descriptive, observational study was carried out. ICU. A total of 149 patients aged 65 years or older admitted to the ICU due to trauma. Hospital mortality, the decision to limit life-sustaining treatment and the factors associated to these measures were analyzed. None. The mean patient age was 76.3±6.36 years. The average APACHE II and ISS scores were 15.9±7.4 and 19.6±11.4 points, respectively. LLST were used in 37 patients (24.8%). Factors associated to the use of these measures were patient age (OR 1.16; 95% CI 1.08 to 1.25], APACHE II score (OR 1.11; 95% CI 1.05-1.67), ISS score (OR 1.03; 95% CI 1.01 to 1.06), admission due to neurological impairment (OR 19.17; 95% CI 2.33 to 157.83) and traumatic brain injury (OR 2.89; 95% CI 1.05 to 7.96). LLST is frequently established in elderly patients admitted to the ICU due to trauma, and is associated to hospital mortality. Factors associated with the use of these measures are patient age, higher APACHE II and ISS scores, admission due to neurological impairment, and the presence of head injuries. Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  5. Modern Integration Units: Comparative Analysis Of The Growth Factors

    Directory of Open Access Journals (Sweden)

    Bulat Doskalievich Khusainov

    2015-03-01

    Full Text Available In the article, the results of the research, which purpose is to ground and assess the factors of economic growth of regional integration communities and national economies of member countries that develop them, are presented. The foreign trade, mutual trade turnover, and domestic demand are allocated as such factors. The authors has applied the novelty in their methodology which in contrast to the traditional assessment method of growth factors of integration communities and their participants, is based on comparison of two components — external and domestic demand, based on dividing the external demand on two components: the first one is pure export (the difference between export and import is a component of cumulative demand of goods in integration community, i.e. the pure export of mutual trade; the second one is a pure export of foreign trade of goods outside of the integration association. Scope of the research is seven most known regional integrated units arose at different times and being at different stages of development — the European Union, North American Free Trade Area, Association of Southeast Asian Nations, Southern American Common Market, Asia-Pacific Economic Cooperation, and also member countries of the Eurasian integration — the Customs Union and Common Free Market Zone developed into the Eurasian Economic Union in January 1, 2015. In conclusion, it is noted that the integration develops successfully only in the conditions of the rise in national economies of the participating countries. Crisis economies have to deal more with internal problems than to resolve integration issues.

  6. Limited field investigation report for the 100-HR-1 Operable Unit

    Energy Technology Data Exchange (ETDEWEB)

    1994-08-01

    This limited field investigation (LFI) report summarizes the data collection and analysis activities conducted during the 100-HR-1 Source Operable Unit LFI and the associated qualitative risk assessment (QRA) (WHC 1993a), and makes recommendations on the continued candidacy of high-priority sites for interim remedial measures (IRM). The results and recommendations presented in this report are generally independent of future land use scenarios. A LFI Report is required, in accordance with the HPPS, when waste sites are to be considered for IRMs. The LFI is an integral part of the remedial investigation/feasibility study (RI/FS) or Resource Conservation and Recovery Act (RCRA) facility investigation/corrective measures study (RFI/CMS) and process and functions as a focused RI or RFI for selection of IRMs. The purpose of the report is to identify those sites that are recommended to remain as candidates for IRMs, provide a preliminary summary of site characterization studies, refine the conceptual model as needed, identify contaminant- and location-specific applicable or relevant and appropriate requirements (ARA), and provide a qualitative assessment of the risks associated with the sites. This assessment includes consideration of whether contaminant concentrations pose an unacceptable risk that warrants action through IRMs. The 100-HR-1 unit encompasses approximately 100 acres adjacent to the Columbia River shoreline. It contains waste units associated with the original plant facilities constructed to support the H Reactor. The area also contains evaporation basins which received liquid process wastes and nonroutine deposits of chemical wastes from the 300 Area, where fuel elements for the N Reactor were produced.

  7. Stone size limits the use of Hounsfield units for prediction of calcium oxalate stone composition.

    Science.gov (United States)

    Stewart, Gregory; Johnson, Lewis; Ganesh, Halemane; Davenport, Daniel; Smelser, Woodson; Crispen, Paul; Venkatesh, Ramakrishna

    2015-02-01

    To evaluate the role of stone size in predicting urinary calculus composition using Hounsfield units on noncontrasted computed tomography (CT) scan. A retrospective review was performed for all patients who underwent ureteroscopy or percutaneous nephrolithotomy during a 1-year period, had a stone analysis performed, and had CT imaging available for review. All CT scans were reviewed by a board-certified radiologist. Variables evaluated included age, sex, body mass index, stone size, stone location, Hounsfield units (HUs), and stone composition. We identified a total of 91 patients (41 men and 50 women) with CT imaging and stone analysis available for review. Stone analysis showed 41 calcium oxalate monohydrate (CaOxMH), 13 calcium oxalate dihydrate, 29 calcium phosphate, 5 uric acid, 2 struvite, and 1 cystine stone. Average age was 46 years, and average body mass index was 32 kg/m2. Measured HUs varied significantly with size for CaOxMH and calcium oxalate dihydrate stones (P values 10 mm) stones (55%). For calcium stones, the ability of CT HUs to predict stone composition was limited, likely due to the mixed stone composition. Within a cohort of CaOxMH stone formers, measured HUs varied linearly with stone size. All stones <5 mm were below thresholds for CaOxMH composition. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Intensive Care Unit death and factors influencing family satisfaction of Intensive Care Unit care

    Directory of Open Access Journals (Sweden)

    Naveen Salins

    2016-01-01

    Full Text Available Introduction: Family satisfaction of Intensive Care Unit (FS-ICU care is believed to be associated with ICU survival and ICU outcomes. A review of literature was done to determine factors influencing FS-ICU care in ICU deaths. Results: Factors that positively influenced FS-ICU care were (a communication: Honesty, accuracy, active listening, emphatic statements, consistency, and clarity; (b family support: Respect, compassion, courtesy, considering family needs and wishes, and emotional and spiritual support; (c family meetings: Meaningful explanation and frequency of meetings; (d decision-making: Shared decision-making; (e end of life care support: Support during foregoing life-sustaining interventions and staggered withdrawal of life support; (f ICU environment: Flexibility of visiting hours and safe hospital environment; and (g other factors: Control of pain and physical symptoms, palliative care consultation, and family-centered care. Factors that negatively influenced FS-ICU care were (a communication: Incomplete information and unable to interpret information provided; (b family support: Lack of emotional and spiritual support; (c family meetings: Conflicts and short family meetings; (d end of life care support: Resuscitation at end of life, mechanical ventilation on day of death, ICU death of an elderly, prolonged use of life-sustaining treatment, and unfamiliar technology; and (e ICU environment: Restrictive visitation policies and families denied access to see the dying loved ones. Conclusion: Families of the patients admitted to ICU value respect, compassion, empathy, communication, involvement in decision-making, pain and symptom relief, avoiding futile medical interventions, and dignified end of life care.

  9. Intensive Care Unit death and factors influencing family satisfaction of Intensive Care Unit care

    Science.gov (United States)

    Salins, Naveen; Deodhar, Jayita; Muckaden, Mary Ann

    2016-01-01

    Introduction: Family satisfaction of Intensive Care Unit (FS-ICU) care is believed to be associated with ICU survival and ICU outcomes. A review of literature was done to determine factors influencing FS-ICU care in ICU deaths. Results: Factors that positively influenced FS-ICU care were (a) communication: Honesty, accuracy, active listening, emphatic statements, consistency, and clarity; (b) family support: Respect, compassion, courtesy, considering family needs and wishes, and emotional and spiritual support; (c) family meetings: Meaningful explanation and frequency of meetings; (d) decision-making: Shared decision-making; (e) end of life care support: Support during foregoing life-sustaining interventions and staggered withdrawal of life support; (f) ICU environment: Flexibility of visiting hours and safe hospital environment; and (g) other factors: Control of pain and physical symptoms, palliative care consultation, and family-centered care. Factors that negatively influenced FS-ICU care were (a) communication: Incomplete information and unable to interpret information provided; (b) family support: Lack of emotional and spiritual support; (c) family meetings: Conflicts and short family meetings; (d) end of life care support: Resuscitation at end of life, mechanical ventilation on day of death, ICU death of an elderly, prolonged use of life-sustaining treatment, and unfamiliar technology; and (e) ICU environment: Restrictive visitation policies and families denied access to see the dying loved ones. Conclusion: Families of the patients admitted to ICU value respect, compassion, empathy, communication, involvement in decision-making, pain and symptom relief, avoiding futile medical interventions, and dignified end of life care. PMID:27076710

  10. 40 CFR Table 5 to Subpart Jjj of... - Carbon Monoxide Emission Limits for Existing Small Municipal Waste Combustion Units

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 8 2010-07-01 2010-07-01 false Carbon Monoxide Emission Limits for Existing Small Municipal Waste Combustion Units 5 Table 5 to Subpart JJJ of Part 62 Protection of... Combustion Units Constructed on or Before August 30, 1999 Pt. 62, Subpt. JJJ, Table 5 Table 5 to Subpart JJJ...

  11. Socio-demographic factors related to functional limitations and care dependency among older Egyptians

    NARCIS (Netherlands)

    Boggatz, Thomas; Farid, Tamer; Mohammedin, Ahmed; Dijkstra, Ate; Lohrmann, Christa; Dassen, Theo

    P>Title. Socio-demographic factors related to functional limitations and care dependency among older Egyptians. Aim. This paper is a report of a study determining the relationship of socio-demographic factors to functional limitations and care dependency among older care recipients and non-care

  12. Socio-demographic factors related to functional limitations and care dependency among older Egyptians

    NARCIS (Netherlands)

    Boggatz, Thomas; Farid, Tamer; Mohammedin, Ahmed; Dijkstra, Ate; Lohrmann, Christa; Dassen, Theo

    2010-01-01

    P>Title. Socio-demographic factors related to functional limitations and care dependency among older Egyptians. Aim. This paper is a report of a study determining the relationship of socio-demographic factors to functional limitations and care dependency among older care recipients and non-care reci

  13. Development of management quality system for metallurgical enterprise based on Balanced Scorecard with limiting factors

    Directory of Open Access Journals (Sweden)

    Galina Ledneva

    2009-12-01

    Full Text Available The article considers inefficiency of the existing quality management systems (QMS based on standards ISO series 9000. The authors offer integrated QMS with limiting factors on Balanced Scorecard. The Balanced Scorecard with limiting factors helps to efficiently direct process of continuous improvement and achieve top-priority criteria in quality management domain.

  14. Ranking CCR-efficient units based on the indicator with limited resources

    Directory of Open Access Journals (Sweden)

    Amir Reza Khaki

    2012-10-01

    Full Text Available Data Envelopment Analysis (DEA is one of the most popular techniques for measuring the relative efficiencies of a set of decision making units (DMUs, which use different inputs producing various outputs. Ranking of efficient DMUs is one of the most interesting DEA perspectives. However, there are cases where we see some limitations on available resources and the proposed model of this paper is associated with Indicator with Limited Sources (ILS, which affects ranking methods. The ILS exists as fixed amount in a community and the DMUs can own it with their abilities. When a DMU loses the same amount of the indicator, the rest of the DMUs are able to own some without even changing their capacities of other indicators and or vice versa. If a DMU looks for more of the same amount of the indicator, the rest of the DMUs have to supply it without even changing their capacity of other indicators. This paper develops a ranking method based on the ILS for the efficient DMUs, when there is changes either in inputs/ outputs ILS. The implementation of the proposed model is applied for a case study of banking system.

  15. Factors influencing nursing care in a surgical intensive care unit

    Directory of Open Access Journals (Sweden)

    Raj John

    2006-01-01

    Full Text Available Context: The total time spent in nursing care depends on the type of patient and the patient′s condition. We analysed factors that influenced the time spent in nursing a patient. Aims : To analyse the factors in a patient′s condition that influenced time spent in nursing a patient. Materials and Methods: This study was performed in the Surgical Intensive Care Unit of a tertiary referral centre, over a period of one month. The total time spent on a patient in nursing care for the first 24 hours of admission, was recorded. This time was divided into time for routine nursing care, time for interventions, time for monitoring and time for administering medications. Statistical analysis used: A backward stepwise linear regression analysis using the age, sex, diagnosis, type of admission and ventilatory status as variables, was done. Results: Patients admitted after elective surgery required less time (852.4 ± 234.1 minutes, than those admitted after either emergency surgery (1069.5 ± 187.3 minutes, or directly from the ward or the emergency room (1253.7 ± 42.1 minutes. Patients who were ventilated required more time (1111.5 ± 132.5 minutes, than those brought on a T-piece (732.2 ± 134.8 minutes or extubated (639.5 ± 155.6 minutes. The regression analysis showed that only the type of admission and the ventilatory status significantly affected the time. Conclusions : This study showed that the type of admission and ventilatory status significantly influenced the time spent in nursing care. This will help optimal utilization of nursing resources.

  16. The use of a clinical database in an anesthesia unit: focus on its limits.

    Science.gov (United States)

    Weil, Grégoire; Motamed, Cyrus; Eghiaian, Alexandre; Guye, Marie Laurence; Bourgain, Jean Louis

    2015-02-01

    Anesthesia information management system (AIMS) can be used a part of quality assurance program to improve patient care, however erroneous or missing data entries may lead to misinterpretation. This study assesses the accuracy of information extracted for six consecutive years from a database linked to an automatic anesthesia record-keeping system. An observational study was conducted on a database linked AIMS system. The database was filled in real time during surgical/anesthesia procedure and in the post-anesthesia care unit. The following items: name of the anesthetist, duration of anesthesia, duration of monitoring, ventilatory status upon arrival in postoperative care unit, pain scores, nausea and vomiting scores, pain medication (morphine) and anti nausea and vomiting drug consumption (ondansetron) were extracted and analysed in order to determine exhaustivity (percentage of missing data) and accuracy of the database. The analysis covered 55,946 anaesthetic procedures. The rate of missing data was initially high upon installation but decreased over time. It was limited to 5% after 3 years for items such as start of anesthesia or name of the anesthetist. However exhaustivity/completeness of some other variable, such as nausea and vomiting started as low as 50% to reach 20% at 2008. After cross analysing pain and post-operative nausea and vomiting scores with related medication consumption, (morphine and ondansetron) we conclude that missing data was due to omission of a zero score rather than human error. The follow-up of quality assurance program may use data from AIMS provided that missing or erroneous values be mentioned and their impact on calculations accurately analysed.

  17. Limited occurrence of denitrification in four shallow aquifers in agricultural areas of the United States

    Science.gov (United States)

    Green, C.T.; Puckett, L.J.; Böhlke, J.K.; Bekins, B.A.; Phillips, S.P.; Kauffman, L.J.; Denver, J.M.; Johnson, H.M.

    2008-01-01

    The ability of natural attenuation to mitigate agricultural nitrate contamination in recharging aquifers was investigated in four important agricultural settings in the United States. The study used laboratory analyses, field measurements, and flow and transport modeling for monitoring well transects (0.5 to 2.5 km in length) in the San Joaquin watershed, California, the Elkhorn watershed, Nebraska, the Yakima watershed, Washington, and the Chester watershed, Maryland. Ground water analyses included major ion chemistry, dissolved gases, nitrogen and oxygen stable isotopes, and estimates of recharge date. Sediment analyses included potential electron donors and stable nitrogen and carbon isotopes. Within each site and among aquifer-based medians, dissolved oxygen decreases with ground water age, and excess N2 from denitrification increases with age. Stable isotopes and excess N2 imply minimal denitrifying activity at the Maryland and Washington sites, partial denitrification at the California site, and total denitrification across portions of the Nebraska site. At all sites, recharging electron donor concentrations are not sufficient to account for the losses of dissolved oxygen and nitrate, implying that relict, solid phase electron donors drive redox reactions. Zero-order rates of denitrification range from 0 to 0.14 ??mol N L-1d-1, comparable to observations of other studies using the same methods. Many values reported in the literature are, however, orders of magnitude higher, which is attributed to a combination of method limitations and bias for selection of sites with rapid denitrification. In the shallow aquifers below these agricultural fields, denitrification is limited in extent and will require residence times of decades or longer to mitigate modern nitrate contamination. Copyright ?? 2008 by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America. All rights reserved.

  18. Attosecond dissociation of the HT molecule from the He united-atom limit

    Science.gov (United States)

    Clark, Charles W.; Thompson, Alan K.; Coplan, Michael A.; Cooper, John W.; Hughes, Patrick; Vest, Robert E.

    2008-05-01

    From an AMO perspective, the n + ^3He ->t + p + 764 keV nuclear reaction can be viewed as unimolecular dissociation of the HT molecule proceeding from the ^4He united-atom limit. The speeds of the electrons in the ground state of He are comparable to those of the triton and proton fragments, thus fulfilling the Massey criterion which is conducive to subsequent charge-transfer and excitation collisions between the heavy fragments and ambient ^3He. We have measured Lyman α radiation produced in a ^3He gas cell irradiated by a cold neutron beam at the NIST Center for Neutron Research. For atmospheric pressure and room temperature in the cell, we find yields of tens of Lyman α photons for every neutron reaction [arXiv:0801.2614]. These results suggest a method of cold neutron detection by optical means that is complementary to existing proportional counter technologies, and offers greater sensitivity, wider dynamic range, suppression of background, and simpler manufacturability.

  19. Factors related to obesity and overweight among Black adolescent girls in the United States.

    Science.gov (United States)

    Winkler, Megan R; Bennett, Gary G; Brandon, Debra H

    2017-02-01

    In the United States, Black adolescents have the highest prevalence of pediatric obesity and overweight among girls. While Black girls are disproportionately affected, the reasons for this health disparity remain unclear. The authors conducted a systematic review to investigate the factors related to obesity and overweight among Black adolescent girls. The authors searched four databases for relevant English-language publications using all publication years through 2015. Fifty-one studies met the inclusion criteria and were used for this review. Using a configuration approach to synthesis, three categories were identified, paralleling the bioecological theory of human development: (1) individual, (2) interpersonal, and (3) community and societal factors. A description of each factor's association with obesity among Black adolescent girls is presented. From this review, the authors identified a diverse and vast set of individual, interpersonal, and community and societal factors explored for their relationship with obesity and overweight. Given the insufficient repetition and limited significant findings among most factors, the authors believe that multiple gaps in knowledge exist across all categories regarding the factors related to obesity and overweight among Black adolescent girls. To improve the quality of research in this area, suggested research directions and methodological recommendations are provided.

  20. Demographics and limiting factors of tundra nesting birds at the Canning River products

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Products resulting from the Arctic NWR project "Demographics and limiting factors of tundra nesting birds at the Canning River" (PRIMR survey FF07RARC00-010).

  1. R-Factor for the Coterminous United States

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The rainfall-runoff erosivity factor (R-Factor) quantifies the effects of raindrop impacts and reflects the amount and rate of runoff associated with the rain. The...

  2. Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification - United States, 2015.

    Science.gov (United States)

    Boring, Michael A; Hootman, Jennifer M; Liu, Yong; Theis, Kristina A; Murphy, Louise B; Barbour, Kamil E; Helmick, Charles G; Brady, Terry J; Croft, Janet B

    2017-05-26

    Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.4 million adults (3). The impact of arthritis is considerable: an estimated 23.7 million adults have arthritis-attributable activity limitation (AAAL). The age-standardized prevalence of AAAL increased nearly 20% from 2002 to 2015 (3). Arthritis prevalence varies widely by state (range = 19%-36%) and county (range = 16%-39%) (4). Despite what is known about arthritis prevalence at the national, state, and county levels and the substantial impact of arthritis, little is known about the prevalence of arthritis and AAAL across urban-rural areas overall and among selected subgroups. To estimate the prevalence of arthritis and AAAL by urban-rural categories CDC analyzed data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS). The unadjusted prevalence of arthritis in the most rural areas was 31.8% (95% confidence intervals [CI] = 31.0%-32.5%) and in the most urban, was 20.5% (95% CI = 20.1%-21.0%). The unadjusted AAAL prevalence among adults with arthritis was 55.3% in the most rural areas and 49.7% in the most urban. Approximately 1 in 3 adults in the most rural areas have arthritis and over half of these adults have AAAL. Wider use of evidence-based interventions including physical activity and self-management education in rural areas might help reduce the impact of arthritis and AAAL.

  3. Secondary Measures of Access to Abortion Services in the United States, 2011 and 2012: Gestational Age Limits, Cost, and Harassment

    OpenAIRE

    Jerman, Jenna; Jones, Rachel K.

    2014-01-01

    Background Aspects of U.S. clinical abortion service provision such as gestational age limits, charges for abortion services, and anti-abortion harassment can impact the accessibility of abortion; this study documents changes in these measures between 2008 and 2012. Methods In 2012 and 2013, we surveyed all known abortion-providing facilities in the United States (n = 1,720). This study summarizes information obtained about gestational age limits, charges, and exposure to anti-abortion harass...

  4. A novel method of calibrating a MEMS inertial reference unit on a turntable under limited working conditions

    Science.gov (United States)

    Lu, Jiazhen; Liang, Shufang; Yang, Yanqiang

    2017-10-01

    Micro-electro-mechanical systems (MEMS) inertial measurement devices tend to be widely used in inertial navigation systems and have quickly emerged on the market due to their characteristics of low cost, high reliability and small size. Calibration is the most effective way to remove the deterministic error of an inertial reference unit (IRU), which in this paper consists of three orthogonally mounted MEMS gyros. However, common testing methods in the lab cannot predict the corresponding errors precisely when the turntable’s working condition is restricted. In this paper, the turntable can only provide a relatively small rotation angle. Moreover, the errors must be compensated exactly because of the great effect caused by the high angular velocity of the craft. To deal with this question, a new method is proposed to evaluate the MEMS IRU’s performance. In the calibration procedure, a one-axis table that can rotate a limited angle in the form of a sine function is utilized to provide the MEMS IRU’s angular velocity. A new algorithm based on Fourier series is designed to calculate the misalignment and scale factor errors. The proposed method is tested in a set of experiments, and the calibration results are compared to a traditional calibration method performed under normal working conditions to verify their correctness. In addition, a verification test in the given rotation speed is implemented for further demonstration.

  5. 75 FR 44924 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Trip Limit Reduction...

    Science.gov (United States)

    2010-07-30

    ... States; Northeast Multispecies Fishery; Trip Limit Reduction and Trawl Gear Restriction AGENCY: National..., Northeast (NE) Region, NMFS (Regional Administrator) to increase or decrease the trip limits for vessels in... common pool sub-ACL prior to April 30, 2011, would require drastic trip limit reductions and/or...

  6. Mosquito vectors of dog heartworm in the United States: vector status and factors influencing transmission efficiency.

    Science.gov (United States)

    Ledesma, Nicholas; Harrington, Laura

    2011-11-01

    Dog heartworm (Dirofilaria immitis) is dependent on mosquito vectors for its maintenance and transmission among vertebrate hosts. Consequently, D. immitis abundance and distribution are closely linked with mosquito vector biology and ecology. Information on the important dog heartworm vectors in the United States is limited and no comprehensive surveillance of dog heartworm in US mosquitoes has been undertaken to date. Here, we review information gleaned from a number of field surveys documenting heartworm presence in wild mosquito populations as well as laboratory assessments of mosquito vector capacity. Various biological and ecological factors likely contribute to the relative importance of different vector species. We describe some of these factors, rank the leading criteria for efficient vectors, and present the most likely vector species found across the United States. Considering the recent emergence of drug resistance among D. immitis strains, practical knowledge of heartworm vector biology and control should be incorporated into heartworm disease management programs. We conclude by proposing that heartworm control would benefit by targeting mosquito vectors, and we suggest ways in which veterinarians can incorporate the recognition of vector importance into heartworm prevention recommendations imparted to clients. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Population Estimates of School Age Language Minorities and Limited English Proficiency Children of the United States, 1979-1988.

    Science.gov (United States)

    Chapa, Jorge

    Estimates of the school-age, 5-17-year-old, language minority and Limited-English-Proficient (LEP) populations in the United States are discussed. The estimates are based on the population counts for first, second, and third generation Hispanics, Anglos, Asians, and Blacks derived from the June 1988 Current Population Survey. The language minority…

  8. Placement of effective work-in-progress limits in route-specific unit-based pull systems

    NARCIS (Netherlands)

    Ziengs, N.; Riezebos, J.; Germs, R.

    2012-01-01

    Unit-based pull systems control the throughput time of orders in a production system by limiting the number of orders on the shop floor. In production systems where orders can follow different routings on the shop floor, route-specific pull systems that control the progress of orders on the shop flo

  9. Placement of effective work-in-progress limits in route-specific unit-based pull systems

    NARCIS (Netherlands)

    Ziengs, N.; Riezebos, J.; Germs, R.

    2012-01-01

    Unit-based pull systems control the throughput time of orders in a production system by limiting the number of orders on the shop floor. In production systems where orders can follow different routings on the shop floor, route-specific pull systems that control the progress of orders on the shop

  10. Prevalence and impact of dementia-related functional limitations in the United States, 2001 to 2005.

    Science.gov (United States)

    Arrighi, Henry Michael; McLaughlin, Trent; Leibman, Christopher

    2010-01-01

    These analyses examined the relationship between dementia and comorbid conditions with respect to degree of functional impairment and emotional impact. Analyses were conducted using National Health Interview Survey (2001 through 2005) data from a subset of individuals aged > or =60 years with activity limitations attributed to dementia, senility, or Alzheimer disease compared with those whose limitations were attributed to other conditions. The mean number of limited activities was 6.84 (95% confidence interval: 6.48-7.20) for persons with dementia-related limitations and 4.87 (95% confidence interval: 4.81-4.93) for those with limitations not dementia related. Both groups reported similar prevalence of diabetes, acute myocardial infarction, heart disease, prostate cancer, breast cancer, angina, and emphysema; respondents with dementia-related functional limitations were more likely to report diabetes, depression or anxiety, and vision problems as being related to functional limitations. Persons with dementia-related functional limitations were also more likely than persons with non-dementia-related functional limitations to report feeling sad, hopeless, worthless, nervous, and that "everything is an effort." Improving or maintaining functional independence in patients with dementia will likely require a multifaceted approach across disease states. Additional research will help define the impact of dementia on the development and progression of functional limitations related to comorbidities.

  11. FACTORS IMPLICATED IN AMPHIBIAN POPULATION DECLINES IN THE UNITED STATES

    Science.gov (United States)

    This study identified the factors responsible for the decline of native amphibians in the U.S. The type of land use, the introduction of exotic animal species, and chemical contamination were identified as the most likely causes of decline.

  12. Understanding early contextual and parental risk factors for the development of limited prosocial emotions

    OpenAIRE

    Waller, Rebecca; Shaw, Daniel S.; Forbes, Erika E.; Hyde, Luke W.

    2015-01-01

    A growing body of evidence suggests that parenting influences the development of youth callous unemotional (CU) behavior. However, less is known about the effects of parenting or contextual risk factors on ‘limited prosocial emotions’ (LPE), a recent conceptualization of CU behavior added to the DSM-5. We focused on LPE at ages 10–12 and age 20 among low income, urban males (N = 310), and examined potential developmental precursors, including contextual risk factors assessed during infancy an...

  13. Functional limitation and associated factors in outpatients with ankylosing spondylitis in Southwest China.

    Science.gov (United States)

    Song, Yuqing; Wang, Chen; Chen, Hong

    2017-04-01

    Functional limitation is often complained by patients with ankylosing spondylitis (AS). With a rising number of patients suffering from AS, there are a limited number of reports focusing on functional limitation of AS in Chinese patients. This study was conducted to investigate the level of functional limitation and explore its associations with demographic, disease-related factors. A total of 303 AS outpatients were recruited in this cross-sectional study from a tertiary general hospital in Southwest China. Functional limitation was measured by the Bath Ankylosing Spondylitis Functional Index (BASFI). Other data were collected by the following questionnaires: the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Patient Global Score (BAS-G), and the Pittsburgh Sleep Quality Index Questionnaire (PSQI). Finally, 295 outpatients with AS completed this survey. The median BASFI was 0.80. Worse function limitation was found in outpatients with extra-spinal manifestation, older age, lower household income, more back pain, higher disease activity and morning stiffness, poorer sleep, and worse patient's well-being (all P < 0.05). Multivariate regression analysis indicated that patient's well-being (P < 0.001), disease activity (P < 0.001), and disease duration (P < 0.05) were the positive predictors of functional limitation. AS outpatients in Southwest China had a mild level of functional limitation. The factors associated with functional limitation included disease duration, disease activity, and patients' well-being, which should be taken into consideration when assessing functional limitation of AS outpatients. Besides, more comprehensive and targeted interventions should be conducted for AS patients as early as possible, which will be effective to improve functional outcome.

  14. Pion Form Factor in Chiral Limit of Hard-Wall AdS/QCD Model

    Energy Technology Data Exchange (ETDEWEB)

    Anatoly Radyushkin; Hovhannes Grigoryan

    2007-12-01

    We develop a formalism to calculate form factor and charge density distribution of pion in the chiral limit using the holographic dual model of QCD with hard-wall cutoff. We introduce two conjugate pion wave functions and present analytic expressions for these functions and for the pion form factor. They allow to relate such observables as the pion decay constant and the pion charge electric radius to the values of chiral condensate and hard-wall cutoff scale. The evolution of the pion form factor to large values of the momentum transfer is discussed, and results are compared to existing experimental data.

  15. Colorado Plateau Rapid Ecoregion Assessment Conservation Elements - Terrestrial Species: Greater Sage-Grouse Limiting Factors

    Data.gov (United States)

    Bureau of Land Management, Department of the Interior — This map presents limiting factors for Greater Sage-grouse for an area in the northern part of the ecoregion. This was used for the sage-grouse insert in the final...

  16. Factors that Limit and Enable Preschool-Aged Children's Physical Activity on Child Care Centre Playgrounds

    Science.gov (United States)

    Coleman, Bianca; Dyment, Janet E.

    2013-01-01

    The incidence of childhood obesity amongst preschool-aged children has increased dramatically in recent years and can be attributed, in part, to a lack of physical activity amongst children in this age group. This study explores the social factors that stand to limit and/or enable children's physical activity opportunities in outdoor settings in…

  17. What is the most prominent factor limiting photosynthesis in different layers of a greenhouse cucumber canopy?

    NARCIS (Netherlands)

    Chen, T.W.; Henke, M.; Visser, de P.H.B.; Buck-Sorlin, G.H.; Wiechers, D.; Kahlen, K.; Stützel, H.

    2014-01-01

    Background and Aims Maximizing photosynthesis at the canopy level is important for enhancing crop yield, and this requires insights into the limiting factors of photosynthesis. Using greenhouse cucumber (Cucumis sativus) as an example, this study provides a novel approach to quantify different compo

  18. The Nutraceutical Bioavailability Classification Scheme: Classifying Nutraceuticals According to Factors Limiting their Oral Bioavailability.

    Science.gov (United States)

    McClements, David Julian; Li, Fang; Xiao, Hang

    2015-01-01

    The oral bioavailability of a health-promoting dietary component (nutraceutical) may be limited by various physicochemical and physiological phenomena: liberation from food matrices, solubility in gastrointestinal fluids, interaction with gastrointestinal components, chemical degradation or metabolism, and epithelium cell permeability. Nutraceutical bioavailability can therefore be improved by designing food matrices that control their bioaccessibility (B*), absorption (A*), and transformation (T*) within the gastrointestinal tract (GIT). This article reviews the major factors influencing the gastrointestinal fate of nutraceuticals, and then uses this information to develop a new scheme to classify the major factors limiting nutraceutical bioavailability: the nutraceutical bioavailability classification scheme (NuBACS). This new scheme is analogous to the biopharmaceutical classification scheme (BCS) used by the pharmaceutical industry to classify drug bioavailability, but it contains additional factors important for understanding nutraceutical bioavailability in foods. The article also highlights potential strategies for increasing the oral bioavailability of nutraceuticals based on their NuBACS designation (B*A*T*).

  19. 42 CFR 447.206 - Cost limit for providers operated by units of government.

    Science.gov (United States)

    2010-10-01

    ... are limited to reimbursement not in excess of the individual health care provider's cost of providing..., each provider must submit annually a cost report to the Medicaid agency that reflects the individual... to the filed cost report for the spending year in which interim payment rates were made. (3)...

  20. Sensitivity Factor Analysis For Unit Commitment In Loaded Lines

    Directory of Open Access Journals (Sweden)

    Lata Chaudhary

    2016-05-01

    Full Text Available In today’s competitive electricity market, it is not possible to settle all contracted transactions of power because of congestion in transmission lines. Usually, the independent system operator seeks to eliminate congestion by rescheduling output power of the generators. But all generators may not have the same effect (sensitivity on the power flow of the congested lines, so this is not an economical way to reschedule output power of all generators for managing congestion. Therefore, in this paper, active power generator sensitivity factor of the generators to the congested lines have been utilized to ascertain the number of generators participating in congestion management. The effectiveness and feasibility of the proposed algorithm have been tested on IEEE 30 bus system

  1. Factors limiting the establishment of canopy-forming algae on artificial structures

    Science.gov (United States)

    Cacabelos, Eva; Martins, Gustavo M.; Thompson, Richard; Prestes, Afonso C. L.; Azevedo, José Manuel N.; Neto, Ana I.

    2016-11-01

    Macroalgal canopies are important ecosystem engineers, contributing to coastal productivity and supporting a rich assemblage of associated flora and fauna. However, they are often absent from infrastructures such as coastal defences and there has been a worldwide decline in their distribution in urbanised coastal areas. The macroalga Fucus spiralis is the only high-shore canopy forming species present in the Azores. It is widely distributed in the archipelago but is never found on coastal infrastructures. Here we evaluate factors that may potentially limit its establishment on artificial structures. A number of observational and manipulative experiments were used to test the hypotheses that: (i) limited-dispersal ability limits the colonisation of new plants onto artificial structures, (ii) vertical substratum slope negatively influences the survivorship of recruits, and (iii) vertical substratum slope also negatively influences the survivorship and fitness of adults. Results showed that the limited dispersal from adult plants may be a more important factor than slope in limiting the species ability to colonise coastal infrastructures, since the vertical substratum slope does not affect its fitness or survivorship.

  2. Psychosocial factors at work and the development of mobility limitations among adults in Denmark

    DEFF Research Database (Denmark)

    Hansen, Åse Marie; Darsø, Lilie; Manty, Minna

    2014-01-01

    : This study is based on data from 2952 middle-aged men and women without mobility limitations in 2000. Results: We found increased risk of incident mobility limitations during 6-year follow up among men who often perceived high work pace (OR 5.45, 95% CI 1.21-24.52) vs. never, who only sometimes or....../never perceived the work to be meaningful (OR 6.54, 95% CI 1.55-27.55) vs. always, and who sometimes perceived high emotional demands at work (OR 7.85, 95% CI 1.78-34.65) vs. never. Among women, lower risk of incident mobility limitations was observed among those who in 2000 perceived high work pace sometimes (OR......Aim: Psychosocial factors in the working environment have been shown to be associated with mobility limitations, but this has not yet been confirmed in a Danish population. We aimed to examine how psychosocial factors at work are related to developing mobility limitations in Denmark. Methods...

  3. A culture gap in the United States: Implications for policy on limiting access to firearms for suicidal persons.

    Science.gov (United States)

    Marino, Elizabeth; Wolsko, Christopher; Keys, Susan G; Pennavaria, Laura

    2016-09-01

    Suicide is a critical public health problem worldwide. In the United States (US), firearm ownership is common, and firearms account for the majority of deaths by suicide. While suicide prevention strategies may include limiting access to firearms, the contentious nature of gun regulations in the US, particularly among members of rural communities, often gives rise to constitutional concerns and political polarization that could inhibit suicidal persons from seeking the help they need. We examine potential outcomes of public health strategies in the US that encourage limiting access to firearms for populations who both value firearm ownership and are vulnerable to suicide. Based on preliminary results from a firearm safety study, we argue that attempts to limit access to firearms among those at risk of suicide will only succeed when the most affected cultural groups are engaged in collaborative discussions.

  4. New Precision Limit on the Strange Vector Form Factors of the Proton

    CERN Document Server

    Ahmed, Z; Aniol, K A; Armstrong, D S; Arrington, J; Baturin, P; Bellini, V; Benesch, J; Beminiwattha, R; Benmokhtar, F; Canan, M; Camsonne, A; Cates, G D; Chen, J -P; Chudakov, E; Cisbani, E; Dalton, M M; de Jager, C W; De Leo, R; Deconinck, W; Decowski, P; Deng, X; Deur, A; Dutta, C; Franklin, G B; Friend, M; Frullani, S; Garibaldi, F; Giusa, A; Glamazdin, A; Golge, S; Grimm, K; Hansen, O; Higinbotham, D W; Holmes, R; Holmstrom, T; Huang, J; Huang, M; Hyde, C E; Jen, C M; Jin, G; Jones, D; Kang, H; King, P; Kowalski, S; Kumar, K S; Lee, J H; LeRose, J J; Liyanage, N; Long, E; McNulty, D; Margaziotis, D; Meddi, F; Meekins, D G; Mercado, L; Meziani, Z -E; Michaels, R; Munoz-Camacho, C; Mihovilovic, M; Muangma, N; Myers, K E; Nanda, S; Narayan, A; Nelyubin, V; Nuruzzaman,; Oh, Y; Pan, K; Parno, D; Paschke, K D; Phillips, S K; Qian, X; Qiang, Y; Quinn, B; Rakhman, A; Reimer, P E; Rider, K; Riordan, S; Roche, J; Rubin, J; Russo, G; Saenboonruang, K; Saha, A; Sawatzky, B; Silwal, R; Sirca, S; Souder, P A; Sperduto, M; Subedi, R; Suleiman, R; Sulkosky, V; Sutera, C M; Tobias, W A; Urciuoli, G M; Waidyawansa, B; Wang, D; Wexler, J; Wilson, R; Wojtsekhowski, B; Zhan, X; Yan, X; Yao, H; Ye, L; Zhao, B; Zheng, X

    2011-01-01

    The parity-violating cross-section asymmetry in the elastic scattering of polarized electrons from unpolarized protons has been measured at a four-momentum transfer squared Q2 = 0.624 GeV and beam energy E =3.48 GeV to be A_PV = -23.80 +/- 0.78 (stat) +/- 0.36 (syst) parts per million. This result is consistent with zero contribution of strange quarks to the combination of electric and magnetic form factors G_E^s + 0.517 G_M^s = 0.003 +/- 0.010 (stat) +/- 0.004 (syst) +/- 0.009 (ff), where the third error is due to the limits of precision on the electromagnetic form factors and radiative corrections. With this measurement, the world data on strange contributions to nucleon form factors are seen to be consistent with zero and not more than a few percent of the proton form factors.

  5. Limiting factors for development of ambulatory breast surgery in the French hospital network.

    Science.gov (United States)

    Dravet, F; Peuvrel, P; Robard, S; Labbe, D; Michy, T; François, T; Théard, J-L; Classe, J-M

    2011-04-01

    Ambulatory breast surgery is not well developed in France. This is especially true for oncologic procedures, Between January 2005 and June 2006, we performed a retrospective evaluation of the factors thought to limit the development of this type of hospitalization. The principal limiting factors were distance restrictions (respect of the 100 km perimeter), the complexity of patient management for small breast tumors (several practitioners involved) and last, the non-motivating reimbursement policy. By changing to the Anglo-American ("one day surgery", i.e. hospital stay less than 24 hours) or hybrid system (less than 12 hours+1 day surgery), ambulatory surgery could easily be offered to patients excluded by the current system (ambulatory department open less than 12 hours). Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  6. Impact of selected risk factors on expected lifetime without long-standing, limiting illness in Denmark

    DEFF Research Database (Denmark)

    Brønnum-Hansen, Henrik; Juel, Knud; Davidsen, Michael

    2007-01-01

    OBJECTIVE: To estimate the impacts of tobacco smoking, high alcohol consumption, physical inactivity and overweight on expected lifetime with and without long-standing, limiting illness. METHODS: Life tables for each level of exposure to the risk factors were constructed, mainly on the basis......-olds was 9-10 years shorter for heavy smokers than for those who never smoke, and all the lifetime lost would have been without long-standing, limiting illness. Similarly, all 5 years of expected lifetime lost by men with high alcohol consumption would have been without illness. The expected lifetime without...... long-standing, limiting illness was 8-10 years shorter among sedentary than physically active people. Obesity shortened lifetime without illness by 5 years for men and ten years for women. CONCLUSION: The results of this study could be used in health policy-making, as the potential gains in public...

  7. What is the most prominent factor limiting photosynthesis in different layers of a greenhouse cucumber canopy?

    Science.gov (United States)

    Chen, Tsu-Wei; Henke, Michael; de Visser, Pieter H B; Buck-Sorlin, Gerhard; Wiechers, Dirk; Kahlen, Katrin; Stützel, Hartmut

    2014-09-01

    Maximizing photosynthesis at the canopy level is important for enhancing crop yield, and this requires insights into the limiting factors of photosynthesis. Using greenhouse cucumber (Cucumis sativus) as an example, this study provides a novel approach to quantify different components of photosynthetic limitations at the leaf level and to upscale these limitations to different canopy layers and the whole plant. A static virtual three-dimensional canopy structure was constructed using digitized plant data in GroIMP. Light interception of the leaves was simulated by a ray-tracer and used to compute leaf photosynthesis. Different components of photosynthetic limitations, namely stomatal (S(L)), mesophyll (M(L)), biochemical (B(L)) and light (L(L)) limitations, were calculated by a quantitative limitation analysis of photosynthesis under different light regimes. In the virtual cucumber canopy, B(L) and L(L) were the most prominent factors limiting whole-plant photosynthesis. Diffusional limitations (S(L) + M(L)) contributed Photosynthesis in the lower canopy was more limited by the biochemical capacity, and the upper canopy was more sensitive to light than other canopy parts. Although leaves in the upper canopy received more light, their photosynthesis was more light restricted than in the leaves of the lower canopy, especially when the light condition above the canopy was poor. An increase in whole-plant photosynthesis under diffuse light did not result from an improvement of light use efficiency but from an increase in light interception. Diffuse light increased the photosynthesis of leaves that were directly shaded by other leaves in the canopy by up to 55%. Based on the results, maintaining biochemical capacity of the middle-lower canopy and increasing the leaf area of the upper canopy would be promising strategies to improve canopy photosynthesis in a high-wire cucumber cropping system. Further analyses using the approach described in this study can be expected to

  8. Development of Normalization Factors for Canada and the United States and Comparison with European Factors

    DEFF Research Database (Denmark)

    Lautier, Anne; Rosenbaum, Ralph K.; Margni, Manuele

    2010-01-01

    showed that normalized profiles are highly dependent on the selected reference due to differences in the industrial and economic activities. To meet practitioners' needs, Canadian normalization factors have been calculated using the characterization factors from LUCAS (Canadian), IMPACT 2002+ (European...

  9. Thermodynamic limit of particle-hole form factors in the massless XXZ Heisenberg chain

    Energy Technology Data Exchange (ETDEWEB)

    Kitanine, N. [Univ. de Bourgogne (France). IMB, UMR 5584 du CNRS; Kozlowski, K.K. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Maillet, J.M.; Terras, V. [ENS Lyon (France). UMR 5672 du CNRS, Lab. de Physique; Slavnov, N.A. [Steklov Mathematical Inst., Moscow (Russian Federation)

    2011-03-15

    We study the thermodynamic limit of the particle-hole form factors of the XXZ Heisenberg chain in the massless regime. We show that, in this limit, such form factors decrease as an explicitly computed power-law in the system size. Moreover, the corresponding amplitudes can be obtained as a product of a ''smooth'' and a ''discrete'' part: the former depends continuously on the rapidities of the particles and holes, whereas the latter has an additional explicit dependence on the set of integer numbers that label each excited state in the associated logarithmic Bethe equations. We also show that special form factors corresponding to zero-energy excitations lying on the Fermi surface decrease as a power-law in the system size with the same critical exponents as in the longdistance asymptotic behavior of the related two-point correlation functions. The methods we develop in this article are rather general and can be applied to other massless integrable models associated to the six-vertex R-matrix and having determinant representations for their form factors. (orig.)

  10. Reaching the theoretical resonance quality factor limit in coaxial plasmonic nanoresonators fabricated by helium ion lithography.

    Science.gov (United States)

    Melli, M; Polyakov, A; Gargas, D; Huynh, C; Scipioni, L; Bao, W; Ogletree, D F; Schuck, P J; Cabrini, S; Weber-Bargioni, A

    2013-06-12

    Optical antenna structures have revolutionized the field of nano-optics by confining light to deep subwavelength dimensions for spectroscopy and sensing. In this work, we fabricated coaxial optical antennae with sub-10-nanometer critical dimensions using helium ion lithography (HIL). Wavelength dependent transmission measurements were used to determine the wavelength-dependent optical response. The quality factor of 11 achieved with our HIL fabricated structures matched the theoretically predicted quality factor for the idealized flawless gold resonators calculated by finite-difference time-domain (FDTD). For comparison, coaxial antennae with 30 nm critical dimensions were fabricated using both HIL and the more common Ga focus ion beam lithography (Ga-FIB). The quality factor of the Ga-FIB resonators was 60% of the ideal HIL results for the same design geometry due to limitations in the Ga-FIB fabrication process.

  11. Functional Factor Analysis In Sesame Under Water - Limiting Stress: New Concept On An Old Method

    Directory of Open Access Journals (Sweden)

    Mansouri Sadollah

    2014-12-01

    Full Text Available Multivariate statistical analysis, through their ability to extract hidden relationship between various traits, has a wide application in breeding programs. Having physiological concept on the multivariate analysis, factor analysis was used to extract differential relationships between different components involving in assimilate partitioning in sesame under regular irrigation regime and limited irrigation. The analysis revealed that under regular irrigation regime, the stored and/or currently produced assimilates are allocated to the filling seeds. However, incidence of water shortage in the beginning of flowering time make shifts in assimilate partitioning from formation of new seeds or capsules to the not-matured pre-formed seeds, which results in seeds with more nutrient storage. This indicates the requirement for change in breeding strategies under sub-optimal condition. The possible common language between factor concept in multivariate analysis, QTLs in genetics, and transcription factors in molecular biology is indicated.

  12. Comparing the demographic factors of patient with limited and diffuse type of alopecia areata

    Directory of Open Access Journals (Sweden)

    Mina Daliri

    2010-09-01

    Full Text Available Background: Alopecia areata is a chronic inflammatory disease that involves the hair follicle. Clinically, patients with alopecia areata may have patchy or confluent hair loss on the scalp or body so we conduct a study to compare the demographic aspects of patient with limited and diffuse type of alopecia areata.Materials and Method: We conducted a descriptive-analyzing study in which 306 patient were chosen. The patients were divided into two groups of diffuse and limited Alopecia. Demographic factors including age, gender, disease onset were compared in two groups. Results: Out of 306 patients, 58.8 % were male and 41.2 % were female. 247 patients (80.7% suffered from limited type and 59 patients (19.2% suffered from diffuse type. The mean age of the onset of involvement in limited group was 21.9±12 yr and 15.8±12 yr in diffuse group. The mean duration of involvement in limited group was 18.7 months and 71 months in diffuse group. Conclusion: Diffuse type alopecia areata starts at lower age and has longer duration. Our study results were similar to the others. Like other studies, thyroid disorders and atopic dermatitis are positively correlative to the severity of disease

  13. Vital Signs: Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation - United States, 2013-2015.

    Science.gov (United States)

    Barbour, Kamil E; Helmick, Charles G; Boring, Michael; Brady, Teresa J

    2017-03-10

    In the United States, doctor-diagnosed arthritis is a common and disabling chronic condition. Arthritis can lead to severe joint pain and poor physical function, and it can negatively affect quality of life. CDC analyzed 2013-2015 data from the National Health Interview Survey, an annual, nationally representative, in-person interview survey of the health status and behaviors of the noninstitutionalized civilian U.S. adult population, to update previous prevalence estimates of arthritis and arthritis-attributable activity limitations. On average, during 2013-2015, 54.4 million (22.7%) adults had doctor-diagnosed arthritis, and 23.7 million (43.5% of those with arthritis) had arthritis-attributable activity limitations (an age-adjusted increase of approximately 20% in the proportion of adults with arthritis reporting activity limitations since 2002 [p-trend arthritis were 49.3%, 47.1%, and 30.6%, respectively; the prevalences of arthritis-attributable activity limitations among adults with these conditions and arthritis were 54.5% (heart disease), 54.0% (diabetes), and 49.0% (obesity). The prevalence of arthritis is high, particularly among adults with comorbid conditions, such as heart disease, diabetes, and obesity. Furthermore, the prevalence of arthritis-attributable activity limitations is high and increasing over time. Approximately half of adults with arthritis and heart disease, arthritis and diabetes, or arthritis and obesity are limited by their arthritis. Greater use of evidence-based physical activity and self-management education interventions can reduce pain and improve function and quality of life for adults with arthritis and also for adults with other chronic conditions who might be limited by their arthritis.

  14. Factors Limiting Adoption of Technologies by Farmers in Catabola Municipality, Angola

    Directory of Open Access Journals (Sweden)

    Rušarová K.

    2016-06-01

    Full Text Available The objective of the paper is to define the factors influencing the adoption of animal traction and/or mechanical-power technology in the conditions of Catabola municipality where hand-tool technology is being used on 99.7% of the area cultivated by small farmers. Primary data collection was conducted in the period July–August 2011; semi-structured questionnaires and focus group discussions were the most frequent methods used. In total, 151 small-scale farmers from 9 villages participated in the survey. Ten factors influencing the dependent variable – level of technology used by farmers in combination with hiring of labour – were defined. The factors were statistically analyzed by ANOVA. The area of cultivated land and the educational level of both parents and children were found to be the factors limiting the process of animal traction or mechanical power adoption by small farmers in the Catabola municipality. In addition, a relatively high rate of child labour was observed. With the exclusion of childless families, 62.7% of small farmer families regularly use children aged 0–14 years for field operations. The results confirm that the factor of hiring extra labour is irrelevant in determining the development in technology use by small farmers in the Catabola municipality.

  15. Fruitful factors: what limits seed production of flowering plants in the alpine?

    Science.gov (United States)

    Straka, Jason R; Starzomski, Brian M

    2015-05-01

    Predicting demographic consequences of climate change for plant communities requires understanding which factors influence seed set, and how climate change may alter those factors. To determine the effects of pollen availability, temperature, and pollinators on seed production in the alpine, we combined pollen-manipulation experiments with measurements of variation in temperature, and abundance and diversity of potential pollinators along a 400-m elevation gradient. We did this for seven dominant species of flowering plants in the Coast Range Mountains, British Columbia, Canada. The number of viable seeds set by plants was influenced by pollen limitation (quantity of pollen received), mate limitation (quality of pollen), temperature, abundance of potential pollinators, seed predation, and combinations of these factors. Early flowering species (n = 3) had higher seed set at high elevation and late-flowering species (n = 4) had higher seed set at low elevation. Degree-days >15 °C were good predictors of seed set, particularly in bee-pollinated species, but had inconsistent effects among species. Seed production in one species, Arnica latifolia, was negatively affected by seed-predators (Tephritidae) at mid elevation, where there were fewer frost-hours during the flowering season. Anemone occidentalis, a fly-pollinated, self-compatible species had high seed set at all elevations, likely due to abundant potential pollinators. Simultaneously measuring multiple factors affecting reproductive success of flowering plants helped identify which factors were most important, providing focus for future studies. Our work suggests that responses of plant communities to climate change may be mediated by flowering time, pollination syndrome, and susceptibility to seed predators.

  16. Factors associated with functional limitations in the daily living activities of Japanese hip osteoarthritis patients.

    Science.gov (United States)

    Kondo, Kyoko; Jingushi, Seiya; Ohfuji, Satoko; Sofue, Muroto; Itoman, Moritoshi; Matsumoto, Tadami; Hamada, Yoshiki; Shindo, Hiroyuki; Takatori, Yoshio; Yamada, Harumoto; Yasunaga, Yuji; Ito, Hiroshi; Mori, Satoshi; Owan, Ichiro; Fujii, Genji; Ohashi, Hirotsugu; Fukushima, Wakaba; Maeda, Akiko; Inui, Miki; Takahashi, Shinji; Hirota, Yoshio

    2016-12-10

    As society ages, there is a vast number of elderly people with locomotive syndrome. In this study, the factors associated with functional limitations in daily living activities evaluated by female hip osteoarthritis (OA) patients were investigated. This study was a cross-sectional study. The subjects were 353 female patients who were newly diagnosed with hip OA at an orthopedic clinic with no history of hip joint surgery. Outcome indices were functional limitations in two daily living activities obtained from a questionnaire completed by the patients: (i) standing up (standing from a crouched position) and (ii) stair-climbing (climbing and/or descending stairs). The odds ratios (ORs) and 95% confidence intervals (CIs) were computed for explanatory variables using the proportional odds model in logistic regression to evaluate their associations with functional limitations. Functional limitations in standing up were associated with heavy weight (third tertile vs. first tertile: 1.91, 1.11-3.27), participation in sports at school (0.62, 0.40-0.98), parity (vs. nullipara: 1.96, 1.08-3.56), old age and OA stage. Associations with functional limitations in stair-climbing were seen with short height (weight, parity, shorter height and bilateral OA were associated with functional limitations in standing up and/or stair-climbing, whereas participation in sports such as club activities in school maintained standing up. © 2016 The Authors. International Journal of Rheumatic Diseases published by Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

  17. Spatial association between dissection density and environmental factors over the entire conterminous United States

    Science.gov (United States)

    Luo, Wei; Jasiewicz, Jaroslaw; Stepinski, Tomasz; Wang, Jinfeng; Xu, Chengdong; Cang, Xuezhi

    2016-01-01

    Previous studies of land dissection density (D) often find contradictory results regarding factors controlling its spatial variation. We hypothesize that the dominant controlling factors (and the interactions between them) vary from region to region due to differences in each region's local characteristics and geologic history. We test this hypothesis by applying a geographical detector method to eight physiographic divisions of the conterminous United States and identify the dominant factor(s) in each. The geographical detector method computes the power of determinant (q) that quantitatively measures the affinity between the factor considered and D. Results show that the factor (or factor combination) with the largest q value is different for physiographic regions with different characteristics and geologic histories. For example, lithology dominates in mountainous regions, curvature dominates in plains, and glaciation dominates in previously glaciated areas. The geographical detector method offers an objective framework for revealing factors controlling Earth surface processes.

  18. Limits on the Fill Factor in Organic Photovoltaics: Distinguishing Nongeminate and Geminate Recombination Mechanisms.

    Science.gov (United States)

    Dibb, George F A; Jamieson, Fiona C; Maurano, Andrea; Nelson, Jenny; Durrant, James R

    2013-03-07

    In this Letter, we present transient optoelectronic experimental studies of the recombination processes limiting the fill factor (FF) in three conjugated polymer:fullerene systems, poly(3-hexylthiophene) (P3HT) and two lower-band-gap polymers that exhibit lower FFs poly[2,6-(4,4-bis-(2-ethylhexyl)-4H-cyclopenta[2,1-b;3,4-b']dithiophene)-alt-4,7-(2,1,3-benzothiadiazole) (PCPDTBT) and poly(2,7-(9,9-dioctylfluorene)-alt-5,5-(4',7'-di-2-thienyl-2',1',3'-benzothiadiazole)) (APFO-3). Using transient absorption spectroscopy, charge extraction, and transient photovoltage experiments, we show that the lower FF observed for the PCPDTBT-based device results from enhanced nongeminate recombination even at short circuit, In contrast, we show that for APFO-3 devices, the FF is primarily limited by a voltage-dependent free charge generation, which we assign to a geminate recombination process.

  19. Risk factors for treatment-limiting toxicities in patients starting nevirapine-containing antiretroviral therapy

    DEFF Research Database (Denmark)

    Kesselring, Anouk M; Wit, Ferdinand W; Sabin, Caroline A;

    2009-01-01

    BACKGROUND: This collaboration of seven observational clinical cohorts investigated risk factors for treatment-limiting toxicities in both antiretroviral-naive and experienced patients starting nevirapine-based combination antiretroviral therapy (NVPc). METHODS: Patients starting NVPc after 1...... to treatment-limiting toxicities and/or patient/physician choice (TOXPC, n = 10,186). Patients were classified according to prior antiretroviral treatment experience and CD4 cell count/viral load at start NVPc. Models were stratified by cohort and adjusted for age, sex, nadir CD4 cell count, calendar year...... of starting NVPc and mode of transmission. RESULTS: Median time from starting NVPc to TOXPC and HSR were 162 days [interquartile range (IQR) 31-737] and 30 days (IQR 17-60), respectively. In adjusted Cox analyses, compared to naive patients with a low CD4 cell count, treatment-experienced patients with high...

  20. Factors Limiting Centralized Land Circulation in China from the Perspective of Farmers’ Property Right

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    At present,there are many factors limiting large area centralized,rapid development,and moderately large-scale land operation in China.These factors include(i) the existing land utilization system is still at adaptation stage,and it lacks universal agreement of people on large-scale land operation;(ii) farmers’ dependence on land is great;(iii) it is difficult to transfer surplus labor;(iv) there is no positive connection between promotion of moderately large-scale land operation and realization of increase of farmers’ income;(v) it remains to be proved whether large-scale operation can become a stable rural occupation and whether big farming households can grow to professional farmers;(vi) large-scale land operation in rural areas may lead to waste of resources;(vii) the promotion of large-scale land operation may cause other social contradictions.

  1. Level of data quality from Health Management Information Systems in a resources limited setting and its associated factors, eastern Ethiopia

    Directory of Open Access Journals (Sweden)

    Kidist Teklegiorgis

    2016-04-01

    Full Text Available Background: A Health Information System (HIS is a system that integrates data collection, processing, reporting, and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services. Despite the credible use of HIS for evidence-based decision-making, countries with the highest burden of ill health and the most in need of accurate and timely data have the weakest HIS in the vast majority of world’s poorest countries. Although a Health Management Information System (HMIS forms a backbone for strong health systems, most developing countries still face a challenge in strengthening routine HIS. The main focus of this study was to assess the current HIS performance and identify factors affecting data quality in a resource-limited setting, such as Ethiopian health facilities.Methods: A cross-sectional study was conducted by using structured questionnaires in Dire Dawa Administration health facilities. All unit and/or department heads from all government health facilities were selected. The data was analysed using STATA version 11. Frequency and percentages were computed to present the descriptive findings. Association between variables was computed using binary logistic regression.Results: Over all data quality was found to be 75.3% in unit and/or departments. Trained staff to fill format, decision based on supervisor directives and department heads seek feedback were significantly associated with data quality and their magnitudes were (AOR = 2.253, 95% CI [1.082, 4.692], (AOR = 2.131, 95% CI [1.073, 4.233] and (AOR = 2.481, 95% CI [1.262, 4.876], respectively.Conclusion: Overall data quality was found to be below the national expectation level. Low data quality was found at health posts compared to health centres and hospitals. There was also a shortage of assigned HIS personnel, separate HIS offices, and assigned budgets for HIS across all units and/or departments.

  2. Factors limiting deceased organ donation: focus groups' perspective from culturally diverse community.

    Science.gov (United States)

    Wong, L P

    2010-06-01

    In-depth understanding of cultural and religious factors limiting organ donation of three ethnic populations (Malay, Chinese, and Indian) in Southeast Asia is lacking. Identification of factors limiting organ donation among these three ethnic groups will provide insights into culturally appropriate strategies to promote acceptance of organ donation in a multiethnic Asian community. A total of 17 focus group discussions (105 participants) were conducted between September and December 2008. Participants were members of the general public aged 18 to 60 years, recruited through convenient sampling around the Klang Valley area of Malaysia. Although the majority had favorable attitudes toward deceased organ donation and transplantation, a diversity of myths and misinformation were unearthed from the discussions across the ethnic groups. These include perceived religious prohibition, cultural myths and misperceptions, fear of disfigurement, fear of surgery, distrust of the medical system, and family disapproval. Culture and religious beliefs played important prohibitive roles among those opposed to organ donations. There were distinctive ethnic differences in cultural and religious concerns regarding organ donation. Less-educated and rural groups appeared to have more misconceptions than the well-educated and the urban groups. Our findings may assist organ donation and transplantation organizations to reach diverse sociodemographic and ethnic communities with culture-specific information about organ donation. The involvement of community and religious leaders is critical in organ donation requests.

  3. The natural conditions as a limiting factor for the development of Serbian-Macedonian border area

    Directory of Open Access Journals (Sweden)

    Dragićević Slavoljub

    2010-01-01

    Full Text Available Natural conditions of certain area imply to the complex influence of various elements of the environment (surface, relief, climate, water, vegetation type and man, and knowledge of their recent state represents basis of an integrated approach in the land use planning. Analysis of natural conditions and processes in the Serbian-Macedonian border area is usually done through the valorization of natural potentials, but aspect of their limiting influence on the development of this territory - natural hazards assessment has remained unresolved. Degree of natural hazards vulnerability of a certain territory is an important factor in land use planning, because it represents a threat to the undisturbed development of a certain teritory. The basic idea of this paper is to provide multi-hazard assessment and the integral map of areas vulnerable to various types of natural hazards in Serbian-Macedonian border area. In this way seclusion of areas where natural conditions can represent the limiting factor for the development of the analyzed territory shall be performed.

  4. Limiting factors for nomadic pastoralism in Mongolian steppe: A hydrologic perspective

    Science.gov (United States)

    Sugita, Michiaki; Yoshizawa, Shintaroh; Byambakhuu, Ishgaldan

    2015-05-01

    In this study, limiting factors for continuing nomadic pastoralism in steppe areas were studied based on a hydrologic perspective. Two small watersheds in central Mongolia were selected for an assessment of water balance and hydrologic processes. We determined that the majority of annual precipitation, ∼88-96 mm, was lost by evaporation (82%) while only a small proportion went to groundwater discharge, surface runoff, and groundwater consumption by nomadic activities. The soil column was found to absorb large fluctuations in precipitation although its connection to groundwater was very weak. Groundwater recharge was, therefore, very small and occurred only rarely during heavy rainfall events in valley bottoms. However, current water storage in shallow groundwater was determined to be quite sufficient for continuing nomadic pastoralism when compared to the drinking water requirements of livestock. The main limiting factors identified were a temporal lack of feed to animals due to a loss of aboveground biomass resulting from soil moisture shortages during drought conditions, and a decline in the number and maintenance level of the traditional well network that, due to access to shallow groundwater, has allowed herders to migrate to areas with better conditions in remote Mongolian steppe.

  5. Isolated battery charger with unit power factor; Carregador de baterias isolado com fator de potencia unitario

    Energy Technology Data Exchange (ETDEWEB)

    Co, Marcio Almeida

    1993-05-01

    This work presents a single phase, isolated AC/DC converter (Battery Charger) with active power factor correction in a single stage of power processing. the topology studied is the fed-current full-bridge, in boost mode operation, at fixed switching frequency. After a complete design of converter and simulations, the results of a 1.500 W e 50 kHz prototype are shown. a Unit Power Factor and Total Harmonic Distortion less than 5% were obtained. (author)

  6. Nosocomial infections and risk factors in intensive care unit of a university hospital

    OpenAIRE

    2015-01-01

    Objective: The aim of this study is to evaluate nosocomial infections (NIs) in intensive care unit (ICU) in terms of site of infection, distribution of pathogens and risk factors for developing infection.Methods: 80 patients staying for more than 48 hours in the ICU were included in the study. Epidemiologic characteristics of the patients, invasive procedures and other risk factors were noted. Cultures, identification of isolates and antibiotic susceptibility tests were made by standard micro...

  7. Investigating Limiting Factors in Stretchable All-Carbon Transistors for Reliable Stretchable Electronics.

    Science.gov (United States)

    Chortos, Alex; Zhu, Chenxin; Oh, Jin Young; Yan, Xuzhou; Pochorovski, Igor; To, John W-F; Liu, Nan; Kraft, Ulrike; Murmann, Boris; Bao, Zhenan

    2017-08-22

    Stretchable form factors enable electronic devices to conform to irregular 3D structures, including soft and moving entities. Intrinsically stretchable devices have potential advantages of high surface coverage of active devices, improved durability, and reduced processing costs. This work describes intrinsically stretchable transistors composed of single-walled carbon nanotube (SWNT) electrodes and semiconductors and a dielectric that consists of a nonpolar elastomer. The use of a nonpolar elastomer dielectric enabled hysteresis-free device characteristics. Compared to devices on SiO2 dielectrics, stretchable devices with nonpolar dielectrics showed lower mobility in ambient conditions because of the absence of doping from water. The effect of a SWNT band gap on device characteristics was investigated by using different SWNT sources as the semiconductor. Large-band-gap SWNTs exhibited trap-limited behavior caused by the low capacitance of the dielectric. In contrast, high-current devices based on SWNTs with smaller band gaps were more limited by contact resistance. Of the tested SWNT sources, SWNTs with a maximum diameter of 1.5 nm performed the best, with a mobility of 15.4 cm(2)/Vs and an on/off ratio >10(3) for stretchable transistors. Large-band-gap devices showed increased sensitivity to strain because of a pronounced dependence on the dielectric thickness, whereas contact-limited devices showed substantially less strain dependence.

  8. Rate limiting factors in trichloroethylene co-metabolic degradation by phenol-grown aerobic granules.

    Science.gov (United States)

    Zhang, Yi; Tay, Joo Hwa

    2014-04-01

    The potential of aerobic granular sludge in co-metabolic removal of recalcitrant substances was evaluated using trichloroethylene (TCE) as the model compound. Aerobic granules cultivated in a sequencing batch reactor with phenol as the growth substrate exhibited TCE and phenol degradation activities lower than previously reported values. Depletion of reducing energy and diffusion limitation within the granules were investigated as the possible rate limiting factors. Sodium formate and citrate were supplied to the granules in batch studies as external electron sources. No significant enhancing effect was observed on the instant TCE transformation rates, but 10 mM formate could improve the ultimate transformation capacity by 26 %. Possible diffusion barrier was studied by sieving the biomass into five size fractions, and determining their specific TCE and phenol degradation rates and capacities. Biomass in the larger size fractions generally showed lower activities. Large granules of >700 μm diameter exhibited only 22 % of the flocs' TCE transformation capacity and 35 % of its phenol dependent SOUR, indicating the possible occurrence of diffusion limitation in larger biomass. However, the highest specific TCE transformation rate was observed with the fraction that mostly consisted of small granules (150-300 μm), suggesting an optimal size range while applying aerobic granules in TCE co-metabolic removal.

  9. Food as a limiting factor for Aedes aegypti in water-storage containers.

    Science.gov (United States)

    Arrivillaga, Jazzmin; Barrera, Roberto

    2004-06-01

    An understanding of the ecological factors that regulate natural populations of Aedes aegypti mosquitoes can improve control and reduce the incidence of dengue (DF) and dengue hemorrhagic fever (DHF) in tropical areas. We investigated whether immature Ae. aegypti in water-storage containers from an urban area were under food limitation. We used starvation resistance (number of days alive without food) as an indicator of the feeding history in third-instar Ae. aegypti larvae. Resistance to starvation and other measures of immature success, such as development time, survival, and adult mass, were investigated across a wide range of feeding conditions in the laboratory. Resistance to starvation of third-instar larvae and body mass of adults emerging from pupae collected in water-storage containers in an urban area were compared with the laboratory results. If resistance to starvation and adult mass of field-collected Ae. aegypti corresponded with the lower levels of feeding in the laboratory, then food limitation could be inferred in field-collected larvae. Results showed that resistance to starvation was well correlated with previous feeding levels and with the other measures of immature success. Both resistance to starvation and adult body mass of field-collected specimens corresponded with the lower levels of feeding in the laboratory. Therefore, it was concluded that food limitation or competition is likely to be a regulatory factor in water-storage containers in the urban area. It is recommended that any control measure applied to immature Ae. aegypti in water-storage containers should eliminate all or most of the individuals, otherwise unintended, undesirable results might occur, such as the production of more and larger adults.

  10. Quaternary Structure and Functional Unit of Energy Coupling Factor (ECF)-type Transporters

    NARCIS (Netherlands)

    Beek, Josy ter; Duurkens, Ria H.; Erkens, Guus B.; Slotboom, Dirk Jan

    2011-01-01

    ATP-binding cassette (ABC) transporters mediate transport of diverse substrates across membranes. We have determined the quaternary structure and functional unit of the recently discovered ECF-type (energy coupling factor) of ABC transporters, which is widespread among prokaryotes. ECF transporters

  11. International Comparisons of Infant Mortality and Related Factors : United States and Europe, 2010

    NARCIS (Netherlands)

    MacDorman, M.F.; Mathews, T.J.; Mohangoo, A.D.; Zeitlin, J.

    2014-01-01

    OBJECTIVES: This report investigates the reasons for the United States' high infant mortality rate when compared with European countries. Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific i

  12. The Factors That Influence Dietary Habits among International Students in the United States

    Science.gov (United States)

    Alakaam, Amir A.; Castellanos, Diana C.; Bodzio, Jessica; Harrison, Lee

    2015-01-01

    This study examines the dietary intake changes and factors related to dietary acculturation in international students attending an urban university in the United States. The researchers administered seven focus groups of college-age international students (n = 32) between June and August 2012. The participants were enrolled in Northeastern and…

  13. Important risk factors in melanoma from the Dermato-Oncologic Unit of Brescia, Italy.

    Science.gov (United States)

    Manganoni, Ausilia Maria; Zanotti, Federica; Farisoglio, Camillo; Feroldi, Piero; Facchetti, Fabio; Calzavara-Pinton, Piergiacomo

    2010-01-15

    One of the most significant risk factors for melanoma is a positive family history of the disease. It is estimated that approximately 10 percent of melanoma cases report a first-or second-degree relative with melanoma. We reported the experience of the Dermato-Oncologic Unit of Brescia, Italy.

  14. Arterial waveform-analysis is of limited value in daily clinical practice in the intensive care unit

    DEFF Research Database (Denmark)

    Henningsen, Louise; Haase, Nicolai; Pedersen, Ulf Gøttrup

    2015-01-01

    INTRODUCTION: It is difficult to identify the patients who will respond to fluid therapy, but the arterial waveform-derived variables have reasonably predictive values for fluid responsiveness. However, the patient must fulfil a number of prerequisites for these variables to be valid. We assessed...... the proportion of intensive care unit (ICU) patients with shock who at the time of resuscitation fulfilled the prerequisites for using the arterial waveform-derived variables. METHODS: This was a prospective cohort study performed at six ICUs. The study included consecutive adult patients with shock (20 patients...... of arterial waveform-derived variables to predict fluid responsiveness. Thus, these variables may be of limited use during resuscitation in the ICU....

  15. Trait mindfulness as a limiting factor for residual depressive symptoms: an explorative study using quantile regression.

    Directory of Open Access Journals (Sweden)

    Sholto Radford

    Full Text Available Mindfulness has been suggested to be an important protective factor for emotional health. However, this effect might vary with regard to context. This study applied a novel statistical approach, quantile regression, in order to investigate the relation between trait mindfulness and residual depressive symptoms in individuals with a history of recurrent depression, while taking into account symptom severity and number of episodes as contextual factors. Rather than fitting to a single indicator of central tendency, quantile regression allows exploration of relations across the entire range of the response variable. Analysis of self-report data from 274 participants with a history of three or more previous episodes of depression showed that relatively higher levels of mindfulness were associated with relatively lower levels of residual depressive symptoms. This relationship was most pronounced near the upper end of the response distribution and moderated by the number of previous episodes of depression at the higher quantiles. The findings suggest that with lower levels of mindfulness, residual symptoms are less constrained and more likely to be influenced by other factors. Further, the limiting effect of mindfulness on residual symptoms is most salient in those with higher numbers of episodes.

  16. Trait Mindfulness as a Limiting Factor for Residual Depressive Symptoms: An Explorative Study Using Quantile Regression

    Science.gov (United States)

    Radford, Sholto; Eames, Catrin; Brennan, Kate; Lambert, Gwladys; Crane, Catherine; Williams, J. Mark G.; Duggan, Danielle S.; Barnhofer, Thorsten

    2014-01-01

    Mindfulness has been suggested to be an important protective factor for emotional health. However, this effect might vary with regard to context. This study applied a novel statistical approach, quantile regression, in order to investigate the relation between trait mindfulness and residual depressive symptoms in individuals with a history of recurrent depression, while taking into account symptom severity and number of episodes as contextual factors. Rather than fitting to a single indicator of central tendency, quantile regression allows exploration of relations across the entire range of the response variable. Analysis of self-report data from 274 participants with a history of three or more previous episodes of depression showed that relatively higher levels of mindfulness were associated with relatively lower levels of residual depressive symptoms. This relationship was most pronounced near the upper end of the response distribution and moderated by the number of previous episodes of depression at the higher quantiles. The findings suggest that with lower levels of mindfulness, residual symptoms are less constrained and more likely to be influenced by other factors. Further, the limiting effect of mindfulness on residual symptoms is most salient in those with higher numbers of episodes. PMID:24988072

  17. Iodine distribution in the environment as a limiting factor for roe deer antler development.

    Science.gov (United States)

    Lehoczki, Róbert; Erdélyi, Károly; Sonkoly, Krisztina; Szemethy, László; Csányi, Sándor

    2011-02-01

    The iodine-containing hormones produced by the thyroid gland play a role in the complex neuro-hormonal regulation of antler development. The proper function of the thyroid depends on the adequate iodine supply of the organism, which is directly related to the iodine content of food and drinking water. The purpose of this study was to explore the connection between the iodine content of the water base, which has a strong correlation with the iodine concentration of environmental components available to animals, and the antler weight of roe deer (Capreolus capreolus) shot in Hungarian hunting areas. Using a general linear model, controlling for the collective effects of other environmental factors (deer population density, harvest rate, land use, and soil fertility information), the iodine content of the water base explained 51.4% of the total variance of antler weights. The results suggest that antler weights increase with increasing iodine concentration regardless of other factors; thus, the environmental iodine distribution can be a limiting factor suppressing roe deer performance assessed here as antler weight. Further experimental studies of controlled iodine uptake are needed to define the exact physiological iodine requirements of roe deer bucks.

  18. Driver Assistance System for Passive Multi-Trailer Vehicles with Haptic Steering Limitations on the Leading Unit

    Directory of Open Access Journals (Sweden)

    Antonio J. Reina

    2013-04-01

    Full Text Available Driving vehicles with one or more passive trailers has difficulties in both forward and backward motion due to inter-unit collisions, jackknife, and lack of visibility. Consequently, advanced driver assistance systems (ADAS for multi-trailer combinations can be beneficial to accident avoidance as well as to driver comfort. The ADAS proposed in this paper aims to prevent unsafe steering commands by means of a haptic handwheel. Furthermore, when driving in reverse, the steering-wheel and pedals can be used as if the vehicle was driven from the back of the last trailer with visual aid from a rear-view camera. This solution, which can be implemented in drive-by-wire vehicles with hitch angle sensors, profits from two methods previously developed by the authors: safe steering by applying a curvature limitation to the leading unit, and a virtual tractor concept for backward motion that includes the complex case of set-point propagation through on-axle hitches. The paper addresses system requirements and provides implementation details to tele-operate two different off- and on-axle combinations of a tracked mobile robot pulling and pushing two dissimilar trailers.

  19. Intensive care unit admission in patients following rapid response team activation: call factors, patient characteristics and hospital outcomes.

    Science.gov (United States)

    Le Guen, M P; Tobin, A E; Reid, D

    2015-03-01

    Rapid Response Systems (RRSs) have been widely introduced throughout hospital health systems, yet there is limited research on the characteristics and outcomes of patients admitted to an intensive care unit (ICU) following RRS activation. Using database extraction, this study examined the factors associated with ICU admission and patient outcome in patients receiving RRS activation in a tertiary level hospital between 2009 and 2013. Of 3004 RRS activations, 392 resulted in ICU admissions. Call factors associated with ICU admission and increased hospital mortality included tachypnoea (P Medical Emergency Team call triggers breached simultaneously (P admission included young age (P admission and hospital mortality post RRS activation. This information may be useful for risk stratification of deteriorating patients and determination of appropriate escalation.

  20. Risk factors for mortality during antiretroviral therapy in older populations in resource-limited settings

    Directory of Open Access Journals (Sweden)

    Daniel O’Brien

    2016-01-01

    Full Text Available Introduction: An increasing proportion of adult patients initiating antiretroviral therapy (ART in resource-limited settings are aged >50 years. Older populations on ART appear to have heightened risk of death, but little is known about factors influencing mortality in this population. Methods: We performed a retrospective observational multisite cohort study including all adult patients (≥15 years initiating ART between 2003 and 2013 in programmes supported by Médecins Sans Frontières across 12 countries in Asia, Africa and Europe. Patients were stratified into two age groups, >50 years and 15 to 50 years. A Cox proportional hazards model was used to explore factors associated with mortality. Results: The study included 41,088 patients: 2591 (6.3% were aged >50 years and 38,497 (93.7% were aged 15 to 50 years. The mortality rate was significantly higher in the age group >50 years [367 (14.2% deaths; mortality rate 7.67 deaths per 100 person-years (95% confidence interval, CI: 6.93 to 8.50] compared to the age group 15 to 50 years [3788 (9.8% deaths; mortality rate 4.18 deaths per 100 person-years (95% CI: 4.05 to 4.31], p50 age group. WHO Stage 4 conditions were more strongly associated with increased mortality rates in the 15 to 50 age group compared to populations >50 years. WHO Stage 3 conditions were associated with an increased mortality rate in the 15 to 50 age group but not in the >50 age group. Programme region did not affect mortality rates in the >50 age group; however being in an Asian programme was associated with a 36% reduced mortality rate in populations aged 15 to 50 years compared to being in an African programme. There was a higher overall incidence of Stage 3 WHO conditions in people >50 years (12.8/100 person-years compared to those 15 to 50 years (8.1/100 person-years (p50 age groups. Conclusions: Older patients on ART in resource-limited settings have increased mortality rates, but compared to younger populations this

  1. A novel arc welding inverter with unit power factor based on DSP control

    Institute of Scientific and Technical Information of China (English)

    Chen Shujun; Zeng Hua; Du Li; Yin Shuyan; Chen Yonggang

    2006-01-01

    A novel inverter power source is developed characterized with constant output current and unit power factor input.Digital signal processor (DSP) is used to realize power factor correction and control of back-stage inverter bridge of the arc welding inverter. The fore-stage adopts double closed loop proportion and integration (PI) rectifier technique and the backstage adopts digital pulse width modulation (PWM) technique. Simulated waves can be obtained in Matlab/Simulink and validated by experiments. Experiments of the prototype showed that the total harmonic distortion (THD) can be controlled within 10% and the power factor is approximate to 1.

  2. Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

    Directory of Open Access Journals (Sweden)

    Clairton Marcos Citolino Filho

    2015-12-01

    Full Text Available Abstract OBJECTIVE To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units. RESULTS The majority of nurses reported that the high number of professionals in the scenario (75.5%, the lack of harmony (77.6% or stress of any member of staff (67.3%, lack of material and/or equipment failure (57.1%, lack of familiarity with the emergency trolleys (98.0% and presence of family members at the beginning of the cardiopulmonary arrest assistance (57.1% are factors that adversely affect the quality of care provided during CPR. Professional experience length of time and the shift of nurses did not influence the perception of these factors. CONCLUSION The identification of factors that affect the quality of CPR in the perception of nurses serves as parameter to implement improvements and training of the staff working in inpatient units.

  3. The search for life on Europa: limiting environmental factors, potential habitats, and Earth analogues.

    Science.gov (United States)

    Marion, Giles M; Fritsen, Christian H; Eicken, Hajo; Payne, Meredith C

    2003-01-01

    The putative ocean of Europa has focused considerable attention on the potential habitats for life on Europa. By generally clement Earth standards, these Europan habitats are likely to be extreme environments. The objectives of this paper were to examine: (1) the limits for biological activity on Earth with respect to temperature, salinity, acidity, desiccation, radiation, pressure, and time; (2) potential habitats for life on Europa; and (3) Earth analogues and their limitations for Europa. Based on empirical evidence, the limits for biological activity on Earth are: (1) the temperature range is from 253 to 394 K; (2) the salinity range is a(H2O) = 0.6-1.0; (3) the desiccation range is from 60% to 100% relative humidity; (4) the acidity range is from pH 0 to 13; (5) microbes such as Deinococcus are roughly 4,000 times more resistant to ionizing radiation than humans; (6) the range for hydrostatic pressure is from 0 to 1,100 bars; and (7) the maximum time for organisms to survive in the dormant state may be as long as 250 million years. The potential habitats for life on Europa are the ice layer, the brine ocean, and the seafloor environment. The dual stresses of lethal radiation and low temperatures on or near the icy surface of Europa preclude the possibility of biological activity anywhere near the surface. Only at the base of the ice layer could one expect to find the suitable temperatures and liquid water that are necessary for life. An ice layer turnover time of 10 million years is probably rapid enough for preserving in the surface ice layers dormant life forms originating from the ocean. Model simulations demonstrate that hypothetical oceans could exist on Europa that are too cold for biological activity (T salinities are high, which would restrict life to extreme halophiles. An acidic ocean (if present) could also potentially limit life. Pressure, per se, is unlikely to directly limit life on Europa. But indirectly, pressure plays an important role in

  4. Factors Limiting Formation of Community Forestry Enterprises in the Southern Mixteca Region of Oaxaca, Mexico

    Science.gov (United States)

    Hernández-Aguilar, José Antonio; Cortina-Villar, Héctor Sergio; García-Barrios, Luis Enrique; Castillo-Santiago, Miguel Ángel

    2017-03-01

    Many studies have considered community-based forestry enterprises to be the best option for development of rural Mexican communities with forests. While some of Mexico's rural communities with forests receive significant economic and social benefits from having a community forestry enterprise, the majority have not formed such enterprises. The purpose of this article is to identify and describe factors limiting the formation of community forestry enterprise in rural communities with temperate forests in the Southern Mixteca region of Oaxaca, Mexico. The study involved fieldwork, surveys applied to Community Board members, and maps developed from satellite images in order to calculate the forested surface area. It was found that the majority of Southern Mixteca communities lack the natural and social conditions necessary for developing community forestry enterprise; in this region, commercial forestry is limited due to insufficient precipitation, scarcity of land or timber species, community members' wariness of commercial timber extraction projects, ineffective local governance, lack of capital, and certain cultural beliefs. Only three of the 25 communities surveyed have a community forestry enterprise; however, several communities have developed other ways of profiting from their forests, including pine resin extraction, payment for environmental services (PES), sale of spring water, and ecotourism. We conclude that community forestry enterprise are not the only option for rural communities to generate income from their forests; in recent years a variety of forest-related economic opportunities have arisen which are less demanding of communities' physical and social resources.

  5. Searching out the hydrogen absorption/desorption limiting reaction factors: Strategies allowing to increase kinetics

    Energy Technology Data Exchange (ETDEWEB)

    Zeaiter, Ali, E-mail: ali.zeaiter@femto-st.fr; Chapelle, David; Nardin, Philippe

    2015-10-05

    Highlights: • A macro scale thermodynamic model that simulates the response of a FeTi-X hydride tank is performed, and validated experimentally. • A sensibility study to identify the most influent input variables that can changes very largely the reaction rate. - Abstract: Hydrogen gas has become one of the most promising energy carriers. Main breakthrough concerns hydrogen solid storage, specially based on intermetallic material use. Regarding the raw material abundance and cost, the AB type alloy FeTi is an auspicious candidate to store hydrogen. Its absorption/desorption kinetics is a basic hindrance to common use, compared with more usual hydrides. First, discussions based on literature help us identifying the successive steps leading to metal hydriding, and allow to introduce the physical parameters which drive or limit the reaction. This analysis leads us to suggest strategies in order to increase absorption/desorption kinetics. Attention is then paid to a thermofluidodynamic model, allowing to describe a macroscopic solid storage reactor. Thus, we can achieve a simulation which describes the overall reaction inside the hydrogen reactor and, by varying the sub-mentioned parameters (thermal conductivity, the powder granularity, environment heat exchange…), we attempt to hierarchy the reaction limiting factors. These simulations are correlated to absorption/desorption experiments for which pressure, temperature and hydrogen flow are recorded.

  6. Understanding Early Contextual and Parental Risk Factors for the Development of Limited Prosocial Emotions.

    Science.gov (United States)

    Waller, Rebecca; Shaw, Daniel S; Forbes, Erika E; Hyde, Luke W

    2015-08-01

    A growing body of evidence suggests that parenting influences the development of youth callous unemotional (CU) behavior. However, less is known about the effects of parenting or contextual risk factors on 'limited prosocial emotions' (LPE), a recent conceptualization of CU behavior added to the DSM-5. We focused on LPE at ages 10-12 and age 20 among low income, urban males (N = 310), and examined potential developmental precursors, including contextual risk factors assessed during infancy and observed maternal warmth during the toddler period. We found unique direct associations between maternal warmth, maternal aggression, and low empathetic awareness on LPE at ages 10-12, controlling for concurrent self-reported antisocial behavior. Further, there were indirect effects of maternal aggression, low empathetic awareness, and difficult infant temperament assessed in infancy on LPE at ages 10-12 via their influence on maternal warmth at age 2. Finally, there were lasting indirect effects of parental warmth on LPE at age 20, via LPE at ages 10-12. We discuss the implications of these findings for ecological models of antisocial behavior and LPE development, and preventative interventions that target the broader early parenting environment.

  7. Understanding early contextual and parental risk factors for the development of limited prosocial emotions

    Science.gov (United States)

    Waller, Rebecca; Shaw, Daniel S.; Forbes, Erika E.; Hyde, Luke W.

    2014-01-01

    A growing body of evidence suggests that parenting influences the development of youth callous unemotional (CU) behavior. However, less is known about the effects of parenting or contextual risk factors on ‘limited prosocial emotions’ (LPE), a recent conceptualization of CU behavior added to the DSM-5. We focused on LPE at ages 10–12 and age 20 among low income, urban males (N = 310), and examined potential developmental precursors, including contextual risk factors assessed during infancy and observed maternal warmth during the toddler period. We found unique direct associations between maternal warmth, maternal aggression, and low empathetic awareness on LPE at ages 10–12, controlling for concurrent self-reported antisocial behavior. Further, there were indirect effects of maternal aggression, low empathetic awareness, and difficult infant temperament assessed in infancy on LPE at ages 10–12 via their influence on maternal warmth at age 2. Finally, there were lasting indirect effects of parental warmth on LPE at age 20, via LPE at ages 10–12. We discuss the implications of these findings for ecological models of antisocial behavior and LPE development, and preventative interventions that target the broader early parenting environment. PMID:25510355

  8. Key Factors Influencing the Decision on the Number of Brayton Units for the Prometheus Space Reactor

    Science.gov (United States)

    Ashcroft, John; Belanger, Sean; Burdge, Wayne; Clementoni, Eric; Jensen, Krista; Proctor, N. Beth; Zemo-Fulkerson, Annie

    2007-01-01

    The Naval Reactors (NR) Program and its DOE Laboratories, KAPL and Bettis, were assigned responsibility to develop space reactor systems for the Prometheus Program. After investigating all of the potential reactor and energy conversion options, KAPL and Bettis selected a direct gas Brayton system as the reference approach for the nuclear electric propulsion missions, including the Jupiter Icy Moons Orbiter (JIMO). In order to determine the optimal plant architecture for the direct gas system, KAPL and Bettis investigated systems with one or two active Brayton units and up to two spare units. No final decision was made on the optimal system configuration for the NEP gas-Brayton system prior to closeout of the project. The two most promising options appear to be a single system without spares and a three Brayton system with two operating units, each producing half of the required load, with a single spare unit. The studies show that a single Brayton system, without spares, offers the lowest mass system, with potential for lower operating temperature, and a minimum of system and operational complexity. The lower required mass and increased system efficiency inherent in the single Brayton system may be exploited to satisfy other design objectives such as reduced reactor and radiator operating temperatures. While Brayton system lifetimes applicable to a JIMO or other nuclear electric propulsion (NEP) mission have not been demonstrated, there is no fundamental limit on the lifetime of the Brayton hardware. Use of additional Brayton units with installed spares will allow for continued operation in the event of a failure of an individual Brayton unit. However, preliminary system reliability evaluations do not point to any substantial reliability benefit provided by carrying spare Brayton units. If a spare unit is used, operating two of the units at full power with an unpowered spare proved more efficient than operating all three units at a reduced power and temperature

  9. Soil development as limiting factor for shrub expansion in southwestern Greenland

    Science.gov (United States)

    Caviezel, Chatrina; Hunziker, Matthias; Zoller, Oliver; Wüthrich, Christoph; Kuhn, Nikolaus J.

    2014-05-01

    Southern Greenland currently experiences an increase in summer temperatures and a prolonged growing season (Masson-Delmotte et al. 2012), resulting in an increased shrub cover at the boreal - tundra border ecotone (Normand et al. 2013). These findings suggest the beginning of a greener Greenland in which tundra vegetation is transformed to a boreal woody flora. However, vegetation at borderline ecotones is influenced by further ecologic factors than just temperature. In this study, the ecologic conditions at a selection of sites along an elevation gradient near Igaliku in southern Greenland were examined to identify potential factors limiting the expansion of woody vegetation apart from temperature. The sites differ in elevation, topography, shrub density and soil parent material. The three study sites comprise i) well established birch shrubs growing between 50 and 180 m a.s.l., where the parent material origins from the Julianehab granite (Brooks 2012); ii) extended shrub patches at about 250 m a.s.l., where the parent material consists of Gardar Sandstones and Lavas (Brooks 2012) and iii) restricted shrub patches at an elevation of 250 m a.s.l., where the soil parent material originates from the Gardar intrusions (Brooks 2012). The extent of the shrub areas, topography and soil moisture were mapped, additionally soil samples were analyzed for C-and N-content, texture including coarse fraction and pH and used as soil development indicators. Our results show that the topographic setting regulates the existence or absence of soil while the soil parent material is an important limiting factor for soil moisture. According to these findings, we suggest that a high proportion of areas where temperature increase would allow the increase of shrub cover is not suitable for a woody flora. Brooks, Kent. 2012. "A Tale of Two Intrusions—where Familiar Rock Names No Longer Suffice." Geology Today 28 (1): 13-19. doi:10.1111/j.1365-2451.2012.00815.x. Masson-Delmotte, V., D

  10. Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa

    Directory of Open Access Journals (Sweden)

    Valerie J. Ehlers

    2013-02-01

    Full Text Available Patients in intensive care units require rest and sleep to recuperate, but might suffer from sleep deprivation due to ongoing unit activities. The study aimed to identify and describe the factors contributing to sleep deprivation in one multi-disciplinary intensive care unit MDICU in a private hospital in South Africa. Quantitative, descriptive research was conducted to identify factors contributing to sleep deprivation in the research setting, and to make recommendations to enhance these patients’ abilities to sleep. Structured interviewswere conducted with 34 adult non-ventilated patients who had spent at least one night in the MDICU and who gave informed consent. Out of the 34 interviewed patients 70.6% n = 24 indicated that they suffered from sleep deprivation in the MDICU. The five major factors contributing to sleep deprivation in a MDICU were, (1 not knowing nurses’ names, noise caused by alarms, (2 stress, (3 inability to understand medical terms, and (3 blood pressure cuffs that restricted patients’ movements and smelled badly. Patients’ abilities to sleep were enhanced by reassuring nurses whose names they knew and with whom they could communicate. By attending to the identified five major factors, patients’ abilities to sleep in a MDICU could be enhanced enabling patients to recuperate faster. The implementation of such measures need not incur financial costs for the MDICU concerned.

  11. Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa

    Directory of Open Access Journals (Sweden)

    Valerie J. Ehlers

    2013-01-01

    Full Text Available Patients in intensive care units require rest and sleep to recuperate, but might suffer from sleep deprivation due to ongoing unit activities. The study aimed to identify and describe the factors contributing to sleep deprivation in one multi-disciplinary intensive care unit (MDICU in a private hospital in South Africa. Quantitative, descriptive research was conducted to identify factors contributing to sleep deprivation in the research setting, and to make recommendations to enhance these patients’ abilities to sleep. Structured interviews were conducted with 34 adult non-ventilated patients who had spent at least one night in the MDICU and who gave informed consent. Out of the 34 interviewed patients 70.6% (n = 24 indicated that they suffered from sleep deprivation in the MDICU. The five major factors contributing to sleep deprivation in a MDICU were, (1 not knowing nurses’ names, noise caused by alarms, (2 stress, (3 inability to understand medical terms, and (3 blood pressure cuffs that restricted patients’ movements and smelled badly. Patients’ abilities to sleep were enhanced by reassuring nurses whose names they knew and with whom they could communicate. By attending to the identified five major factors, patients’ abilities to sleep in a MDICU could be enhanced enabling patients to recuperate faster. The implementation of such measures need not incur financial costs for the MDICU concerned.

  12. Limiting Factors for Agricultural Production and Differentiation of Soil Management in Romania

    Science.gov (United States)

    Ioana Moraru, Paula; Rusu, Teodor; Bogdan, Ileana; Ioan Pop, Adrian; Pop, Horia

    2017-04-01

    Romania's land area is 23,839,100 ha; 0.16% of the world's surface. Worldwide, Romania is ranked #83 for areal extent, and it consitutes 4.81% of the Europe's surface (ranked #12). Romania has 14,856,800 ha of agricultural land which represents 62.3% of the total surface; 0.65 ha per capita. At the national level, 72.5% and 27.5% of soils in Romania can be broadly classed as very poor and good/very good, respectively, based on intrinsic soil characteristics, climate, topography, and ground water. Romania has a specific geographical situation, namely: i) Romanian territory is located in the southeast portion of Central Europe at the cross roads of several high and low pressure centers that form regularly at the borders. The influence of these air masses is altered by the presence in the central regions of the Carpathian mountain chain resulting in a diverse climate with average annual rain fall amounts between 350 to 1,400 mm and average annual temperatures between 2 and 11.5°C. ii) At the national level, almost all soils in the international classification system are present in Romania; each soil type having specific properties and characteristics. iii) On approximately 12.5 million ha (7.5 million ha arable), soil fertility is adversely affected by erosion, acidity, low humus content, extreme texture (clay, sand), excessive moisture, chemical pollution etc. These natural and anthropogenic factors dramatically influence agricultural production. Furthermore, soil, climate, topography, etc. vary widely not only across the country, but also on smaller scales, even across fields within the same farm. In Steppe zone limitative climatic factors, which require differentiation towards soil management use, include: long periods of drought, high temperatures, high frequency winds (wind erosion in area of sands), low relative air humidity, and harsh frosts during winter. Negative phenomena most commonly encountered in this area are salinization, excess water, temporary

  13. Nosocomial infection and risk factors in elderly patients in intensive care units

    Directory of Open Access Journals (Sweden)

    Kevser Özdemir

    2015-03-01

    Full Text Available Incidence of nosocomial infections gradually increase in patients over 65 years age population. There is a significant relationship between increased age and predisposition to nosocomial infections. Predisposition to infections in this age group is a result of impaired host defense, underlying chronic diseases, long-term hospitalization, steroids and immunosuppressive therapies and malnutrition. Nevertheless there is not much data about the incidence and risk factors of nosocomial infections in elderly population. In this study we aimed to investigate the incidence and risk factors for nosocomial infections and the factors affecting mortality rates in elderly patients in the medical intensive care units. Nosocomial infection is an important factor causes increased mortality rate and length of hospital stay. Mortality rates and time interval between admission and discharge is significantly higher in nosocomially infected group than others. There are several known independent risk factors for increased mortality rates include increased age and length of hospital stay, impaired conscious levels, co-morbidities, nosocomial infections, immunsupresive conditions such as malnutrition, malignancies, mechanic ventilation and/or central venous catheter usage. As a result nosocomial infection is an important and partially preventable risk factor for mortality among patients treated in intensive care units. Mechanical ventilation, central venous and/or urinary catheterizations are such invasive interventions that may cause higher nosocomial infection rates. In terms of decreasing nosocomial infection rates; less frequently used invasive interventions can help in achieving this purpose of treatment. J Microbiol Infect Dis 2015;5(1: 38-43

  14. Factors associated with mortality and length of stay in the Oporto burn unit (2006-2009).

    Science.gov (United States)

    Bartosch, Isabel; Bartosch, Carla; Egipto, Paula; Silva, Alvaro

    2013-05-01

    Retrospective studies are essential to evaluate and improve the efficiency of care of burned patients. This study analyses the work done in the burn unit of Hospital de S. João in the north of Portugal. A retrospective review was performed in patients admitted from 2006 to 2009. The study population was characterised regarding patient demographics, admissions profile, burn aetiology, burn site, extension and treatment. Multiple linear and logistic regression models were done in order to elucidate which of these factors influenced the mortality and length of stay. The characteristics before and after the creation of the burn unit, as well as the similarities and differences with the published data of other national and international burn units, are analysed.

  15. INCIDENCE AND RISK FACTORS CONTRIBUTING TO ROP: STUDY FROM NEONATAL CARE UNIT- SOUTH INDIA

    Directory of Open Access Journals (Sweden)

    Karthiyaeni

    2016-01-01

    Full Text Available The study was conducted to identify the incidence of retinopathy of prematurity among the preterm neonates treated at neonatal unit and to evaluate the associated risk factors for ROP. DESIGN Prospective observational study. SETTING Neonatal Intensive Care Unit (NICU of Department of Paediatrics at Chengalpattu Medical College. During the study period, 159 babies were treated at the NICU and 111 babies were discharged from the unit. Among those babies who were discharged, 14 neonates were lost for followup for ROP screening. This lost to followup was 12.6% of the study population. In this study 97 infants were screened, out of which 18 infants had ROP. The rate of ROP is 18.6% in our institution and 2 out of 18 babies had threshold ROP (11.1%, who were treated with Laser therapy

  16. Intermittent auscultation versus continuous fetal monitoring: exploring factors that influence birthing unit nurses' fetal surveillance practice using theoretical domains framework.

    Science.gov (United States)

    Patey, Andrea M; Curran, Janet A; Sprague, Ann E; Francis, Jill J; Driedger, S Michelle; Légaré, France; Lemyre, Louise; Pomey, Marie-Pascale A; Grimshaw, Jeremy M

    2017-09-25

    Intermittent Auscultation (IA) is the recommended method of fetal surveillance for healthy women in labour. However, the majority of women receive continuous electronic monitoring. We used the Theoretical Domains Framework (TDF) to explore the views of Birthing Unit nurses about using IA as their primary method of fetal surveillance for healthy women in labour. Using a semi-structured interview guide, we interviewed a convenience sample of birthing unit nurses throughout Ontario, Canada to elicit their views about fetal surveillance. Interviews were recorded and transcribed verbatim. Transcripts were content analysed using the TDF and themes were framed as belief statements. Domains potentially key to changing fetal surveillance behaviour and informing intervention design were identified by noting the frequencies of beliefs, content, and their reported influence on the use of IA. We interviewed 12 birthing unit nurses. Seven of the 12 TDF domains were perceived to be key to changing birthing unit nurses' behaviour The nurses reported that competing tasks, time constraints and the necessity to multitask often limit their ability to perform IA (domains Beliefs about capabilities; Environmental context and resources). Some nurses noted the decision to use IA was something that they consciously thought about with every patient while others stated it their default decision as long as there were no risk factors (Memory, attention and decision processes, Nature of behaviour). They identified positive consequences (e.g. avoid unnecessary interventions, mother-centered care) and negative consequences of using IA (e.g. legal concerns) and reported that the negative consequences can often outweigh positive consequences (Beliefs about consequences). Some reported that hospital policies and varying support from care teams inhibited their use of IA (Social influences), and that support from the entire team and hospital management would likely increase their use (Social

  17. Limiting severe outcomes and impact on intensive care units of moderate-intermediate 2009 pandemic influenza: role of infectious diseases units.

    Directory of Open Access Journals (Sweden)

    Sergio Carbonara

    Full Text Available PURPOSE: The rate of severe outcomes of patients with 2009 pandemic (A/H1N1 influenza (2009pI hospitalized in non-intensive care units (ICUs has not been defined thus far. This study aims to assess the efficacy of the management of patients with influenza-like illness (ILI of moderate intermediate severity in an infectious diseases unit (IDU during the first wave of 2009pI and its influence on the burden of ICUs. METHODS: All patients hospitalized from October 27, 2009, to February 5, 2010, with ILI were included in this prospective observational study. The IDU was organized and the staff was trained to provide intermediate care; patients were transferred to the ICU only if they required invasive ventilation, extracorporeal membrane oxygenation, or advanced cardiovascular support. Demographic data, clinical presentation, coexisting medical conditions, and laboratory and radiological findings were recorded and analyzed, as well as treatment and outcome data. RESULTS: Overall, 108 patients (median age 36 years [IQR 27-54], 57.4% males including 66.7% with ≥ 1 risk factor for severe influenza, 47.2% with confirmed 2009pI by RT-PCR and 63.9% with pneumonia, were enrolled in the study. All subjects received intravenous fluids and 83.3% were administered oseltamivir, 96.3% antibacterials, 19.4% oxygen therapy without ventilatory support, and 10.2% non-invasive ventilation. A total of 106 (98.1% subjects were discharged after a 6-day median hospital stay [IQR 4-9]. Two patients (1.9% were transferred to the ICU. There were no deaths. CONCLUSIONS: These results suggest that the aggressive treatment of patients with moderate intermediate severity 2009 pandemic ILI in non-ICU wards may result in a low rate of severe outcomes and brief hospitalization. IDUs, if properly organized for intermediate care, may efficiently provide correct disease management, in addition to complying with infection control requirements, thus reducing the burden of the pandemic

  18. Use of watershed factors to predict consumer surfactant toxic units in the upper Trinity river, Texas

    DEFF Research Database (Denmark)

    Johnson, David; Sanderson, Hans; Atkinson, Sam

    2009-01-01

    for surfactant loading into the environment. The objective of this project was to determine whether surfactant concentrations, expressed as toxic units, in-stream water quality, and aquatic habitat in the upper Trinity River could be predicted based on easily accessible watershed characteristics. Surface water...... surfactant concentrations were determined, and total surfactant toxic units were calculated. GIS models of geospatial, anthropogenic factors (e.g., population density) and natural factors (e.g., soil organic matter) were collected and analyzed according to subwatersheds. Multiple regression analyses using......Surfactants are high production volume chemicals that are used in a wide assortment of "down-the-drain" consumer products. Wastewater treatment plants (WWTPs) generally remove 85 to more than 99% of all surfactants from influents, but residual concentrations are discharged into receiving waters via...

  19. The Bernese Emigration to the United States, 1870–1930: A Quantitative Analysis of Economic Factors

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    Simon Geissbühler

    1999-10-01

    Full Text Available The United States was the most important destination for emigrants from the Swiss canton of Bern during the period of mass emigration in the late 19th and the early 20th century. The present article looks at the economic factors leading to this mass emigration. Using bivariate correlations, this study demonstrates that quantitative analysis is a powerful tool in historical emigration research. The data underlines the two following theses. First, the better the economy in Bern, the lower the rate of emigration to the United States. Secondly, the better the economy in the United States, the higher the rate of emigration from Bern. Hence, both pull and push factors played an important role determining emigration from Bern to the United States. The most closely related to the rate of emigration were the independent variables emigration to the USA in year t-1, the investments in structural engineering in Bern, railroad construction in the USA and the number of Bernese on welfare. The results clearly show that Bernese emigration was primarily a socio-economic mass movement.

  20. A comparison of temporal trends in United States autism prevalence to trends in suspected environmental factors

    OpenAIRE

    Nevison, Cynthia D

    2014-01-01

    Background The prevalence of diagnosed autism has increased rapidly over the last several decades among U.S. children. Environmental factors are thought to be driving this increase and a list of the top ten suspected environmental toxins was published recently. Methods Temporal trends in autism for birth years 1970–2005 were derived from a combination of data from the California Department of Developmental Services (CDDS) and the United States Individuals with Disabilities Education Act (IDEA...

  1. High quality-factor fano metasurface comprising a single resonator unit cell

    Energy Technology Data Exchange (ETDEWEB)

    Sinclair, Michael B.; Warne, Larry K.; Basilio, Lorena I.; Langston, William L.; Campione, Salvatore; Brener, Igal; Liu, Sheng

    2017-06-20

    A new monolithic resonator metasurface design achieves ultra-high Q-factors while using only one resonator per unit cell. The metasurface relies on breaking the symmetry of otherwise highly symmetric resonators to induce intra-resonator mixing of bright and dark modes (rather than inter-resonator couplings), and is scalable from the near-infrared to radio frequencies and can be easily implemented in dielectric materials. The resulting high-quality-factor Fano metasurface can be used in many sensing, spectral filtering, and modulation applications.

  2. Is static hyperinflation a limiting factor during exercise in adolescents with cystic fibrosis?

    Science.gov (United States)

    Werkman, M S; Hulzebos, H J; Arets, H G M; van der Net, J; Helders, P J M; Takken, T

    2011-02-01

    Increased work of breathing is considered to be a limiting factor in patients with cystic fibrosis (CF) performing aerobic exercise. We hypothesized that adolescents with CF and with static hyperinflation are more prone to a ventilatorily limited exercise capacity than non-static hyperinflated adolescents with CF. Exercise data of 119 adolescents with CF [range 12-18 years], stratified for static hyperinflation, defined as ratio of residual volume to total lung capacity (RV/TLC) > 30%, were obtained during a progressive bicycle ergometer test with gas analysis and analyzed for ventilatory limitation. Static hyperinflation showed a significant, though weak association (Φ 0.38; P 0.70; FEV(1)  hyperinflation showed an increase to Φ 0.49 (P  50%. In adolescents with static hyperinflation, peak work rate (W(peak) ; 3.1 ± 0.7 W/kg (75.1 ± 17.3% of predicted), peak oxygen uptake (VO(2peak) /kg (ml/min/kg); 39.2 ± 9.2 ml/min/kg (91.0 ± 20.3% of predicted), peak heart rate (HR(peak) ; 176 ± 19 beats/min) were significantly (P hyperinflated adolescents (W(peak) 3.5 ± 0.5 W/kg (81.4 ± 10.0% of predicted)); VO(2peak) /kg (ml/min/kg); 43.1 ± 7.5 ml/min/kg (98.0 ± 15.1% of predicted); and HR(peak) 185 ± 14 beats/min). Additionally, no difference was found in the degree of association of FEV(1) (%) and RV/TLC (%) with VO(2peak) /kg(pred) and W(peak) /kg(Pred) , but we found the RV/TLC (%) to be a slightly stronger predictor of VO(2peak) /kg(pred) and W(peak) /kg(Pred) than FEV(1) (%). These results indicate that the presence of static hyperinflation in adolescents with CF by itself does not strongly influence ventilatory constraints during exercise and that static hyperinflation is only a slightly stronger predictor of W(peak) /kg(Pred) and VO(2peak) /kg(Pred) than airflow obstruction (FEV(1) (%)).

  3. Risk factors related to the global burden of disease in Brazil and its Federated Units, 2015.

    Science.gov (United States)

    Malta, Deborah Carvalho; Felisbino-Mendes, Mariana Santos; Machado, Ísis Eloah; Passos, Valéria Maria de Azeredo; Abreu, Daisy Maria Xavier de; Ishitani, Lenice Harumi; Velásquez-Meléndez, Gustavo; Carneiro, Mariangela; Mooney, Meghan; Naghavi, Mohsen

    2017-05-01

    To analyze the global burden of disease related to disability adjusted life years (DALYs) attributed to selected risk factors in Brazil and its 27 Federated Units. Databases from the Global Burden of Disease study in Brazil and its Federated Units were used, estimating the summary exposure value (SEV) for selected environmental, behavioral, and metabolic risk factors (RFs), and their combinations. The DALYs were used as the main metric. The ranking of major RFs between 1990 and 2015 was compiled, comparing data by sex and states. The analyzed RFs account for 38.8% of the loss of DALYs in the country. Dietary risks was the main cause of DALYs in 2015. In men, dietary risks contributed to 12.2% of DALYs and in women, to 11.1%. Other RFs were high systolic blood pressure, high body mass index, smoking, high fasting plasma glucose and, among men, alcohol and drug use. The main RFs were metabolic and behavioral. In most states, dietary risks was the main RF, followed by high blood pressure. Dietary risks leads the RF ranking for Brazil and its Federated Units. Men are more exposed to behavioral risk factors, and women are more exposed to metabolic ones.

  4. Limit of detection and threshold for positivity of the Centers for Disease Control and Prevention assay for factor VIII inhibitors.

    Science.gov (United States)

    Miller, C H; Boylan, B; Shapiro, A D; Lentz, S R; Wicklund, B M

    2017-08-10

    Essentials Immunologic methods detect factor VIII (FVIII) antibodies in some inhibitor-negative specimens. Specimens were tested by modified Nijmegen-Bethesda assay (NBA) and fluorescence immunoassay. The NBA with preanalytical heat inactivation detects FVIII inhibitors down to 0.2 NBU. IgG4 frequency validates the established threshold for positivity of ≥ 0.5 NBU for this NBA. Background The Bethesda assay for measurement of factor VIII inhibitors called for quantification of positive inhibitors by using dilutions producing 25-75% residual activity (RA), corresponding to 0.4-2.0 Bethesda units, with the use of 'more sensitive methods' for samples with RA closer to 100% being recommended. The Nijmegen modification (Nijmegen-Bethesda assay [NBA]) changed the reagents used but not these calculations. Some specimens negative by the NBA have been shown to have FVIII antibodies detectable with sensitive immunologic methods. Objective To examine the performance at very low inhibitor titers of the Centers for Disease Control and Prevention (CDC)-modified NBA (CDC-NBA), which includes preanalytic heat inactivation to liberate bound anti-FVIII antibodies. Methods Specimens with known inhibitors were tested with the CDC-NBA. IgG4 anti-FVIII antibodies were measured by fluorescence immunoassay (FLI). Results Diluted inhibitors showed linearity below 0.4 Nijmegen-Bethesda units (NBU). With four statistical methods, the limit of detection of the CDC-NBA was determined to be 0.2 NBU. IgG4 anti-FVIII antibodies, which correlate most strongly with functional inhibitors, were present at rates above the background rate of healthy controls in specimens with titers ≥ 0.2 NBU and showed an increase in frequency from 14.3% at 0.4 NBU to 67% at the established threshold for positivity of 0.5 NBU. Conclusions The CDC-NBA can detect inhibitors down to 0.2 NBU. The FLI, which is more sensitive, demonstrates anti-FVIII IgG4 in some patients with negative (NBA, supporting the need for

  5. Anatomy of a bottleneck: diagnosing factors limiting population growth in the Puerto Rican parrot

    Science.gov (United States)

    Beissenger, S.R.; Wunderle, J.M.; Meyers, J.M.; Saether, B.-E.; Engen, S.

    2008-01-01

    captive young into wild nests), diminishing the importance of nest failure as a limiting factor. Annual survival has been periodically reduced by catastrophes (hurricanes), which have greatly constrained population growth, but survival rates were high under non-catastrophic conditions. Although the importance of factors maintaining the Puerto Rican Parrot bottleneck varied throughout the 30-year period of study, we determined their long-term influence using LSA simulations to correlate variation in demographic rates with variation in population growth (k). The bottleneck appears to have been maintained primarily by periodic catastrophes (hurricanes) that reduced adult survival, and secondarily by environmental and/or behavioral factors that resulted in a failure of many adults to nest. The influence of inbreeding through reduced hatching success played a much less significant role, even when additional effects of inbreeding on the production and mortality of young were incorporated into the LSA. Management actions needed to speed recovery include (1) continued nest guarding to minimize the effects of nest failure due to nongenetic causes; (2) creating a second population at another location on the island --a process that was recently initiated--to reduce the chance that hurricane strikes will cause extinction; and (3) determining the causes of the low percentage of breeders in the population and ameliorating them, which would have a large impact on population growth.

  6. Transport and homeostasis of potassium and phosphate: limiting factors for sustainable crop production.

    Science.gov (United States)

    Luan, Mingda; Tang, Ren-Jie; Tang, Yumei; Tian, Wang; Hou, Congong; Zhao, Fugeng; Lan, Wenzhi; Luan, Sheng

    2017-06-01

    Potassium (K) and phosphate (Pi) are both macronutrients essential for plant growth and crop production, but the unrenewable resources of phosphorus rock and potash have become limiting factors for food security. One critical measure to help solve this problem is to improve nutrient use efficiency (NUE) in plants by understanding and engineering genetic networks for ion uptake, translocation, and storage. Plants have evolved multiple systems to adapt to various nutrient conditions for growth and production. Within the NUE networks, transport proteins and their regulators are the primary players for maintaining nutrient homeostasis and could be utilized to engineer high NUE traits in crop plants. A large number of publications have detailed K+ and Pi transport proteins in plants over the past three decades. Meanwhile, the discovery and validation of their regulatory mechanisms are fast-track topics for research. Here, we provide an overview of K+ and Pi transport proteins and their regulatory mechanisms, which participate in the uptake, translocation, storage, and recycling of these nutrients in plants. © The Author 2016. Published by Oxford University Press on behalf of the Society for Experimental Biology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  7. Embracing the emerging precision agriculture technologies for site-specific management of yield-limiting factors.

    Science.gov (United States)

    Melakeberhan, H

    2002-09-01

    Precision agriculture (PA) is providing an information revolution using Global Positioning (GPS) and Geographic Information (GIS) systems and Remote Sensing (RS). These technologies allow better decision making in the management of crop yield-limiting biotic and abiotic factors and their interactions on a site-specific (SSM) basis in a wide range of production systems. Characterizing the nature of the problem(s) and public education are among the challenges that scientists, producers, and industry face when adapting PA technologies. To apply SSM, spatio-temporal characteristics of the problem(s) need to be determined and variations within a field demonstrated. Spatio-temporal characteristics of a given pathogen or pest problem may be known but may not be the only or primary cause of the problem. Hence, exact cause-and-effect relationships need to be established by incorporating GIS, GPS, and RS-generated data as well as possible interactions. Exploiting the potential of PA technologies in sustainable ways depends on whether or not we first ask ''Are we doing the right thing?'' (strategic) as opposed to ''Are we doing it right?'' (tactical).

  8. Factors responsible for the emergence of arboviruses; strategies, challenges and limitations for their control.

    Science.gov (United States)

    Liang, Guodong; Gao, Xiaoyan; Gould, Ernest A

    2015-03-01

    Slave trading of Africans to the Americas, during the 16th to the 19th century was responsible for the first recorded emergence in the New World of two arthropod-borne viruses (arboviruses), yellow fever virus and dengue virus. Many other arboviruses have since emerged from their sylvatic reservoirs and dispersed globally due to evolving factors that include anthropological behaviour, commercial transportation and land-remediation. Here, we outline some characteristics of these highly divergent arboviruses, including the variety of life cycles they have developed and the mechanisms by which they have adapted to evolving changes in habitat and host availability. We cite recent examples of virus emergence that exemplify how arboviruses have exploited the consequences of the modern human lifestyle. Using our current understanding of these viruses, we also attempt to demonstrate some of the limitations encountered in developing control strategies to reduce the impact of future emerging arbovirus diseases. Finally, we present recommendations for development by an international panel of experts reporting directly to World Health Organization, with the intention of providing internationally acceptable guidelines for improving emerging arbovirus disease control strategies. Success in these aims should alleviate the suffering and costs encountered during recent decades when arboviruses have emerged from their sylvatic environment.

  9. Theory of factors limiting high gradient operation of warm accelerating structures

    Energy Technology Data Exchange (ETDEWEB)

    Nusinovich, Gregory S. [University of Maryland; Antonsen, Thomas M. [University of Maryland; Kishek, Rami [University of Maryland

    2014-07-25

    This final report summarizes the research performed during the time period from 8/1/2010 to 7/31/2013. It consists of two parts describing our studies in two directions: (a) analysis of factors limiting operation of dielectric-loaded accelerating (DLA) structures where the main problem is the occurrence of multipactor on dielectric surfaces, and (b) studies of effects associated with either RF magnetic or RF electric fields which may cause the RF breakdown in high-gradient metallic accelerating structures. In the studies of DLA structures, at least, two accomplishments should be mentioned: the development of a 3D non-stationary, self-consistent code describing the multipactor phenomena and yielding very good agreement with some experimental data obtained in joint ANL/NRL experiments. In the metallic structures, such phenomena as the heating and melting of micro-particles (metallic dust) by RF electric and magnetic fields in single-shot and rep-rate regimes is analyzed. Also, such processes in micro-protrusions on the structure surfaces as heating and melting due to the field emitted current and the Nottingham effect are thoroughly investigated with the account for space charge of emitted current on the field emission from the tip.

  10. The effect of food limitation on immunity factors and disease resistance in the western tent caterpillar.

    Science.gov (United States)

    Myers, Judith H; Cory, Jenny S; Ericsson, Jerry D; Tseng, Michelle L

    2011-11-01

    Epizootics of nucleopolyhedrovirus characterize declines of cyclic populations of western tent caterpillars, Malacosoma pluviale californicum. In field populations, infection can be apparently lacking in one generation and high in the next. This may suggest an increase in the susceptibility to infection of larvae at peak density or the triggering of a vertically transmitted virus. Here, we test the hypothesis that reduced food availability, as may occur during population outbreaks of tent caterpillars, influences the immunocompetence of larvae and increases their susceptibility to viral infection. We compared immunity factors, hemolymph phenoloxidase and hemocyte numbers, and the susceptibility to nucleopolyhedroviral infection of fifth instar larvae that were fully or partially fed as fourth instars. To determine if maternal or transgenerational influences occurred, we also determined the susceptibility of the offspring of the treated parents to viral infection. Food limitation significantly reduced larval survival, development rate, larval and pupal mass, moth fecundity and levels of hemolymph phenoloxidase, but not the numbers of hemocytes. Neither the food-reduced larvae nor their offspring were more susceptible to viral infection and were possibly even less susceptible at intermediate viral doses. Food reduction did not activate latent or covert viral infection of larvae as might be expected as a response to stress. We conclude that reducing the food intake of fourth instar larvae to an extent that had measurable and realistic impacts on their life history characteristics was not translated into increased susceptibility to viral infection.

  11. Biodiversities and limiting factors of Lashgardar Protected Area (LPA, Hamadan Province, Iran

    Directory of Open Access Journals (Sweden)

    MAHDI REYAHI KHORAM

    2010-10-01

    Full Text Available Reyahi-Khoram M, Norisharikabad V (2011 Biodiversities and limiting factors of Lashgardar Protected Area (LPA, Hamadan Province, Iran. Biodiversitas 12: 216-221. Lashgardar Protected Area (LPA located in Hamadan Province in Iran, it is a mountainous and plain area and proximal to Malayer Township. In 1991, the region was known as a protected area for increasing wild animals' population. This research has been conducted during 2001 through 2009. Plant and animal species of the region were identified and statistics of the population of animal flagship species were gathered. In this research, valid academic resources were used for identification of animal and plant species. Geographic Information System (GIS has been used to evaluate the land as main tool. The software used was Arc View (version 3.2a scale was 1/50,000. Due to cold mountainous climate, the region is covered by a wide diversity of trees, shrubs, grasses and herbs. There were 18 species of mammals as well as 75 bird species in LPA. Most abundant mammalian population belongs to wild sheep (558 animals and the second abundance was related to wild goat (515 animals. Also, the most abundant bird species belong to ortolans. Result of the present study showed that construction of connection roads in vicinity the region, establishment of factories inside and around the region, military garrison, unauthorized grazing, unlawful hunting, and Ahangaran mine and rail road have all exposed put LPA to serious threat and danger.

  12. Risk factors for maternal deaths in unplanned obstetric admissions to the intensive care unit-lessons for sub-Saharan Africa.

    Science.gov (United States)

    Okafor, Ugochukwu V; Efetie, Efenae R; Amucheazi, Adaobi

    2011-12-01

    This study was undertaken to determine the risk factors for maternal deaths in unplanned or unbooked obstetric admissions to the intensive care unit of a tertiary health centre. Hospital records of unbooked obstetric admissions to the intensive care unit of the hospital from January 1997 to December 2006 were retrospectively reviewed. Data collected included patients' demographics, diagnosis, duration of stay in the ICU and patient outcome. The intensive care unit records showed that there were 25 unbooked obstetric admissions. Major diagnoses for unplanned admissions to the ICU were preeclampsia/eclampsia (41.1%), obstetric haemorrhage (37.5%), and respiratory distress (12.5%). There were 12 deaths (48%). Organ dysfunction on admission, massive blood loss and late presentation were the risk factors for mortality. The high maternal mortality was mainly due to limited supply of blood products and inadequate prenatal care resulting in disease severity.

  13. Factors associated with sources, transport, and fate of volatile organic compounds and their mixtures in aquifers of the United States

    Science.gov (United States)

    Squillace, P.J.; Moran, M.J.

    2007-01-01

    Factors associated with sources, transport, and fate of volatile organic compounds (VOCs) in groundwater from aquifers throughout the United States were evaluated using statistical methods. Samples were collected from 1631 wells throughout the conterminous United States between 1996 and 2002 as part of the National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey. Water samples from wells completed in aquifers used to supply drinking water were analyzed for more than 50 VOCs. Wells were primarily rural domestic water supplies (1184), followed by public water supplies (216); the remaining wells (231) supplied a variety of uses. The median well depth was 50 meters. Age-date information shows that about 60% of the samples had a fraction of water recharged after 1953. Chloroform, toluene, 1,2,4-trimethylbenzene, and perchloroethene were some of the frequently detected VOCs. Concentrations generally were less than 1 ??g/L. Source factors include, in order of importance, general land-use activity, septic/sewer density, and sites where large concentrations of VOCs are potentially released, such as leaking underground storage tanks. About 10% of all samples had VOC mixtures that were associated with concentrated sources; 20% were associated with dispersed sources. Important transport factors included well/screen depth, precipitation/groundwater recharge, air temperature, and various soil characteristics. Dissolved oxygen was strongly associated with VOCs and represents the fate of many VOCs in groundwater. Well type (domestic or public water supply) was also an important explanatory factor. Results of multiple analyses show the importance of (1) accounting for both dispersed and concentrated sources of VOCs, (2) measuring dissolved oxygen when sampling wells to help explain the fate of VOCs, and (3) limiting the type of wells sampled in monitoring networks to avoid unnecessary variance in the data, or controlling for this variance during data analysis.

  14. Therapeutic targeting of epidermal growth factor receptor in human cancer: successes and limitations%Therapeutic targeting of epidermal growth factor receptor in humancancer: successes and limitations

    Institute of Scientific and Technical Information of China (English)

    Jill Wykosky; Tim Fenton; Frank Furnari; Webster K. Cavenee

    2011-01-01

    Epidermal growth factor receptor (EGFR) is one of the most commonly altered genes in human cancer by way of over-expression, amplification, and mutation. Targeted inhibition of EGFR activity suppresses signal transduction pathways which control tumor cell growth, proliferation, and resistance to apoptosis. Small molecule tyrosine kinase inhibitors and monoclonal antibodies are among the most common EGFR-targeting agents and have been used clinically for treating various malignancies. This review discusses the successes and challenges of targeting EGFR in human cancer. The genetic alterations of EGFR tend to occur more often in some solid tumors than others, as do the mechanisms of resistance to targeted inhibition. The clinical and basic science experiences with these agents thus far have important implications for the future of therapeutic targeting of EGFR.

  15. Psychiatric disorders in children attending a Nigerian primary care unit: functional impairment and risk factors

    Directory of Open Access Journals (Sweden)

    Tunde-Ayinmode Mosunmola

    2012-07-01

    Full Text Available Abstract Background There is dearth of data on the level of functional impairment and risk factors for psychiatric morbidity in children attending primary care services in developing countries like Nigeria. The risk factors for psychiatric morbidity and functional impairment in children attending the primary care unit of a teaching hospital in Ilorin, Nigeria was therefore investigated to obtain data that could be used in improving service provision by primary care physicians. Methods A cross-sectional two-stage design was employed for the study. The first stage involved administration of the Child Behavior Questionnaire (CBQ to 350 children while the children’s version of the schedule for affective disorders and schizophrenia was used for the second stage involving 157 children, all high scorers on CBQ (score of ≥ 7 and 30% of low scorers (score  In addition, the Children Global Assessment Scale was used to assess the functional status of the children (score of ≤ 70 indicates functional impairment while the mothers’ mental health status was assessed with the 12-item version of the General Health Questionnaire, a score of 3 or more on this instrument indicate presence of mental morbidity. Results It was observed that 11.4% of the children had diagnosable psychiatric disorders and 7.1% were functionally impaired; and those with psychiatric disorders were more functionally impaired than those without. Thus, significant negative correlation was noted between CBQ scores and CGAS (r = 0.53; p  Conclusions Child psychiatric disorders are prevalent in the primary care unit studied. Many of the risk factors identified in the study population are modifiable. Collaborative efforts between psychiatrists and primary care physicians could therefore help to reduce level of risk and functional impairment and psychiatric morbidity among children attending the primary care unit studied. It could also help improve referral rates of

  16. Incidence, risk factors and prognostic factors of acute renal failure in patients admitted to an intensive care unit

    Directory of Open Access Journals (Sweden)

    S.E. Mataloun

    2006-10-01

    Full Text Available The objective of the present study was to assess the incidence, risk factors and outcome of patients who develop acute renal failure (ARF in intensive care units. In this prospective observational study, 221 patients with a 48-h minimum stay, 18-year-old minimum age and absence of overt acute or chronic renal failure were included. Exclusion criteria were organ donors and renal transplantation patients. ARF was defined as a creatinine level above 1.5 mg/dL. Statistics were performed using Pearsons' chi2 test, Student t-test, and Wilcoxon test. Multivariate analysis was run using all variables with P < 0.1 in the univariate analysis. ARF developed in 19.0% of the patients, with 76.19% resulting in death. Main risk factors (univariate analysis were: higher intra-operative hydration and bleeding, higher death risk by APACHE II score, logist organ dysfunction system on the first day, mechanical ventilation, shock due to systemic inflammatory response syndrome (SIRS/sepsis, noradrenaline use, and plasma creatinine and urea levels on admission. Heart rate on admission (OR = 1.023 (1.002-1.044, male gender (OR = 4.275 (1.340-13642, shock due to SIRS/sepsis (OR = 8.590 (2.710-27.229, higher intra-operative hydration (OR = 1.002 (1.000-1004, and plasma urea on admission (OR = 1.012 (0.980-1044 remained significant (multivariate analysis. The mortality risk factors (univariate analysis were shock due to SIRS/sepsis, mechanical ventilation, blood stream infection, potassium and bicarbonate levels. Only potassium levels remained significant (P = 0.037. In conclusion, ARF has a high incidence, morbidity and mortality when it occurs in intensive care unit. There is a very close association with hemodynamic status and multiple organ dysfunction.

  17. Factors responsible for mortality variation in the United States: A latent variable analysis

    Directory of Open Access Journals (Sweden)

    Christopher Tencza

    2014-07-01

    Full Text Available Background: Factors including smoking, drinking, substance abuse, obesity, and health care have all been shown to affect health and longevity. The relative importance of each of these factors is disputed in the literature, and has been assessed through a number of methods. Objective: This paper uses a novel approach to identify factors responsible for interstate mortality variation. It identifies factors through their imprint on mortality patterns and can therefore identify factors that are difficult or impossible to measure directly, such as sensitive health behaviors. Methods: The analysis calculates age-standardized death rates by cause of death from 2000-2009 for white men and women separately. Only premature deaths between ages 20-64 are included. Latent variables responsible for mortality variation are then identified through a factor analysis conducted on a death-rate-by-state matrix. These unobserved latent variables are inferred from observed mortality data and interpreted based on their correlations with individual causes of death. Results: Smoking and obesity, substance abuse, and rural/urban residence are the three factors that make the largest contributions to state-level mortality variation among males. The same factors are at work for women but are less vividly revealed. The identification of factors is supported by a review of epidemiologic studies and strengthened by correlations with observable behavioral variables. Results are not sensitive to the choice of factor-analytic method used. Conclusions: The majority of interstate variation in mortality among white working-age adults in the United States is associated with a combination of smoking and obesity, substance abuse and rural/urban residence.

  18. Heavy-to-Light Form Factors in the Final Hadron Large Energy Limit Covariant Quark Model Approach

    CERN Document Server

    Charles, J; Oliver, L; Pène, O; Raynal, J C

    1999-01-01

    We prove the full covariance of the heavy-to-light weak current matrix elements based on the Bakamjian-Thomas construction of relativistic quark models, in the heavy mass limit for the parent hadron and the large energy limit for the daughter one. Moreover, this quark model representation of the heavy-to-light form factors fulfills the general relations that were recently argued to hold in the corresponding limit of QCD, namely that there are only three independent form factors describing the B -> pi (rho) matrix elements, as well as the factorized scaling law sqrt(M)z(E) of the form factors with respect to the heavy mass M and large energy E. These results constitute another good property of the quark models à la Bakamjian-Thomas, which were previously shown to exhibit covariance and Isgur-Wise scaling in the heavy-to-heavy case.

  19. Risk factors associated with bus accident severity in the United States: A generalized ordered logit model

    DEFF Research Database (Denmark)

    Kaplan, Sigal; Prato, Carlo Giacomo

    2012-01-01

    Introduction: Recent years have witnessed a growing interest in improving bus safety operations worldwide. While in the United States buses are considered relatively safe, the number of bus accidents is far from being negligible, triggering the introduction of the Motor-coach Enhanced Safety Act...... that accident severity increases: (i) for young bus drivers under the age of 25; (ii) for drivers beyond the age of 55, and most prominently for drivers over 65 years old; (iii) for female drivers; (iv) for very high (over 65 mph) and very low (under 20 mph) speed limits; (v) at intersections; (vi) because...

  20. Updating Environmental Media Concentration Limits and Uncertainty factors in the ERICA Tool

    Energy Technology Data Exchange (ETDEWEB)

    Brown, J.E.; Hosseini, A. [Norwegian Radiation Protection Authority, P.O. Box 55, N-1332 Oesteraas (Norway); Alfonso, B.; Avila, R. [Facilia AB, S-167 51 Bromma (Sweden); Beresford, N.A. [Centre for Ecology and Hydrology, CEH-Lancaster, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA 1 4AP (United Kingdom); Copplestone, D. [Dept. Biological and Environmental Sciences, University of Stirling, Stirling, FK9 4LA (United Kingdom)

    2014-07-01

    Tiered approaches have become a standard means of structuring information in the process of conducting environmental risk assessments. For cases involving the assessment of impacts on wildlife from ionising radiation, the ERICA integrated approach and its supporting software (The ERICA Tool) provides such a structure, splitting the system into two generic screening tiers and a third site-specific tier. The first Tier is very simple, based around Environmental Media Concentration Limits, EMCLs, and requires minimal input from the assessor. The second Tier, although still a screening tier, calculates dose rates and requires more detailed input from the assessor allowing for scrutiny and editing of default parameters in the process. A key element of Tier 2 involves the application of Uncertainty Factors, UFs. Such factors reflect our knowledge concerning probability distribution functions and provide a way of incorporating conservatism into the assessment by considering high percentile values in underlying parameters. Following its launch in 2007, there have been significant developments regarding certain components of the ERICA integrated approach. Most notably, an extended international collation of concentration ratio data has precipitated the need to update parameter values in the Tools databases. In addition, more considered guidance has been developed with regards to filling knowledge gaps in the absence of transfer data. Furthermore, the efficacy of the methods used in assigning probability distribution functions has been questioned leading to an acknowledgement from the developers that the methods were not described in enough detail nor were the justifications for applying the selected approach provided in a convincing way. This has implications for the EMCL values which are derived probabilistically using parameters including concentration ratios. Furthermore, there are implications for UF derivation that relies upon a robust consideration of underlying

  1. Improved simulation design factors for unconventional crude vacuum units : cracked gas make and stripping section performance

    Energy Technology Data Exchange (ETDEWEB)

    Remesat, D. [Koch-Glitsch Canada LP, Calgary, AB (Canada)

    2008-10-15

    Operating data for unconventional heavy oil vacuum crude units were reviewed in order to optimize the design of vacuum columns. Operational data from heavy crude vacuum units operating with stripping and velocity were used to investigate the application of a proven vacuum distillation tower simulation topology designed for use with heavy oil and bitumen upgrader feeds. Design factors included a characterization of the crude oils or bitumens processed in the facility; the selection of thermodynamic models; and the non-equilibrium simulation topology. Amounts of generated cracked gas were calculated, and entrainment and stripping section performance was evaluated. Heater designs for ensuring the even distribution of heat flux were discussed. Data sets from vacuum units processing crude oils demonstrated that the amount of offgas flow increased as the transfer line temperature increased. The resulting instability caused increased coke generation and light hydrocarbon formation. Results also indicated that overhead vacuum ejector design and size as well as heat transfer capabilities of quench and pumparound zones must be considered when designing vacuum column units. Steam stripping lowered hydrocarbon partial pressure to allow materials to boil at lower temperatures. It was concluded that setting appropriate entrainment values will ensure the accuracy of sensitivity analyses for transfer line designs, inlet feed devices, and wash bed configurations. 9 refs., figs.

  2. Blue duiker Philantomba monticola densities in the Tsitsikamma National Park and probable factors limiting these populations

    Directory of Open Access Journals (Sweden)

    N. Hanekom

    1991-09-01

    Full Text Available Numbers of blue duikers recorded on 157 and 28 variable width transect counts, done over a two year period in the Tsitsikamma Coastal National Park (TCNP and Tsitsikamma Forest National Park (TFNP respectively, did not differ significantly {P > 0,10 with seasons (summer v. winter. Population density estimates from transects were similar to those from game drives (0,18 v. 0,19 duikers/ha (TCNP and 0,13 v. 0,17 duikers/ha (TFNP; P >0,10, higher than from faecal pellet counts (P < 0,10 and at least three times lower than estimates from the Kenneth Stainbank Nature Reserve and Umdoni Park in Natal. Factors contributing to the low population densities in the Tsitsikamma national parks were investigated. Twentyseven and seven percent of leopard (25 and caracal (12 scats respectively analyzed contained blue duiker remains, but predator numbers appear to be low. Forest characteristics were investigated, and results from this and other studies suggest that undergrowth cover does not markedly influence blue duiker densities in the southern Cape forests. Field and stomach analysis indicate that blue duikers feed primarily on freshly fallen leaves and fruit, and are selective foragers. In the Tsitsikamma national parks (TNPs the frequency of occurrence of trees known to be palatable to duikers are low, while less than 45 percent of the dominant tree species fruit fully annually. This apparent scarcity of food, the low numbers of antelope species and individuals in these forests and results from duiker research in Zaire, suggest that habitat rather than predation is limiting duiker numbers in the Tsitsikamma national parks.

  3. Risk factors for domestic minor sex trafficking in the United States: a literature review.

    Science.gov (United States)

    Choi, Kristen R

    2015-01-01

    Domestic minor sex trafficking (DMST) is an important social and public health problem, but it has received little attention from healthcare professionals in research, practice, and policy. Prevention and early victim identification efforts for this population are severely limited or entirely absent. The aim of this study was to integrate evidence on risk factors for DMST and critically appraise the quality and quantity of nursing literature on DMST. This literature review was reported using PRISMA criteria. Three databases (CINAHL, PsychInfo, and PubMed) were searched using various terms for (a) human trafficking, (b) risk factors, and (c) children. Demographic factors were not important predictors of DMST. Childhood maltreatment trauma and running away from home were the most important risk factors for trafficking victimization. There was little nursing literature on the topic of DMST. Nurses and other healthcare professionals must engage in confronting DMST by improving early identification of victims and conducting high-quality research to inform practice.

  4. Weathering as the limiting factor of denudation in the Western escarpment of the Andes

    Science.gov (United States)

    Abbühl, L. M.; Schlunegger, F.; Kracht, O.; Ramseyer, K.; Rieke-Zapp, D.; Aldahan, A.; von Blanckenburg, F.

    2009-04-01

    additional river profile knickzone in the transition zone between the easterlies and the westerlies. Analysis of 10Be in quartz of river-born sand and of bedrock reveals that denudation correlates positively with the present-day rainfall pattern related to the easterlies. Denudation rates in the headwaters range from 0.14 mm/year in Northern Peru down to 0.05 mm/yr in Northern Chile (Kober et al., 2007). In addition, 10Be-based denudation rates reveal a decreasing trend from the Cordillera to the Pacific coast that positively correlates with the decreasing precipitation rate, irrespective of the nature of the bedrock. Interestingly, the 10Be analysis conducted in the Piura system reveals no influence of the episodic precipitation in relation to El Niño on the sediment production rates. In summary, the pattern of denudation rates together with morphometric observations and quantitative denudation rate estimates strongly hints at weathering being the driving but also limiting factor of denudation. Accordingly, in the western Peruvian Andes, sediment production and export are most probably controlled by the pattern and rate of precipitation. Kober, F., Ivy-Ochs, S., Schlunegger, F., Baur, H., Kubik, P. W., and Wieler, R. (2007). Denudation rates and a topography-driven rainfall threshold in northern Chile: Multiple cosmogenic nuclide data and sediment yield budgets. Geomorphology 83, 97-120.

  5. Low back pain and work-related factors among nurses in intensive care units.

    Science.gov (United States)

    June, Kyung Ja; Cho, Sung-Hyun

    2011-02-01

    To examine the relationship of low back pain prevalence and treatment to personal and work-related characteristics among intensive care unit nurses. Back pain is the most common work-related health problem among nurses. A cross-sectional study including a survey conducted in 2007. The study sample included 1345 nurses in 65 intensive care units in 22 South Korean hospitals. Back pain prevalence was measured by the frequency of back pain (always, once a week, once a month or once in two or more months) during the past year. Multilevel logistic regression analyses were conducted to examine the relationship between back pain and personal and work-related characteristics. The mean age of nurses was 27.2 years. Overall, 90.3% of nurses had back pain at least once a month (21.9% always, 40.7% once a week and 27.7% once a month). Only 18.3% had received medical treatment for their back pain. Compared with neonatal intensive care unit nurses, who had the lowest prevalence, nurses in other specialties, excluding paediatric intensive care units, had a greater likelihood of back pain. Specialty medical (e.g. cardiology, neurology) intensive care unit nurses had the greatest probability of back pain and treatment. Perceiving staffing as inadequate and working 6 or more night shifts per month were related to a 64% increase (OR = 1.64; 95% CI =1.16-2.33) and 48% increase (OR =1.48; 95% CI = 1.10-1.99) in back pain, respectively. Nurses with 2-4 years of working experience in intensive care units had the greatest probability of back pain and treatment. A high prevalence of back pain was found in intensive care unit nurses, even though they comprise a very young workforce in Korea. Improving nurse staffing, reducing the frequency of night shifts and assessing risk factors in specific intensive care unit specialties are suggested to decrease back pain prevalence. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.

  6. OPTIMAL SIZING OF DG UNITS USING EXACT LOSS FORMULA AT OPTIMAL POWER FACTOR

    Directory of Open Access Journals (Sweden)

    P.Sobha Rani

    2012-09-01

    Full Text Available Distributed generators are beneficial in reducing the losses effectively compared to other methods of loss reduction. The challenge of identifying the optimal locations and sizes of DG has generated research interests all over the world and many efforts have been made in this direction. Studies have indicated that inappropriatelocations and sizes of DG may lead to higher system losses than the ones in the existing network. In this paper IEEE 33-bus system is selected for locating and sizing of optimal distributed generation source. The DG unit size is calculated using exact loss formula. With the optimal size of DG unit at a suitable location and at optimalpower factor, it resulted in reduction in power losses and improvement in voltage profile.

  7. A study of several factors governing the fatigue limits of austempered ductile cast iron with various microstructures

    Science.gov (United States)

    Kim, Jinhak; Kim, Sangtae; Kim, Mingun

    2000-06-01

    The effects the leading factors bearing on fatigue limits were investigated with three kinds of ductile iron specimens various microstructures. As a result of examination, the fatigue limits in relationship to hardness and tensile strength, the expected higher improvement for fatigue limits in the case of the high strength specimens that experienced austempering treatment are not observed in comparison with the specimens treated with stress relief treatment. The estimated maximum defect size is one of the important parameters in predicting and evaluating fatigue limits for three different heat-treated ductile cast irons. Also, a quantitative relationship can be established between the fatigue limit and maximum defect size. Moreover, it is possible to explain the difference in fatigue limits in the three ductile cast irons by application of the rates of non-propagating crack which connects the adjacent graphite nodules before it stops.

  8. Recent population size, trends, and limiting factors for the double-crested Cormorant in Western North America

    Science.gov (United States)

    Adkins, Jessica Y.; Roby, Daniel D.; Lyons, Donald E.; Courtot, Karen N.; Collis, Ken; Carter, Harry R.; Shuford, W. David; Capitolo, Phillip J.

    2014-01-01

    colonies by bald eagles (Haliaeetus leucocephalus) and humans are likely limiting factors on the growth of the western population at present. Because of differences in biology and management, the western population of double-crested cormorants warrants consideration as a separate management unit from the population east of the Continental Divide.

  9. Factors associated with the process of adaptation among Pakistani adolescent females living in United States.

    Science.gov (United States)

    Khuwaja, Salma A; Selwyn, Beatrice J; Mgbere, Osaro; Khuwaja, Alam; Kapadia, Asha; McCurdy, Sheryl; Hsu, Chiehwen E

    2013-04-01

    This study explored post-migration experiences of recently migrated Pakistani Muslim adolescent females residing in the United States. In-depth, semi-structured interviews were conducted with thirty Pakistani Muslim adolescent females between the ages of 15 and 18 years living with their families in Houston, Texas. Data obtained from the interviews were evaluated using discourse analysis to identify major reoccurring themes. Participants discussed factors associated with the process of adaptation to the American culture. The results revealed that the main factors associated with adaptation process included positive motivation for migration, family bonding, social support networks, inter-familial communication, aspiration of adolescents to learn other cultures, availability of English-as-second-language programs, participation in community rebuilding activities, and faith practices, English proficiency, peer pressure, and inter-generational conflicts. This study provided much needed information on factors associated with adaptation process of Pakistani Muslim adolescent females in the United States. The results have important implications for improving the adaptation process of this group and offer potential directions for intervention and counseling services.

  10. Biodegradation of petroleum in the marine environment: limiting factors and methods of enhancement

    National Research Council Canada - National Science Library

    Lee, K; Levy, E.M

    1986-01-01

    .... Maximal biodegradation rates are rarely attained under natural environmental conditions, and extensive studies have concluded that the degradation of petroleum in the marine environment is limited...

  11. Comparative Study of Effective Factors on Students’ Interests in Fashion at Islamic Azad University Arak Unit and South Tehran Unit Academic Year 2010-2011

    OpenAIRE

    Tahmineh Zareei

    2013-01-01

    This paper intends to provide a comparative study of effective factors on students’ interests in fashion at Faculty of Human Sciences – Islamic Azad University – Arak unit and also Islamic Azad University- South Tehran Unit through academic year 2010- 2011. According to the findings, it is obvious that fashion and any interests in fashion changed into a great social problem among university students. This paper used any thoughts of different specialists including Siemel and Veblen as the high...

  12. Perinatal risk factors and neonatal complications in discordant twins admitted to the neonatal intensive care unit

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xiao-rui; LIU Jie; ZENG Chao-mei

    2013-01-01

    Background Many studies have shown a relationship between birth weight discordance and adverse perinatal outcomes.This study aimed to investigate the perinatal risk factors and neonatal complications of discordant twins who are admitted to the neonatal intensive care unit.Methods A total of 87 sets of twins were enrolled in this retrospective study,of which 22 sets were discordant twins and 65 sets were concordant twins.Binary Logistic regression analysis was used to identify the risk factors associated with the occurrence of discordant twins.The common neonatal complications of discordant twins were also investigated.Results Multivariate analysis showed that the use of assisted reproductive techniques,pregnancy-induced hypertension,and unequal placental sharing were risk factors for the occurrence of discordant twins.The incidence of small for gestational age infants and very low birth weight infants of discordant twins was significantly higher,while the birth weight of discordant twins was significantly lower than those of concordant twins.The duration of hospitalization of discordant twins was longer than that of concordant twins.The incidence of several neonatal complications,such as neonatal respiratory distress syndrome and intracranial hemorrhage,was higher in discordant twins than that in concordant twins.The percentage of those requiring pulmonary surfactant and mechanical ventilation was significantly higher in discordant twins than that in concordant twins.Conclusions Use of assisted reproductive techniques,pregnancy-induced hypertension,and unequal placental sharing are perinatal risk factors of discordant twins who are admitted to the neonatal intensive care unit.These infants are also much more likely to suffer from various neonatal complications,especially respiratory and central nervous system diseases.It is important to prevent the occurrence of discordant twins by decreasing these risk factors and timely treatment should be given to discordant

  13. Factors associated with Anaplasma spp. seroprevalence among dogs in the United States.

    Science.gov (United States)

    McMahan, Christopher S; Wang, Dongmei; Beall, Melissa J; Bowman, Dwight D; Little, Susan E; Pithua, Patrick O; Sharp, Julia L; Stich, Roger W; Yabsley, Michael J; Lund, Robert B

    2016-03-22

    Dogs in the United States are hosts to a diverse range of ticks and tick-borne pathogens, including A. phagocytophilum, an important emerging canine and human pathogen. Previously, a Companion Animal Parasite Council (CAPC)-sponsored workshop proposed factors purported to be associated with the infection risk for tick-transmitted pathogens in dogs in the United States, including climate conditions, socioeconomic characteristics, local topography, and vector distribution. Approximately four million test results from routine veterinary diagnostic tests from 2011-2013, which were collected on a county level across the contiguous United States, are statistically analyzed with the proposed factors via logistic regression and generalized estimating equations. Spatial prevalence maps of baseline Anaplasma spp. prevalence are constructed from Kriging and head-banging smoothing methods. All of the examined factors, with the exception of surface water coverage, were significantly associated with Anaplasma spp. prevalence. Overall, Anaplasma spp. prevalence increases with increasing precipitation and forestation coverage and decreases with increasing temperature, population density, relative humidity, and elevation. Interestingly, socioeconomic status and deer/vehicle collisions were positively and negatively correlated with canine Anaplasma seroprevalence, respectively. A spatial map of the canine Anaplasma hazard is an auxiliary product of the analysis. Anaplasma spp. prevalence is highest in New England and the Upper Midwest. The results from the two posited statistical models (one that contains an endemic areas assumption and one that does not) are in general agreement, with the major difference being that the endemic areas model estimates a larger prevalence in Western Texas, New Mexico, and Colorado. As A. phagocytophilum is zoonotic, the results of this analysis could also help predict areas of high risk for human exposure to this pathogen.

  14. Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors.

    Science.gov (United States)

    Andolhe, Rafaela; Barbosa, Ricardo Luis; Oliveira, Elaine Machado de; Costa, Ana Lúcia Siqueira; Padilha, Katia Grillo

    2015-02-01

    Objective To investigate emotional stress, coping and burnout among nursing staff and their association with biosocial factors and characteristics of work in Intensive Care Units (ICU). Method This was a cross-sectional study, conducted in eight ICUs at a teaching hospital in the city of São Paulo, Brazil, in October 2012. Biosocial data and information about the professionals' work was gathered, and they were given the Scale of Occupational Stress, Scale of Occupational Coping, List of Signs and Symptoms of Stress and the Maslach Burnout Inventory. Results The study sample consisted of 287 subjects, predominately women, with partners and children. Most professionals presented moderate stress levels and control as a coping strategy (74.47% and 79.93%, respectively), and burnout was present among 12.54%. Factors associated with stress were related to working conditions. The most prevalent protective factors were having a partner, working in the clinical ICU and liking work, while adequate amount of sleep was a protective factor for burnout. Conclusion Control of the working environment and adequate sleep are decisive and protective factors in dealing with situations of occupational stress.

  15. Limiting Severe Outcomes and Impact on Intensive Care Units of Moderate-Intermediate 2009 Pandemic Influenza: Role of Infectious Diseases Units

    OpenAIRE

    Sergio Carbonara; Giuseppe Bruno; Giuseppe Di Ciaula; Anna Donata Pantaleo; Gioacchino Angarano; Laura Monno

    2012-01-01

    PURPOSE: The rate of severe outcomes of patients with 2009 pandemic (A/H1N1) influenza (2009pI) hospitalized in non-intensive care units (ICUs) has not been defined thus far. This study aims to assess the efficacy of the management of patients with influenza-like illness (ILI) of moderate intermediate severity in an infectious diseases unit (IDU) during the first wave of 2009pI and its influence on the burden of ICUs. METHODS: All patients hospitalized from October 27, 2009, to February 5, 20...

  16. [The profile of fragility and associated factors among the elderly registered in a Family Health Unit].

    Science.gov (United States)

    Santos, Patrícia Honório Silva; Fernandes, Marcos Henrique; Casotti, Cezar Augusto; Coqueiro, Raildo da Silva; Carneiro, José Ailton Oliveira

    2015-06-01

    The scope of this study was to identify the profile of fragility and associated factors among the elderly registered in a Family Health Unit. It involved an observational, exploratory, household -based and cross-sectional study conducted with 139 elderly individuals. The data were collected using a structured questionnaire requesting the following information: personal history, family and self-reported diseases, socio-demographic information, level of physical activity, behavior variables, number of falls in the last year, depressive symptoms, unintentional weight loss and fatigue. Anthropometric measurements (weight and height) were also taken and the body mass index (BMI) was calculated. Descriptive analyses and Pearson's chi-square test or Fisher's exact test were performed, with a significance level of p fragility among the elderly was: frail (16.9%), pre-frail (61.8%) and non-frail (21.3%), respectively. The fragility profile was associated with: age (p factors associated with this syndrome.

  17. A Limited Survey of Dark Chocolate Bars Obtained in the United States for Undeclared Milk and Peanut Allergens.

    Science.gov (United States)

    Bedford, Binaifer; Yu, Ye; Wang, Xue; Garber, Eric A E; Jackson, Lauren S

    2017-04-01

    Undeclared allergens in chocolate products have been responsible for numerous allergen-related recalls in the United States. A survey was conducted to determine the prevalence of undeclared milk and peanut in 88 and 78 dark chocolate bars, respectively. Concentrations of milk (as nonfat dry milk) or peanut in three samples of each chocolate product were determined with two milk- or peanut-specific enzyme-linked immunosorbent assay kits. In 75% of the chocolate bar products with a milk advisory statement, milk concentrations were above the limit of quantitation (2.5 μg/g [ppm]), with the majority having concentrations >1,000 ppm. An additional 67% of chocolate bars with a "traces of milk" statement contained 3 to 6,700 ppm of milk. Fifteen percent of chocolates labeled dairy free or lactose free and 25% labeled vegan were positive for milk, all with concentrations >1,000 ppm. Even for chocolates with no reference to milk on the label, 33% of these products contained 60 to 3,400 ppm of milk. The survey of chocolate products for peanuts revealed that 8% of products with an advisory statement contained peanut, with the highest concentration of 550 ppm. All nine chocolates bearing the peanut-free or allergen-free statement were negative for peanut, but 17% of chocolates with no label statement for peanut were positive for peanut at concentrations of 9 to 170 ppm. Evaluation of multiple lots of four chocolate products revealed that milk was consistently present or absent for the products investigated, but mixed results were obtained when multiple lots were tested for peanut. This study indicates that a large proportion of dark chocolate bars contain undeclared milk. The type of advisory statement or the absence of a milk advisory statement on products did not predict the amount or absence of milk protein. In contrast, a lower proportion of chocolates containing undeclared peanut was found. Consumers with food allergies should be cautious when purchasing dark chocolate

  18. What factors predict length of stay in a neonatal unit: a systematic review

    Science.gov (United States)

    Seaton, Sarah E; Barker, Lisa; Jenkins, David; Draper, Elizabeth S; Abrams, Keith R; Manktelow, Bradley N

    2016-01-01

    Objective In the UK, 1 in 10 babies require specialist neonatal care. This care can last from hours to months depending on the need of the baby. The increasing survival of very preterm babies has increased neonatal care resource use. Evidence from multiple studies is crucial to identify factors which may be important for predicting length of stay (LOS). The ability to predict LOS is vital for resource planning, decision-making and parent counselling. The objective of this review was to identify which factors are important to consider when predicting LOS in the neonatal unit. Design A systematic review was undertaken which searched MEDLINE, EMBASE and Scopus for papers from 1994 to 2016 (May) for research investigating prediction of neonatal LOS. Strict inclusion and exclusion criteria were applied. Quality of each study was discussed, but not used as a reason for exclusion from the review. Main outcome measure Prediction of LOS in the neonatal unit. Results 9 studies were identified which investigated the prediction of neonatal LOS indicating a lack of evidence in the area. Inherent factors, particularly birth weight, sex and gestational age allow for a simple and objective prediction of LOS, which can be calculated on the first day of life. However, other early occurring factors may well also be important and estimates may need revising throughout the baby's stay in hospital. Conclusions Predicting LOS is vital to aid the commissioning of services and to help clinicians in their counselling of parents. The lack of evidence in this area indicates a need for larger studies to investigate methods of accurately predicting LOS. PMID:27797978

  19. The influence of united psychosomatic factors on clinical features of acne vulgaris

    Directory of Open Access Journals (Sweden)

    Dejanović Lidija

    2014-01-01

    Full Text Available Acne is a chronic inflammatory disorder of the pilosebaceal unit. Dermatological disorders are often associated with a variety of psychological problems which the patient have. Psichodermatologic disorders (acne are associated with skin problems that are not directly connected to the mind, but that react to emotional states, such as stress. The aim of this article is to show if there is any psychological characteristic which are common for the whole group of ill-patients from acne, as well as whether there is correlation between any type of acne and psychological parameters. Own exploration consist at thirty patients with three clinical type of acne. Personality test-Kornel index were used for identification and diagnostic psychosomatic disorders. The results are: neurastenic parameters, parameters of conversion and parameters of psychopathy in different percent at both sex, and different clinical features. We show correlation united 2-6 psichosomatic disorders in male sex with softly type of acne. In female sex with any type of acne are responsible 7-12 united findings. The association of several psychosomatic factors could possibly be responsible for the onset of acne at any type.

  20. Different school placements following language unit attendance: which factors affect language outcome?

    Science.gov (United States)

    Conti-Ramsden, Gina; Botting, Nicola; Knox, Emma; Simkin, Zoë

    2002-01-01

    The study compared the outcomes of two groups of children who were attending language unit provision at 7 years of age. Of 242 children in the original study, 62 (28%) transferred to mainstream school placements at age 8 years. These children were then closely matched to children still attending language unit provision at this age using measures of non-verbal IQ, expression and comprehension. These two groups of children were compared on outcome at 11 years in the areas of language skill, non-verbal IQ and social behaviour. Teacher/speech-language therapist opinions of placement were also examined as factors affecting outcome. Results show that children who moved to mainstream provision at 8 years were more likely to be attending mainstream at 11 years, although the majority received extra support. No further differences were evident in outcome according to placement type. However, there was a main effect of teacher/therapist opinion on outcome--children whose teachers were not entirely happy with the 8-year placement performed more poorly at 11 years on language measures. There were no differences on any other measures. The findings suggest that follow-on placements for children attending language units need to be more closely in line with teacher's opinions and that more flexibility needs to be evident in school placement policy in order that appropriate educational settings can be arranged.

  1. Constraints on the bulk Lorentz factor of Gamma-Ray Burst jets from Fermi/LAT upper limits

    CERN Document Server

    Nava, L; Longo, F; Celotti, A; Omodei, N; Vianello, G; Bissaldi, E; Piran, T

    2016-01-01

    It is largely recognized that Gamma-Ray Burst (GRB) jets involve ultra-relativistic motion. However, the value of the Lorentz factor Gamma_0 is still not clear and only lower limits are known for most bursts. We suggest here a new method to obtain upper limits on Gamma_0. The early high-energy synchrotron afterglow flux depends strongly on Gamma_0. Upper limits on GeV emission therefore provide uppers limit on Gamma_0. Applying this method to 190 Fermi GRBs that have not been detected by the Fermi-LAT we place upper limits on the high-energy afterglow flux, and in turn on Gamma_0. For bursts at a typical redshift z=2, we find values of the order of 200 (and above) for a homogeneous density medium, and in the range 100-400 for a wind-like medium. These upper limits are consistent with (and are very close to) lower limits and direct estimates inferred using other methods, suggesting that the typical Lorentz factors of GRB jets are of order a few hundred.

  2. Constraints on the bulk Lorentz factor of gamma-ray burst jets from Fermi /LAT upper limits

    Science.gov (United States)

    Nava, L.; Desiante, R.; Longo, F.; Celotti, A.; Omodei, N.; Vianello, G.; Bissaldi, E.; Piran, T.

    2017-02-01

    It is largely recognized that Gamma-Ray Burst (GRB) jets involve ultra-relativistic motion. However, the value of the Lorentz factor Gamma_0 is still not clear and only lower limits are known for most bursts. We suggest here a new method to obtain upper limits on Gamma_0. The early high-energy synchrotron afterglow flux depends strongly on Gamma_0. Upper limits on GeV emission therefore provide uppers limit on Gamma_0. Applying this method to 190 Fermi GRBs that have not been detected by the Fermi-LAT we place upper limits on the high-energy afterglow flux, and in turn on Gamma_0. For bursts at a typical redshift z=2, we find values of the order of 200 (and above) for a homogeneous density medium, and in the range 100-400 for a wind-like medium. These upper limits are consistent with (and are very close to) lower limits and direct estimates inferred using other methods, suggesting that the typical Lorentz factors of GRB jets are of order a few hundred.

  3. Psychosocial factors and prevalence of burnout syndrome among nursing workers in intensive care units.

    Science.gov (United States)

    da Silva, Jorge Luiz Lima; Soares, Rafael da Silva; Costa, Felipe dos Santos; Ramos, Danusa de Souza; Lima, Fabiano Bittencourt; Teixeira, Liliane Reis

    2015-01-01

    To evaluate the prevalence of burnout syndrome among nursing workers in intensive care units and establish associations with psychosocial factors. This descriptive study evaluated 130 professionals, including nurses, nursing technicians, and nursing assistants, who performed their activities in intensive care and coronary care units in 2 large hospitals in the city of Rio de Janeiro, Brazil. Data were collected in 2011 using a self-reported questionnaire. The Maslach Burnout Inventory was used to evaluate the burnout syndrome dimensions, and the Self Reporting Questionnaire was used to evaluate common mental disorders. The prevalence of burnout syndrome was 55.3% (n = 72). In the quadrants of the demand-control model, low-strain workers exhibited a prevalence of 64.5% of suspected cases of burnout, whereas high-strain workers exhibited a prevalence of 72.5% of suspected cases (p = 0.006). The prevalence of suspected cases of common mental disorders was 27.7%; of these, 80.6% were associated with burnout syndrome (burnout syndrome. Psychosocial factors were associated with the development of burnout syndrome in this group. These results underscore the need for the development of further studies aimed at intervention and the prevention of the syndrome.

  4. A macroepigenetic approach to identify factors responsible for the autism epidemic in the United States

    Directory of Open Access Journals (Sweden)

    Dufault Renee

    2012-04-01

    Full Text Available Abstract The number of children ages 6 to 21 in the United States receiving special education services under the autism disability category increased 91% between 2005 to 2010 while the number of children receiving special education services overall declined by 5%. The demand for special education services continues to rise in disability categories associated with pervasive developmental disorders. Neurodevelopment can be adversely impacted when gene expression is altered by dietary transcription factors, such as zinc insufficiency or deficiency, or by exposure to toxic substances found in our environment, such as mercury or organophosphate pesticides. Gene expression patterns differ geographically between populations and within populations. Gene variants of paraoxonase-1 are associated with autism in North America, but not in Italy, indicating regional specificity in gene-environment interactions. In the current review, we utilize a novel macroepigenetic approach to compare variations in diet and toxic substance exposure between these two geographical populations to determine the likely factors responsible for the autism epidemic in the United States.

  5. Exercise and limitations in physical activity levels among new dialysis patients in the United States: an epidemiologic study.

    LENUS (Irish Health Repository)

    Stack, Austin G

    2008-12-01

    Epidemiologic studies of physical activity among patients with end-stage renal disease (ESRD) are lacking. The aim of this study was to describe the patterns of physical activity among new dialysis patients in the United States.

  6. Factors related to building loss due to wildfires in the conterminous United States.

    Science.gov (United States)

    Alexandre, Patricia M; Stewart, Susan I; Keuler, Nicholas S; Clayton, Murray K; Mockrin, Miranda H; Bar-Massada, Avi; Syphard, Alexandra D; Radeloff, Volker C

    2016-10-01

    Wildfire is globally an important ecological disturbance affecting biochemical cycles and vegetation composition, but also puts people and their homes at risk. Suppressing wildfires has detrimental ecological effects and can promote larger and more intense wildfires when fuels accumulate, which increases the threat to buildings in the wildland-urban interface (WUI). Yet, when wildfires occur, typically only a small proportion of the buildings within the fire perimeter are lost, and the question is what determines which buildings burn. Our goal was to examine which factors are related to building loss when a wildfire occurs throughout the United States. We were particularly interested in the relative roles of vegetation, topography, and the spatial arrangement of buildings, and how their respective roles vary among ecoregions. We analyzed all fires that occurred within the conterminous United States from 2000 to 2010 and digitized which buildings were lost and which survived according to Google Earth historical imagery. We modeled the occurrence as well as the percentage of buildings lost within clusters using logistic and linear regression. Overall, variables related to topography and the spatial arrangement of buildings were more frequently present in the best 20 regression models than vegetation-related variables. In other words, specific locations in the landscape have a higher fire risk, and certain development patterns can exacerbate that risk. Fire policies and prevention efforts focused on vegetation management are important, but insufficient to solve current wildfire problems. Furthermore, the factors associated with building loss varied considerably among ecoregions suggesting that fire policy applied uniformly across the United States will not work equally well in all regions and that efforts to adapt communities to wildfires must be regionally tailored.

  7. Occupational Risk Factors and Health Problems Faced by Nurses that Working Dialysis Unit and Nephrology Service

    Directory of Open Access Journals (Sweden)

    Mehtap Curcani

    2009-08-01

    Full Text Available AIM: This study is carried out descriptively with the aim of determining occupational risks the nurses working in dialysis units and nephrology services. METHOD: 47 nurses working in dialysis and nephrology units of the hospitals in Erzurum were included in the study content. In the collection of the data, questionnaire form prepared in the light of literature and including the preventions taken by nurses themselves or their organizations against the professional risks they faced, or personal problems the nurses experienced, professional risk or professional-personal features was used. RESULTS: In the result of the study, it was detected that 48.9% of the nurses was at 28-32 age group, and that 38.3% of the nurses graduated from nursing higher school, and that 72.3% of the nurses worked in dialysis unit. It was found out that while practicing their professions, the nurses expressed that infection risk (97.9%, stress (83%, verbal abuse (80.9%, psychiatric trauma (66%, allergic substance (63.8%, the noise (36.2%, and physical abuse (23.4% were the risk factors they raced in working medium .In the health problem seen in the nurses, in the first row is lumbago. CONCLUSION: In the result of the study, it was found out that while practicing their professions, the nurses expressed that infection risk was the highest rate among the risk factors they raced in working medium and, in the health problem seen in the nurses, in the first row is lumbago and that the nurses and organizations’ attempts which will reduce the risks were not sufficient. [TAF Prev Med Bull 2009; 8(4.000: 339-344

  8. [Cognitive-behavioral specialized units: predictive factors of readmissions within three months].

    Science.gov (United States)

    Baudemont, Céline; Merlet, Isabelle; du Boisgueheneuc, Foucaud; Liuu, Évelyne; Tartarin, Florence; Ragot, Stéphanie; Paccalin, Marc

    2012-09-01

    Behavioral and psychological symptoms of dementia (BPSD) are frequent and belong to the natural evolution of the disease. Specialized cognitive-behavioral units (Unités cognitivo-comportementales) were created, in France (plan Alzheimer 2008-2012), to cope with this problem. Despite a stay in such a unit, some patients have to be rehospitalized. The main aim of the current study was to highlight the predictive factors of readmissions. Descriptive, retrospective study of demented patients ≥75 years, hospitalized between January 2010 and April 2011. We compared patients that had to be rehospitalized within 3 months (group 1), with the patients that did not need to be rehospitalized or after 3 months of time (group 2). Patients characteristics included: basic daily living activities (French GIR score), MMSE score, neuropsychiatric inventory score, type of BPSD, length of stay and antipsychotropic drugs. Two hundred thirty-five patients were included including, 147 women (62.5%), with mean age of 82.74±7.13 years. SPCD was the main reason for hospitalization. Thirty patients (12.77%) belonged to group 1. The mean number of psychotropic treatments increased during the stay (p=0.02), particularly in group 2 (p=0.01). The NPI score decreased during the hospitalization in both groups. Linear regression analysis showed that behavioral type of symptoms (OR: 3.18; 95% CI 1.32-7.65) and association of antidepressant and antipsychotic drugs (OR: 4.77; 95% CI 1.35-16.83) were significantly predictive of an early readmission. The risk of readmission also significantly decreased as the length of stay increased. This work confirms the specificity and the need for such units. The results will help improving the outcome of demented patients with BPSD and treated with different antipsychotropic drugs.

  9. The chicken vitellogenin II gene is flanked by a GATA factor-dependent estrogen response unit.

    Science.gov (United States)

    Davis, D L; Burch, J B

    1996-08-01

    The chicken vitellogenin II (VTGII) gene is flanked by an imperfect estrogen response element (ERE) at -350 and a perfect ERE at -620. In the present study we show that this imperfect ERE lies within an estrogen response unit (ERU) that requires a GATA factor and the estrogen receptor to function as an estrogen-dependent enhancer. We infer that GATA-6 contributes to the estrogen-dependent and liver-specific regulation of the endogenous VTGII gene since this is the predominant GATA factor expressed in adult liver. Our analysis of the VTGII ERU revealed four salient points. First, this ERU is comprised of an ERE and a bank of functionally redundant GATA-binding sites. Second, the GATA-6 transactivation domain is necessary (and sufficient, when tethered near the ERE) to render this ERU functional. Third, ERU enhancer activity is dependent on GATA 6, regardless of whether the resident ERE is imperfect or perfect. Fourth, in contrast to a report that the estrogen receptor antagonizes the activity of another GATA factor (GATA-1), we show that these two factors can function in a synergistic manner within the context of the VTGII ERU.

  10. The Three Domains of Disgust Scale: Factor Structure, Psychometric Properties, and Conceptual Limitations

    Science.gov (United States)

    Olatunji, Bunmi O.; Adams, Thomas; Ciesielski, Bethany; David, Bieke; Sarawgi, Shivali; Broman-Fulks, Joshua

    2012-01-01

    This investigation examined the measurement properties of the Three Domains of Disgust Scale (TDDS). Principal components analysis in Study 1 (n = 206) revealed three factors of Pathogen, Sexual, and Moral Disgust that demonstrated excellent reliability, including test-retest over 12 weeks. Confirmatory factor analyses in Study 2 (n = 406)…

  11. The Three Domains of Disgust Scale: Factor Structure, Psychometric Properties, and Conceptual Limitations

    Science.gov (United States)

    Olatunji, Bunmi O.; Adams, Thomas; Ciesielski, Bethany; David, Bieke; Sarawgi, Shivali; Broman-Fulks, Joshua

    2012-01-01

    This investigation examined the measurement properties of the Three Domains of Disgust Scale (TDDS). Principal components analysis in Study 1 (n = 206) revealed three factors of Pathogen, Sexual, and Moral Disgust that demonstrated excellent reliability, including test-retest over 12 weeks. Confirmatory factor analyses in Study 2 (n = 406)…

  12. Limited socioeconomic opportunities and Latina teen childbearing: a qualitative study of family and structural factors affecting future expectations.

    Science.gov (United States)

    Minnis, Alexandra M; Marchi, Kristen; Ralph, Lauren; Biggs, M Antonia; Combellick, Sarah; Arons, Abigail; Brindis, Claire D; Braveman, Paula

    2013-04-01

    The decrease in adolescent birth rates in the United States has been slower among Latinas than among other ethnic/racial groups. Limited research has explored how socioeconomic opportunities influence childbearing among Latina adolescents. We conducted in-depth interviews with 65 pregnant foreign- and US-born Latina women (31 adolescents; 34 adults) in two California counties. We assessed perceived socioeconomic opportunities and examined how family, immigration and acculturation affected the relationships between socioeconomic opportunities and adolescent childbearing. Compared with women who delayed childbearing into adulthood, pregnant adolescents described having few resources for educational and career development and experiencing numerous socioeconomic and social barriers to achieving their goals. Socioeconomic instability and policies limiting access to education influenced childbearing for immigrant adolescents. In contrast, family disintegration tied to poverty figured prominently in US-born adolescents' childbearing. Limited socioeconomic opportunities may play a large role in persistently high pregnancy rates among Latina adolescents.

  13. Discount factors for public sector investment projects using the sum of discounted consumption flows -- estimates for the United Kingdom

    OpenAIRE

    E Kula

    1984-01-01

    In this article a model to estimate a discount factor matrix is derived for discount rates between 1% and 15% for the United Kingdom on the basis of a public-sector project evaluation method known as the sum of discounted consumption flows. These factors can readily be used by project analysts working on United Kingdom projects, especially those in which costs and benefits extend over many years.

  14. [Limiting a Medline/PubMed query to the "best" articles using the JCR relative impact factor].

    Science.gov (United States)

    Avillach, P; Kerdelhué, G; Devos, P; Maisonneuve, H; Darmoni, S J

    2014-12-01

    Medline/PubMed is the most frequently used medical bibliographic research database. The aim of this study was to propose a new generic method to limit any Medline/PubMed query based on the relative impact factor and the A & B categories of the SIGAPS score. The entire PubMed corpus was used for the feasibility study, then ten frequent diseases in terms of PubMed indexing and the citations of four Nobel prize winners. The relative impact factor (RIF) was calculated by medical specialty defined in Journal Citation Reports. The two queries, which included all the journals in category A (or A OR B), were added to any Medline/PubMed query as a central point of the feasibility study. Limitation using the SIGAPS category A was larger than the when using the Core Clinical Journals (CCJ): 15.65% of PubMed corpus vs 8.64% for CCJ. The response time of this limit applied to the entire PubMed corpus was less than two seconds. For five diseases out of ten, limiting the citations with the RIF was more effective than with the CCJ. For the four Nobel prize winners, limiting the citations with the RIF was more effective than the CCJ. The feasibility study to apply a new filter based on the relative impact factor on any Medline/PubMed query was positive. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  15. Factors that Limit and Enable Preschool-Aged Children's Physical Activity on Child Care Centre Playgrounds

    Science.gov (United States)

    Coleman, Bianca; Dyment, Janet E.

    2013-01-01

    The incidence of childhood obesity amongst preschool-aged children has increased dramatically in recent years and can be attributed, in part, to a lack of physical activity amongst children in this age group. This study explores the social factors that stand to limit and/or enable children's physical activity opportunities in outdoor settings…

  16. 23 CFR 636.302 - Are there any limitations on the selection and use of proposal evaluation factors?

    Science.gov (United States)

    2010-04-01

    ... TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Proposal Evaluation Factors § 636.302... contracting agency wishes to use Federal-aid highway funds for final design and construction, the subsequent... 23 Highways 1 2010-04-01 2010-04-01 false Are there any limitations on the selection and use...

  17. Physical limitations and fundamental factors affecting performance of liquid crystal tunable lenses with concentric electrode rings.

    Science.gov (United States)

    Li, Liwei; Bryant, Doug; van Heugten, Tony; Bos, Philip J

    2013-03-20

    A comprehensive analysis of fundamental factors and their effects on the performance of liquid crystal (LC)-based lenses is given. The analysis adopts numerical LC director and electric field simulation, as well as scalar diffraction theory for calculating the lens performance considering different variable factors. A high-efficiency LC lens with concentric electrode rings is fabricated for verifying and enriching the analysis. The measurement results are in close agreement with the analysis, and a summary of key factors is given with their quantitative contributions to the efficiency.

  18. Attaining higher resolution visual prosthetics: a review of the factors and limitations

    Science.gov (United States)

    Eiber, Calvin D.; Lovell, Nigel H.; Suaning, Gregg J.

    2013-02-01

    Visual prosthetics is an expanding subfield of functional electrical stimulation which has gained increased interest recently in light of new advances in treatments and technology. These treatments and technology represent a major improvement over prior art, but are still subject to a host of limitations which are dependent on the manner in which one approaches the topic of visual prosthetics. These limitations pose new research challenges whose solutions are directly applicable to the well-being of blind individuals everywhere. In this review, we will outline and critically compare major current approaches to visual prosthetics, and in particular retinal prosthetics. Then, we will engage in an in-depth discussion of the limitations imposed by current technology, physics, and the underlying biology of the retina to highlight several of the challenges currently facing researchers. .

  19. Risk factors for the development of hospital infections in the intensive care units

    Directory of Open Access Journals (Sweden)

    Mijović Biljana

    2005-01-01

    Full Text Available Background. Patients admitted to intensive-care units (ICU are at a high risk of nosocomial infections (NI due to susceptibility associated with severity of their condition, but also the invasive medical procedures they undergo. Aim. To determine the frequency of NI at the ICU of the General Hospital Užice, and to identify the risk factors for their development. Methods. A prospective surveillance study of NI, conducted between June 27 and December 31 2001, included 914 patients who spent at least 24 hours in the ICU (total of 2 615 days. The surveillance of NI in the ICU was carried out daily. Follow-up period covered the time from the ICU admission to 48 hours after the ICU discharge. To assess risk factors for NI, we performed a case-control study. The variables measuring of extrinsic and intrinsic risk factors for NI were collected. Results. In a six-month prospective surveillance study, the incidence of NI was 16.7% or 58.5 per 1,000 patient-day, respectively. The most frequent were the infections of the surgery wounds (32.6%, urinary tract infections (23.5%, and infections of the blood (7.1%. The identified independent risk factors for NI were: surgical intervention (OR = 5.74; CI = 2.01-16.41, endotracheal tubes (OR = 3.40; CI = 1.07-10.89, cystoscopy (OR = 2.35; CI = 1.38- 4.02, obesity (OR = 1.98; CI = 1.27-3.11, and the duration of the infusion (OR = 1.34; CI = 1.23-1.46. Conclusions. The most important risk factors for NI at ICU were surgical interventions and endotracheal tubes.

  20. [Pneumocystis jiroveci pneumonia: Clinical characteristics and mortality risk factors in an Intensive Care Unit].

    Science.gov (United States)

    Solano L, M F; Alvarez Lerma, F; Grau, S; Segura, C; Aguilar, A

    2015-01-01

    To describe the epidemiological characteristics of the population with Pneumocystis jiroveci (P. jiroveci) pneumonia, analyzing risk factors associated with the disease, predisposing factors for admission to an intensive care unit (ICU), and prognostic factors of mortality. A retrospective observational study was carried out, involving a cohort of patients consecutively admitted to a hospital in Spain from 1 January 2007 to 31 December 2011, with a final diagnosis of P. jiroveci pneumonia. The ICU and hospitalization service of Hospital del Mar, Barcelona (Spain). We included 36 patients with pneumonia due to P. jiroveci. Of these subjects, 16 required ICU admission (44.4%). The average age of the patients was 41.3 ± 12 years, and 23 were men (63.9%). A total of 86.1% had a history of human immunodeficiency virus (HIV) infection, and the remaining 13.9% presented immune-based disease subjected to immunosuppressive therapy. Risk factors associated to hospital mortality were age (51.8 vs. 37.3 years, P=.002), a higher APACHE score upon admission (17 vs. 13 points, P=.009), the need for invasive mechanical ventilation (27.8% vs. 11.1%, P=.000), requirement of vasoactive drugs (25.0% vs. 11.1%, P=.000), fungal coinfection (22.2% vs. 11.1%, P=.001), pneumothorax (16.7% vs. 83.3%, P=.000) and admission to the ICU (27.8% vs. 72.2% P=.000). The high requirement of mechanical ventilation and vasoactive drugs associated with fungal coinfection and pneumothorax in patients admitted to the ICU remain as risk factors associated with mortality in patients with P. jiroveci pneumonia. Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  1. CORRELATION BETWEEN THE DAMPING FACTOR PER UNIT MASS AND THE FREE LENGTH FOR COMPOSITE SANDWICH BARS. EXPERIMENTAL INVESTIGATIONS

    Directory of Open Access Journals (Sweden)

    Cristian-Oliviu BURADA

    2015-05-01

    Full Text Available In this paper we have build some composite sandwich bars in this way: the core is made with polypropylene honeycomb (its thickness is 10, 15 and 20 mm reinforced with 1 layer of carbon fiber (on the sample upper and lower sides. For these samples we have determined, by experimental means, the damping factor per unit mass and per unit length. Then, by using the regression analysis, we have established correlations between the damping factor per unit mass and the bars free length. In order to obtain these correlations, we have considered the next free lengths of the bars: 200, 230, 260, 290, 320, 350.

  2. Setting an indoor air exposure limit for formaldehyde: Factors of concern

    NARCIS (Netherlands)

    Arts, J.H.E.; Muijser, H.; Kuper, C.F.; Woutersen, R.A.

    2008-01-01

    The paper aims to evaluate the indoor air limit of 1 μg/m3 (0.8 ppb) formaldehyde as advised by the European Commission [the INDEX project; Kotzias, D., Koistinen, K., Kephalopoulos, S., Schlitt, C., Carrer, P., Maroni, M., Jantunen, M., Cochet, C., Kirchner, S., Lindvall, T., McLaughlin, J.,

  3. Setting an indoor air exposure limit for formaldehyde: Factors of concern

    NARCIS (Netherlands)

    Arts, J.H.E.; Muijser, H.; Kuper, C.F.; Woutersen, R.A.

    2008-01-01

    The paper aims to evaluate the indoor air limit of 1 μg/m3 (0.8 ppb) formaldehyde as advised by the European Commission [the INDEX project; Kotzias, D., Koistinen, K., Kephalopoulos, S., Schlitt, C., Carrer, P., Maroni, M., Jantunen, M., Cochet, C., Kirchner, S., Lindvall, T., McLaughlin, J., Mølhav

  4. Soil physical constraints as a limiting factor of palm and tree basal area in amazonian forests

    NARCIS (Netherlands)

    Emilio, T.; Quesada, C.A.; Costa, F.; Monteagudo, A.; Araujo, A.; Pena-Cruz, A.; Torres Lezama, A.; Castilho, C.V.; Neill, D.; Vilanova, E.; Oblitas Mendoza, E.M.; Alvarez, E.; Honorio, E.N.; Parada, G.A.; ter Steege, H.; Ramirez-Angulo, H.; Chave, J.; Terborgh, J.W.; Schietti, J.; Silveira, M.; Penuela-Mora, M.C.; Schwarz, M.; Banki, O.; Philips, O.L.; Thomas, R.; Vasquez, R.; Brienen, R.J.W.; Feldpausch, T.R.; Killeen, T.J.; Baker, T.R.; Magnusson, W.E.; Mahli, Y.

    2014-01-01

    Background: Trees and arborescent palms adopt different rooting strategies and responses to physical limitations imposed by soil structure, depth and anoxia. However, the implications of these differences for understanding variation in the relative abundance of these groups have not been explored.

  5. What Factors Control the Trend of Increasing AAOD Over the United States in the Last Decade?

    Science.gov (United States)

    Zhang, Li; Henze, Daven K.; Grell, Georg A.; Torres, Omar; Jethva, Hiren; Lamsal, Lok N.

    2017-01-01

    We examine the spatial and temporal trends of absorbing aerosol optical depth (AAOD) in the last decade over the United States (U.S.) observed by the Ozone Monitoring Instrument (OMI). Monthly average OMI AAOD has increased over broad areas of the central U.S. from 2005 to 2015, by up to a factor of 4 in some grid cells (60 km resolution). The AAOD increases in all seasons, although the percentage increases are larger in summer (June-July-August) than in winter (December-January-February) by a factor of 3. Despite enhancements in AAOD, OMI AOD exhibits insignificant trend over most of the U.S. except parts of the central and western U.S., the latter which may partly be due to decreases in precipitation. Trends in AAOD contrast with declining trends in surface concentrations of black carbon (BC) aerosol. Interannual variability of local biomass burning emissions of BC may contribute to the positive trend in AAOD over the western U.S. Changes in both dust aerosol measured at the surface (in terms of concentration and size) and dust AAOD indicate distinct enhancements, especially over the central U.S. by 50-100%, which appears to be one of the major factors that impacts positive trends in AAOD.

  6. What Factors Control the Trend of Increasing AAOD Over the United States in the Last Decade?

    Science.gov (United States)

    Zhang, Li; Henze, Daven K.; Grell, Georg A.; Torres, Omar; Jethva, Hiren; Lamsal, Lok N.

    2017-01-01

    We examine the spatial and temporal trends of absorbing aerosol optical depth (AAOD) in the last decade over the United States (U.S.) observed by the Ozone Monitoring Instrument (OMI). Monthly average OMI AAOD has increased over broad areas of the central U.S. from 2005 to 2015, by up to a factor of 4 in some grid cells (60 km resolution). The AAOD increases in all seasons, although the percentage increases are larger in summer (June-July-August) than in winter (December-January-February) by a factor of 3. Despite enhancements in AAOD, OMI AOD exhibits insignificant trend over most of the U.S. except parts of the central and western U.S., the latter which may partly be due to decreases in precipitation. Trends in AAOD contrast with declining trends in surface concentrations of black carbon (BC) aerosol. Interannual variability of local biomass burning emissions of BC may contribute to the positive trend in AAOD over the western U.S. Changes in both dust aerosol measured at the surface (in terms of concentration and size) and dust AAOD indicate distinct enhancements, especially over the central U.S. by 50-100%, which appears to be one of the major factors that impacts positive trends in AAOD.

  7. What factors control the trend of increasing AAOD over the United States in the last decade?

    Science.gov (United States)

    Zhang, Li; Henze, Daven K.; Grell, Georg A.; Torres, Omar; Jethva, Hiren; Lamsal, Lok N.

    2017-02-01

    We examine the spatial and temporal trends of absorbing aerosol optical depth (AAOD) in the last decade over the United States (U.S.) observed by the Ozone Monitoring Instrument (OMI). Monthly average OMI AAOD has increased over broad areas of the central U.S. from 2005 to 2015, by up to a factor of 4 in some grid cells ( 60 km resolution). The AAOD increases in all seasons, although the percentage increases are larger in summer (June-July-August) than in winter (December-January-February) by a factor of 3. Despite enhancements in AAOD, OMI AOD exhibits insignificant trend over most of the U.S. except parts of the central and western U.S., the latter which may partly be due to decreases in precipitation. Trends in AAOD contrast with declining trends in surface concentrations of black carbon (BC) aerosol. Interannual variability of local biomass burning emissions of BC may contribute to the positive trend in AAOD over the western U.S. Changes in both dust aerosol measured at the surface (in terms of concentration and size) and dust AAOD indicate distinct enhancements, especially over the central U.S. by 50-100%, which appears to be one of the major factors that impacts positive trends in AAOD.

  8. Postoperative delirium and factors related in a cardiac surgery unit care

    Directory of Open Access Journals (Sweden)

    Julia de las Pozas Abril

    2011-07-01

    Full Text Available Objective: Describe the incidence of postoperative delirium and related risk factors associated with this complication in patients undergoing cardiac surgery. Method: Cohort study conducted for 3 months in a sample of 105 patients undergoing cardiac surgery in a hospital in Madrid. The emergence of delirium with scale ICDSC (Intensive Care Delirium Screening Checklist was measured during the first five days of postoperative and collected data on preoperative, intra-operative and post-operative factors to relate to the emergence of delirium. Results: 95 Patients studied, 15 of them developed delirium, which means an incidence of 15.7%. We found that there was a significant relationship between delirium appearance and age of the patients, the presence of atrial fibrillation, intubation orotraqueal time and the administration of adrenaline during the immediate post-operative management. The multivariable model showed the duration of orotraqueal intubation to be independently associated with delirium. Conclusions: The incidence of delirium found in this study as well as the identification of the time of orotraqueal intubation as independent risk factor supposes a new contribution to the knowledge of this postoperative complication and allow us to begin to evaluate its importance in the unit of cardiac surgery.

  9. High risk factors for pulmonary fungous infection in intensive care units of neurosurgery

    Institute of Scientific and Technical Information of China (English)

    ZHU Wenyu; TAN Liping; CHEN Xiangfeng; HUANG Qiang; LAN Qing

    2007-01-01

    By analyzing the high risk factors for pulmonary fungous infection in intensive care units of neurosurgery,the strategy of early diagnosis and treatment was explored.According to the domestic diagnostic standard on pulmonary fungous infection.clinical data on 58 patients with the infection in our department were analyzed.One hundred and seventeen strains of fungi were separated from the 58 cases.Candidiasis was the most frequent type,accounting for 92.3% of the cases.Conditions such as the severity of primary diseases,long-time coma,long-term use of broad-spectrum antibiotic,abuse of glucocorticoid,the open airway,and some invasive intubations,may be regarded as high risk factors for pulmonary fungous infection.Fluconazole showed good clinical effects on the treatment of fungous infection.Tb eliminate these high risk factors,early diagnosis and the use of prophylactic antifungal agents can help reduce the incidence of pulmonary fungous infection.

  10. Physics of Limiting Phenomena in Superconducting Microwave Resonators: Vortex Dissipation, Ultimate Quench and Quality Factor Degradation Mechanisms

    Energy Technology Data Exchange (ETDEWEB)

    Checchin, Mattia [IIT, Chicago

    2016-01-01

    Superconducting niobium accelerating cavities are devices operating in radio-frequency and able to accelerate charged particles up to energy of tera-electron-volts. Such accelerating structures are though limited in terms of quality factor and accelerating gradient, that translates--in some cases--in higher capital costs of construction and operation of superconducting rf accelerators. Looking forward for a new generation of more affordable accelerators, the physical description of limiting mechanisms in superconducting microwave resonators is discussed. In particular, the physics behind the dissipation introduced by vortices in the superconductor, the ultimate quench limitations and the quality factor degradation mechanism after a quench are described in detail. One of the limiting factor of the quality factor is the dissipation introduced by trapped magnetic flux vortices. The radio-frequency complex response of trapped vortices in superconductors is derived by solving the motion equation for a magnetic flux line, assuming a bi-dimensional and mean free path-dependent Lorentzian-shaped pinning potential. The resulting surface resistance shows the bell-shaped trend as a function of the mean free path, in agreement with the experimental data observed. Such bell-shaped trend of the surface resistance is described in terms of the interplay of the two limiting regimes identified as pinning and flux flow regimes, for low and large mean free path values respectively. The model predicts that the dissipation regime--pinning- or flux-flow-dominated--can be tuned either by acting on the frequency or on the electron mean free path value. The effect of different configurations of pinning sites and strength on the vortex surface resistance are also discussed. Accelerating cavities are also limited by the quench of the superconductive state, which limits the maximum accelerating gradient achievable. The accelerating field limiting factor is usually associate d to the

  11. Physics of Limiting Phenomena in Superconducting Microwave Resonators: Vortex Dissipation, Ultimate Quench and Quality Factor Degradation Mechanisms

    Energy Technology Data Exchange (ETDEWEB)

    Checchin, Mattia [Illinois Inst. of Technology, Chicago, IL (United States)

    2016-12-01

    Superconducting niobium accelerating cavities are devices operating in radio-frequency and able to accelerate charged particles up to energy of tera-electron-volts. Such accelerating structures are though limited in terms of quality factor and accelerating gradient, that translates--in some cases--in higher capital costs of construction and operation of superconducting rf accelerators. Looking forward for a new generation of more affordable accelerators, the physical description of limiting mechanisms in superconducting microwave resonators is discussed. In particular, the physics behind the dissipation introduced by vortices in the superconductor, the ultimate quench limitations and the quality factor degradation mechanism after a quench are described in detail. One of the limiting factor of the quality factor is the dissipation introduced by trapped magnetic flux vortices. The radio-frequency complex response of trapped vortices in superconductors is derived by solving the motion equation for a magnetic flux line, assuming a bi-dimensional and mean free path-dependent Lorentzian-shaped pinning potential. The resulting surface resistance shows the bell-shaped trend as a function of the mean free path, in agreement with the experimental data observed. Such bell-shaped trend of the surface resistance is described in terms of the interplay of the two limiting regimes identified as pinning and flux flow regimes, for low and large mean free path values respectively. The model predicts that the dissipation regime--pinning- or flux-flow-dominated--can be tuned either by acting on the frequency or on the electron mean free path value. The effect of different configurations of pinning sites and strength on the vortex surface resistance are also discussed. Accelerating cavities are also limited by the quench of the superconductive state, which limits the maximum accelerating gradient achievable. The accelerating field limiting factor is usually associate d to the

  12. Fatal parasitosis in blackbucks (Antilope cervicapra: a possible factor risk in hunting units

    Directory of Open Access Journals (Sweden)

    Ned de la Cruz-Hernández

    2015-11-01

    Full Text Available In February 2012, a reproductive group of 60 adult blackbucks (Antilope cervicapra from Veracruz, Mexico was relocated to hunting units in eastern and northeastern Mexico. Seven individuals died due to hemorrhagic parasitic, abomasitis and enteritis caused by Haemonchus spp., Setaria spp., and Trichostrongylids. Deaths were associated with hepatic necrosis, bilateral congestive distention of heart and fibrinonecrotic bronchopneumonia. Also Anaplasma marginale was identified. The blackbucks’ population displayed a general mortality rate of 11.67%, where 25% of total male and 9.62% of total female died. The mortality was controlled by segregation of all remaining blackbucks and the treatment for internal and external parasites (biting flies and ticks. After the treatment, no fatality cases related to parasitosis were recorded. The results presented here exhibit the high relevance of parasitosis as possible factor risk in the survival of tis specie.

  13. Failure factors in non-life insurance companies in United Kingdom

    Science.gov (United States)

    Samsudin, Humaida Banu

    2013-04-01

    Failure in insurance company is a condition of financial distress where a company has difficulty paying off its financial obligations to its creditors. This study continues the research from the study in identifying the determinants for run-off non-life insurance companies in United Kingdom. The analysis continues to identify other variables that could lead companies to financial distress that is macroeconomic factors (GDP rates, inflation rates and interest rates); total companies failed a year before and average size for failed companies'. The result from the analysis indicates that inflation rates, interest rates, total companies failed a year before and average sizes for failed companies are the best predictors. An early detection of failure can prevent companies from bankruptcy and allow management to take action to reduce the failure costs.

  14. Predictive factors for the admission of a newborn in an intensive care unit

    Directory of Open Access Journals (Sweden)

    Carla Danielle Ribeiro Lages

    2014-04-01

    Full Text Available Analytical documentary and retrospective study aiming at determining association between predictive factors for admission of a newborn in a public Intensive Care Unit and maternal features. The study sample had 376 neonates admitted in 2009. Results showed: mothers aged between 19 and 25 years (43.4%, primary education (52.4%, living with a partner (66.2%. Prenatal care was done by 84.8% of them, and 62% presented gestational pathologies. Out of all neonates, 55.1% were male, 85.4% preterm, 83% underweight, 57.2% presented respiratory problems. The bivariate analysis showed a significant association between birth weight and growth (p = 0.04 between maternal age and Apgar in the 1st minute (p = 0.04 and maternal age and Apgar score in the 5th minute (p = 0.01. Maternal age and number of prenatal appointments influence on the admission of the neonates to the Intensive Care Unit because they are related to birth weight and Apgar scores.

  15. Immunity to nerve growth factor and the effect on motor unit reinnervation in the rabbit.

    Science.gov (United States)

    Finkelstein, D I; Luff, A R; Schuijers, J A

    1992-05-01

    The trophic effects of nerve growth factor (NGF) on sympathetic, peripheral afferent, and other neural crest-derived cells have been intensively investigated. More recently, NGF has been shown to have an influence on motoneurons. This study was undertaken to investigate whether NGF had any influence on the mechanical or histological properties of reinnervated motor units. Three groups of rabbits were used: normal rabbits, rabbits in which the nerve to medial gastrocnemius (MG) was cut and allowed to reinnervate for 56 days, and rabbits in which the MG nerve reinnervated in the presence of immunity to NGF. Immunity to NGF did not affect the ability of motor axons to reinnervate a muscle, nor were the contractile characteristics of the motor units altered. The size of horseradish peroxidase-labeled motoneurons was not influenced by immunization against NGF; however, the distribution of afferent neuron sizes was altered. Conduction velocity of motor axons proximal to the neuroma was significantly faster after immunization against NGF. Transection and subsequent reinnervation by a peripheral nerve normally causes an increase in myelin thickness proximal to the neuroma. However, immunization against NGF appeared to decrease the magnitude of myelin thickening. It was concluded that immunization against NGF affects motor axonal conduction velocity via an influence on the neural crest-derived Schwann cells.

  16. Variability Among US Intensive Care Units in Managing the Care of Patients Admitted With Preexisting Limits on Life-Sustaining Therapies.

    Science.gov (United States)

    Hart, Joanna L; Harhay, Michael O; Gabler, Nicole B; Ratcliffe, Sarah J; Quill, Caroline M; Halpern, Scott D

    2015-06-01

    Although the end-of-life care patients receive is known to vary across nations, regions, and centers, these differences are best explored within a group of patients with presumably similar care preferences. To examine the proportions of patients admitted to the intensive care unit (ICU) with limitations on life-sustaining treatments and the proportions of such patients who receive aggressive care across individual ICUs. Retrospective cohort study using the Project IMPACT database (from April 1, 2001, to December 31, 2008) including 141 ICUs in 105 hospitals in the United States and 277,693 ICU patient visits. We used logistic regression analysis models adjusted for available patient characteristics and clustered visits by individual ICU. The full analysis was last performed in October 2014. Outcomes included the provision of (1) cardiopulmonary resuscitation, (2) new forms of life support, and the (3) addition or (4) reversal of treatment limitations. Of the ICU admissions evaluated, 4.8% (95% CI, 4.7%-4.9%) had previously established treatment limitations. Patients admitted with treatment limitations were more likely to be older with more functional limitations and comorbidities. Among patients who survived to hospital discharge, more experienced reversals of existing treatment limitations during the ICU stay (17.8% [95% CI, 17.0%-18.7%]) than additions of new limits (11.7% [95% CI, 11.1%-12.4%]) (P limitations (median, 4.0%; range, limitations established (11.2% [95% CI, 1.9%-57.3%]) and reversal of treatment limitations during or following ICU admission (20.2% [95% CI, 1.8%-76.2%]). The observed variability could not be consistently explained using measurable center-level characteristics. Intensive care units vary dramatically in how they manage care for patients admitted with treatment limitations. Among patients who survive, escalations in the aggressiveness of care are more common during the ICU stay than are de-escalations in aggressiveness. This study

  17. Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya.

    Science.gov (United States)

    Kawakatsu, Yoshito; Tanaka, Junichi; Ogawa, Kazuya; Ogendo, Kenneth; Honda, Sumihisa

    2017-02-16

    The government of Kenya launched its community health strategy in 2006 to improve certain aspects of its community health program. Under the strategy, community units (CUs) were established as level one of the Kenyan health system. A core member at this level is the community health worker (CHW). The objective of this study was to assess the relationship among the performance of the CUs, the prevalence of childhood diarrhea and appropriate treatment for it by controlling individual and community-level factors. The main dataset used in this study was the 2011 Nyanza Province county-based Multiple Indicator Cluster Survey (MICS). In addition, based on the list of community units in Nyanza Province, Kenya, we identified the area's CUs and their performance. MICS data and data on CUs were merged using sub-location names. There were 17 individual and two community-level independent variables in this study. Bivariate analysis and a multilevel logistic regression were performed. Factors significantly associated with a lower prevalence of diarrhea among children under five were the child's increasing age, middle-aged household heads, children who received more attention, water treatment and rural versus urban area residence, while male children and highly performing CUs were significantly associated with a higher prevalence of diarrhea. In addition, middle wealth index, severity of diarrhea and middle- and high-CU performance were significantly associated with appropriate treatment for childhood diarrhea. Although this study found that children living in areas of high CU performance were more likely to have diarrhea, these areas would have been identified as being more at risk for diarrhea prevalence and other health concerns, prioritized for the establishment of a CU and allocated more resources to improve the performance of CUs. A higher CU performance was significantly associated with the appropriate treatment. It was suggested that CHWs could have a positive effect on

  18. Incidence of and Risk Factors for Skin Cancer in Organ Transplant Recipients in the United States.

    Science.gov (United States)

    Garrett, Giorgia L; Blanc, Paul D; Boscardin, John; Lloyd, Amanda Abramson; Ahmed, Rehana L; Anthony, Tiffany; Bibee, Kristin; Breithaupt, Andrew; Cannon, Jennifer; Chen, Amy; Cheng, Joyce Y; Chiesa-Fuxench, Zelma; Colegio, Oscar R; Curiel-Lewandrowski, Clara; Del Guzzo, Christina A; Disse, Max; Dowd, Margaret; Eilers, Robert; Ortiz, Arisa Elena; Morris, Caroline; Golden, Spring K; Graves, Michael S; Griffin, John R; Hopkins, R Samuel; Huang, Conway C; Bae, Gordon Hyeonjin; Jambusaria, Anokhi; Jennings, Thomas A; Jiang, Shang I Brian; Karia, Pritesh S; Khetarpal, Shilpi; Kim, Changhyun; Klintmalm, Goran; Konicke, Kathryn; Koyfman, Shlomo A; Lam, Charlene; Lee, Peter; Leitenberger, Justin J; Loh, Tiffany; Lowenstein, Stefan; Madankumar, Reshmi; Moreau, Jacqueline F; Nijhawan, Rajiv I; Ochoa, Shari; Olasz, Edit B; Otchere, Elaine; Otley, Clark; Oulton, Jeremy; Patel, Parth H; Patel, Vishal Anil; Prabhu, Arpan V; Pugliano-Mauro, Melissa; Schmults, Chrysalyne D; Schram, Sarah; Shih, Allen F; Shin, Thuzar; Soon, Seaver; Soriano, Teresa; Srivastava, Divya; Stein, Jennifer A; Sternhell-Blackwell, Kara; Taylor, Stan; Vidimos, Allison; Wu, Peggy; Zajdel, Nicholas; Zelac, Daniel; Arron, Sarah T

    2017-03-01

    Skin cancer is the most common malignancy occurring after organ transplantation. Although previous research has reported an increased risk of skin cancer in solid organ transplant recipients (OTRs), no study has estimated the posttransplant population-based incidence in the United States. To determine the incidence and evaluate the risk factors for posttransplant skin cancer, including squamous cell carcinoma (SCC), melanoma (MM), and Merkel cell carcinoma (MCC) in a cohort of US OTRs receiving a primary organ transplant in 2003 or 2008. This multicenter retrospective cohort study examined 10 649 adult recipients of a primary transplant performed at 26 centers across the United States in the Transplant Skin Cancer Network during 1 of 2 calendar years (either 2003 or 2008) identified through the Organ Procurement and Transplantation Network (OPTN) database. Recipients of all organs except intestine were included, and the follow-up periods were 5 and 10 years. Incident skin cancer was determined through detailed medical record review. Data on predictors were obtained from the OPTN database. The incidence rates for posttransplant skin cancer overall and for SCC, MM, and MCC were calculated per 100 000 person-years. Potential risk factors for posttransplant skin cancer were tested using multivariate Cox regression analysis to yield adjusted hazard ratios (HR). Overall, 10 649 organ transplant recipients (mean [SD] age, 51 [12] years; 3873 women [36%] and 6776 men [64%]) contributed 59 923 years of follow-up. The incidence rates for posttransplant skin cancer was 1437 per 100 000 person-years. Specific subtype rates for SCC, MM, and MCC were 812, 75, and 2 per 100 000 person-years, respectively. Statistically significant risk factors for posttransplant skin cancer included pretransplant skin cancer (HR, 4.69; 95% CI, 3.26-6.73), male sex (HR, 1.56; 95% CI, 1.34-1.81), white race (HR, 9.04; 95% CI, 6.20-13.18), age at transplant 50 years or older (HR, 2

  19. Climate factors play a limited role for past adaptation strategies in West Africa

    DEFF Research Database (Denmark)

    Mertz, Ole; Mbow, Cheikh; Nielsen, Jonas Østergaard;

    2010-01-01

    The Sudano-Sahelian zone of West Africa has experienced recurrent droughts since the mid-1970s and today there is considerable concern for how this region will be able to adapt to future climate change. To develop well targeted adaptation strategies, the relative importance of climate factors...... to be reflected in national adaptation strategies in the region....

  20. Bethe ansatz matrix elements as non-relativistic limits of form factors of quantum field theory

    NARCIS (Netherlands)

    Kormos, M.; Mussardo, G.; Pozsgay, B.

    2010-01-01

    We show that the matrix elements of integrable models computed by the algebraic Bethe ansatz (BA) can be put in direct correspondence with the form factors of integrable relativistic field theories. This happens when the S-matrix of a Bethe ansatz model can be regarded as a suitable non-relativistic

  1. Climate factors play a limited role for past adaptation strategies in West Africa

    DEFF Research Database (Denmark)

    Mertz, Ole; Mbow, Cheikh; Nielsen, Jonas Østergaard

    2010-01-01

    The Sudano-Sahelian zone of West Africa has experienced recurrent droughts since the mid-1970s and today there is considerable concern for how this region will be able to adapt to future climate change. To develop well targeted adaptation strategies, the relative importance of climate factors as ...

  2. First outbreak with MRSA in a Danish neonatal intensive care unit: risk factors and control procedures.

    Directory of Open Access Journals (Sweden)

    Benedicte Grenness Utke Ramsing

    Full Text Available INTRODUCTION: The purpose of the study was to describe demographic and clinical characteristics and outbreak handling of a large methicillin-resistant Staphylococcus aureus (MRSA outbreak in a neonatal intensive care unit (NICU in Denmark June 25(th-August 8(th 2008, and to identify risk factors for MRSA transmission. METHODS: Data were collected retrospectively from medical records and the Danish Neobase database. All MRSA isolates obtained from neonates, relatives and NICU health care workers (HCW as well as environmental cultures were typed. RESULTS: During the 46 day outbreak period, 102 neonates were admitted to the two neonatal wards. Ninety-nine neonates were subsequently sampled, and 32 neonates (32% from 25 families were colonized with MRSA (spa-type t127, SCCmec V, PVL negative. Thirteen family members from 11 of those families (44% and two of 161 HCWs (1% were colonized with the same MRSA. No one was infected. Five environmental cultures were MRSA positive. In a multiple logistic regression analysis, nasal Continuous Positive Airway Pressure (nCPAP treatment (p = 0.006 and Caesarean section (p = 0.016 were independent risk factors for MRSA acquisition, whereas days of exposure to MRSA was a risk factors in the unadjusted analysis (p = 0.04. CONCLUSIONS: MRSA transmission occurs with high frequency in the NICU during hospitalization with unidentified MRSA neonates. Caesarean section and nCPAP treatment were identified as risk factors for MRSA colonization. The MRSA outbreak was controlled through infection control procedures.

  3. Personal risk factors for carpal tunnel syndrome in female visual display unit workers

    Directory of Open Access Journals (Sweden)

    Matteo Riccò

    2016-12-01

    Full Text Available Objectives: Carpal tunnel syndrome (CTS is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU. The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy. Material and Methods: Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38.14±7.81 years, mean working age 12.9±7.24 years. Signs and symptoms were collected during compulsory occupational medical surveillance. The binary logistic regression was used to estimate adjusted odds ratios for the factors of interest. Results: Diagnosis of CTS was reported in 48 cases (7.6%, 11 of them or 1.7% after a surgical correction for the incidence of 5.94/1000 person-years. In general, signs and symptoms of CTS were associated with the following demographic factors: previous trauma of upper limb (adjusted odds ratio (ORa = 8.093, 95% confidence interval (CI: 2.347–27.904, history (> 5 years of oral contraceptives therapy/hormone replacement therapy (ORa = 3.77, 95% CI: 1.701–8.354 and cervical spine signs/symptoms (ORa = 4.565, 95% CI: 2.281–9.136. Conclusions: The prevalence of CTS was similar to the estimates for the general population of Italy. Among personal risk factors, hormone therapy, previous trauma of the upper limb and signs/symptoms of the cervical spine appeared to be associated with a higher risk of CTS syndrome. Eventually, the results reinforce interpretation of CTS in VDU workers as a work-related musculoskeletal disorder rather than a classical occupational disease. Int J Occup Med Environ Health 2016;29(6:927–936

  4. Personal risk factors for carpal tunnel syndrome in female visual display unit workers.

    Science.gov (United States)

    Riccò, Matteo; Cattani, Silvia; Signorelli, Carlo

    2016-11-18

    Carpal tunnel syndrome (CTS) is the most common nerve entrapment syndrome, which since the beginning of the seventies has been linked to the keyboard and visual display unit (VDU). The objective of this study was to investigate the prevalence and personal factors associated with CTS in female VDU workers in Italy. Participants in this study were female adult subjects, working ≥ 20 h/week (N = 631, mean age 38.14±7.81 years, mean working age 12.9±7.24 years). Signs and symptoms were collected during compulsory occupational medical surveillance. The binary logistic regression was used to estimate adjusted odds ratios for the factors of interest. Diagnosis of CTS was reported in 48 cases (7.6%, 11 of them or 1.7% after a surgical correction) for the incidence of 5.94/1000 person-years. In general, signs and symptoms of CTS were associated with the following demographic factors: previous trauma of upper limb (adjusted odds ratio (ORa) = 8.093, 95% confidence interval (CI): 2.347-27.904), history (> 5 years) of oral contraceptives therapy/hormone replacement therapy (ORa = 3.77, 95% CI: 1.701-8.354) and cervical spine signs/symptoms (ORa = 4.565, 95% CI: 2.281-9.136). The prevalence of CTS was similar to the estimates for the general population of Italy. Among personal risk factors, hormone therapy, previous trauma of the upper limb and signs/symptoms of the cervical spine appeared to be associated with a higher risk of CTS syndrome. Eventually, the results reinforce interpretation of CTS in VDU workers as a work-related musculoskeletal disorder rather than a classical occupational disease. Int J Occup Med Environ Health 2016;29(6):927-936.

  5. LM-type tests for idiosyncratic and common unit roots in the exact factor model with AR(1) dynamics

    NARCIS (Netherlands)

    Solberger, M.; Zhou, X.

    2013-01-01

    Recent developments within the panel unit-root literature have illustrated how the exact factor model serves as a parsimonious framework and allows for consistent maximum likelihood inference even when it is misspecified contra the more general approximate factor model. In this paper we consider an

  6. The beliefs in the inheritance of risk factors for suicide scale (BIRFSS): cross-cultural validation in Estonia, Malaysia, Romania, the United Kingdom, and the United States.

    Science.gov (United States)

    Voracek, Martin; Loibl, Lisa Mariella; Swami, Viren; Vintilă, Mona; Kõlves, Kairi; Sinniah, Dhachayani; Pillai, Subash Kumar; Ponnusamy, Subramaniam; Sonneck, Gernot; Furnham, Adrian; Lester, David

    2008-12-01

    The genetics of suicide is increasingly recognized and relevant for mental health literacy, but actual beliefs may lag behind current knowledge. We examined such beliefs in student samples (total N = 686) from Estonia, Malaysia, Romania, the United Kingdom, and the United States with the Beliefs in the Inheritance of Risk Factors for Suicide Scale. Cultural effects were small, those of key demographics nil. Several facets of construct validity were demonstrated. Marked differences in perceived plausibility of evidence about the genetics of suicide according to research design, observed in all samples, may be of general interest for investigating lay theories of abnormal behavior and communicating behavioral and psychiatric genetic research findings.

  7. Risky sexual behavior among rural female adolescents in Malaysia: a limited role of protective factors.

    Science.gov (United States)

    Ahmadian, Maryam; Hamsan, Hanina H; Abdullah, Haslinda; Samah, Asnarulkhadi Abu; Noor, Amna Md

    2014-03-23

    This paper presents the findings of a cross-sectional survey on the risk and protective factors of premarital sexual behavior among rural female adolescents in Peninsular Malaysia. We investigated data on 770 female respondents aged 13-17 years in rural areas to identify predictive factors for premarital sexual intercourse. Data were analyzed using bivariate and multivariate regression. Specific socio-demographic factors, psychological and family domains, peer delinquency, and knowledge and attitudes about sexuality were considered in risky sexual behaviors in rural Malay girls. The effects of other covariates for premarital sexual intercourse were controlled by logistic regression model. Of the 770 rural female students, about 3.2% of respondents reported experience of sexual intercourse in the past three months. Out of those sexually active girls, 36% were 17 years old and 20% stated having sexual intercourse with more than one partner, and 72% did not use contraception during the most recent sexual intercourse. Midnight activities, peer-sexual disorder, self-evaluation, and attitude toward sexual health were significant predictors of sexual intercourse in rural girls in Malaysia. The finding highlights the impact of psychological factors and peer group influences on the challenges of premarital sexual behavior among rural girls and the notion of school-based sexual health education for adolescents. This study triggers other researchers take into account a comprehensive view of protective factors operating in adolescents' risky sexual behaviors in Asian culture seeing that family domain variables, unexpectedly, exerted no predicting influence on sexually active female teens in rural areas in Malaysia.

  8. Pigment epithelium-derived factor (PEDF): a novel trophoblast-derived factor limiting feto-placental angiogenesis in late pregnancy.

    Science.gov (United States)

    Loegl, Jelena; Nussbaumer, Erika; Hiden, Ursula; Majali-Martinez, Alejandro; Ghaffari-Tabrizi-Wizy, Nassim; Cvitic, Silvija; Lang, Ingrid; Desoye, Gernot; Huppertz, Berthold

    2016-07-01

    The rapidly expanding feto-placental vasculature needs tight control by paracrine and endocrine mechanisms. Here, we focused on paracrine influence by trophoblast, the placental epithelium. We aimed to identify differences in regulation of feto-placental angiogenesis in early versus late pregnancy. To this end, the effect of conditioned media (CM) from early and late pregnancy human trophoblast was tested on network formation, migration and proliferation of human feto-placental endothelial cells. Only CM of late pregnancy trophoblast reduced network formation and migration. Screening of trophoblast transcriptome for anti-angiogenic candidates identified pigment epithelium-derived factor (PEDF) with higher expression and protein secretion in late pregnancy trophoblast. Addition of a PEDF-neutralizing antibody restored the anti-angiogenic effect of CM from late pregnancy trophoblast. Notably, human recombinant PEDF reduced network formation only in combination with VEGF. Also in the CAM assay, the combination of PEDF with VEGF reduced branching of vessels below control levels. Analysis of phosphorylation of ERK1/2 and FAK, two key players in VEGF-induced proliferation and migration, revealed that PEDF altered VEGF signaling, while PEDF alone did not affect phosphorylation of ERK1/2 and FAK. These data suggest that the trophoblast-derived anti-angiogenic molecule PEDF is involved in restricting growth and expansion of the feto-placental endothelium predominantly in late pregnancy and targets to modulate the intracellular effect of VEGF.

  9. Covariant quark model of form factors in the heavy mass limit

    OpenAIRE

    Yaouanc, A. Le; Oliver, L; Pène, O.; Raynal, J. -C.

    1995-01-01

    We show that quark models of current matrix-elements based on the Bakamjian-Thomas construction of relativistic states with a fixed number of particles, plus the additivity assumption, are covariant in the heavy-quark limit and satisfy the full set of heavy-quark symmetry relations discovered by Isgur and Wise. We find the lower bound of $\\rho^2$ in such models to be $3/4$ for ground state mesons, independently of any parameter. Another welcome property of these models is that in the infinite...

  10. Theory of factors limiting high gradient operation of warm accelerating structures

    Energy Technology Data Exchange (ETDEWEB)

    Nusinovich, Gregory S. [Univ. of Maryland, College Park, MD (United States)

    2014-07-22

    This report consists of two parts. In the first part we describe a study of the heating of microprotrusions on surfaces of accelerating structures. This ;process is believed to lead to breakdown in these structures. Our study revealed that for current accelerator parameters melting should not occur due to space charge limitations of the current emitted by a protrusion. The second part describes a novel concept to develop THz range sources based on harmonic cyclotron masers for driving future colliders. This work was stimulated by a recent request of SLAC to develop high power, high-efficiency sources of sub-THz radiation for future high-gradient accelerators.

  11. On limitation of quality factor of single mode resonators with finite size

    CERN Document Server

    Ferdous, Fahmida; Vyatchanin, Sergey P; Matsko, Andrey B; Maleki, Lute

    2014-01-01

    Using realistic numerical models we analyze radiative loss of bound and unbound modes of specially designed high-Q whispering gallery and Fabry-Perot cavities of similar size and shape, and find a set of parameters when they can be treated as single mode structures. We show that these cavities have similar properties in spite of their different loss mechanisms. The cavity morphology engineering does not lead to reduction of the resonator quality factor.

  12. Experimental Research and Control Strategy of Pumped Storage Units Dispatching in the Taiwan Power System Considering Transmission Line Limits

    Directory of Open Access Journals (Sweden)

    Ming-Tse Kuo

    2013-07-01

    Full Text Available Taiwan’s power system is isolated and not supported by other interconnected systems. Consequently, the system frequency immediately reflects changes in the system loads. Pumped storage units are crucial for controlling power frequency. These units provide main or auxiliary capacities, reducing the allocation of frequency-regulating reserve (FRR and further reducing generation costs in system operations. Taiwan’s Longmen Nuclear Power Plant is set to be converted for commercial operations, which will significantly alter the spinning reserves in the power system. Thus, this study proposes a safe and economic pumped storage unit dispatch strategy. This strategy is used to determine the optimal FRR capacity and 1-min recovery frequency in a generator failure occurrence at the Longmen Power Plant. In addition, this study considered transmission capacity constraints and conducted power flow analysis of the power systems in Northern, Central, and Southern Taiwan. The results indicated that, in the event of a failure at Longmen Power Plant, the proposed strategy can not only recover the system frequency to an acceptable range to prevent underfrequency load-shedding, but can also mitigate transmission line overloading.

  13. Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Ana Carolina Vieira Costa Fernandes Távora

    2008-02-01

    Full Text Available This study was designed to describe the epidemiology and risk factors for nosocomial infection (NI in a Brazilian neonatal intensive care unit (NICU. This study was a retrospective cohort from January to December, 2003. All neonates admitted to the NICU. Infection surveillance was conducted according to the NNIS, CDC. Chi-square test and logistic regression model were performed for statistical analyses. The study was conducted at a public, tertiary referral NICU of a teaching hospital in the Northeast of Brazil. A total of 948 medical records were reviewed. Overall NI incidence rate was 34%. The main neonatal NI was bloodstream infection (68.1%, with clinical sepsis accounting for 47.2%, and pneumonia was the second most common NI (8.6%. Multivariate analysis identified seven independent risk factors for NIs: birth weight, exposure to parenteral nutrition, percutaneous catheter, central venous catheter or mechanical ventilation, abruptio placentae and mother's sexually transmitted disease (STD. Neonates from mothers with STD or abruptio placentae, those weighing less than 1,500 g at birth or those who used invasive devices were at increased risk for acquiring NI.

  14. Exploratory factor analysis for differentiating sensory and mechanical variables related to muscle-tendon unit elongation

    Directory of Open Access Journals (Sweden)

    Mauro H. Chagas

    2016-01-01

    Full Text Available ABSTRACT Background Stretching exercises are able to promote adaptations in the muscle-tendon unit (MTU, which can be tested through physiological and biomechanical variables. Identifying the key variables in MTU adaptations is crucial to improvements in training. Objective To perform an exploratory factor analysis (EFA involving the variables often used to evaluate the response of the MTU to stretching exercises. Method Maximum joint range of motion (ROMMAX, ROM at first sensation of stretching (FSTROM, peak torque (torqueMAX, passive stiffness, normalized stiffness, passive energy, and normalized energy were investigated in 36 participants during passive knee extension on an isokinetic dynamometer. Stiffness and energy values were normalized by the muscle cross-sectional area and their passive mode assured by monitoring the EMG activity. Results EFA revealed two major factors that explained 89.68% of the total variance: 53.13% was explained by the variables torqueMAX, passive stiffness, normalized stiffness, passive energy, and normalized energy, whereas the remaining 36.55% was explained by the variables ROMMAX and FSTROM. Conclusion This result supports the literature wherein two main hypotheses (mechanical and sensory theories have been suggested to describe the adaptations of the MTU to stretching exercises. Contrary to some studies, in the present investigation torqueMAX was significantly correlated with the variables of the mechanical theory rather than those of the sensory theory. Therefore, a new approach was proposed to explain the behavior of the torqueMAX during stretching exercises.

  15. Factors influencing the implementation of school wellness policies in the United States, 2009.

    Science.gov (United States)

    Budd, Elizabeth L; Schwarz, Cynthia; Yount, Byron W; Haire-Joshu, Debra

    2012-01-01

    The quality of school wellness policy implementation varies among schools in the United States. The objective of this study was to characterize the school wellness policy environment nationally and identify factors influencing the quality and effectiveness of policy implementation. We invited school administrators from 300 high schools to complete a questionnaire; 112 administrators responded. We performed a 2-step cluster analysis to help identify factors influencing the implementation of school wellness policies. Eighty-two percent of schools reported making staff aware of policy requirements; 77% established a wellness committee or task force, 73% developed administrative procedures, and 56% trained staff for policy implementation. Most commonly reported challenges to implementation were lack of time or coordination of policy team (37% of respondents) and lack of monetary resources (33%). The core domains least likely to be implemented were communication and promotion (63% of respondents) and evaluation (54%). Cluster 1, represented mostly by schools that have taken action toward implementing policies, had higher implementation and effectiveness ratings than Cluster 2, which was defined by taking fewer actions toward policy implementation. In Cluster 1, accountability was also associated with high ratings of implementation quality and effectiveness. The development of organizational capacity may be critical to ensuring an environment that promotes high-quality policy implementation. Assessing, preventing, and addressing challenges; establishing clear definitions and goals; and requiring accountability for enacting policy across all core domains are critical to ensuring high-quality implementation.

  16. Supply and Demand Factors in Understanding the Educational Earnings Differentials: West Germany and the United States

    Directory of Open Access Journals (Sweden)

    Gulgun Bayaz Ozturk

    2011-12-01

    Full Text Available This paper uses data from the March Current Population Survey and German Socio-Economic Panel to investigate the role of market forces and the institutional constraints in explaining the educational earnings differentials in the United States and West Germany. We make use of simple supply and demand framework to differentiate the effects of market forces from wage-setting institutions. Results indicate that differential growth in the relative employment of skilled workers is responsible for the differences in returns to skill in both countries over the period of analysis. In particular, rising educational attainment is the major factor underlying the changes in the employment of skilled workers in each country and it is followed by institutional factors. However, in addition to the differential growth in relative demand for skilled labor, differences in wage-setting institutions explain most of the cross-country differences in skill premia. We also provide evidence for polarization of jobs which is a recent phenomenon in both labor markets.

  17. Obstetric patients in a surgical intensive care unit: prognostic factors and outcome.

    Science.gov (United States)

    Mjahed, K; Hamoudi, D; Salmi, S; Barrou, L

    2006-07-01

    The objective of this study was to assess the incidence, prognostic factors and the outcome of obstetric patients admitted in a surgical intensive care unit (SICU) during the ante-partum or postpartum period (within 6 weeks of delivery). Between 1995 and 2002, the patients transferred from the department of obstetrics were retrospectively included into the study. Demographics included: obstetric data, medical and surgical histories, diagnosis, simplified acute physiology score (SAPS II), acute physiology and chronic health evaluation system APACHE II score; and the occurrence of organ failure, therapeutic interventions, length of stay in the SICU and outcome were recorded. During the study period, 364 obstetric patients were admitted to the SICU. Obstetric admissions to the SICU represented 0.6% of all deliveries and the SICU utilisation rate was 14.96%. The main indications for admission were eclampsia (70.6%) and postpartum haemorrhage (16.2%). The overall mortality rate was 16.7% (n = 61). In a logistic regression model, risk factors for death included organ system failure (odds ratio (OR) = 3.95 confidence interval (CI) [1.84 - 8.48], bilirubin >12 mg/l (OR = 1.017 CI [1.00 - 1.03]), and prolonged prothrombin time (OR = 0.97 CI [0.95 - 0.99]). Median length of stay was longer in non- survivors (6.5 +/- 7.3 vs 5.5 +/- 4.6 days). Maternal condition on admission and associated complications are the major determinant of maternal outcome.

  18. Prevalence of major risk factors and use of screening tests for cancer in the United States.

    Science.gov (United States)

    Fedewa, Stacey A; Sauer, Ann Goding; Siegel, Rebecca L; Jemal, Ahmedin

    2015-04-01

    Much of the suffering and death from cancer could be prevented by more systematic efforts to reduce tobacco use, improve diet, increase physical activity, reduce obesity, and expand the use of established screening tests. Monitoring the prevalence of cancer risk factors and screening is important to measure progress and strengthen cancer prevention and early detection efforts. In this review article, we provide recent prevalence estimates for several cancer risk factors, including tobacco, obesity, physical activity, nutrition, ultraviolet radiation exposure as well as human papillomavirus and hepatitis B vaccination coverage and cancer screening prevalence in the United States. In 2013, cigarette smoking prevalence was 17.8% among adults nationally, but ranged from 10.3% in Utah to 27.3% in West Virginia. In addition, 15.7% of U.S. high school students were current smokers. In 2011-2012, obesity prevalence was high among both adults (34.9%) and adolescents (20.5%), but has leveled off since 2002. About 20.2% of high school girls were users of indoor tanning devices, compared with 5.3% of boys. In 2013, cancer screening prevalence ranged from 58.6% for colorectal cancer to 80.8% for cervical cancer and remains low among the uninsured, particularly for colorectal cancer screening where only 21.9% of eligible adults received recommended colorectal cancer screening. ©2015 American Association for Cancer Research.

  19. Continuum limit of the leading order HQET form factor in B{sub s}→Klν decays

    Energy Technology Data Exchange (ETDEWEB)

    Bahr, Felix; Banerjee, Debasish; Koren, Mateusz; Simma, Hubert; Sommer, Rainer [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany). John von Neumann-Inst. fuer Computing NIC; Bernardoni, Fabio [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany). John von Neumann-Inst. fuer Computing NIC; Technische Univ. Dresden (Germany). Medizinische Fakultaet ' ' Carl Gustav Carus' ' ; Joseph, Anosh [Cambridge Univ. (United Kingdom). Dept. of Applied Mathematics and Theoretical Physics (DAMTP); Collaboration: ALPHA Collaboration

    2016-01-15

    We discuss the computation of form factors for semi-leptonic decays of B-, B{sub s}- mesons in lattice QCD. Considering in particular the example of the static B{sub s} form factors we demonstrate that after non-perturbative renormalization the continuum limit can be taken with confidence. The resulting precision is of interest for extractions of V{sub ub}. The size of the corrections of order 1/m{sub b} is just estimated at present but it is expected that their inclusion does not pose significant difficulties.

  20. Parametric Limits of Efficient Use of a Centrifugal Water Atomizer in Contact Waste-Gas Heat-Utilization Units

    Science.gov (United States)

    Bezrodnyi, M. K.; Rachinskii, A. Yu.; Barabash, P. A.; Goliyad, N. N.

    2016-07-01

    The relation for the limiting temperature of water heating in a contact gas-droplet-type apparatus with a centrifugal atomizer has been determined experimentally in relation to the conditions of utilization of heat of power plant waste-gases. Investigations were carried out in the range of excess water pressures in front of the atomizer 0.2-0.6 MPa and of the volume fraction of steam in the vapor-gas mixture at the inlet of the apparatus from 0.02 to 0.45. The possibility of using the obtained dependence for calculating the limiting values of the vapor-gas flow parameters that limit the range of efficient operation of the contact apparatus with steam condensation and in the absence of heated liquid droplet evaporation is shown.

  1. Inhalation injury in a burn unit: a retrospective review of prognostic factors

    Science.gov (United States)

    Monteiro, D.; Silva, I.; Egipto, P.; Magalhães, A.; Filipe, R.; Silva, A.; Rodrigues, A.; Costa, J.

    2017-01-01

    Summary Inhalation injury (InI) is known to seriously affect the prognosis of burn patients, as it is strongly associated with high morbidity and mortality. Despite major advances in the treatment of burn patients in the past years, advances in the treatment of smoke InI have been somewhat limited; mortality reduction mostly results from improvements in critical care. It is difficult to separate the contribution of InI from other mechanisms that also affect respiratory tract and lungs. The aim of this study was to compare patients with and without InI and to identify prognostic factors among patients with smoke InI. Patients with InI displayed higher total body surface area (TBSA) burned, higher incidence of pneumonia and acute respiratory distress syndrome (ARDS), a higher rate of positive blood cultures and a significantly higher death rate. We could conclude that older age, higher TBSA, ARDS and pneumonia were independent predictive factors for mortality in our global study population. Older age and higher TBSA were the only independent factors found to be predictive of mortality in patients with InI.

  2. Risk factors associated with swine dysentery in East-European pig production units

    Directory of Open Access Journals (Sweden)

    Mirko C.P.

    2005-01-01

    Full Text Available The objective of the present study was to determine the risk factors for swine dysentery in East-European middle-size to large farrow to finish units with separate breeding and grower-finisher facilities. Ten breeding animals (3-10% of the female inventory and 10 grower tinisher pigs (80-140 days-of age were sampled in each herd for polymerase chain reaction testing (PCR for Brachyspira hyodysenteriae (B hyo in their feces. Of 139 farrow to finish units, 51 (36.7% were positive, 49 (35,3% were negative, and 39 (28.1% were inconclusive for B hyo by PCR. In breeding subunits, twelve variables passed the screening criterion for risk factors (P<.2 for B hyo PCR positivity. The odds of the breeding subunits being B hyo PCR positive were 3.5 times greater when the grower-finisher subunit was positive and the fiber content of the diet was >6%. Use of "all in all out" farrowing policy and having >60% multiparous sows, each reduced the odds of being B hyo PCR positive about fourfold. In growing-finishing subunits, fourteen variables passed the screening criterion for risk factors (P<-2 for B hyo PCR positivity. B hyo PCR positive status of the breeding subunits and higher fiber content of the diet were the most influential variable, with the odds of the grower-finisher subunits being B hyo PCR positive almost eight times greater when the breeding subunit was also B hyo PCR positive. Grower-finisher B hyo PCR positivity was also associated with the percentage of pigs housed on concrete slats, with the odds of being positive 7.5 times higher for subunits where more that 70% of the animals were kept on concrete slats compared to all other floor types. There was a strong association between grower-finisher status and whether the animals were in outdoor lots with the odds of being B hyo PCR positive substantially lower for pigs in outdoor lots compared with all other surfaces.

  3. Explosive limits and its container factors of polybasic explosive mixture gas containing H2, CH4 and CO

    Institute of Scientific and Technical Information of China (English)

    胡耀元; 李勇; 朱凯汉; 周邦智; 杨元法

    2002-01-01

    Explosive characteristics of polybasic explosive mixture gas are systematically researched. Over 28000 experimental data have been obtained from 1278 effective experiments. The paper probes into the concentration explosive limits and the container factors of polybasic explosive mixture gas which contains H2, CH4 and CO. It has worked out the sufficient and necessary condition for branch-chain explosion and the unified expression of the probability of the heterogeneous chain termination. Experiments indicate that the concentration explosive limits of polybasic explosive mixture gas (H2, CH4, CO) relate to many factors. They enlarge with the augmentability of the container (linear size, geometric shape, and flame spread direction). This will be of great significance to guiding the revision of related industrial safety targets, reclaiming and reusing related industrial tail gas and waste gas, taking precautions against the explosion hazard of mixture gas in correlated industry and mines, and applying the br

  4. Nosocomial infections and risk factors in intensive care unit of a university hospital

    Directory of Open Access Journals (Sweden)

    Zuhal Yesilbağ

    2015-09-01

    Full Text Available Objective: The aim of this study is to evaluate nosocomial infections (NIs in intensive care unit (ICU in terms of site of infection, distribution of pathogens and risk factors for developing infection. Methods: 80 patients staying for more than 48 hours in the ICU were included in the study. Epidemiologic characteristics of the patients, invasive procedures and other risk factors were noted. Cultures, identification of isolates and antibiotic susceptibility tests were made by standard microbiologic methods. Results: Of 56 patients who have developed NIs, 26 (50% had pneumonia, 15 (28.8% had bloodstream infections and 6 (11.5% had urinary tract infections. Klebsiella pneumoniae (23.5%, Pseudomonas aeruginosa (19.6%, and Acinetobacter spp. (15.6% were the most frequently isolated microorganisms, respectively. For Klebsiella pneumoniae isolates, extended spectrum beta lactamase (ESBL rate was 91.6%, carbapenem resistance rate was 15.6% and for Pseudomonas aeruginosa and Acinetobacter spp. carbapenem resistance rates were 60% and 100% respectively. Hemodialysis, enteral nutrition, total parenteral nutrition and prolonged hospitalization for more than 10 days were determined as independent risk factors for developing NI. Additionally Acute Physiology and Chronic Health Evaluation (APACHE II score, length of ICU stay and lenght of hospital stay before ICU were found to be high in the NI group. Conclusion: Pneumonia is the most common NI and carbapenem resistance in Gram-negative bacilli was remarkably high in our ICU. It was considered that infection control measures must be applied carefully, invasive procedures should be used in correct indications and we should avoid long-term hospitalization if unnecessary. J Clin Exp Invest 2015; 6 (3: 233-239

  5. Risk factors for legal induced abortion-related mortality in the United States.

    Science.gov (United States)

    Bartlett, Linda A; Berg, Cynthia J; Shulman, Holly B; Zane, Suzanne B; Green, Clarice A; Whitehead, Sara; Atrash, Hani K

    2004-04-01

    To assess risk factors for legal induced abortion-related deaths. This is a descriptive epidemiologic study of women dying of complications of induced abortions. Numerator data are from the Abortion Mortality Surveillance System. Denominator data are from the Abortion Surveillance System, which monitors the number and characteristics of women who have legal induced abortions in the United States. Risk factors examined include age of the woman, gestational length of pregnancy at the time of termination, race, and procedure. Main outcome measures include crude, adjusted, and risk factor-specific mortality rates. During 1988-1997, the overall death rate for women obtaining legally induced abortions was 0.7 per 100000 legal induced abortions. The risk of death increased exponentially by 38% for each additional week of gestation. Compared with women whose abortions were performed at or before 8 weeks of gestation, women whose abortions were performed in the second trimester were significantly more likely to die of abortion-related causes. The relative risk (unadjusted) of abortion-related mortality was 14.7 at 13-15 weeks of gestation (95% confidence interval [CI] 6.2, 34.7), 29.5 at 16-20 weeks (95% CI 12.9, 67.4), and 76.6 at or after 21 weeks (95% CI 32.5, 180.8). Up to 87% of deaths in women who chose to terminate their pregnancies after 8 weeks of gestation may have been avoidable if these women had accessed abortion services before 8 weeks of gestation. Although primary prevention of unintended pregnancy is optimal, among women who choose to terminate their pregnancies, increased access to surgical and nonsurgical abortion services may increase the proportion of abortions performed at lower-risk, early gestational ages and help further decrease deaths. II-2

  6. Draft audit report, human factors engineering control room design review: Saint Lucie Nuclear Power Plant, Unit No. 2

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, L.R.; Lappa, D.A.; Moore, J.W.

    1981-09-03

    A human factors engineering preliminary design review of the Saint Lucie Unit 2 control room was performed at the site on August 3 through August 7, 1981. This design review was carried out by a team from the Human Factors Engineering Branch, Division of Human Factors Safety. This report was prepared on the basis of the HFEB's review of the applicant's Preliminary Design Assessment and the human factors engineering design review/audit performed at the site. The review team included human factors consultants from BioTechnology, Inc., Falls Church, Virginia, and from Lawrence Livermore National Laboratory (University of California), Livermore, California.

  7. Hilbert-space factorization is a limited and expensive information-processing resource

    CERN Document Server

    Fields, Chris

    2014-01-01

    By taking the need for quantum reference frames into account, it is shown that Hilbert-space factorization is a dissipative process requiring on the order of kT to reduce by one bit an observer's uncertainty in the provenance of a classically-recorded observational outcome. This cost is neglected in standard treatments of decoherence that assume that observational outcomes are obtained by interacting with a collection of degrees of freedom identified a priori. Treating this cost explicitly leads to a natural measure of the probability of any particular quantum reference frame.

  8. EXAMINATION OF SILICATE LIMITATION OF PRIMARY PRODUCTION IN JIAOZHOU BAY, CHINA Ⅰ. SILICATE BEING A LIMITING FACTOR OF PHYTOPLANKTON PRIMARY PRODUCTION

    Institute of Scientific and Technical Information of China (English)

    杨东方; 张经; 吕吉斌; 高振会; 陈豫

    2002-01-01

    Jiaozhou Bay data collected from May 1991 to February 1994, in 12 seasonal investigations, and provided the authors by the Ecological Station of Jiaozhou B ay, were analyzed to determine the spatiotemporal variations in temperature, light, nutrients (NO-3-N, NO-2-N, NH+4-N, SiO2-3-Si, PO3-4-P), phytoplankton, and primary production in Jiaozhou Bay. The results indicated that only silicate correlated well in time and space with, and had important effects on, the characteristics, dynamic cycles and trends of, primary production in Jiaozhou Bay. The authors developed a corresponding dynamic model of primary production and silicate and water temperature. Eq.(1) of the model shows that the primary production variation is controlled by the nutrient Si and affected by water temp erature; that the main factor controlling the primary production is Si; that water temper ature affects the composition of the structure of phytoplankton assemblage; that the different populations of the phytoplankton assemblage occupy different ecologica l niches for C, the apparent ratio of conversion of silicate in seawater into phytoplankton biomas and D, the coefficient of water temperature's effect on phytoplankton biomass. The authors researched the silicon source of Jiaozhou Bay , the biogeochemical sediment process of the silicon, the phytoplankton predominan t species and the phytoplankton structure. The authors considered silicate a limit ing factor of primary production in Jiaozhou Bay, whose decreasing concentration of silicate from terrestrial source is supposedly due to dilution by current and up take by phytoplankton; quantified the silicate assimilated by phytoplankton, the intrins ic ratio of conversion of silicon into phytoplankton biomass, the proportion of silicate uptaken by phytoplankton and diluted by current; and found that the primary production of the phytoplankton is determined by the quantity of the silicate assimilated by them. The phenomenon of apparently high plant

  9. EXAMINATION OF SILICATE LIMITATION OF PRIMARY PRODUCTION IN JIAOZHOU BAY, CHINA——I. SILICATE BEING A LIMITING FACTOR OF PHYTOPLANKTON PRIMARY PRODUCTION

    Institute of Scientific and Technical Information of China (English)

    杨东方; 张经; 吕吉斌; 高振会; 陈豫

    2002-01-01

    Jiaozhou Bay data collected from May 1991 to February 1994, in 12 seasonal investigations, and provided the authors by the Ecological Station of Jiaozhou Bay, were analyzed to determine the spatiotemporal variations in temperature, light, nutrients (NO3--N, NO2--N, NH4+-N, SIO32--Si, PO43--P), phytoplankton, and primary production in Jiaozhou Bay. The results indicated that only silicate correlated well in time and space with, and had important effects on, the characteristics, dynamic cycles and trends of, primary production in Jiaozhou Bay. The authors developed a corresponding dynamic model of primary production and silicate and water temperature. Eq. ( 1 ) of the model shows that the primary production variation is controlled by the nutrient Si and affected by water temperature; that the main factor controlling the primary production is Si; that water temperature affects the composition of the structure of phytoplankton assemblage; that the different populations of the phytoplankton assemblage occupy different ecological niches for C, the apparent ratio of conversion of silicate in seawater into phytoplankton biomas and D, the coefficient of water temperature's effect on phytoplankton biomass. The authors researched the silicon source of Jiaozhou Bay, the biogeochemical sediment process of the silicon, the phytoplankton predominant species and the phytoplankton structure. The authors considered silicate a limiting factor of primary production in Jiaozhou Bay, whose decreasing concentration of silicate from terrestrial source is supposedly due to dilution by current and uptake by phytoplankton; quantified the silicate assimilated by phytoplankton, the intrinsic ratio of conversion of silicon into phytoplankton biomass, the proportion of silicate uptaken by phytoplankton and diluted by current; and found that the primary production of the phytoplankton is determined by the quantity of the silicate assimilated by them. The phenomenon of apparently high plant

  10. Translocation of Neurospora crassa transcription factor NUC-1 into the nucleus is induced by phosphorus limitation.

    Science.gov (United States)

    Peleg, Y; Addison, R; Aramayo, R; Metzenberg, R L

    1996-09-01

    NUC-1, a basic helix-loop-helix zipper protein, activates the expression of several genes involved in phosphorus acquisition in Neurospora crassa. In the present study we investigated whether posttranscriptional mechanisms control the activity of NUC-1. The NUC-1 level was higher (up to fivefold) in wild-type cells grown at low external phosphate concentration and in mutant strains expressing the phosphorus acquisition genes constitutively than in a wild-type strain grown at high external phosphate concentration. Using indirect immunofluorescence we demonstrated that NUC-1 is localized at least predominantly in the cytosol when wild-type N. crassa is grown with an adequate supply of phosphate, whereas NUC-1 is largely concentrated in the nucleus upon limitation of external phosphate. In mutant strains expressing the phosphorus acquisition genes constitutively, NUC-1 localization was also primarily in the nucleus. Thus, subcellular compartmentation of regulatory proteins is an important mechanism in regulating gene expression in filamentous fungi.

  11. Airflow limitation as a risk factor for low bone mineral density and hip fracture

    Science.gov (United States)

    Herland, Trine; Apalset, Ellen M; Eide, Geir Egil; Tell, Grethe S; Lehmann, Sverre

    2016-01-01

    Aim To investigate whether airflow limitation is associated with bone mineral density (BMD) and risk of hip fractures. Methods A community sample of 5,100 subjects 47–48 and 71–73 years old and living in Bergen was invited. Participants filled in questionnaires and performed a post-bronchodilator spirometry measuring forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). All attendants were invited to have a BMD measurement of the hip. During 10 years of follow-up, information on death was collected from the Norwegian Cause of Death Registry, and incident hip fractures were registered from regional hospital records of discharge diagnoses and surgical procedure codes. Results The attendance rate was 69% (n=3,506). The prevalence of chronic obstructive pulmonary disease (COPD) (FEV1/FVC<0.7) was 9%. In multiple logistic regression, the lowest quartile of BMD versus the three upper was significantly predicted by FEV1/FVC<0.7 and FEV1% predicted (odds ratio [OR]: 1.58, 95% confidence interval [CI]: 1.11 to 2.25, and OR per increase of 10%: 0.92, 95% CI: 0.86 to 0.99, respectively). Hip fracture occurred in 126 (4%) participants. In a Cox regression analysis, FEV1% predicted was associated with a lowered risk of hip fracture (hazard ratio per increase of 10%: 0.89, 95% CI: 0.79 to 0.997). Conclusion Airflow limitation is positively associated with low BMD and risk of hip fracture in middle-aged and elderly. PMID:27733234

  12. Seasonal shift in climatic limiting factors on tree transpiration: evidence from sap flow observations at alpine treelines in southeast Tibet

    Directory of Open Access Journals (Sweden)

    Liu Xinsheng

    2016-07-01

    Full Text Available Alpine and northern treelines are primarily controlled by low temperatures. However, little is known about the impact of low soil temperature on tree transpiration at treelines. We aim to test the hypothesis that in cold-limited forests, the main limiting factors for tree transpiration switch from low soil temperature before summer solstice to atmospheric evaporative demand after summer solstice, which generally results in low transpiration in the early growing season. Sap flow, meteorological factors and predawn needle water potential were continuously monitored throughout one growing season across Smith fir (Abies georgei var. smithii and juniper (Juniperus saltuaria treelines in southeast Tibet. Sap flow started in early May and corresponded to a threshold mean air-temperature of 0 oC. Across tree species, transpiration was mainly limited by low soil temperature prior to the summer solstice but by vapor pressure deficit and solar radiation post-summer solstice, which was further confirmed on a daily scale. As a result, tree transpiration for both tree species was significantly reduced in the pre-summer solstice period as compared to post-summer solstice, resulting in a lower predawn needle water potential for Smith fir trees in the early growing season. Our data supported the hypothesis, suggesting that tree transpiration mainly responds to soil temperature variations in the early growing season. The results are important for understanding the hydrological response of cold-limited forest ecosystems to climate change.

  13. Seasonal Shift in Climatic Limiting Factors on Tree Transpiration: Evidence from Sap Flow Observations at Alpine Treelines in Southeast Tibet.

    Science.gov (United States)

    Liu, Xinsheng; Nie, Yuqin; Luo, Tianxiang; Yu, Jiehui; Shen, Wei; Zhang, Lin

    2016-01-01

    Alpine and northern treelines are primarily controlled by low temperatures. However, little is known about the impact of low soil temperature on tree transpiration at treelines. We aim to test the hypothesis that in cold-limited forests, the main limiting factors for tree transpiration switch from low soil temperature before summer solstice to atmospheric evaporative demand after summer solstice, which generally results in low transpiration in the early growing season. Sap flow, meteorological factors and predawn needle water potential were continuously monitored throughout one growing season across Smith fir (Abies georgei var. smithii) and juniper (Juniperus saltuaria) treelines in southeast Tibet. Sap flow started in early May and corresponded to a threshold mean air-temperature of 0°C. Across tree species, transpiration was mainly limited by low soil temperature prior to the summer solstice but by vapor pressure deficit and solar radiation post-summer solstice, which was further confirmed on a daily scale. As a result, tree transpiration for both tree species was significantly reduced in the pre-summer solstice period as compared to post-summer solstice, resulting in a lower predawn needle water potential for Smith fir trees in the early growing season. Our data supported the hypothesis, suggesting that tree transpiration mainly responds to soil temperature variations in the early growing season. The results are important for understanding the hydrological response of cold-limited forest ecosystems to climate change.

  14. Limited segregation of different types of sound localization information among classes of units in the inferior colliculus.

    Science.gov (United States)

    Chase, Steven M; Young, Eric D

    2005-08-17

    The auditory system uses three cues to decode sound location: interaural time differences (ITDs), interaural level differences (ILDs), and spectral notches (SNs). Initial processing of these cues is done in separate brainstem nuclei, with ITDs in the medial superior olive, ILDs in the lateral superior olive, and SNs in the dorsal cochlear nucleus. This work addresses the nature of the convergence of localization information in the central nucleus of the inferior colliculus (ICC). Ramachandran et al. (1999) argued that ICC neurons of types V, I, and O, respectively, receive their predominant inputs from ITD-, ILD-, and SN-sensitive brainstem nuclei, suggesting that these ICC response types should be differentially sensitive to localization cues. Here, single-unit responses to simultaneous manipulation of pairs of localization cues were recorded, and the mutual information between discharge rate and individual cues was quantified. Although rate responses to cue variation were generally consistent with those expected from the hypothesized anatomical connections, the differences in information were not as large as expected. Type I units provide the most information, especially about SNs in the physiologically useful range. Type I and O units provide information about ILDs, even at low frequencies at which actual ILDs are very small. ITD information is provided by a subset of all low-frequency neurons. Type V neurons provide information mainly about ITDs and the average binaural intensity. These results are the first to quantify the relative representation of cues in terms of information and suggest a variety of degrees of cue integration in the ICC.

  15. Endogenous tissue factor pathway inhibitor has a limited effect on host defence in murine pneumococcal pneumonia.

    Science.gov (United States)

    van den Boogaard, Florry E; van 't Veer, Cornelis; Roelofs, Joris J T H; Meijers, Joost C M; Schultz, Marcus J; Broze, George J; van der Poll, Tom

    2015-07-01

    Streptococcus (S.) pneumoniae is the most common causative pathogen in community-acquired pneumonia. Coagulation and inflammation interact in the host response to infection. Tissue factor pathway inhibitor (TFPI) is a natural anticoagulant protein that inhibits tissue factor (TF), the main activator of inflammation-induced coagulation. It was the objective of this study to investigate the effect of endogenous TFPI levels on coagulation, inflammation and bacterial growth during S. pneumoniae pneumonia in mice. The effect of low endogenous TFPI levels was studied by administration of a neutralising anti-TFPI antibody to wild-type mice, and by using genetically modified mice expressing low levels of TFPI, due to a genetic deletion of the first Kunitz domain of TFPI (TFPIK1(-/-)) rescued with a human TFPI transgene. Pneumonia was induced by intranasal inoculation with S. pneumoniae and samples were obtained at 6, 24 and 48 hours after infection. Anti-TFPI reduced TFPI activity by ~50 %. Homozygous lowTFPI mice and heterozygous controls had ~10 % and ~50 % of normal TFPI activity, respectively. TFPI levels did not influence bacterial growth or dissemination. Whereas lung pathology was unaffected in all groups, mice with ~10 % (but not with ~50 %) of TFPI levels displayed elevated lung cytokine and chemokine concentrations 24 hours after infection. None of the groups with low TFPI levels showed an altered procoagulant response in lungs or plasma during pneumonia. These data argue against an important role for endogenous TFPI in the antibacterial, inflammatory and procoagulant response during pneumococcal pneumonia.

  16. Sociological Factors and Structural Limitations on College Students' Participation in Recreational Activities

    Directory of Open Access Journals (Sweden)

    Metin KILIÇ

    2013-12-01

    Full Text Available Socio-cultural factors are said to exist on the basis of the participating in the recreational activities. In today's complex social structure, institutionally, individuals' recreational activities have become a problematic issue. Thus, it is thought to be vital that studies must be done in order to create spaces for recreational activities for the integration of young people with the existing social structure and increase the participation level to these activities. This research was carried out on the students who studied in different faculties of Adiyaman University in 2012-2013. The sample of research was determined according to random sampling technique, compliant with the criteria's of the level of representing the population. The study is a descriptive field research in which 391 questionnaires were conducted. As a result of the research it was determined that the college students' recreation opportunities, which are factors in the process of socializing and effect their personalities, are inadequate. Besides, striking results were gained regarding their expectations from university.

  17. Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

    Directory of Open Access Journals (Sweden)

    Karien Jooste

    2013-01-01

    Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

  18. Factors influencing ground-water recharge in the eastern United States

    Science.gov (United States)

    Nolan, B.T.; Healy, R.W.; Taber, P.E.; Perkins, K.; Hitt, K.J.; Wolock, D.M.

    2007-01-01

    Ground-water recharge estimates for selected locations in the eastern half of the United States were obtained by Darcian and chloride-tracer methods and compared using statistical analyses. Recharge estimates derived from unsaturated-zone (RUZC) and saturated-zone (RSZC) chloride mass balance methods are less variable (interquartile ranges or IQRs are 9.5 and 16.1 cm/yr, respectively) and more strongly correlated with climatic, hydrologic, land use, and sediment variables than Darcian estimates (IQR = 22.8 cm/yr). The unit-gradient Darcian estimates are a nonlinear function of moisture content and also reflect the uncertainty of pedotransfer functions used to estimate hydraulic parameters. Significance level is 0.3. Estimates of RSZC were evaluated using analysis of variance, multiple comparison tests, and an exploratory nonlinear regression (NLR) model. Recharge generally is greater in coastal plain surficial aquifers, fractured crystalline rocks, and carbonate rocks, or in areas with high sand content. Westernmost portions of the study area have low recharge, receive somewhat less precipitation, and contain fine-grained sediment. The NLR model simulates water input to the land surface followed by transport to ground water, depending on factors that either promote or inhibit water infiltration. The model explains a moderate amount of variation in the data set (coefficient of determination = 0.61). Model sensitivity analysis indicates that mean annual runoff, air temperature, and precipitation, and an index of ground-water exfiltration potential most influence estimates of recharge at sampled sites in the region. Soil characteristics and land use have less influence on the recharge estimates, but nonetheless are significant in the NLR model. ?? 2006 Elsevier B.V. All rights reserved.

  19. Comparison of Risk Factors in Necrotizing Enterocolitis among Infants in Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Ferda Ozlu

    2013-08-01

    Full Text Available Purpose: Necrotizing enterocolitis is one of the important problems of premature infants. The incidence is about 1-5% in infants followed in neonatal care units and inversely related to gestational age and birth weight. Materials and Methods: In this study, 31 infants with necrotizing enterocolitis and 31 infants with similar gestational age and birth weight as control group hospitalized in Cukurova University Neonatal Care Unit between 1 January 2001-31 January 2004 were evaluated. Results: The incidence of necrotizing enterocolitis in this period was 1.4 (31/2214 admission. Mean gestational age was 30.5  3.2 weeks (25-36, mean birth weight was 1331  384 (730-2150 grams while 71% was younger than 32 gestational weeks and 67.7% was under 1500 grams. The signs of NEC were detected at a mean of 11.2  10. (2-38 days. Twenty-six (83.9% were being fed at the time of the necrotizing enterocolitis signs appeared. According to the Walsh and Kliegman classification, 19 (61.3% infants were in stage 1 (17 were 1a, 2 were 1b; 3 (9.6% infants were in stage 2a, 9 (%29.1 infants were in stage 3 (7 were in 3b. Blood culture was positive in 7 (%22.6 infants with predominance of gram negative microorganisms (5 infants. Eleven (%35.5 infants were exitus, 12 were discharged. Hypoxia, respiratory distress syndrome, intraventricular hemorrhage and umbilical catheterization were significant risk factors in necrotizing enterocolitis . Thrombocytopenia, leucopenia and high C-reactive protein levels were significantly high in necrotizing enterocolitis group. Breast feeding is significantly high in control group. Conclusion: Necrotizing enterocolitis, is a leading cause of morbidity and mortality in neonatal intensive care units. Early breast feeding with small amounts, increasing amount of milk slowly, antenatal steroids, caring hygiene rules can prevent the development of it. [Cukurova Med J 2013; 38(4.000: 642-647

  20. A measurement of the QCD colour factors and a limit on the light gluino

    CERN Document Server

    Barate, R; Décamp, D; Ghez, P; Goy, C; Lees, J P; Lucotte, A; Minard, M N; Nief, J Y; Odier, P; Pietrzyk, B; Casado, M P; Chmeissani, M; Comas, P; Crespo, J M; Delfino, M C; Fernández, E; Fernández-Bosman, M; Garrido, L; Juste, A; Martínez, M; Miquel, R; Mir, L M; Orteu, S; Padilla, C; Park, I C; Pascual, A; Perlas, J A; Riu, I; Sánchez, F; Teubert, F; Colaleo, A; Creanza, D; De Palma, M; Gelao, G; Iaselli, Giuseppe; Maggi, G; Maggi, M; Marinelli, N; Nuzzo, S; Ranieri, A; Raso, G; Ruggieri, F; Selvaggi, G; Silvestris, L; Tempesta, P; Tricomi, A; Zito, G; Huang, X; Lin, J; Ouyang, Q; Wang, T; Xie, Y; Xu, R; Xue, S; Zhang, J; Zhang, L; Zhao, W; Abbaneo, D; Alemany, R; Bazarko, A O; Bright-Thomas, P G; Cattaneo, M; Cerutti, F; Drevermann, H; Forty, Roger W; Frank, M; Hagelberg, R; Harvey, J; Janot, P; Jost, B; Kneringer, E; Knobloch, J; Lehraus, Ivan; Lutters, G; Mato, P; Minten, Adolf G; Moneta, L; Pacheco, A; Pusztaszeri, J F; Ranjard, F; Rensing, P E; Rizzo, G; Rolandi, Luigi; Schlatter, W D; Schmelling, M; Schmitt, M; Schneider, O; Tejessy, W; Tomalin, I R; Wachsmuth, H W; Wagner, A; Ajaltouni, Ziad J; Barrès, A; Boyer, C; Falvard, A; Ferdi, C; Gay, P; Guicheney, C; Henrard, P; Jousset, J; Michel, B; Monteil, S; Montret, J C; Pallin, D; Perret, P; Podlyski, F; Proriol, J; Rosnet, P; Rossignol, J M; Fearnley, Tom; Hansen, J B; Hansen, J D; Hansen, J R; Hansen, P H; Nilsson, B S; Rensch, B; Wäänänen, A; Daskalakis, G; Kyriakis, A; Markou, C; Simopoulou, Errietta; Siotis, I; Vayaki, Anna; Zachariadou, K; Blondel, A; Bonneaud, G R; Brient, J C; Bourdon, P; Rougé, A; Rumpf, M; Valassi, Andrea; Verderi, M; Videau, H L; Candlin, D J; Parsons, M I; Focardi, E; Parrini, G; Corden, M; Georgiopoulos, C H; Jaffe, D E; Antonelli, A; Bencivenni, G; Bologna, G; Bossi, F; Campana, P; Capon, G; Casper, David William; Chiarella, V; Felici, G; Laurelli, P; Mannocchi, G; Murtas, F; Murtas, G P; Passalacqua, L; Pepé-Altarelli, M; Curtis, L; Dorris, S J; Halley, A W; Knowles, I G; Lynch, J G; O'Shea, V; Raine, C; Scarr, J M; Smith, K; Teixeira-Dias, P; Thompson, A S; Thomson, E; Thomson, F; Turnbull, R M; Becker, U; Geweniger, C; Graefe, G; Hanke, P; Hansper, G; Hepp, V; Kluge, E E; Putzer, A; Schmidt, M; Sommer, J; Tittel, K; Werner, S; Wunsch, M; Beuselinck, R; Binnie, David M; Cameron, W; Dornan, Peter J; Girone, M; Goodsir, S M; Martin, E B; Moutoussi, A; Nash, J; Sedgbeer, J K; Stacey, A M; Williams, M D; Dissertori, G; Girtler, P; Kuhn, D; Rudolph, G; Betteridge, A P; Bowdery, C K; Colrain, P; Crawford, G; Finch, A J; Foster, F; Hughes, G; Sloan, Terence; Williams, M I; Galla, A; Giehl, I; Greene, A M; Hoffmann, C; Jakobs, K; Kleinknecht, K; Quast, G; Renk, B; Rohne, E; Sander, H G; Van Gemmeren, P; Zeitnitz, C; Aubert, Jean-Jacques; Benchouk, C; Bonissent, A; Bujosa, G; Calvet, D; Carr, J; Coyle, P; Diaconu, C A; Etienne, F; Konstantinidis, N P; Leroy, O; Payre, P; Rousseau, D; Talby, M; Sadouki, A; Thulasidas, M; Trabelsi, K; Aleppo, M; Ragusa, F; Berlich, R; Blum, Walter; Büscher, V; Dietl, H; Dydak, Friedrich; Ganis, G; Gotzhein, C; Kroha, H; Lütjens, G; Lutz, Gerhard; Männer, W; Moser, H G; Richter, R H; Rosado-Schlosser, A; Schael, S; Settles, Ronald; Seywerd, H C J; Saint-Denis, R; Stenzel, H; Wiedenmann, W; Wolf, G; Boucrot, J; Callot, O; Chen, S; Choi, Y; Cordier, A; Davier, M; Duflot, L; Grivaz, J F; Heusse, A; Höcker, A; Jacholkowska, A; Jacquet, M; Kim, D W; Le Diberder, F R; Lefrançois, J; Lutz, A M; Nikolic, I A; Park, H J; Schune, M H; Simion, S; Veillet, J J; Videau, I; Zerwas, D; Azzurri, P; Bagliesi, G; Batignani, G; Bettarini, S; Bozzi, C; Calderini, G; Carpinelli, M; Ciocci, M A; Ciulli, V; Dell'Orso, R; Fantechi, R; Ferrante, I; Foà, L; Forti, F; Giassi, A; Giorgi, M A; Gregorio, A; Ligabue, F; Lusiani, A; Marrocchesi, P S; Messineo, A; Palla, Fabrizio; Sanguinetti, G; Sciabà, A; Spagnolo, P; Steinberger, Jack; Tenchini, Roberto; Tonelli, G; Vannini, C; Venturi, A; Verdini, P G; Blair, G A; Bryant, L M; Chambers, J T; Gao, Y; Green, M G; Medcalf, T; Perrodo, P; Strong, J A; Von Wimmersperg-Töller, J H; Botterill, David R; Clifft, R W; Edgecock, T R; Haywood, S; Maley, P; Norton, P R; Thompson, J C; Wright, A E; Bloch-Devaux, B; Colas, P; Emery, S; Kozanecki, Witold; Lançon, E; Lemaire, M C; Locci, E; Pérez, P; Rander, J; Renardy, J F; Roussarie, A; Schuller, J P; Schwindling, J; Trabelsi, A; Vallage, B; Black, S N; Dann, J H; Johnson, R P; Kim, H Y; Litke, A M; McNeil, M A; Taylor, G; Booth, C N; Boswell, R; Brew, C A J; Cartwright, S L; Combley, F; Kelly, M S; Lehto, M H; Newton, W M; Reeve, J; Thompson, L F; Böhrer, A; Brandt, S; Cowan, G D; Grupen, Claus; Saraiva, P; Smolik, L; Stephan, F; Apollonio, M; Bosisio, L; Della Marina, R; Giannini, G; Gobbo, B; Musolino, G; Rothberg, J E; Wasserbaech, S R; Armstrong, S R; Elmer, P; Feng, Z; Ferguson, D P S; Gao, Y S; González, S; Grahl, J; Greening, T C; Hayes, O J; Hu, H; McNamara, P A; Nachtman, J M; Orejudos, W; Pan, Y B; Saadi, Y; Scott, I J; Walsh, J; Wu Sau Lan; Wu, X; Yamartino, J M; Zheng, M; Zobernig, G

    1997-01-01

    Using data collected from 1992 to 1995 with the ALEPH detector at LEP, a measurement of the colour factor ratios CA/CF and TF/CF and the strong coupling constant $\\overline{\\alpha}_s = CF \\alpha_s(Mz)/ (2\\pi)$ has been performed by fitting theoretical predictions simultaneously to the measured differential two-jet rate and angular distributions in four-jet events. The result is found to be in excellent agreement with QCD, CA/CF = 2.20 +- 0.09 (stat) +- 0.13 (syst) , TF/CF = 0.29 +- 0.05 (stat) +- 0.06 (syst) . Fixing CA/CF$ and TF/CF to the QCD values permits a determination of $\\alpha_s(Mz)$ and nf, the number of active flavours. With this measurement the existence of a gluino with mass below 6.3 GeV/c^2 is excluded at 95% confidence level.

  1. Systematic repression of transcription factors reveals limited patterns of gene expression changes in ES cells

    Science.gov (United States)

    Nishiyama, Akira; Sharov, Alexei A.; Piao, Yulan; Amano, Misa; Amano, Tomokazu; Hoang, Hien G.; Binder, Bernard Y.; Tapnio, Richard; Bassey, Uwem; Malinou, Justin N.; Correa-Cerro, Lina S.; Yu, Hong; Xin, Li; Meyers, Emily; Zalzman, Michal; Nakatake, Yuhki; Stagg, Carole; Sharova, Lioudmila; Qian, Yong; Dudekula, Dawood; Sheer, Sarah; Cadet, Jean S.; Hirata, Tetsuya; Yang, Hsih-Te; Goldberg, Ilya; Evans, Michele K.; Longo, Dan L.; Schlessinger, David; Ko, Minoru S. H.

    2013-01-01

    Networks of transcription factors (TFs) are thought to determine and maintain the identity of cells. Here we systematically repressed each of 100 TFs with shRNA and carried out global gene expression profiling in mouse embryonic stem (ES) cells. Unexpectedly, only the repression of a handful of TFs significantly affected transcriptomes, which changed in two directions/trajectories: one trajectory by the repression of either Pou5f1 or Sox2; the other trajectory by the repression of either Esrrb, Sall4, Nanog, or Tcfap4. The data suggest that the trajectories of gene expression change are already preconfigured by the gene regulatory network and roughly correspond to extraembryonic and embryonic fates of cell differentiation, respectively. These data also indicate the robustness of the pluripotency gene network, as the transient repression of most TFs did not alter the transcriptomes. PMID:23462645

  2. LAND PROPERTY STRUCTURE - A LIMITING FACTOR IN STRENGTHENING THE AGRICULTURAL HOLDINGS

    Directory of Open Access Journals (Sweden)

    Ramona DOBRE

    2013-01-01

    Full Text Available Romania has the largest number of EU holdings. For this purpose, this paper analyses the effect of the excessive agricultural land fragmentation caused by the laws and measures adopted in the previous period. The existence of small holdings is influenced by the land property structures and at the same time, by the training and experience level of holders (heads of holdings. For writing this paper, analyse of statistical data was used in terms of identifying the impact factors which leaded to this holdings situation and, specially, to the fragmentation phenomena, obviously in the agricultural economy. Are highlighted, in order to study the impact, the historical evolution of the Romanian village, the Romanian peasant psychology on property, ownership thirst, desire to have land that would be just his and the need of being the only one who operates it and has benefits of its exploitation. This conception, however, tends to obsession and is generated by a system that has takenthe land from the peasant, leaving him without the essential object of his work. There still exists the fear of no longer having the land, impregnated a lot in their thinking; these resulted in a blockage concerning association, cooperation, lease or any form that could increase the agricultural holdings dimensions. This thinking is manifested in aged population, which is still one of the main problems of the Romanian rural. The effect of these factors, but also of others who will be found in the work act in a negative manner on the formation of a competitive agriculture with an European management orientation. That is why studying them may lead to solutions for the reduction of their influence, the formation of viable social structures and economically valuable.

  3. United States Marine Corps Career Designation Board: Significant Factors in Predicting Selection

    Science.gov (United States)

    2014-03-01

    Total Force Data Warehouse USMC United States Marine Corps USNA United States Naval Academy WTI Weapons and Tactics Instructor XO...Tactics Instructor ( WTI ), Professional Military Education (PME) complete, and Special Education/Advanced Degree Programs’ graduates had a

  4. Geomorphology and accommodation space as limiting factors on tsunami deposition: Chatham Island, southwest Pacific Ocean

    Science.gov (United States)

    Nichol, S. L.; Chagué-Goff, C.; Goff, J. R.; Horrocks, M.; McFadgen, B. G.; Strotz, L. C.

    2010-07-01

    Chatham Island in the southwest Pacific Ocean is exposed on all sides to potential tsunami impact. In historical time, tsunamis are known to have inundated the coast on several occasions, with the largest event in 1868. Coastal dunes along the northeast coast of Chatham Island preserve sedimentary evidence of this and possibly earlier tsunami events, as localised gravel lags. However, these deposits lack a clear stratigraphic context and establishing their age is difficult. This study examines the sediment record in a freshwater wetland at Okawa Point, located directly landward of the dunes where apparent tsunami gravels occur. Sediment descriptions, pollen, foraminifera, chemical data and radiocarbon dates from cores are used to reconstruct the environmental history of the wetland. The record extends from ca. > 43 ka to the present and incorporates glacial, post-glacial and human-influenced phases. Throughout this time the wetland appears to have remained isolated from catastrophic marine inundation. The only evidence for saltwater intrusion is observed in the historic period, via geochemical, grain size and pollen data, which record a marine inundation event that forced the transport of a thin (cm-thick) deposit of dune and beach sand into the seaward edge of the wetland. This is interpreted as the signature of the 1868 tsunami. The lack of more widespread physical evidence for this and other tsunami events in the wetland is attributed to the morphological roughness afforded by coastal dunes and limited accommodation space for Holocene deposits.

  5. Attitude of Healthcare Professionals: A Major Limiting Factor in Organ Donation from Brain-Dead Donors

    Directory of Open Access Journals (Sweden)

    Maciej Kosieradzki

    2014-01-01

    Full Text Available Public attitude toward deceased donor organ recovery in Poland is quite positive, with only 15% opposing to donation of their own organs, yet actual donation rate is only 16/pmp. Moreover, donation rate varies greatly (from 5 to 28 pmp in different regions of the country. To identify the barriers of organ donation, we surveyed 587 physicians involved in brain death diagnosis from regions with low (LDR and high donation rates (HDR. Physicians from LDR were twice more reluctant to start diagnostic procedure when clinical signs of brain death were present (14% versus 5.5% physicians from HDR who would not diagnose death, resp.. Twenty-five percent of LDR physicians (as opposed to 12% of physicians from HDR would either continue with intensive therapy or confirm brain death and limit to the so-called minimal therapy. Only 32% of LDR physicians would proceed with brain death diagnosis regardless of organ donation, compared to 67% in HDR. When donation was not an option, mechanical ventilation would be continued more often in LDR regions (43% versus 26.7%; P<0.01. In conclusion, low donation activity seems to be mostly due to medical staff attitude.

  6. STUDY OF VENTILATOR ASSOCIATED PNEUMONIA IN NEONATAL INTESIVE CARE UNIT: CHARACTERISTICS, RISK FACTORS AND OUTCOME

    Directory of Open Access Journals (Sweden)

    Dr. Shalini Tripathi

    2010-01-01

    Full Text Available Ventilator Associated Pneumonia (VAP, the nosocomial pneumonia developing in mechanically ventilated patients after 48 hours of mechanical ventilation, is the second most common nosocomial infection. Therefore, there is a vital need to study the etiology and risk factors associated with VAP in neonates. Neonates admitted to neonatal intensive care unit (NICU, over a period of 1 year and who required mechanical ventilation for more than 48 hours were enrolled consecutively into the study. Diagnosis of VAP was made by the guidelines given by National Nosocomial infection Surveillance System (NNIS, 1996. Semi-quantitative assay of endotracheal aspirate was used for microbiological diagnoses of VAP. 105CFU/ml was taken as the cut off between evidence of pathological infection and colonization. The risk factors such as birth weight, prematurity (gestational age < 37 weeks, duration of mechanical ventilation, number of reintubations, length of hospital stay, primary diagnosis of neonate, postnatal age and small for gestational age (SGA were studied for the development of VAP. Risk factors found significant on bivariate analysis were subjected to multiple regression analysis to determine the most important predictors of VAP. The study group comprised of 98 neonates out of which, 30 neonates developed VAP (30.6%. VAP rates were 37.2 per 1000 days of mechanical ventilation. Most common bacterial isolated from endotracheal aspirate of VAP patients was Klebsiella spp (32.8%, E.coli (23.2% and Acinetobacter (17.8% being the other two common organisms. Very low birth weight (< 1500 grams, prematurity (gestational age < 37 week, duration of mechanical ventilation, number of reintubations and length of NICU stay were significantly associated with VAP in bivariate analysis. Multiple regression analysis revealed that duration of mechanical ventilation (OR 1.10, 95% CI 1.02, 1.21; P = 0.021 and very low birth weight (OR 3.88, 95% CI 1.05, 14.34; P = 0.042 were

  7. Sewage sludge, compost and other representative organic wastes as agricultural soil amendments: Benefits versus limiting factors.

    Science.gov (United States)

    Alvarenga, Paula; Mourinha, Clarisse; Farto, Márcia; Santos, Teresa; Palma, Patrícia; Sengo, Joana; Morais, Marie-Christine; Cunha-Queda, Cristina

    2015-06-01

    Nine different samples of sewage sludges, composts and other representative organic wastes, with potential interest to be used as agricultural soil amendments, were characterized: municipal sewage sludge (SS1 and SS2), agro industrial sludge (AIS), municipal slaughterhouse sludge (MSS), mixed municipal solid waste compost (MMSWC), agricultural wastes compost (AWC), compost produced from agricultural wastes and sewage sludge (AWSSC), pig slurry digestate (PSD) and paper mill wastes (PMW). The characterization was made considering their: (i) physicochemical parameters, (ii) total and bioavailable heavy metals (Cd, Cr, Cu, Ni, Pb, Zn and Hg), (iii) organic contaminants, (iv) pathogenic microorganisms and (v) stability and phytotoxicity indicators. All the sludges, municipal or other, comply with the requirements of the legislation regarding the possibility of their application to agricultural soil (with the exception of SS2, due to its pathogenic microorganisms content), with a content of organic matter and nutrients that make them interesting to be applied to soil. The composts presented, in general, some constraints regarding their application to soil, and their impairment was due to the existence of heavy metal concentrations exceeding the proposed limit of the draft European legislation. As a consequence, with the exception of AWSSC, most compost samples were not able to meet these quality criteria, which are more conservative for compost than for sewage sludge. From the results, the composting of sewage sludge is recommended as a way to turn a less stabilized waste into a material that is no longer classified as a waste and, judging by the results of this work, with lower heavy metal content than the other composted materials, and without sanitation problems. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. Limited Field Investigation Report for Uranium Contamination in the 300 Area, 300-FF-5 Operable Unit, Hanford Site, Washington

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Bruce A.; Brown, Christopher F.; Um, Wooyong; Nimmons, Michael J.; Peterson, Robert E.; Bjornstad, Bruce N.; Lanigan, David C.; Serne, R. Jeffrey; Spane, Frank A.; Rockhold, Mark L.

    2007-11-01

    Four new CERCLA groundwater monitoring wells were installed in the 300-FF-5 Operable Unit in FY 2006 to fulfill commitments for well installations proposed in the Hanford Federal Facility Agreement and Consent Order Milestone M-24-57. Wells were installed to collect data to determine the distribution of process uranium and other contaminants of potential concern in groundwater. These data will also support uranium contaminant transport simulations and the wells will supplement the water quality monitoring network for the 300-FF-5 OU. This report supplies the information obtained during drilling, characterization, and installation of the new groundwater monitoring wells. This document also provides a compilation of hydrogeologic, geochemical, and well construction information obtained during drilling, well development, and sample collection/analysis activities.

  9. Human capital and its spatial distribution as limiting factors for the balanced development of Serbia

    Directory of Open Access Journals (Sweden)

    Jokić Vesna

    2015-01-01

    Full Text Available Human capital is one of the key factors of economic and social development. Namely, the growth potential of a territory is largely dependent on human capital that is, on citizen’s creative potential and especially on their education. Society with a better endowment of human capital has a greater development potential. The subject of this paper is Serbia’s human capital seen from the point of view of workforce education structure (20-64 age group. In this paper we present spatial distribution of workforce, i.e. the differences in workforce education levels and polarization of Serbian territory in terms of human capital pool. The result is a typology of municipalities in Serbia based on calculated values of average completed education level - the EMN index. Mapping of the corresponding values was done at the municipality level in order to get a clear distinction and a more accurate picture of spatial disparities in human resources. [Projekat Ministarstva nauke Republike Srbije, br. III47014: The Role and Implementation of the National Spatial Plan and Regional Development Documents in Renewal of Strategic Research, Thinking and Governance in Serbia

  10. Million hearts: prevalence of leading cardiovascular disease risk factors--United States, 2005-2012.

    Science.gov (United States)

    Ritchey, Matthew D; Wall, Hilary K; Gillespie, Cathleen; George, Mary G; Jamal, Ahmed

    2014-05-30

    Each year, approximately 1.5 million U.S. adults have a heart attack or stroke, resulting in approximately 30 deaths every hour and, for nonfatal events, often leading to long-term disability. Overall, an estimated 14 million survivors of heart attacks and strokes are living in the United States. In 2011, the U.S. Department of Health and Human Services, in collaboration with nonprofit and private organizations, launched Million Hearts (http://www.millionhearts.hhs.gov), an initiative focused on implementing clinical and community-level evidence-based strategies to reduce cardiovascular disease (CVD) risk factors and prevent a total of 1 million heart attacks and strokes during the 5-year period 2012-2016. From 2005-2006 to the period with the most current data, analysis of the Million Hearts four "ABCS" clinical measures (for aspirin, blood pressure, cholesterol, and smoking) showed 1) no statistically significant change in the prevalence of aspirin use for secondary prevention (53.8% in 2009-2010), 2) an increase to 51.9% in the prevalence of blood pressure control (in 2011-2012), 3) an increase to 42.8% in the prevalence of cholesterol management (in 2011-2012), and 4) no statistically significant change in the prevalence of smoking assessment and treatment (22.2% in 2009-2010). In addition, analysis of two community-level indicators found 1) a decrease in current tobacco product smoking (including cigarette, cigar, or pipe use) prevalence to 25.1% in 2011-2012 and 2) minimal change in mean daily sodium intake (3,594 mg/day in 2009-2010). Although trends in some measures are encouraging, further reductions of CVD risk factors will be needed to meet Million Hearts goals by 2017.

  11. Delirium Frequency and Risk Factors Among Patients With Cancer in Palliative Care Unit.

    Science.gov (United States)

    Şenel, Gülcin; Uysal, Neşe; Oguz, Gonca; Kaya, Mensure; Kadioullari, Nihal; Koçak, Nesteren; Karaca, Serife

    2017-04-01

    Introductıon: Delirium is a complex but common disorder in palliative care with a prevalence between 13% and 88% but a particular frequency at the end of life yet often remains insufficiently diagnosed and managed. The aim of our study is to determine the frequency of delirium and identify factors associated with delirium at palliative care unit. Two hundred thirteen consecutive inpatients from October 1, 2012, to March 31, 2013, were studied prospectively. Age, gender, Palliative Performance Scale (PPS), Palliative Prognostic Index (PPI), length of stay in hospital, and delirium etiology and subtype were recorded. Delirium was diagnosed with using Delirium Rating Scale (DRS) and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Text Revision ( DSM-IV TR) criteria. The incidence of delirium among the patients with cancer was 49.8%. Mean age was 60.3 ± 14.8 (female 41%, male 59%, PPS 39.8%, PPI 5.9 ± 3.0, length of stay in hospital 8.6 ± 6.9 days). Univariate logistic regression analysis indicated that use of opioids, anticonvulsants, benzodiazepines, steroids, polypharmacy, infection, malnutrition, immobilization, sleep disturbance, constipation, hyperbilirubinemia, liver/renal failure, pulmonary failure/hypoxia, electrolyte imbalance, brain cancer/metastases, decreased PPS, and increased PPI were risk factors. Subtypes of delirium included hypoactive 49%, mixed 41%, and hyperactive 10%. The communicative impediments associated with delirium generate distress for the patient, their family, and health care practitioners who might have to contend with agitation and difficulty in assessing pain and other symptoms. To manage delirium in patients with cancer, clinicians must be able to diagnose it accurately and undertake appropriate assessment of underlying causes.

  12. The Dynamic Analysis of Hydropower House and Unit System in Coupled Hydraulic-mechanical-electric Factors

    Science.gov (United States)

    MA, Z. Y.; Wu, Q. Q.

    2016-11-01

    A hydraulic-mechanical-electric and structures coupled model of hydropower station system including subsystem models of the penstock, hydro-turbine model, speed governor, synchronous generator as well as grid, rotor-bearing system and powerhouse structure is established. This model is used to simulate the small fluctuation transient process of 10% load-up in the part load condition for hydropower station. Mechanical eccentric force, unbalanced magnetic pull and vortex pressure fluctuation at inlet of draft tube are considered in the numerical calculation. The interaction between hydraulic-mechanical-electric coupled factors and structural vibration properties during the small fluctuation transient process is studied. The results indicate that the speed regulation for turbine has very litter impact on the transient process of generator. In the process of small fluctuation with loading method in this paper, structure of powerhouse is greatly influenced by vortex pressure pulse in the draft tube, and the vibration of unit is excited by loads which caused by itself rotating.

  13. [Food addiction: Definition, measurement and limits of the concept, associated factors, therapeutic and clinical implications].

    Science.gov (United States)

    Cathelain, Sarah; Brunault, Paul; Ballon, Nicolas; Réveillère, Christian; Courtois, Robert

    2016-12-01

    Addictions, which are characterized by the inability to control a behavior despite existence of physical or psychological consequences, have biological, psychological and social determinants. Although the possibility of developing an addiction to some psychoactive substances (e.g. alcohol, tobacco, cannabis) and to gambling (i.e., gambling disorder) is now well demonstrated, the possibility to develop a non-drug addiction (i.e., behavioral addiction) to certain behaviors which provide pleasure (e.g. eating, having sex, buying things) is still in debate. The concept of food addiction, which refers to people who exhibit substance dependence criteria in relation to some high-fat and high-sugar foods, was recently proposed by applying substance dependence DSM criteria to eating behavior. To assess food addiction, the Yale Food Addiction Scale is now the only self-administered questionnaire (diagnosis and estimate of the number of symptoms of food addiction). Prevalence for food addiction is higher in overweight and obese patients, and in patients with certain psychopathological characteristics (i.e., depression, Attention Deficit Hyperactivity Disorder, high impulsivity), in patients who are single and in patients with neurobiological alterations in the reward system. However, it is still unclear whether food addiction is necessary associated with subsequent increase in body weight and/or obesity. An increasing number of studies demonstrated that drug addiction and food addiction shares some similar clinical, neurobiological and psychopathological and sociocultural risk factors. To test the pertinence to include food addiction as an addiction, it would be interesting to conduct future studies in patients who may experience harms related to their food addiction, including not only patients with obesity, but also patients with metabolic syndrome, type 2 diabetes, hypertension, dyslipidemia, atherosclerosis, stroke, or coronary heart disease. Food addiction is a clinical

  14. Field Derived Emission Factors For Formaldehyde and other Volatile Organic Compounds in FEMA Temporary Housing Units

    Energy Technology Data Exchange (ETDEWEB)

    Parthasarathy, Srinandini; Maddalena, Randy L.; Russell, Marion L.; Apte, Michael G.

    2010-10-01

    Sixteen previously occupied temporary housing units (THUs) were studied to assess emissions of volatile organic compounds. The whole trailer emission factors wereevaluated for 36 VOCs including formaldehyde. Indoor sampling was carried out in the THUs located in Purvis staging yard in Mississippi, USA. Indoor temperature andrelative humidity (RH) were also measured in all the trailers during sampling. Indoor temperatures were varied (increased or decreased) in a selection of THUs using theheating, ventilation and air conditioning (HVAC) systems. Indoor temperatures during sampling ranged from 14o C to 33o C, and relative humidity (RH) varied between 35percentand 74percent. Ventilation rates were increased in some trailers using bathroom fans and vents during some of the sampling events. Ventilation rates measured during some aselection of sampling events varied from 0.14 to 4.3 h-1. Steady state indoor formaldehyde concentrations ranged from 10 mu g-m-3 to 1000 mu g-m-3. The formaldehyde concentrations in the trailers were of toxicological significance. The effects of temperature, humidity and ventilation rates were also studied. A linearregression model was built using log of percentage relative humidity, inverse of temperature (in K-1), and inverse log ACH as continuous independent variables, trailermanufacturer as a categorical independent variable, and log of the chemical emission factors as the dependent variable. The coefficients of inverse temperature, log relativehumidity, log inverse ACH with log emission factor were found to be statistically significant for all the samples at the 95percent confidence level. The regression model wasfound to explain about 84percent of the variation in the dependent variable. Most VOC concentrations measured indoors in the Purvis THUs were mostly found to be belowvalues reported in earlier studies by Maddalena et al.,1,2 Hodgson et al.,3 and Hippelein4. Emissions of TMPB-DIB (a plasticizer found in vinyl products) were found

  15. On the discharge capability and its limiting factors of commercial 18650 Li-ion cell at low temperatures

    Science.gov (United States)

    Fan, Jiang

    We here study the discharge capability of commercial 18650 cylindrical lithium-ion cells at low temperatures. The discharge capacity at -20 °C ranges from 67 to 88% of the rated capacity at 0.2 C rate, which is good. However, the cell discharge capacity varies substantially at -30 and -40 °C among the studied cells. It ranges from 2 to 70% of the rated capacity at -30 °C, and 0 to 30% at -40 °C at 0.2 C rate. The cell impedance at 1 kHz increases very little from room temperature down to -20 or -30 °C in general, which does not correlate with the cell discharge capability. However, the dc impedance is increased by a factor of about ten at -30 °C and about twenty at -40 °C from room temperature. The discharge capability at low temperature correlates well with the dc resistance at both room and low temperatures. The limiting factors in the discharge capability at low temperatures and the direction for the future improvement are discussed according to the cell discharge capability, the electrode geometric area, the cell impedance at 1 kHz, and the dc impedance at various temperatures. It appears that the ionic conductivity of the electrolyte and lithium solid diffusion in the electrode do not limit the cell discharge capability, while the lithium diffusion in the SEI layer on the positive surface may be the limiting factor. Cell discharge capability at low temperature does not correlate with cycle life at room temperature.

  16. Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change

    Science.gov (United States)

    2011-01-01

    Background The burden of maternal mortality in resource limited countries is still huge despite being at the top of the global public health agenda for over the last 20 years. We systematically reviewed the impacts of interventions on maternal health and factors for change in these countries. Methods A systematic review was carried out using the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles published in the English language reporting on implementation of interventions, their impacts and underlying factors for maternal health in resource limited countries in the past 23 years were searched from PubMed, Popline, African Index Medicus, internet sources including reproductive health gateway and Google, hand-searching, reference lists and grey literature. Results Out of a total of 5084 articles resulting from the search only 58 qualified for systematic review. Programs integrating multiple interventions were more likely to have significant positive impacts on maternal outcomes. Training in emergency obstetric care (EmOC), placement of care providers, refurbishment of existing health facility infrastructure and improved supply of drugs, consumables and equipment for obstetric care were the most frequent interventions integrated in 52% - 65% of all 54 reviewed programs. Statistically significant reduction of maternal mortality ratio and case fatality rate were reported in 55% and 40% of the programs respectively. Births in EmOC facilities and caesarean section rates increased significantly in 71% - 75% of programs using these indicators. Insufficient implementation of evidence-based interventions in resources limited countries was closely linked to a lack of national resources, leadership skills and end-users factors. Conclusions This article presents a list of evidenced-based packages of interventions for maternal health, their impacts and factors for change in resource limited countries. It indicates that no single

  17. Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change.

    Science.gov (United States)

    Nyamtema, Angelo S; Urassa, David P; van Roosmalen, Jos

    2011-04-17

    The burden of maternal mortality in resource limited countries is still huge despite being at the top of the global public health agenda for over the last 20 years. We systematically reviewed the impacts of interventions on maternal health and factors for change in these countries. A systematic review was carried out using the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles published in the English language reporting on implementation of interventions, their impacts and underlying factors for maternal health in resource limited countries in the past 23 years were searched from PubMed, Popline, African Index Medicus, internet sources including reproductive health gateway and Google, hand-searching, reference lists and grey literature. Out of a total of 5084 articles resulting from the search only 58 qualified for systematic review. Programs integrating multiple interventions were more likely to have significant positive impacts on maternal outcomes. Training in emergency obstetric care (EmOC), placement of care providers, refurbishment of existing health facility infrastructure and improved supply of drugs, consumables and equipment for obstetric care were the most frequent interventions integrated in 52%-65% of all 54 reviewed programs. Statistically significant reduction of maternal mortality ratio and case fatality rate were reported in 55% and 40% of the programs respectively. Births in EmOC facilities and caesarean section rates increased significantly in 71%-75% of programs using these indicators. Insufficient implementation of evidence-based interventions in resources limited countries was closely linked to a lack of national resources, leadership skills and end-users factors. This article presents a list of evidenced-based packages of interventions for maternal health, their impacts and factors for change in resource limited countries. It indicates that no single magic bullet intervention exists for

  18. Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change

    Directory of Open Access Journals (Sweden)

    Urassa David P

    2011-04-01

    Full Text Available Abstract Background The burden of maternal mortality in resource limited countries is still huge despite being at the top of the global public health agenda for over the last 20 years. We systematically reviewed the impacts of interventions on maternal health and factors for change in these countries. Methods A systematic review was carried out using the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA. Articles published in the English language reporting on implementation of interventions, their impacts and underlying factors for maternal health in resource limited countries in the past 23 years were searched from PubMed, Popline, African Index Medicus, internet sources including reproductive health gateway and Google, hand-searching, reference lists and grey literature. Results Out of a total of 5084 articles resulting from the search only 58 qualified for systematic review. Programs integrating multiple interventions were more likely to have significant positive impacts on maternal outcomes. Training in emergency obstetric care (EmOC, placement of care providers, refurbishment of existing health facility infrastructure and improved supply of drugs, consumables and equipment for obstetric care were the most frequent interventions integrated in 52% - 65% of all 54 reviewed programs. Statistically significant reduction of maternal mortality ratio and case fatality rate were reported in 55% and 40% of the programs respectively. Births in EmOC facilities and caesarean section rates increased significantly in 71% - 75% of programs using these indicators. Insufficient implementation of evidence-based interventions in resources limited countries was closely linked to a lack of national resources, leadership skills and end-users factors. Conclusions This article presents a list of evidenced-based packages of interventions for maternal health, their impacts and factors for change in resource limited countries

  19. Sustainability in a global context: How does local factor affect the outcomes of CSR activities in international business units?

    DEFF Research Database (Denmark)

    Thomsen, Christa; Lauring, Jakob

    In recent years CSR has become increasingly important for the activities and branding of MNCs. While some studies have investigated CSR management and branding in domestic situations, fewer studies exist in the case of international business units (subsidiaries, joint ventures, and franchises...... as CSR branding outcomes). Our findings show that local values were positively associated with external CSR engagement and that employee relations were positively related to both internal and external CSR engagement. None of the local factors were significantly associated with CSR branding outcomes......). In this study, we use a sample consisting of 119 Danish business units that are located in China. We set out to investigate the relationship between local factors (the local business unit’s Chinese values and internal employee relations in the unit) and CSR outcomes (internal and external CSR engagement as well...

  20. Factors in the Development of School Libraries in Great Britain and the United States: A Comparative Study.

    Science.gov (United States)

    Knuth, Rebecca

    1995-01-01

    Provides an overview of school library development in Great Britain and the United States and discusses five factors that have facilitated or retarded school library development in each country: standards, staffing and certification, government support, rationale for school libraries, and professional organizations. (Author/LRW)

  1. Universal Beliefs and Specific Practices: Students' Math Self-Efficacy and Related Factors in the United States and China

    Science.gov (United States)

    Wu, Yin

    2016-01-01

    This study intends to compare and contrast student and school factors that are associated with students' mathematics self-efficacy in the United States and China. Using hierarchical linear regressions to analyze the Programme for International Student Assessment (PISA) 2012 data, this study compares math self-efficacy, achievement, and variables…

  2. The Context of Military Environments: An Agenda for Basic Research on Social and Organizational Factors Relevant to Small Units

    Science.gov (United States)

    2014-06-01

    currently in play ( Samuelson and Zeckhauser, 1988). A related notion is regret avoidance: since people experience greater regret for action than for...for Basic Research on Social and Organizational Factors Relevant to Small Units 56 THE CONTEXT OF MILITARY ENVIRONMENTS Samuelson , W., and R. Zeckhauser

  3. Evaluating ergonomic risk factors in non-regulated stone carving units of Jaipur.

    Science.gov (United States)

    Mukhopadhyay, Prabir; Srivastava, Saurabh

    2010-01-01

    Stone carving at Jaipur in Rajasthan state of India, is a traditional craft employing a large number of local youths. As an unorganized sector problems are many ranging from lack of benefits to occupational ergonomic issues of Work Related Musculoskeletal Disorders(WMSDs) and injury to body parts. Twenty five male workers were selected in each of the three sections of a stone carving unit. The focus was to identify different ergonomic risk factors associated in this profession from the field. Still photography and video photography was used to record different activities. Different types of non invasive tools like Rapid Entire Body Assessment (REBA), Rapid Upper Limb Assessment (RULA), Occupational Repetitive Action Index (OCRA) were used. Psychophysical measures were investigated by Body part discomfort map, rated perceived exertion scale and visual analogue scale. Objective measurements (heart arte and skin temperature) were recorded with stop watch and digital thermometer. The working heart rate after 30 minutes of work was 112.4 beats per minute categorizing the work as moderately heavy. Postural analysis by REBA indicated high score (13/13). Similarly postural analysis by RULA showed high score (7/7). These indicate vulnerability of many of the postures to musculoskeletal disorders and injury. The study indicates that majority of the activities are in the high risk category and demands immediate ergonomic intervention in the form of tool, workstation and process design. This could be done by involving different Non Government Organizations (NGOs), political parties, and the Human Rights Department both at the center and at the state level.

  4. Push Factor in Mexican Migration to the United States: The Background to Migration.

    Science.gov (United States)

    1980-07-01

    of mig’ants to the United States; and (4) Valsequillo, a densely populated area in Puebla . Roberts describes each region with the following variables...wages. Geographic information from the southwestern United States and from all of Mexico (by municipio ), including income and minimum wage data were used

  5. Distribution pattern and limiting factors of vegetation in coal waste pile of Xinzhuangzi coal mine in Huainan

    Institute of Scientific and Technical Information of China (English)

    CHU Zhao-xia; WANG Shun-chang; WANG Xing-ming

    2012-01-01

    In China,coal mine spoils have traditionally been dumped in cone-shaped heaps that have the potential to pollute air,soil and water environments.The coal waste pile occupies lots of arable land and endangers the ecological system in the coal mine district.Vegetation restoration is an efficient approach for controlling the environment pollution of coal waste pile,and is also a topic of current interest in restoration ecology and degradation system ecology.This study focused on the distribution pattern and limiting factors of vegetation in coal waste pile of Xinzhuangzi Coal Mine in Huainan.The results show that two stable plant communities (Synodon dactylon+Erigeron bonariensis.L+Setaria viridis community and Humulus scanden+Erigeron bonariensis.L community) exist at the bottom of the pile.Synodon dactylon and Erigeron bonariensis.L have much higher values of summed dominance ratio,which denote that these two species can be used for restoration of coal waste piles.The high levels of pH (8.77) and salinity,low levels of total P and total K in coal mine spoil can be the limiting factors for the residence and growth of vegetation.

  6. Beyond Trauma: Post-resettlement Factors and Mental Health Outcomes Among Latino and Asian Refugees in the United States.

    Science.gov (United States)

    Kim, Isok

    2016-08-01

    War-related traumas impact refugees' mental health. Recent literature suggests that structural and sociocultural factors related to the resettlement also become critical in shaping refugees' mental health. So far, there is limited empirical evidence to support this claim among resettled refugees. Resettlement contextual factors that influence mental health outcomes were examined using Latino and Asian refugees (n = 656) from a nationally representative survey. Linear and logistic regressions predicted factors associated with the study's outcomes (self-reported mental health, mood disorders, and anxiety disorders). Post-resettlement traumas were significantly associated with mental health outcomes, but pre-resettlement traumas were not. Unemployment, everyday discrimination, and limited English were significantly associated with mental health outcomes among both Latino and Asian refugees. The outcomes indicate that resettlement contextual factors have a significant association with refugees' mental health. Therefore, future studies with refugees must pay closer attention to structural and sociocultural factors after resettlement.

  7. Factors affecting the sensitivity and detection limits of MRI, CT, and SPECT for multimodal diagnostic and therapeutic agents.

    Science.gov (United States)

    Seevinck, Peter R; Seppenwoolde, Jan-Henry; de Wit, Tim C; Nijsen, Johannes F W; Beekman, Freek J; van Het Schip, Alfred D; Bakker, Chris J G

    2007-05-01

    Noninvasive imaging techniques like magnetic resonance imaging (MRI), computed tomography (CT) and single photon emission computed tomography (SPECT) play an increasingly important role in the diagnostic workup and treatment of cancerous disease. In this context, a distinct trend can be observed towards the development of contrast agents and radiopharmaceuticals that open up perspectives on a multimodality imaging approach, involving all three aforementioned techniques. To promote insight into the potentialities of such an approach, we prepared an overview of the strengths and limitations of the various imaging techniques, in particular with regard to their capability to quantify the spatial distribution of a multimodal diagnostic agent. To accomplish this task, we used a two-step approach. In the first step, we examined the situation for a particular therapeutic anti-cancer agent with multimodal imaging opportunities, viz. holmium-loaded microspheres (HoMS). Physical phantom experiments were performed to enable a comparative evaluation of the three modalities assuming the use of standard equipment, standard clinical scan protocols, and signal-known-exactly conditions. These phantom data were then analyzed so as to obtain first order estimates of the sensitivity and detection limits of MRI, CT and SPECT for HoMS. In the second step, the results for HoMS were taken as a starting point for a discussion of the factors affecting the sensitivity and detection limits of MRI, CT and SPECT for multimodal agents in general. In this, emphasis was put on the factors that must be taken into account when extrapolating the findings for HoMS to other diagnostic tasks, other contrast agents, other experimental conditions, and other scan protocols.

  8. Dynamical Downscaling of Climate Change Impacts on Wind Energy Resources in the Contiguous United States by Using a Limited-Area Model with Scale-Selective Data Assimilation

    Directory of Open Access Journals (Sweden)

    Bin Liu

    2014-01-01

    Full Text Available By using a limited-area model (LAM in combination with the scale-selective data assimilation (SSDA approach, wind energy resources in the contiguous United States (CONUS were downscaled from IPCC CCSM3 global model projections for both current and future climate conditions. An assessment of climate change impacts on wind energy resources in the CONUS region was then conducted. Based on the downscaling results, when projecting into future climate under IPCC’s A1B scenario, the average annual wind speed experiences an overall shift across the CONUS region. From the current climate to the 2040s, the average annual wind speed is expected to increase from 0.1 to 0.2 m s−1 over the Great Plains, Northern Great Lakes Region, and Southwestern United States located southwest of the Rocky Mountains. When projecting into the 2090s from current climate, there is an overall increase in the Great Plains Region and Southwestern United States located southwest of the Rockies with a mean wind speed increase between 0 and 0.1 m s−1, while, the Northern Great Lakes Region experiences an even greater increase from current climate to 2090s than over the first few decades with an increase of mean wind speed from 0.1 to 0.4 m s−1.

  9. Diffusion limitations and metabolic factors associated with inhibition and recovery of photosynthesis following cold stress in Elymus nutans Griseb.

    Science.gov (United States)

    Fu, Juanjuan; Gates, Roger N; Xu, Yuefei; Hu, Tianming

    2016-10-01

    attributed to reduced diffusion limitations and rapid recuperation of metabolic factors.

  10. Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL Limitations: Immigration and Other Factors Associated with Institutionalization

    Directory of Open Access Journals (Sweden)

    Esme Fuller-Thomson

    2012-09-01

    Full Text Available This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203, Korean (n = 131, Japanese (n = 193, Filipino (n = 309, Asian Indian (n = 169, Chinese (n = 404, Hawaiian/Pacific Islander (n = 54, and non-Hispanic whites (n = 55,040 aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8% (p < 0.001. After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively. When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.

  11. Composition of growth factors and cytokines in lysates obtained from fresh versus stored pathogen-inactivated platelet units.

    Science.gov (United States)

    Sellberg, Felix; Berglund, Erik; Ronaghi, Martin; Strandberg, Gabriel; Löf, Helena; Sommar, Pehr; Lubenow, Norbert; Knutson, Folke; Berglund, David

    2016-12-01

    Platelet lysate is a readily available source of growth factors, and other mediators, which has been used in a variety of clinical applications. However, the product remains poorly standardized and the present investigation evaluates the composition of platelet lysate obtained from either fresh or stored pathogen-inactivated platelet units. Platelet pooled units (n = 10) were obtained from healthy blood donors and tested according to standard procedures. All units were pathogen inactivated using amotosalen hydrochloride and UVA exposure. Platelet lysate was subsequently produced at two separate time-points, either from fresh platelet units or after 5 days of storage, by repeated freeze-thaw cycles. The following mediators were determined at each time-point: EGF, FGF-2, VEGF, IGF-1, PDGF-AB/BB, BMP-2, PF4, TGF-β isoform 1, IL-1β, IL-2, IL-6, IL-10, IL-12p70, 1L-17A, TNF-α, and IFN-γ. The concentration of growth factors and cytokines was affected by time in storage. Notably, TGF-β, PDGF-AB/BB, and PF4 showed an increase of 27.2% (p concentrations and all other growth factors remained stable with time in storage. The composition of mediators in platelet lysate obtained from pathogen-inactivated platelet units differs when produced from fresh and stored platelet units, respectively. This underscores the need for further standardization and optimization of this important product, which potentially may influence the clinical effects. Copyright © 2016. Published by Elsevier Ltd.

  12. Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units.

    Science.gov (United States)

    Meneses, Tatiana Mota Xavier de; Oliveira, Maria Inês Couto de; Boccolini, Cristiano Siqueira

    To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance. The final model included the variables associated with breast milk donation (p≤0.05). 7.3% of the mothers had donated breast milk. Having been encouraged to donate breast milk by healthcare professionals, relatives, or friends (APR=7.06), receiving information on breast milk expression by the primary health care unit (APR=3.65), and receiving help from the unit professionals to breastfeed (APR=2.24) were associated with a higher prevalence of donation. Admission of the newborn to the neonatal unit was associated with a lower prevalence of donation (APR=0.09). Encouragement to breast milk donation, and information and help provided by primary health care unit professionals to breastfeeding were shown to be important for the practice of human milk donation. Copyright © 2017. Published by Elsevier Editora Ltda.

  13. Comparing the effect of non-medical mechanical restraint preventive factors between psychiatric units in Denmark and Norway

    DEFF Research Database (Denmark)

    Bak, Jesper; Zoffmann, V.; Sestoft, D.M.;

    2015-01-01

    -medical origin may explain the differing number of MR episodes between Denmark and Norway. METHODS: This study is a cross-sectional survey of psychiatric units. Linear regression was used to assess the confounding effects of the MR preventive factors, i.e. whether a difference in the impact of these factors......BACKGROUND: The use of mechanical restraint (MR) is controversial, and large differences regarding the use of MR are often found among countries. In an earlier study, we observed that MR was used twice as frequently in Denmark than Norway. AIMS: To examine how presumed MR preventive factors of non......-staff ratio (- 11%), and the identification of the patient's crisis triggers (- 10%). CONCLUSIONS: These six MR preventive factors might partially explain the difference in the frequency of MR episodes observed in the two countries, i.e. higher numbers in Denmark than Norway. One MR preventive factor...

  14. Identification of two independent risk factors for lupus within the MHC in United Kingdom families.

    Directory of Open Access Journals (Sweden)

    Michelle M A Fernando

    2007-11-01

    Full Text Available The association of the major histocompatibility complex (MHC with SLE is well established yet the causal variants arising from this region remain to be identified, largely due to inadequate study design and the strong linkage disequilibrium demonstrated by genes across this locus. The majority of studies thus far have identified strong association with classical class II alleles, in particular HLA-DRB1*0301 and HLA-DRB1*1501. Additional associations have been reported with class III alleles; specifically, complement C4 null alleles and a tumor necrosis factor promoter SNP (TNF-308G/A. However, the relative effects of these class II and class III variants have not been determined. We have thus used a family-based approach to map association signals across the MHC class II and class III regions in a cohort of 314 complete United Kingdom Caucasian SLE trios by typing tagging SNPs together with classical typing of the HLA-DRB1 locus. Using TDT and conditional regression analyses, we have demonstrated the presence of two distinct and independent association signals in SLE: HLA-DRB1*0301 (nominal p = 4.9 x 10(-8, permuted p < 0.0001, OR = 2.3 and the T allele of SNP rs419788 (nominal p = 4.3 x 10(-8, permuted p < 0.0001, OR = 2.0 in intron 6 of the class III region gene SKIV2L. Assessment of genotypic risk demonstrates a likely dominant model of inheritance for HLA-DRB1*0301, while rs419788-T confers susceptibility in an additive manner. Furthermore, by comparing transmitted and untransmitted parental chromosomes, we have delimited our class II signal to a 180 kb region encompassing the alleles HLA-DRB1*0301-HLA-DQA1*0501-HLA-DQB1*0201 alone. Our class III signal importantly excludes independent association at the TNF promoter polymorphism, TNF-308G/A, in our SLE cohort and provides a potentially novel locus for future genetic and functional studies.

  15. Fatores associados ao trauma mamilar na maternidade Factors associated with nipple trauma in the maternity unit

    Directory of Open Access Journals (Sweden)

    Kelly Pereira Coca

    2009-08-01

    Full Text Available OBJETIVO: Identificar os fatores associados ao trauma mamilar em mulheres em aleitamento materno exclusivo na maternidade. MÉTODOS: Estudo caso-controle com 146 puérperas internadas nas enfermarias de alojamento conjunto, sendo 73 casos, definidos como mulheres com trauma mamilar, e 73 controles, definidos como ausência da patologia. Diariamente buscaram-se mulheres em aleitamento materno exclusivo com diagnóstico de lesão mamilar, identificada por meio de lupa. Foram estudadas variáveis sociodemográficas, obstétricas e neonatais. Na análise estatística, utilizou-se modelo de regressão logística. RESULTADOS: Casos e controles mostraram-se semelhantes quanto às variáveis sociodemográficas, embora a ausência do companheiro tenha sido mais frequente no grupo de mulheres com trauma mamilar. As variáveis primiparidade (OR 3,16; IC95% 1,19-8,42, ausência do companheiro (OR 3,25; IC95% 1,18-8,93, mama túrgida e/ou ingurgitada (OR 12,31; IC95% 4,48-33,78, mamilo semiprotruso e/ou malformado (OR 4,69; IC95% 1,50-14,62 e despigmentação dos mamilos (OR 13,98; IC95% 4,43-44,06 comportaram-se como fatores associados ao trauma mamilar. CONCLUSÃO: Primiparidade, ausência do companheiro, mamas túrgidas e ingurgitadas, mamilos semiprotrusos e/ou malformados e despigmentados estão associados ao trauma mamilar.OBJECTIVE: To identify factors associated with nipple trauma in women breastfeeding exclusively in a maternity unit. METHODS: This was a case-control study that recruited 146 recently-delivered mothers in rooming-in wards: 73 cases, defined as women with nipple trauma, and 73 controls, defined as women free from this pathology. Women breastfeeding exclusively were tested daily for a diagnosis of nipple injury, identified using a magnifying glass. Sociodemographic, obstetric and neonatal variables were studied. A logistic regression model was used for statistical analysis. RESULTS: Cases and controls proved to be comparable in terms

  16. Brain-derived neurotrophic factor (BDNF) serum basal levels is not affected by power training in mobility-limited older adults - A randomized controlled trial

    DEFF Research Database (Denmark)

    Hvid, Lars G; Nielsen, Martin KF; Simonsen, Casper

    2017-01-01

    Brain-derived neurotrophic factor (BDNF) is a potential important factor involved in neuroplasticity, and may be a mediator for eliciting adaptations in neuromuscular function and physical function in older individuals following physical training. As power training taxes the neural system to a very...... not appear to be a major mechanistic factor mediating neuroplasticity in mobility-limited older adults....

  17. Observation of the Fundamental Nyquist Noise Limit in an Ultra-High $Q$-Factor Cryogenic Bulk Acoustic Wave Cavity

    CERN Document Server

    Goryachev, Maxim; van Kann, Frank; Galliou, Serge; Tobar, Michael E

    2014-01-01

    Thermal Nyquist noise fluctuations of high-$Q$ Bulk Acoustic Wave (BAW) cavities have been observed at cryogenic temperatures with a DC Superconducting Quantum Interference Device (SQUID) amplifier. High $Q$ modes with bandwidths of few tens of milliHz produce thermal fluctuations with a Signal-To-Noise ratio of up to 23dB. The estimated effective temperature from the Nyquist noise is in good agreement with the physical temperature of the device, confirming the validity of the equivalent circuit model and the non-existence of any excess resonator self-noise. The measurements also confirm that the quality factor remains extremely high ($Q>10^8$ at low order overtones) for very weak (thermal) system motion at low temperatures, when compared to values measured with relatively strong external excitation. This result represents an enabling step towards operating such a high-Q acoustic device at the standard quantum limit.

  18. Modeling of the ComRS signaling pathway reveals the limiting factors controlling competence in Streptococcus thermophilus

    Directory of Open Access Journals (Sweden)

    Laurie eHaustenne

    2015-12-01

    Full Text Available In streptococci, entry in competence is dictated by ComX abundance. In Streptococcus thermophilus, production of ComX is transient and tightly regulated during growth: it is positively regulated by the cell-cell communication system ComRS during the activation phase and negatively regulated during the shut-off phase by unidentified late competence gene(s. Interestingly, most S. thermophilus strains are not or weakly transformable in permissive growth conditions (i.e. chemically defined medium, CDM, suggesting that some players of the ComRS regulatory pathway are limiting. Here, we combined mathematical modeling and experimental approaches to identify the components of the ComRS system which are critical for both dynamics and amplitude of ComX production in S. thermophilus. We built a deterministic, population-scaled model of the time-course regulation of specific ComX production in CDM growth conditions. Strains LMD-9 and LMG18311 were respectively selected as representative of highly and weakly transformable strains. Results from in silico simulations and in vivo luciferase activities show that ComR concentration is the main limiting factor for the level of comX expression and controls the kinetics of spontaneous competence induction in strain LMD-9. In addition, the model predicts that the poor transformability of strain LMG18311 results from a 10-fold lower comR expression level compared to strain LMD-9. In agreement, comR overexpression in both strains was shown to induce higher competence levels with deregulated kinetics patterns during growth. In conclusion, we propose that the level of ComR production is one important factor that could explain competence heterogeneity among S. thermophilus strains.

  19. Modeling of the ComRS Signaling Pathway Reveals the Limiting Factors Controlling Competence in Streptococcus thermophilus

    Science.gov (United States)

    Haustenne, Laurie; Bastin, Georges; Hols, Pascal; Fontaine, Laetitia

    2015-01-01

    In streptococci, entry in competence is dictated by ComX abundance. In Streptococcus thermophilus, production of ComX is transient and tightly regulated during growth: it is positively regulated by the cell-cell communication system ComRS during the activation phase and negatively regulated during the shut-off phase by unidentified late competence gene(s). Interestingly, most S. thermophilus strains are not or weakly transformable in permissive growth conditions (i.e., chemically defined medium, CDM), suggesting that some players of the ComRS regulatory pathway are limiting. Here, we combined mathematical modeling and experimental approaches to identify the components of the ComRS system which are critical for both dynamics and amplitude of ComX production in S. thermophilus. We built a deterministic, population-scaled model of the time-course regulation of specific ComX production in CDM growth conditions. Strains LMD-9 and LMG18311 were respectively selected as representative of highly and weakly transformable strains. Results from in silico simulations and in vivo luciferase activities show that ComR concentration is the main limiting factor for the level of comX expression and controls the kinetics of spontaneous competence induction in strain LMD-9. In addition, the model predicts that the poor transformability of strain LMG18311 results from a 10-fold lower comR expression level compared to strain LMD-9. In agreement, comR overexpression in both strains was shown to induce higher competence levels with deregulated kinetics patterns during growth. In conclusion, we propose that the level of ComR production is one important factor that could explain competence heterogeneity among S. thermophilus strains. PMID:26733960

  20. Expression of factor H binding protein of meningococcus responds to oxygen limitation through a dedicated FNR-regulated promoter.

    Science.gov (United States)

    Oriente, Francesca; Scarlato, Vincenzo; Delany, Isabel

    2010-02-01

    Factor H binding protein (fHBP) is a surface-exposed lipoprotein in Neisseria meningitidis, which is a component of several investigational vaccines against serogroup B meningococcus (MenB) currently in development. fHBP enables the bacterium to evade complement-mediated killing by binding factor H, a key downregulator of the complement alternative pathway, and, in addition, fHBP is important for meningococcal survival in the presence of the antimicrobial peptide LL-37. In this study, we investigate the molecular mechanisms involved in transcription and regulation of the fHBP-encoding gene, fhbp. We show that the fHBP protein is expressed from two independent transcripts: one bicistronic transcript that includes the upstream gene and a second shorter monocistronic transcript from its own dedicated promoter, P(fhbp). Transcription from the promoter P(fhbp) responds to oxygen limitation in an FNR-dependent manner, and, accordingly, the FNR protein binds to a P(fhbp) probe in vitro. Furthermore, expression in meningococci of a constitutively active FNR mutant results in the overexpression of the fHBP protein. Finally, the analysis of fHBP regulation was extended to a panel of strains expressing different fHBP allelic variants at different levels, and we demonstrate that FNR is involved in the regulation of this antigen in all but one of the strains tested. Our data suggest that oxygen limitation may play an important role in inducing the expression of fHBP from a dedicated FNR-regulated promoter. This implies a role for this protein in microenvironments lacking oxygen, for instance in the submucosa or intracellularly, in addition to its demonstrated role in serum resistance in the blood.

  1. Limited polymorphism in Plasmodium falciparum ookinete surface antigen, von Willebrand factor A domain-related protein from clinical isolates

    Directory of Open Access Journals (Sweden)

    Eisen Damon P

    2006-07-01

    Full Text Available Abstract Background As malaria becomes increasingly drug resistant and more costly to treat, there is increasing urgency to develop effective vaccines. In comparison to other stages of the malaria lifecycle, sexual stage antigens are under less immune selection pressure and hence are likely to have limited antigenic diversity. Methods Clinical isolates from a wide range of geographical regions were collected. Direct sequencing of PCR products was then used to determine the extent of polymorphisms for the novel Plasmodium falciparum sexual stage antigen von Willebrand Factor A domain-related Protein (PfWARP. These isolates were also used to confirm the extent of diversity of sexual stage antigen Pfs28. Results PfWARP was shown to have non-synonymous substitutions at 3 positions and Pfs28 was confirmed to have a single non-synonymous substitution as previously described. Conclusion This study demonstrates the limited antigenic diversity of two prospective P. falciparum sexual stage antigens, PfWARP and Pfs28. This provides further encouragement for the proceeding with vaccine trials based on these antigens.

  2. Perceptual and Cognitive Factors Imposing "Speed Limits" on Reading Rate: A Study with the Rapid Serial Visual Presentation.

    Science.gov (United States)

    Primativo, Silvia; Spinelli, Donatella; Zoccolotti, Pierluigi; De Luca, Maria; Martelli, Marialuisa

    2016-01-01

    Adults read at high speed, but estimates of their reading rate vary greatly, i.e., from 100 to 1500 words per minute (wpm). This discrepancy is likely due to different recording methods and to the different perceptual and cognitive processes involved in specific test conditions. The present study investigated the origins of these notable differences in RSVP reading rate (RR). In six experiments we investigated the role of many different perceptual and cognitive variables. The presence of a mask caused a steep decline in reading rate, with an estimated masking cost of about 200 wpm. When the decoding process was isolated, RR approached values of 1200 wpm. When the number of stimuli exceeded the short-term memory span, RR decreased to 800 wpm. The semantic context contributed to reading speed only by a factor of 1.4. Finally, eye movements imposed an upper limit on RR (around 300 wpm). Overall, data indicate a speed limit of 300 wpm, which corresponds to the time needed for eye movement execution, i.e., the most time consuming mechanism. Results reconcile differences in reading rates reported by different laboratories and thus provide suggestions for targeting different components of reading rate.

  3. Geological Factors Affecting Flow Spatial Continuity in Water Injection of Units Operating in the LGITJ–0102 Ore Body

    Directory of Open Access Journals (Sweden)

    Ilver M. Soto-Loaiza

    2016-05-01

    Full Text Available The objective of the investigation was to identify the geological factors affecting the spatial continuity of the flow during the process of flank water injection in the units operating in the Lower Lagunilla Hydrocarbon Ore Body. This included the evaluation of the recovery factor, the petro-physic properties such as porosity, permeability, water saturation and rock type and quality in each flow unit. it was observed that the rock type of the geologic structure in the ore body is variable. The lowest values for the petro-physic properties were found in the southern area while a high variability of these parameters was observed in the northern and central areas. It was concluded that the northern area has a great potential for the development of new injection projects for petroleum recovery.

  4. DRIVING AND LIMITING FACTORS IN THE FARM MANAGEMENT BY YOUNG FARMERS IN THE CONTEXT OF SURVEY RESEARCH

    Directory of Open Access Journals (Sweden)

    Barbara Kiełbasa

    2016-03-01

    Full Text Available The purpose of the study was to identify driving and limiting factors of farm management in a region of fragmented agriculture. The paper presents the results of the research conducted in the South-Eastern Poland (Macroregion of Małopolska and Pogórze. The survey was conducted in 2014 in the farms managed by young farmers, i.e. the benefi ciaries of the measure “Setting up of young farmers” from the RDP 2007–2013, with the use of a survey method with a questionnaire interview. The research was empirical, and its main goal was to present a case study of the farm management by young farmers in terms of specifi c management barriers. The results of the studies pointed to the fragmented agrarian structure as the one of the biggest barriers of the eff ective farm management. The young farmers pointed that fragmented agrarian structure signifi cantly impedes the purchase or lease of agricultural land, and the farm development in the same way. The survey pointed to the factors that contribute to the young farmers: the entrepreneurial attitude, activity and creativity, training, the management knowledge and better access to the Common Agricultural Policy instruments.

  5. Risk factors associated with fatal injuries in Thoroughbred racehorses competing in flat racing in the United States and Canada.

    Science.gov (United States)

    Georgopoulos, Stamatis P; Parkin, Tim D H

    2016-10-15

    OBJECTIVE To identify risk factors associated with fatal injuries in Thoroughbred racehorses in the United States and Canada. DESIGN Retrospective study. ANIMALS 1,891,483 race starts by 154,527 Thoroughbred racehorses at 89 racetracks in the United States and Canada from 2009 to 2013. PROCEDURES Data were extracted from the Equine Injury Database, which contained information for 93.9% of all official flat racing events in the United States and Canada during the 5-year observation period. Forty-four possible risk factors were evaluated by univariate then multivariable logistic regression to identify those that were significantly associated with fatal injury (death or euthanasia of a horse within 3 days after sustaining an injury during a race). RESULTS 3,572 race starts ended with a fatal injury, resulting in a period incidence rate of 1.9 fatal injuries/1,000 race starts. Twenty-two risk factors were significantly associated with fatal injury. Risk of fatal injury was greater for stallions than for mares and geldings and increased as the number of previous nonfatal injuries and race withdrawals and level of competitiveness (eg, horse's winning percentage and race purse) of the horse or race increased. CONCLUSIONS AND CLINICAL RELEVANCE Results identified several risk factors associated with fatal injuries in Thoroughbred racehorses. This information can be used as a guideline for the identification of racehorses at high risk of sustaining a fatal injury and in the design and implementation of preventative measures to minimize the number of fatal injuries sustained by horses competing in flat racing in the United States and Canada.

  6. Long-term tolerability of PRRT in 807 patients with neuroendocrine tumours: the value and limitations of clinical factors

    Energy Technology Data Exchange (ETDEWEB)

    Bodei, Lisa; Grana, Chiara M. [European Institute of Oncology, Division of Nuclear Medicine, Milan (Italy); Kidd, Mark; Drozdov, Ignat; Lepensky, Christopher; Modlin, Irvin M. [Yale School of Medicine, Department of Surgery, New Haven, CT (United States); Paganelli, Giovanni [Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Nuclear Medicine and Radiometabolic Units, Meldola (Italy); Cremonesi, Marta [European Institute of Oncology, Division of Medical Physics, Milan (Italy); Kwekkeboom, Dik J.; Krenning, Eric P. [Erasmus Medical Center, Department of Nuclear Medicine, Rotterdam (Netherlands); Baum, Richard P. [Zentralklinik Bad Berka, Theranostics Center for Molecular Radiotheraphy and Molecular Imaging, Bad Berka (Germany)

    2015-01-15

    9 months, p = 0.01) were relevant. Acute leukaemia occurred in 1.1 % of patients (modelled by the clinical data in 18 %, p < 0.0001). Identified risk factors provide a limited (<30 %) risk estimate even with target tissue dosimetry. These data strongly suggest the existence of unidentified individual susceptibilities to radiation-associated disease. (orig.)

  7. Frequency and severity of low back pain in nurses working in intensive care units and influential factors.

    Science.gov (United States)

    Ovayolu, Ozlem; Ovayolu, Nimet; Genc, Mehtap; Col-Araz, Nilgun

    2014-01-01

    The purpose of this research was to determine the frequency and severity of low back pain and influencing factors in nurses working in intensive care units. This research was conducted as a cross-sectional study with 114 nurses working in the intensive care units in the province of Gaziantep, Turkey. Study data were collected using a questionnaire form and visual analogue scale. It was found that 84.2% of the nurses experienced low back pain, and 66.7% of the nurses evaluated this pain as "a pain with moderate severity". It was determined that nurses who had not received any education on low back pain, who remained standing for long periods of time, who performed interventions that required bending forward, who lifted and repositioned patients, and who did not use any aiding equipment during interventions, experienced more pain and had higher average pain scores. In addition, average pain scores were higher among nurses with master's and doctorate degrees, and those working in internal medicine and pediatric intensive care units and working in shifts. It was observed that many of the nurses working in intensive care units experienced low back pain, and especially those working in internal medicine and pediatric intensive care units and working in shifts had higher average pain scores.

  8. Effective Teaching Factors and Student Reading Strategies as Predictors of Student Achievement in PISA 2009: The Case of China and the United States

    Science.gov (United States)

    Meng, Lingqi; Muñoz, Marco; King Hess, Kristin; Liu, Shujie

    2017-01-01

    This study investigated effective teaching factors and student reading strategies as predictors of student reading achievement in the United States and China. Participants were 10,348 students in the 2009 Program for International Student Assessment (PISA) study, 5115 from China and 5233 from the United States. Exploratory factor analysis (EFA)…

  9. Nosocomial infections in a neonatal intensive care unit : Incidence and risk factors

    NARCIS (Netherlands)

    Nagata, E; Brito, ASJ; Matsuo, T

    2002-01-01

    Background: Nosocomial infections (Nls) have become a matter of major concern in neonatal intensive care units (NICUs). The objectives of this study were to determine the incidence rate and the most frequent sites of infection in a Brazilian NICU from January 1999 to March 2000 and to study the risk

  10. Factors That Influence Human Behavior And Negatively Affect Energy Consumption In USMC Ground Units During Operations

    Science.gov (United States)

    2016-09-01

    Boston: Prentice Hall Bulanow, Peter, Paul Tabler, and Shawn Charchan. 2011. Expeditionary Energy Assessment: Environmental Control Unit Alternatives...U.S. ARMY Rapid Equipping Force. Kotter, John P., and Leonard Schlesinger. 2008. “Choosing Strategies for Change.” Harvard Business Review 86.7

  11. Effect of Dietary Intake of Stable Iodine on Dose-per-unit-intake Factors for 99Tc

    Energy Technology Data Exchange (ETDEWEB)

    Strom, Daniel J.

    2003-09-30

    of stable iodine in the diet on the dose per unit intake factors for 99Tc without developing an improved biokinetic model for technetium. Specific experiments should be designed to quantitatively evaluate 99TcO4? metabolism, excretion, and secretion, as well as to evaluate its chemical toxicity It is recommended that the ICRP reexamine its biokinetics models for Tc based on nuclear medicine data that have accumulated over the years. In particular, the ICRP ignores the lactation pathway, the enhanced concentration of Tc in breast and breast milk, and enhanced concentration of Tc (and I) in the salivary glands as well as in the thyroid. The ICRP should also explicitly incorporate the effect of stable iodine in the diet into both its models for iodine and technetium. The effect of concentration of Tc in breast milk needs further study for dosimetric implications to nursing infants whose mothers may ingest 99TcO4? from groundwater sources. The ICRP should also investigate the possibility of enhanced concentration of both I and Tc in the non-lactating female breast. To do these re-evaluations of biokinetic models, new experiments designed specifically to evaluate these questions concerning the biokinetics of Tc and I are needed.

  12. Trends in Risk and Protective Factors for Child Bullying Perpetration in the United States

    Science.gov (United States)

    Shetgiri, Rashmi; Lin, Hua; Flores, Glenn

    2013-01-01

    This study examines trends in prevalence and factors associated with bullying perpetration among children 10-17 years old, using the 2003 and 2007 National Survey of Children's Health. A parent-reported bullying measure and NSCH-designed questions were used to measure factors associated with bullying. The 2003 (n = 48,639) and 2007 (n = 44,152)…

  13. Human factors review of CFMS displays for Ulchin Nuclear Power Unit 3 and 4

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; Baek, Seung Min; Kim, Jung Taek; Park, Jae Chang; Lee, Jung Woon; Oh, In Suk; Lee, Joon Whan; Jung, Kwang Tae; Cha, Hye Young [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1996-11-01

    This report describes the human factors review of CFMS displays for Ulchin 3 and 4 by the following four subjects; At first, by reviewing issues regarding the design process of present CFMS, human factors engineering program plan (HFEPP) and human factors verification and validation plan Were proposed to accomplish the completeness of design word; Secondly, researches and developments were integrated into the review results at the point of suitability of CFMS design concept and basic function; For the third, availability and suitability were assessed according to human factors evaluation criteria on the CFMS display design, and overall effectiveness was also evaluated in parts; For the fourth, recommendations were made to human factors problems in accordance with their importance and an implementation plan was suggested for the resolution of problems. 54 refs., 34 tabs., 42 figs. (author)

  14. Deep permeable fault-controlled helium transport and limited mantle flux in two extensional geothermal systems in the Great Basin, United States

    Science.gov (United States)

    Banerjee, Amlan; Person, Mark; Hofstra, Albert; Sweetkind, Donald S.; Cohen, Denis; Sabin, Andrew; Unruh, Jeff; Zyvoloski, George; Gable, Carl W.; Crossey, Laura; Karlstrom, Karl

    2011-01-01

    This study assesses the relative importance of deeply circulating meteoric water and direct mantle fluid inputs on near-surface 3He/4He anomalies reported at the Coso and Beowawe geothermal fields of the western United States. The depth of meteoric fluid circulation is a critical factor that controls the temperature, extent of fluid-rock isotope exchange, and mixing with deeply sourced fluids containing mantle volatiles. The influence of mantle fluid flux on the reported helium anomalies appears to be negligible in both systems. This study illustrates the importance of deeply penetrating permeable fault zones (10-12 to 10-15 m2) in focusing groundwater and mantle volatiles with high 3He/4He ratios to shallow crustal levels. These continental geothermal systems are driven by free convection.

  15. Historical and Contemporary Factors Contributing to the Plight of Migrant Farmworkers in the United States

    OpenAIRE

    Martin Thomas Donohoe; Safina Koreishi

    2010-01-01

    Abstract: Migrant farmworkers provide an essential service and perform jobs that many Americans are unwilling to do. Immigration practices and policies dictate the extent to which undocumented migrant farmworkers have access to governmental health and social services, and are ever-changing based on the political climate. This paper reviews historical and contemporary United States government policies relevant to migrant farmworkers. It refutes some of the common myths regarding documented and...

  16. Food waste in the United States: A contributing factor toward environmental instability

    OpenAIRE

    Michael eHickey; Gulnihal eOzbay

    2014-01-01

    The world's population continues to increase at record rates along with corresponding nutritional needs and related agricultural consequences. In the United States, food waste levels serve as dominant components of land-fill masses, oil and freshwater waste, methane and CO2 emissions, damage to wildlife ecosystems, and substantial financial losses. Agricultural effects on the environment were investigated through various research studies, referenced in this document, and efforts made toward f...

  17. Organizational factors impacting job strain and mental quality of life in emergency and critical care units

    Directory of Open Access Journals (Sweden)

    Gauthier Bellagamba

    2015-04-01

    Full Text Available Objectives: This study measures the association between hospital staff’s job strain (JS, mental quality of life (MQL and how they are influenced by the organization models within emergency and critical care units. Material and Methods: This study describes workers employed in emergency departments and intensive care units of a French public hospital. A selfadministered questionnaire was used to survey the demographic and organizational characteristics of their work, as well as work-related mental stress, psychosocial and organizational constraints, and their MQL. Results: Among 145 workers participating in the study, 59.3% of them report job strain and 54.5% of them have low MQL scores. The majority of staff with job strain has reported working more than 2 weekends per month, were regularly on-call, worked in dysfunctional environments and did not participate in regular meetings. The staff with low MQL worked more frequently in dysfunctional environments, had significant complaints regarding employer’s efforts to promote communications or provide adequate staffing levels than the workers with a high MQL score. Conclusions: If stress reduction and improved MQL in emergency and intensive care units is to be achieved, hospital management needs to design work schedules that provide a better balance between working and non-working hours. Additionally, ergonomic design, functional environments and improved communications needs to be implemented.

  18. Organizational factors impacting job strain and mental quality of life in emergency and critical care units.

    Science.gov (United States)

    Bellagamba, Gauthier; Gionta, Guillaume; Senergue, Julie; Bèque, Christine; Lehucher-Michel, Marie-Pascale

    2015-01-01

    This study measures the association between hospital staff's job strain (JS), mental quality of life (MQL) and how they are influenced by the organization models within emergency and critical care units. This study describes workers employed in emergency departments and intensive care units of a French public hospital. A selfadministered questionnaire was used to survey the demographic and organizational characteristics of their work, as well as work-related mental stress, psychosocial and organizational constraints, and their MQL. Among 145 workers participating in the study, 59.3% of them report job strain and 54.5% of them have low MQL scores. The majority of staff with job strain has reported working more than 2 weekends per month, were regularly on-call, worked in dysfunctional environments and did not participate in regular meetings. The staff with low MQL worked more frequently in dysfunctional environments, had significant complaints regarding employer's efforts to promote communications or provide adequate staffing levels than the workers with a high MQL score. If stress reduction and improved MQL in emergency and intensive care units is to be achieved, hospital management needs to design work schedules that provide a better balance between working and non-working hours. Additionally, ergonomic design, functional environments and improved communications needs to be implemented. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  19. Multicistronic lentiviral vectors containing the FMDV 2A cleavage factor demonstrate robust expression of encoded genes at limiting MOI

    Directory of Open Access Journals (Sweden)

    Margison Geoffrey P

    2006-03-01

    Full Text Available Abstract Background A number of gene therapy applications would benefit from vectors capable of expressing multiple genes. In this study we explored the feasibility and efficiency of expressing two or three transgenes in HIV-1 based lentiviral vector. Bicistronic and tricistronic self-inactivating lentiviral vectors were constructed employing the internal ribosomal entry site (IRES sequence of encephalomyocarditis virus (EMCV and/or foot-and-mouth disease virus (FMDV cleavage factor 2A. We employed enhanced green fluorescent protein (eGFP, O6-methylguanine-DNA-methyltransferase (MGMT, and homeobox transcription factor HOXB4 as model genes and their expression was detected by appropriate methods including fluorescence microscopy, flow cytometry, immunocytochemistry, biochemical assay, and western blotting. Results All the multigene vectors produced high titer virus and were able to simultaneously express two or three transgenes in transduced cells. However, the level of expression of individual transgenes varied depending on: the transgene itself; its position within the construct; the total number of transgenes expressed; the strategy used for multigene expression and the average copy number of pro-viral insertions. Notably, at limiting MOI, the expression of eGFP in a bicistronic vector based on 2A was ~4 times greater than that of an IRES based vector. Conclusion The small and efficient 2A sequence can be used alone or in combination with an IRES for the construction of multicistronic lentiviral vectors which can express encoded transgenes at functionally relevant levels in cells containing an average of one pro-viral insert.

  20. Current trends in reducing cardiovascular risk factors in the United States: focus on worksite health and wellness.

    Science.gov (United States)

    Cahalin, Lawrence P; Myers, Jonathan; Kaminsky, Leonard; Briggs, Paige; Forman, Daniel E; Patel, Mahesh J; Pinkstaff, Sherry O; Arena, Ross

    2014-01-01

    Health care in the United States (US) is changing with a broad provision of health care services to every American due to the Affordable Care Act (ACA) slated to begin in January of 2014. An important aspect of the ACA is that US companies may begin to offer health insurance incentives to employees for participating in health and wellness initiatives. Moreover, since US employers directly absorb many of the financial costs associated with the high degree of cardiovascular (CV) risk factors present in their personnel, employers may be financially vested in improving employee health. However, employers must also consider the costs of developing and maintaining programs to improve employee health and their return on investment (ROI). This review will identify key risk factors to address in a worksite health and wellness program and to examine the performance of such programs in improving CV risk factors and their ROI.

  1. Perceived and actual key success factors: A study of the yoghurt market in Denmark, Germany and the United Kingdom

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Sørensen, Elin

    /high degree of innovativeness, extensive marketing activities, (abundant) financial resources, s production, good logistics management, good product portfolio management, non-complex organisation, low retail prices, good relations with trade, extensive market knowledge. 4. According to managers' perceptions......Executive summary 1. We define a key success factor as a skill or resource that a business can invest in, which, on the market the business is operating on, explains a major part of the observable differences in perceived value and/or relative costs. The key success factors as perceived by managers...... need not be identical with the actual key success factors in a market. 2. Depth interviews with managers in yoghurt-producing companies in Denmark, Germany and the United Kingdom showed considerable variation in both substance and degree of detail in their perceptions of the determinants of success...

  2. Breast Cancer Risk From Modifiable and Nonmodifiable Risk Factors Among White Women in the United States

    DEFF Research Database (Denmark)

    Maas, Paige; Barrdahl, Myrto; Joshi, Amit D;

    2016-01-01

    Importance: An improved model for risk stratification can be useful for guiding public health strategies of breast cancer prevention. Objective: To evaluate combined risk stratification utility of common low penetrant single nucleotide polymorphisms (SNPs) and epidemiologic risk factors. Design, ...

  3. Exposure Scenarios and Unit Dose Factors for the Hanford Immobilized Low Activity Tank Waste Performance Assessment

    Energy Technology Data Exchange (ETDEWEB)

    RITTMANN, P.D.

    1999-12-29

    Exposure scenarios are defined to identify potential pathways and combinations of pathways that could lead to radiation exposure from immobilized tank waste. Appropriate data and models are selected to permit calculation of dose factors for each exposure

  4. [Detection of vascular risk factors and unknown atrial fibrillation in patients hospitalised in the stroke unit].

    Science.gov (United States)

    Jiménez-Caballero, Pedro E; López-Espuela, Fidel; Portilla-Cuenca, Juan C; Jiménez-Gracia, M Antonia; Casado-Naranjo, Ignacio

    2013-05-01

    Introduccion. Existe una serie de factores de riesgo cerebrovascular modificables, como son la hipertension arterial, la diabetes mellitus, dislipidemias y la fibrilacion auricular, cuyo reconocimiento y control es fundamental para disminuir la aparicion de enfermedades cerebrovasculares. En ocasiones, el ictus puede ser el sintoma de presentacion de estos factores de riesgo. Pacientes y metodos. Estudio observacional prospectivo de los pacientes que ingresan en la unidad de ictus de nuestro hospital por enfermedad cerebrovascular aguda –accidente isquemico transitorio e ictus isquemico– para conocer el porcentaje de pacientes con hipertension arterial, diabetes mellitus, dislipidemias y fibrilacion auricular no diagnosticadas previamente. Resultados. Se selecciono a 186 pacientes, de los que 24 presentaban hipertension arterial no conocida (12,9%); 11, diabetes mellitus no conocida (5,9%); 49, hipercolesterolemia no conocida (26,3%); 15, hipertrigliceridemia no conocida (8,1%), y 22 tenian fibrilacion auricular no conocida (11,8%). En total, 96 pacientes (51,6%) tenian alguno de estos factores de riesgo cerebrovascular. La existencia de un factor de riesgo no diagnosticado previamente era mayor en el medio rural, en los sujetos que no habian fallecido a los seis meses y en los ataques isquemicos transitorios respecto a los ictus isquemicos. Conclusiones. Mas de la mitad de los sujetos que sufren un evento cerebrovascular tienen un factor de riesgo que no se ha diagnosticado previamente. Se deben realizar campanas para implementar la deteccion de estos factores, asi como incidir en el control de estos para disminuir la aparicion y recidiva de patologia vascular.

  5. Tenax extraction for exploring rate-limiting factors in methyl-β-cyclodextrin enhanced anaerobic biodegradation of PAHs under denitrifying conditions in a red paddy soil

    Energy Technology Data Exchange (ETDEWEB)

    Sun, Mingming, E-mail: sunmingming@njau.edu.cn [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Key Laboratory of Soil Environmental and Pollution Remediation, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Ye, Mao [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Hu, Feng, E-mail: fenghu@njau.edu.cn [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Li, Huixin [Soil Ecology Lab, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing 210095 (China); Teng, Ying [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Luo, Yongming [Yantai Institute of Costal Zone Research, Chinese Academy of Sciences, Yantai 264003 (China); Jiang, Xin [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Kengara, Fredrick Orori [Department of Chemistry, Maseno University, Private Bag, Maseno 40105 (Kenya)

    2014-01-15

    Highlights: • Enhanced anaerobic bioremediation of a red paddy soil polluted with PAHs. • 1% (w/w) methyl-β-cyclodextrin (MCD) and 20 mM nitrate addition acted as solubility-enhancing agent and electron acceptor respectively. • Tenax extraction and a first-three-compartment modeling were applicable to explore the rate-limiting factors in the biodegradation. • Lack of PAH-degraders hindered biodegradation in control and MCD addition treatments. • Inadequate bioaccessible PAHs was vital rate-limiting factor in nitrate addition treatments. -- Abstract: The effectiveness of anaerobic bioremediation systems for PAH-contaminated soil may be constrained by low contaminants bioaccessibility due to limited aqueous solubility and lack of suitable electron acceptors. Information on what is the rate-limiting factor in bioremediation process is of vital importance in the decision in what measures can be taken to assist the biodegradation efficacy. In the present study, four different microcosms were set to study the effect of methyl-β-cyclodextrin (MCD) and nitrate addition (N) on PAHs biodegradation under anaerobic conditions in a red paddy soil. Meanwhile, sequential Tenax extraction combined with a first-three-compartment model was employed to evaluate the rate-limiting factors in MCD enhanced anaerobic biodegradation of PAHs. Microcosms with both 1% (w/w) MCD and 20 mM N addition produced maximum biodegradation of total PAHs of up to 61.7%. It appears rate-limiting factors vary with microcosms: low activity of degrading microorganisms is the vital rate-limiting factor for control and MCD addition treatments (CK and M treatments); and lack of bioaccessible PAHs is the main rate-limiting factor for nitrate addition treatments (N and MN treatments). These results have practical implications for site risk assessment and cleanup strategies.

  6. Carbon baseline as limiting factor in managing environmental sound activities in peatland for reducing greenhouse gas emission

    Directory of Open Access Journals (Sweden)

    BAMBANG HERO SAHARJO

    2011-07-01

    Full Text Available Saharjo BH (2011 Carbon baseline as limiting factor in managing environmental sound activities in peatland for reducing greenhouse gas emission. Biodiversitas 12: 182-186. The total carbon stock in Indonesia was estimated to be around 44.5 Gt or about 53.1% of the total carbon stock in tropical areas. Over 1990-2002, it was estimated that around 3.5 Gt of carbon was released in Sumatra and about 0.81-2.56 Gt was released in Central Kalimantan due to the 1997 fire alone. It was recognized that deforestation, high exploitation of peat and peat fire were behind the huge emissions of Greenhouse Gases in Indonesia. Results of a research conducted in Central Kalimantan peatland, showed that the total carbon stock at logged over area was estimated around 413.972 t ha-1 (0-30 cm depth of peat and at burnt area was 411.349 t ha-1 (0-30 cm depth of peat. Meanwhile it had been well recognized that most of opened peatlands had been occupied by Acacia crassicarpa and oil palms. Research carried out in East Kalimantan showed that the carbon stock of 25 years old oil palm planted on mineral soil was about 180 t ha-1, which is less than that of carbon stock produced by peatland clearance. This indicated that although plants occupied peatland, high Greenhouse Gas emissions were still produced, meaning that global climate change would continue and created high risk impacts.

  7. Eop1 from a Rubus strain of Erwinia amylovora functions as a host-range limiting factor.

    Science.gov (United States)

    Asselin, J E; Bonasera, J M; Kim, J F; Oh, C-S; Beer, S V

    2011-08-01

    Strains of Erwinia amylovora, the bacterium causing the disease fire blight of rosaceous plants, are separated into two groups based on host range: Spiraeoideae and Rubus strains. Spiraeoideae strains have wide host ranges, infecting plants in many rosaceous genera, including apple and pear. In the field, Rubus strains infect the genus Rubus exclusively, which includes raspberry and blackberry. Based on comparisons of limited sequence data from a Rubus and a Spiraeoideae strain, the gene eop1 was identified as unusually divergent, and it was selected as a possible host specificity factor. To test this, eop1 genes from a Rubus strain and a Spiraeoideae strain were cloned and mutated. Expression of the Rubus-strain eop1 reduced the virulence of E. amylovora in immature pear fruit and in apple shoots. Sequencing the orfA-eop1 regions of several strains of E. amylovora confirmed that forms of eop1 are conserved among strains with similar host ranges. This work provides evidence that eop1 from a Rubus-specific strain can function as a determinant of host specificity in E. amylovora.

  8. Prevalence and Risk Factors Associated with Precancerous Cervical Cancer Lesions among HIV-Infected Women in Resource-Limited Settings

    Directory of Open Access Journals (Sweden)

    Peter Memiah

    2012-01-01

    Full Text Available Objective. To assess the prevalence and identified associated risk factors for precancerous cervical cancer lesions among HIV-infected women in resource-limited settings in Kenya. Methods. HIV-infected women attending the ART clinic at the Nazareth Hospital ART clinic between June 2009 and September 2010. Multivariate logistic regression model with odds ratios and 95% confidence intervals (CI were estimated after controlling for important covariates. Result. A total of 715 women were screened for cervical cancer. The median age of the participants was 40 years (range 18–69 years. The prevalence of precancerous lesions (CINI, CINII, CIN III, ICC was 191 (26.7%. After controlling for other variables in logistic regression analysis, cervical precancerous lesions were associated with not being on ART therapy; whereby non-ART were 2.21 times more likely to have precancerous lesions than ART patients [(aOR=2.21, 95% CI (1.28–3.83]. Conclusion. The prevalence of precancerous cervical lesions was lower than other similar settings. It is recommended that cancer screening of HIV-infected women should be an established practice. Availability and accessibility of these services can be done through their integration into HIV. Prompt initiation of HAART through an early enrollment into care has an impact on reducing the prevalence and progression of cervical precancerous lesions.

  9. Factors Associated With Use of ASAM Criteria and Service Provision in a National Sample of Outpatient Substance Abuse Treatment Units.

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey A; Friedmann, Peter D; Lee, I-Heng

    2009-09-01

    Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units' provision of related services. This study examined these issues in the context of a national survey of outpatient substance abuse treatment units. Regressions using 2005 data revealed that both public and private managed care were associated with a greater likelihood of using American Society of Addiction Medicine criteria to develop client treatment plans. However, only public managed care was associated with a greater likelihood of offering more resource-intensive services. Associations between client population severity and resource-intensive service provision were sparse but positive.

  10. Risk factors, characteristics, and outcomes of candidemia in an adult intensive care unit in Turkey.

    Science.gov (United States)

    Tukenmez Tigen, Elif; Bilgin, Huseyin; Perk Gurun, Hande; Dogru, Arzu; Ozben, Beste; Cerikcioglu, Nilgun; Korten, Volkan

    2017-06-01

    Thirty-six patients with candidemia and 37 control patients were included consecutively to determine the characteristics of candidemia episodes. The patients with candidemia had higher mortality with higher Sequential Organ Failure Assessment scores and frequency of use of a central venous catheter, total parenteral nutrition, and broad-spectrum antibiotics; chronic renal failure with replacement therapy; and longer stay in an intensive care unit. Candida albicans was the predominant species followed by Candida glabrata, Candida tropicalis, and Candida parapsilosis. All isolates of C glabrata were itraconazole-resistant. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  11. Factors for Microbial Carbon Sources in Organic and Mineral Soils from Eastern United States Deciduous Forests

    Energy Technology Data Exchange (ETDEWEB)

    Stitt, Caroline R. [Mills College, Oakland, CA (United States)

    2013-09-16

    Forest soils represent a large portion of global terrestrial carbon; however, which soil carbon sources are used by soil microbes and respired as carbon dioxide (CO2) is not well known. This study will focus on characterizing microbial carbon sources from organic and mineral soils from four eastern United States deciduous forests using a unique radiocarbon (14C) tracer. Results from the dark incubation of organic and mineral soils are heavily influenced by site characteristics when incubated at optimal microbial activity temperature. Sites with considerable differences in temperature, texture, and location differ in carbon source attribution, indicating that site characteristics play a role in soil respiration.

  12. Tenax extraction for exploring rate-limiting factors in methyl-β-cyclodextrin enhanced anaerobic biodegradation of PAHs under denitrifying conditions in a red paddy soil.

    Science.gov (United States)

    Sun, Mingming; Ye, Mao; Hu, Feng; Li, Huixin; Teng, Ying; Luo, Yongming; Jiang, Xin; Kengara, Fredrick Orori

    2014-01-15

    The effectiveness of anaerobic bioremediation systems for PAH-contaminated soil may be constrained by low contaminants bioaccessibility due to limited aqueous solubility and lack of suitable electron acceptors. Information on what is the rate-limiting factor in bioremediation process is of vital importance in the decision in what measures can be taken to assist the biodegradation efficacy. In the present study, four different microcosms were set to study the effect of methyl-β-cyclodextrin (MCD) and nitrate addition (N) on PAHs biodegradation under anaerobic conditions in a red paddy soil. Meanwhile, sequential Tenax extraction combined with a first-three-compartment model was employed to evaluate the rate-limiting factors in MCD enhanced anaerobic biodegradation of PAHs. Microcosms with both 1% (w/w) MCD and 20mM N addition produced maximum biodegradation of total PAHs of up to 61.7%. It appears rate-limiting factors vary with microcosms: low activity of degrading microorganisms is the vital rate-limiting factor for control and MCD addition treatments (CK and M treatments); and lack of bioaccessible PAHs is the main rate-limiting factor for nitrate addition treatments (N and MN treatments). These results have practical implications for site risk assessment and cleanup strategies.

  13. Factors affecting stream nutrient loads: A synthesis of regional SPARROW model results for the continental United States

    Science.gov (United States)

    Preston, Stephen D.; Alexander, Richard B.; Schwarz, Gregory E.; Crawford, Charles G.

    2011-01-01

    We compared the results of 12 recently calibrated regional SPARROW (SPAtially Referenced Regressions On Watershed attributes) models covering most of the continental United States to evaluate the consistency and regional differences in factors affecting stream nutrient loads. The models - 6 for total nitrogen and 6 for total phosphorus - all provide similar levels of prediction accuracy, but those for major river basins in the eastern half of the country were somewhat more accurate. The models simulate long-term mean annual stream nutrient loads as a function of a wide range of known sources and climatic (precipitation, temperature), landscape (e.g., soils, geology), and aquatic factors affecting nutrient fate and transport. The results confirm the dominant effects of urban and agricultural sources on stream nutrient loads nationally and regionally, but reveal considerable spatial variability in the specific types of sources that control water quality. These include regional differences in the relative importance of different types of urban (municipal and industrial point vs. diffuse urban runoff) and agriculture (crop cultivation vs. animal waste) sources, as well as the effects of atmospheric deposition, mining, and background (e.g., soil phosphorus) sources on stream nutrients. Overall, we found that the SPARROW model results provide a consistent set of information for identifying the major sources and environmental factors affecting nutrient fate and transport in United States watersheds at regional and subregional scales. ?? 2011 American Water Resources Association. This article is a U.S. Government work and is in the public domain in the USA.

  14. Factors potentially associated with the decision of admission to the intensive care unit in a middle-income country: a survey of Brazilian physicians

    Science.gov (United States)

    Ramos, João Gabriel Rosa; Passos, Rogerio da Hora; Baptista, Paulo Benigno Pena; Forte, Daniel Neves

    2017-01-01

    Objective To evaluate the factors potentially associated with the decision of admission to the intensive care unit in Brazil. Methods An electronic survey of Brazilian physicians working in intensive care units. Fourteen variables that were potentially associated with the decision of admission to the intensive care unit were rated as important (from 1 to 5) by the respondents and were later grouped as "patient-related," "scarcity-related" and "administrative-related" factors. The workplace and physician characteristics were evaluated for correlation with the factor ratings. Results During the study period, 125 physicians completed the survey. The scores on patient-related factors were rated higher on their potential to affect decisions than scarcity-related or administrative-related factors, with a mean ± SD of 3.42 ± 0.7, 2.75 ± 0.7 and 2.87 ± 0.7, respectively (p < 0.001). The patient's underlying illness prognosis was rated by 64.5% of the physicians as always or frequently affecting decisions, followed by acute illness prognosis (57%), number of intensive care unit beds available (56%) and patient's wishes (53%). After controlling for confounders, receiving specific training on intensive care unit triage was associated with higher ratings of the patient-related factors and scarcity-related factors, while working in a public intensive care unit (as opposed to a private intensive care unit) was associated with higher ratings of the scarcity-related factors. Conclusions Patient-related factors were more frequently rated as potentially affecting intensive care unit admission decisions than scarcity-related or administrative-related factors. Physician and workplace characteristics were associated with different factor ratings.

  15. Food waste in the United States: A contributing factor toward environmental instability

    Directory of Open Access Journals (Sweden)

    Michael eHickey

    2014-11-01

    Full Text Available The world’s population continues to increase at record rates along with corresponding nutritional needs and related agricultural consequences. In the United States, food waste levels serve as dominant components of land-fill masses, oil and freshwater waste, methane and CO2 emissions, damage to wildlife ecosystems, and substantial financial losses. Agricultural effects on the environment were investigated through various research studies, referenced in this document, and efforts made toward food waste recycling were discussed as noteworthy models concerning improvements in sustainable agricultural practices. Food waste levels in the United States can be traced as faults of consumers, agricultural businesses, as well as federal legislation and there is an evident need for reform to maintain consumer health, viable foreign affairs, and environmental sustainability. Present agricultural practices are intense and rapid, increasing the risk of soil infertility and commercial alterations in production yields; repercussions well documented in neighboring nations. Experts argue that food waste in developed countries damages food availability around the world and, based on current agricultural practices and production, there is debate conc

  16. Adverse drug reactions in internal medicine units and associated risk factors

    OpenAIRE

    Sánchez Muñoz-Torrero, Juan Francisco; Barquilla, Paloma; Velasco, Raul; Fernández Capitan, Maria Del Carmen; Pacheco, Nazaret; Vicente, Lucia; Chicón, Jose Luis; Trejo, Sara; Zamorano, Jose; Lorenzo Hernandez, Alicia

    2010-01-01

    Abstract Objectives This study was designed to assess the prevalence of adverse drug reactions (ADRs) in the internal medicine wards of two teaching Hospitals, identify the most common ADRs, the principal medications involved, and determine the risk factors implicated in the occurrence of such ADRs. Methods All admissions over 10 weeks were followed prospectively using an intensive drug surveillance method...

  17. Ethnic Differences in Risk Factors for Obesity among Adults in California, the United States.

    Science.gov (United States)

    Wang, Liang; Southerland, Jodi; Wang, Kesheng; Bailey, Beth A; Alamian, Arsham; Stevens, Marc A; Wang, Youfa

    2017-01-01

    Little attention has been given to differences in obesity risk factors by racial/ethnic groups. Using data from the 2011-2012 California Health Interview Survey, we examined differences in risk factors for obesity among Whites, Latinos, Asians, and African Americans among 42,935 adults (24.8% obese). Estimates were weighted to ensure an unbiased representation of the Californian population. Multiple logistic and linear regression analyses were used to examine the differences in risk factors for obesity. Large ethnic disparities were found in obesity prevalence: Whites (22.0%), Latinos (33.6%), African Americans (36.1%), and Asians (9.8%). Differences in risk factors for obesity were also observed: Whites (gender, age, physical activity, smoking, arthritis, and diabetes medicine intake), Latinos (age, arthritis, and diabetes medicine intake), Asians (age, binge drinking, arthritis, and diabetes medicine intake), and African Americans (gender, physical activity, smoking, binge drinking, and diabetes medicine intake). Females were more likely to be obese among African Americans (odds ratio (OR) = 1.43, 95% confidence interval (CI) = 1.05-1.94), but less likely among Whites (OR = 0.80, 95% CI = 0.74-0.87). Race/ethnicity should be considered in developing obesity prevention strategies.

  18. Ethnic Differences in Risk Factors for Obesity among Adults in California, the United States

    Directory of Open Access Journals (Sweden)

    Liang Wang

    2017-01-01

    Full Text Available Little attention has been given to differences in obesity risk factors by racial/ethnic groups. Using data from the 2011-2012 California Health Interview Survey, we examined differences in risk factors for obesity among Whites, Latinos, Asians, and African Americans among 42,935 adults (24.8% obese. Estimates were weighted to ensure an unbiased representation of the Californian population. Multiple logistic and linear regression analyses were used to examine the differences in risk factors for obesity. Large ethnic disparities were found in obesity prevalence: Whites (22.0%, Latinos (33.6%, African Americans (36.1%, and Asians (9.8%. Differences in risk factors for obesity were also observed: Whites (gender, age, physical activity, smoking, arthritis, and diabetes medicine intake, Latinos (age, arthritis, and diabetes medicine intake, Asians (age, binge drinking, arthritis, and diabetes medicine intake, and African Americans (gender, physical activity, smoking, binge drinking, and diabetes medicine intake. Females were more likely to be obese among African Americans (odds ratio (OR = 1.43, 95% confidence interval (CI = 1.05–1.94, but less likely among Whites (OR = 0.80, 95% CI = 0.74–0.87. Race/ethnicity should be considered in developing obesity prevention strategies.

  19. RENO, NV, JANUARY 15, 2004: FACTORS IMPLICATED IN AMPHIBIAN POPULATION DECLINES IN THE UNITED STATES

    Science.gov (United States)

    Factors known or suspected to be adversely affecting native amphibian populations in the US were identified using information from 267 species accounts written in a standardized format by multiple authors in the forthcoming book, 'Status and Conservation of U.S. Amphibians'. Spec...

  20. Factors Related to Performance of Health Practices Among Asian Adolescents in the United States

    Directory of Open Access Journals (Sweden)

    Cynthia G. Ayres, PhD, RN

    2010-06-01

    Conclusions: Study findings extend existing knowledge and contribute to a more comprehensive knowledge base regarding health practices among Asian adolescents. Having this knowledge base provides practitioners with a better understanding of the factors related to health practices in Asian adolescents and assists them in developing culturally sensitive interventions aimed at promoting PHP in this population.

  1. Entering the United States Federal Procurement Market: success factors and barriers for foreign firms.

    NARCIS (Netherlands)

    Vehof, Tim; Ruel, Huub; Telgen, Jan; Ruel, H.J.M.

    2012-01-01

    The US federal procurement market is the largest procurement market in the world. Therefore, it is an attractive market for foreign companies to enter. Existing literature indicates the success factors and barriers for public procurement market entry in general, however not for the US procurement ma

  2. Burnout syndrome in nurses working in palliative care units: An analysis of associated factors.

    Science.gov (United States)

    Rizo-Baeza, Mercedes; Mendiola-Infante, Susana Virginia; Sepehri, Armina; Palazón-Bru, Antonio; Gil-Guillén, Vicente Francisco; Cortés-Castell, Ernesto

    2017-07-11

    To analyse the association between psychological, labour and demographic factors and burnout in palliative care nursing. There is a lack of published research evaluating burnout in palliative care nursing. This observational cross-sectional study involved 185 palliative care nurses in Mexico. The primary variables were burnout defined by its three dimensions (emotional exhaustion, depersonalization and personal accomplishment). As secondary variables, psychological, labour and demographic factors were considered. A binary logistic regression model was constructed to determine factors associated with burnout. A total of 69 nurses experienced high emotional exhaustion (37.3%), 65 had high depersonalization (35.1%) and 70 had low personal performance (37.8%). A higher proportion of burnout was found in the participants who were single parents, working >8 hr per day, with a medium/high workload, a lack of a high professional quality of life and a self-care deficit. Our multivariate models were very accurate in explaining burnout in palliative care nurses. These models must be externally validated to predict burnout and prevent future complications of the syndrome accurately. Nurses who present the factors found should be the focus of interventions to reduce work stress. © 2017 John Wiley & Sons Ltd.

  3. Notes from the field: prevalence of risk factors for suicide among veterinarians - United States, 2014.

    Science.gov (United States)

    Nett, Randall J; Witte, Tracy K; Holzbauer, Stacy M; Elchos, Brigid L; Campagnolo, Enzo R; Musgrave, Karl J; Carter, Kris K; Kurkjian, Katie M; Vanicek, Cole; O'Leary, Daniel R; Pride, Kerry R; Funk, Renee H

    2015-02-13

    Veterinarians are believed to be at increased risk for suicide compared with the general population. Few data on the occurrence of suicidal behavior and suicide risk factors among U.S. veterinarians are available. Veterinarians participating in two wellness summits held during September 2013 concluded that more research is needed on veterinarians and their mental health.

  4. Factors associated with bat mortality at wind energy facilities in the United States

    Science.gov (United States)

    Thompson, Maureen; Beston, Julie A.; Etterson, Matthew A.; Diffendorfer, James E.; Loss, Scott R.

    2017-01-01

    Hundreds of thousands of bats are killed annually by colliding with wind turbines in the U.S., yet little is known about factors causing variation in mortality across wind energy facilities. We conducted a quantitative synthesis of bat collision mortality with wind turbines by reviewing 218 North American studies representing 100 wind energy facilities. This data set, the largest compiled for bats to date, provides further evidence that collision mortality is greatest for migratory tree-roosting species (Hoary Bat [Lasiurus cinereus], Eastern Red Bat [Lasiurus borealis], Silver-haired Bat [Lasionycteris noctivagans]) and from July to October. Based on 40 U.S. studies meeting inclusion criteria and analyzed under a common statistical framework to account for methodological variation, we found support for an inverse relationship between bat mortality and percent grassland cover surrounding wind energy facilities. At a national scale, grassland cover may best reflect openness of the landscape, a factor generally associated with reduced activity and abundance of tree-roosting species that may also reduce turbine collisions. Further representative sampling of wind energy facilities is required to validate this pattern. Ecologically informed placement of wind energy facilities involves multiple considerations, including not only factors associated with bat mortality, but also factors associated with bird collision mortality, indirect habitat-related impacts to all species, and overall ecosystem impacts.

  5. Sustainability in a global context: How does local factor affect the outcomes of CSR activities in international business units?

    DEFF Research Database (Denmark)

    Thomsen, Christa; Lauring, Jakob

    In recent years CSR has become increasingly important for the activities and branding of MNCs. While some studies have investigated CSR management and branding in domestic situations, fewer studies exist in the case of international business units (subsidiaries, joint ventures, and franchises...... as CSR branding outcomes). Our findings show that local values were positively associated with external CSR engagement and that employee relations were positively related to both internal and external CSR engagement. None of the local factors were significantly associated with CSR branding outcomes...

  6. Predictive Factors for Delayed Extubation in the Intensive Care Unit after Coronary Artery Bypass Grafting; A Southern Iranian Experience

    Directory of Open Access Journals (Sweden)

    Shahrbanoo Shahbazi

    2012-12-01

    Full Text Available Background: Early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, and hospitalization costs. We conducted a retrospective study to evaluate potential factors which may affect extubation time. Methods: The records of 334 eligible patients who underwent elective coronary artery bypass grafting (CABG in 2008 in Kowsar Hospital in Shiraz, southern Iran were evaluated to find the factors that can affect the extubation time. The patients were divided to early (equal or less than 6 hours and late extubation groups. The patients’ demographic data and operative variables were extracted from the records. We excluded patients with difficult intubation, severe acid base disturbance, neurological problems, and cardiovascular instability; and those who used intra-aortic balloon pump, had underwent emergency operation, or had another concomitant surgery. Results: Multiple logistic regressions comparing age, sex, number of grafts, ejection fraction, pump time, hematocrit, number of risk factors, and number of inotropic drugs, identified only age as a predictor of delayed extubation (odds ratio=1.07, CI 95%=1.04-1.10, P<0.001. Also, in both studied groups the men to women ratio was higher (P<0.05.Conclusion: Although in our study age was the only predictive factor for delayed extubation, a comprehensive study including preoperative, perioperative, and postoperative factors is recommended in our area.

  7. Human Factors Evaluation of Man-Machine Interface for Periodic Safety Review of Yonggwang Unit no. 1, 2

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Hee; Lee, Jung Woon; Park, Jae Chang (and others)

    2006-01-15

    This report describes the research results of human factors assessment on the MMI(Man Machine Interface) equipment as part of Periodic Safety Review(PSR) of Yonggwang Unit no. 1, 2. As MMI is a key factor among human factors to be reviewed in PSR, we reviewed the MMI components of nuclear power plants in aspect of human factors engineering. The availability, suitability, and effectiveness of the MMI devices were chosen to be reviewed. The MMI devices were investigated through the review of design documents related to the MMI, survey of control panels, evaluation of experts, and experimental assessment. Checklists were used to perform this assessment and record the review results. The items mentioned by the expert comments to review in detail in relation with task procedures were tested by experiments with operators' participation. For some questionable issues arisen during this MMI review, operator workload and possibility of errors in operator actions were analysed. The reviewed MMI devices contain MCR(Main Control Room), SPDS(Safety Parameter Display System), RSP(Remote Shutdown Panel), and the selected LCBs(Local Control Boards) importantly related to safety. As results of the assessments, any significant problem challenging the safety was not found on human factors in the MMI devices. However, several small items to be changed and improved in suitability of MMI devices were discovered. An action plan is recommended to accommodate the suggestions and review comments. It will enhance the plant safety on MMI area.

  8. Factors controlling threshold friction velocity in semiarid and arid areas of the United States

    Science.gov (United States)

    Marticorena, Beatrice; Bergametti, Gilles; Gillette, Dale; Belnap, Jayne

    1997-10-01

    A physical model was developed to explain threshold friction velocities u*t for particles of the size 60-120 μm lying on a rough surface in loose soils for semiarid and arid parts of the United States. The model corrected for the effect of momentum absorption by the nonerodible roughness. For loose or disturbed soils the most important parameter that controls u*t is the aerodynamic roughness height z0. For physical crusts damaged by wind the size of erodible crust pieces is important along with the roughness. The presence of cyanobacteriallichen soil crusts roughens the surface, and the biological fibrous growth aggregates soil particles. Only undisturbed sandy soils and disturbed soils of all types would be expected to be erodible in normal wind storms. Therefore disturbance of soils by both cattle and humans is very important in predicting wind erosion as confirmed by our measurements.

  9. Factors limiting performance in a multitone intensity-discrimination task: disentangling non-optimal decision weights and increased internal noise.

    Directory of Open Access Journals (Sweden)

    Daniel Oberfeld

    Full Text Available To identify factors limiting performance in multitone intensity discrimination, we presented sequences of five pure tones alternating in level between loud (85 dB SPL and soft (30, 55, or 80 dB SPL. In the "overall-intensity task", listeners detected a level increment on all of the five tones. In the "masking task", the level increment was imposed only on the soft tones, rendering the soft tones targets and loud tones task-irrelevant maskers. Decision weights quantifying the importance of the five tone levels for the decision were estimated using methods of molecular psychophysics. Compatible with previous studies, listeners placed higher weights on the loud tones than on the soft tones in the overall-intensity condition. In the masking task, the decisions were systematically influenced by the to-be-ignored loud tones (maskers. Using a maximum-likelihood technique, we estimated the internal noise variance and tested whether the internal noise was higher in the alternating-level five-tone sequences than in sequences presenting only the soft or only the loud tones. For the overall-intensity task, we found no evidence for increased internal noise, but listeners applied suboptimal decision weights. These results are compatible with the hypothesis that the presence of the loud tones does not impair the precision of the representation of the intensity of the soft tones available at the decision stage, but that this information is not used in an optimal fashion due to a difficulty in attending to the soft tones. For the masking task, in some cases our data indicated an increase in internal noise. Additionally, listeners applied suboptimal decision weights. The maximum-likelihood analyses we developed should also be useful for other tasks or other sensory modalities.

  10. Limited efficacy of COX-2 inhibitors on nerve growth factor and metalloproteinases expressions in human synovial fibroblasts.

    Science.gov (United States)

    Yorifuji, Makiko; Sawaji, Yasunobu; Endo, Kenji; Kosaka, Taiichi; Yamamoto, Kengo

    2016-05-01

    Nerve growth factor (NGF) is associated with arthritic pain and metalloproteinases are implicated in collagen and aggrecan degradation. Although selective COX-2 inhibitors are recommended for the treatment of arthritic diseases, their effects on NGF and metalloproteinases remain unclear. This study investigated the regulations of NGF and metalloproteinases by selective COX-2 inhibitors in isolated human synovial cells. The isolated human synovial cells were stimulated with IL-1β in the presence of selective COX-2 inhibitors (NS-398 or celecoxib) with or without exogenous PGE2 or its receptor (EP1-4) agonists. The expressions of NGF, MMP-1, -3, -13, ADAMTS-4, and -5 were quantified by real-time PCR and their proteins were determined by Western blotting. The amount of PGE2 released was measured by enzyme-linked immunosorbent assay (ELISA). The IL-1β inductions of NGF and MMP-1 and MMP-13 were augmented by the COX-2 inhibitors, whereas the inductions of ADAMTS-4 and ADAMTS-5 were inhibited. These actions were reversed by supplementing PGE2 or the EP4 agonist exogenously. Our comprehensive analysis revealed that COX-2 inhibitors may be beneficial for suppressing aggrecan degradation and for reducing inflammatory pain by inhibiting PGE2 release, although they may have limited efficacy in suppressing collagen degradation and nerve growth. This study suggests the feedback roles of PGE2 in the negative regulation of NGF and MMP-1 and MMP-13 and the positive regulation of ADAMTS-4 and ADAMTS-5. Copyright © 2016 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

  11. Risk factors for aminoglycoside-associated nephrotoxicity in surgical intensive care unit patients

    Science.gov (United States)

    Gerlach, Anthony T; Stawicki, Stanislaw P; Cook, Charles H; Murphy, Claire

    2011-01-01

    Background: Aminoglycosides are commonly used antibiotics in the intensive care unit (ICU), but are associated with nephrotoxicity. This study evaluated the development of aminoglycoside-associated nephrotoxicity (AAN) in a single surgical intensive care unit. Materials and Methods: Adult patients in our surgical ICU who received more than two doses of aminoglycosides were retrospectively reviewed for demographics, serum creatinine, receipt of nephrotoxins [angiotensin converting enzyme (ACE) inhibitors, angiotensin-II receptor blockers, diuretics, non-steroidal anti-inflammatory drugs, cyclosporine, tacrolimus, vasopressors, vancomycin and intravenous iodinated contrast] and the need for dialysis. AAN was defined as an increase in serum creatinine >0.5 mg/dL on at least 2 consecutive days. Univariate and multiple regression analyses were performed. Results: Sixty-one patients (43 males) receiving aminoglycoside were evaluated. Mean age, weight, initial serum creatinine, and duration of aminoglycoside therapy were 58.7 (±15) years, 83.3 (±24.4) kg, 0.9 (±0.5) mg/dL, and 4 (±2.3) days, respectively. Thirty-one (51%) aminoglycoside recipients also received additional nephrotoxins. Seven aminoglycoside recipients (11.5%) developed AAN, four of whom required dialysis and all had received additional nephrotoxins. Only concurrent use of vasopressors (P = 0.041) and vancomycin (P = 0.002) were statistically associated with AAN. Receipt of vasopressors or vancomycin were independent predictors of acute kidney insufficiency (AKI) with odds ratios of 19.9 (95% CI: 1.6–245, P = 0.019) and 49.8 (95% CI: 4.1–602, P = 0.002), respectively. Four patients (6.6%) required dialysis. Conclusions: In critically ill surgical patients receiving aminoglycosides, AAN occurred in 11.5% of the patients. Concurrent use of aminoglycosides with other nephrotoxins increased the risk of AAN. PMID:22096769

  12. Nosocomial infection and risk factors in elderly patients in intensive care units

    OpenAIRE

    2015-01-01

    Incidence of nosocomial infections gradually increase in patients over 65 years age population. There is a significant relationship between increased age and predisposition to nosocomial infections. Predisposition to infections in this age group is a result of impaired host defense, underlying chronic diseases, long-term hospitalization, steroids and immunosuppressive therapies and malnutrition. Nevertheless there is not much data about the incidence and risk factors of nosocomial infectio...

  13. What factors predict length of stay in a neonatal unit: a systematic review

    OpenAIRE

    Seaton, Sarah E.; Barker, Lisa; Jenkins, David; Draper, Elizabeth S; Keith R Abrams; Manktelow, Bradley N.

    2016-01-01

    Objective In the UK, 1 in 10 babies require specialist neonatal care. This care can last from hours to months depending on the need of the baby. The increasing survival of very preterm babies has increased neonatal care resource use. Evidence from multiple studies is crucial to identify factors which may be important for predicting length of stay (LOS). The ability to predict LOS is vital for resource planning, decision-making and parent counselling. The objective of this review was to identi...

  14. Moving north: different factors influencing male and female mexican migration to United States

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    Vladimir Canudas Romo

    2004-01-01

    Full Text Available Movimiento hacia el norte: los diferentes factores que afectan la migración mexicana femenina y masculina a Estados Unidos Este artículo emplea análisis de sobrevivencia para estudiar los patrones mexicanos de migración a los Estados Unidos por motivos laborales. El modelo se enfoca en ciertos factores que se han distinguido previamente como característicos de la migración laboral: edad, responsabilidad familiar, redes familiares, educación, estatus laboral y el año calendario. Se ha puesto especial énfasis en distinguir entre las características masculinas y femeninas. Los datos utilizados provienen de la EDER, una encuesta retrospectiva elaborada en México. Las estimaciones muestran una reducción en el riesgo de migrar para hombres y mujeres debido al empleo en México y la formación de una unión, respectivamente. La contribución más relevante de este proyecto es el énfasis en el cambio en el tiempo de la influencia de los distintos factores en el riesgo de migrar a Estados Unidos.

  15. [The impact factor: a factor of impact or the impact of a (sole) factor? The limits of a bibliometric indicator as a candidate for an instrument to evaluate scientific production].

    Science.gov (United States)

    Gensini, G F; Conti, A A

    1999-01-01

    The Impact Factor is a bibliometric quantitative parameter introduced in 1971 and used to evaluate, classify and compare scientific journals. It is essentially the ratio between the number of citations they receive, computed on the basis of those included in the Science Citation Index, and the number of published articles. It is thus a dynamic parameter and an indicator of the editorial quality of a journal. It has also been considered a putative index of the scientific production of a single author. The Impact Factor was first proposed as a useful instrument for planning library choices, programming personal journal buying and reading, and directing scientific journal editors in their editorial strategies. However, since among the numerous variables which may influence the Impact Factor there are such parameters as: the average number of bibliographical references in a single article, self-citations, "salami publications", the Impact Factor, though adequate to judge entities such as journals, institutions and whole scientific communities, seems on the contrary inadequate to evaluate accurately the quality of the single investigator, paper, and research group. Furthermore, a limited number of papers, all focused on the so-called "hot topics", may contribute to increase the Impact Factor of a single journal. There is therefore still much research to be done to find truly "objective" methods to evaluate critically the "quality" (and not only the "quantity") of the work of a single author, a scientific group, and an entire institution, so that not only quantitative, but also qualitative evidence may be acquired!

  16. Combination of stem cell factor and granulocyte colony-stimulating factor mobilizes the highest number of primitive haemopoietic progenitors as shown by pre-colony-forming unit (pre-CFU) assay.

    Science.gov (United States)

    Horsfall, M J; Hui, C H; To, L B; Begley, C G; Basser, R L; Simmons, P J

    2000-06-01

    Fifty-two patients with poor prognosis carcinoma of the breast underwent peripheral blood stem cell (PBSC) mobilization using five different regimens. The yields of primitive haemopoietic progenitors were quantified by a recently described pre-colony-forming unit (pre-CFU) assay using limiting dilution analysis (LDA). Results of days 14 and 35 pre-CFU were also correlated with conventional CD34+ cell enumeration, CFU-GM (granulocyte-macrophage) and long-term culture-initiating cell (LTCIC) assays. The yield of pre-CFUs with the combination of granulocyte colony-stimulating factor (G-CSF) and stem cell factor (SCF) was significantly higher than with G-CSF alone, cyclophosphamide (Cyclo) and granulocyte-monocyte colony-stimulating factor (GM-CSF), interleukin (IL)-3 and GM-CSF, or Cyclo alone. No significant correlation between neutrophil engraftment and pre-CFU could be demonstrated. Furthermore, CFU-GM was shown to bear a stronger correlation with pre-CFU and LTCIC than CD34+ cell measurement; thus, CFU-GM remains a useful biological tool for haemopoietic stem cell assay. We conclude that the combination of G-CSF and SCF mobilizes the highest number of pre-CFUs as measured by functional pre-CFU assay, which provides an alternative measurement of primitive haemopoietic progenitors to the LTCIC assay.

  17. Pulmonary embolism in intensive care unit: Predictive factors, clinical manifestations and outcome

    Directory of Open Access Journals (Sweden)

    Bahloul Mabrouk

    2010-01-01

    Full Text Available Objective : To determine predictive factors, clinical and demographics characteristics of patients with pulmonary embolism (PE in ICU, and to identify factors associated with poor outcome in the hospital and in the ICU. Methods : During a four-year prospective study, a medical committee of six ICU physicians prospectively examined all available data for each patient in order to classify patients according to the level of clinical suspicion of pulmonary thromboembolism. During the study periods, all patients admitted to our ICU were classified into four groups. The first group includes all patients with confirmed PE; the second group includes some patients without clinical manifestations of PE; the third group includes patients with suspected and not confirmed PE and the fourth group includes all patients with only deep vein thromboses (DVTs without suspicion of PE. The diagnosis of PE was confirmed either by a high-probability ventilation/perfusion (V/Q scan or by a spiral computed tomography (CT scan showing one or more filling defects in the pulmonary artery or in its branches. The diagnosis was also confirmed by echocardiography when a thrombus in the pulmonary artery was observed. Results : During the study periods, 4408 patients were admitted in our ICU. The diagnosis of PE was confirmed in 87 patients (1.9%. The mean delay of development of PE was 7.8 ± 9.5 days. On the day of PE diagnosis, clinical examination showed that 50 patients (57.5% were hypotensive, 63 (72.4% have SIRS, 15 (17.2% have clinical manifestations of DVT and 71 (81.6% have respiratory distress requiring mechanical ventilation. In our study, intravenous unfractionated heparin was used in 81 cases (93.1% and low molecular weight heparins were used in 4 cases (4.6%. The mean ICU stay was 20.2 ± 25.3 days and the mean hospital stay was 25.5 ± 25 days. The mortality rate in ICU was 47.1% and the in-hospital mortality rate was 52.9%. Multivariate analysis showed that

  18. Risk Factors for Domestic Child Sex Trafficking in the United States.

    Science.gov (United States)

    Fedina, Lisa; Williamson, Celia; Perdue, Tasha

    2016-07-27

    Despite increased effort to respond to human trafficking at national and state levels, very little empirical research has been conducted on domestic child sex trafficking. This study retrospectively examines associations between multiple risk factors and domestic child sex trafficking (i.e., entry into the commercial sex industry under the age of 18) in a sample of individuals aged 16 and older currently involved in the commercial sex industry (N = 273). Two primary research questions are addressed: (1) What set of risk factors, prior to entering the commercial sex industry, are associated with domestic child sex trafficking and (2) what group differences, if any, exist in risk factors between current or former domestic child sex-trafficking victims and non-trafficked adults engaged in the commercial sex industry? A cross-sectional survey was administered using Respondent-Driven Sampling (RDS) in five cities in one Midwestern state. Overall, 115 participants (48.3%) were identified as current or former domestic child sex-trafficking victims. Bivariate results suggest that childhood emotional and sexual abuse, rape, ever running away from home, having family members in sex work, and having friends who purchased sex were significantly associated with domestic child sex trafficking. Multivariate results indicate that domestic child sex trafficking victims were significantly more likely to have ever run away and to be a racial/ethnic minority than non-trafficked adults engaged in the commercial sex industry. Findings can inform state-level policies on human trafficking and assist child protection and juvenile justice agencies in developing prevention and intervention responses to commercial sexual exploitation.

  19. Historical and Contemporary Factors Contributing to the Plight of Migrant Farmworkers in the United States

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    Martin Thomas Donohoe

    2010-02-01

    Full Text Available Abstract: Migrant farmworkers provide an essential service and perform jobs that many Americans are unwilling to do. Immigration practices and policies dictate the extent to which undocumented migrant farmworkers have access to governmental health and social services, and are ever-changing based on the political climate. This paper reviews historical and contemporary United States government policies relevant to migrant farmworkers. It refutes some of the common myths regarding documented and undocumented immigrants and migrant farmworkers, such as "U.S. public health insurance programs are overburdened with immigrants," "undocumented immigrants are taking advantage of the American system by 'free riding' and are a 'drain on the economy,'" and "undocumented immigrants take American jobs." Even though their jobs involve significant occupational hazards, undocumented migrant farmworkers are ineligible for government services, and employers generally do not provide these workers with health insurance. Migrant farmworkers also face food insecurity, poor housing conditions, impaired access to education for their children, and even human rights violations. These conditions, as well as the nature of their work, affect the health of undocumented migrant farmworkers and their children. This paper analyzes these inequities and calls for a more just and equitable system that treats migrant farmworkers fairly and provides them and their families with social services and health care.

  20. Nosocomial klebsiella infection in a neonatal unit: identification of risk factors for gastrointestinal colonization.

    Science.gov (United States)

    Mayhall, C G; Lamb, V A; Bitar, C M; Miller, K B; Furse, E Y; Kirkpatrick, B V; Markowitz, S M; Veazey, J M; Macrina, F L

    1980-01-01

    Sequential outbreaks of infection due to gentamicin-resistant Klebsiella pneumoniae (GRKP) types 30 and 19 occurred in the neonatal intensive care unit (NICU) at the Medical College of Virginia in 1977 and 1978. The extensive epidemiologic investigation carried out included a case-control study, careful review of aseptic technique, and cultures from nursery staff and environment. The gastrointestinal (GI) tracts of the patients were the reservoirs for GRKP, and the epidemic strain was transmitted by hands of personnel. The case-control study showed a significant relationship between acquisition of GRKP by patients and oropharyngeal and GI instrumentation, including use of bag resuscitation, oropharyngeal suctioning, and use of nasogastric feeding tubes. The findings of the case-control study were supported by observation of the patient care techniques practiced by NICU staff. Institution of control measures based on results of the epidemiologic investigation of the first outbreak rapidly brought the second outbreak under control, even though cohorting or use of routine isolation was not possible. Whereas GI colonization and hand transmission have been described previously in outbreaks of K. pneumoniae infections in NICUs, this study is the first to document the mode of inoculation of patients' GI tracts by contaminated hands of personnel.

  1. Patients with hematological disorders requiring admission to medical intensive care unit: Characteristics, survival and prognostic factors

    Directory of Open Access Journals (Sweden)

    Subhash H

    2003-01-01

    Full Text Available Background: This retrospective chart review assessed the characteristics and outcome of patients with hematological disorders who required admission to medical intensive care unit over a 4 year period (January 1998 to December 2001. Results: There were a total of 104 patients, 67 (64% male, 37 (36% female subjects, with a mean age of 36.3 ± 15.3 years (range 10 to 65 years. The mean duration from hospital admission to ICU transfer was 11 days. Sixty-nine (66% had malignant and 35 (34% had non-malignant conditions. Respiratory distress was the commonest reason for ICU admission 58 (56%. The other indications were hemodynamic instability 38 (36%, low sensorium 22 (21%, following cardio-pulmonary arrest 12 (11.5% and generalized tonic-clonic seizures 5 (5%. Forty-three (42% patients had absolute neutophil count (ANC less than 500, 48 (47.5% had platelet count < 20000. The mean duration of ICU stay was 4 days (range < 24 hours to 28 days. Sixty-nine (66% patients required mechanical ventilation, 61 (59% required hemodynamic support. Pneumonia or sepsis was diagnosed in 71 (68%. Twenty-five (24% survived ICU stay and 20 (19% survived to hospital discharge. ICU admission following cardio-pulmonary arrest, advanced malignancy, requirement of mechanical ventilation, vasopressor support, ANC count < 500 and platelet count < 20000 were the predictors of adverse outcome. Associated organ dysfunction further increases the mortality.

  2. [PRESSURE ULCER: INCIDENCE AND DEMOGRAPHIC, CLINICAL AND NUTRITION FACTORS ASSOCIATED IN INTENSIVE CARE UNIT PATIENTS].

    Science.gov (United States)

    Oliveira Costa, Ana Carolina; Sabino Pinho, Cláudia Porto; Almeida dos Santos, Alyne Dayana; Santos do Nascimento, Alexsandra Camila

    2015-11-01

    La úlcera por presión (UP) es una lesión localizada en la piel y/o tejido subyacente, generalmente sobre prominencias óseas, provocada por la presión y/o asociada a cizallamiento. Aunque evitable, todavía es muy prevalente, siendo destacable que en su etiología están involucrados múltiples factores. Objetivo: identificar la incidencia de úlceras por presión y los factores demográficos, clínicos y nutricionales asociados en pacientes internados en la UCI de un hospital universitario. Métodos: estudio prospectivo, observacional, con pacientes internados en una UCI de un hospital universitario ubicado en el nordeste brasileño, durante el periodo de junio a noviembre de 2014. Se determinó la UP a través de la inspección corporal tres veces a la semana durante el baño matinal, con base en las características establecidas por la National Pressure Ulcer Advisory Panel, 2014. Se recolectaron datos demográficos, clínicos, bioquímicos y nutricionales. Se utilizó la escala de Braden para verificar a los individuos con riesgo de desarrollo de UP. Resultados: la muestra se compuso de 51 pacientes, con un promedio de edad de 57,7(± 16,4) años. Se verificó una incidencia de UP del 52,9%, y los factores asociados a su desarrollo fueron: uso de droga vasoactiva (p = 0,029), tiempo de hospitalización > 10 días (p ≤ 0,001) y ausencia de anemia (p = 0,011). Conclusión: la elevada incidencia de UP resalta la vulnerabilidad de los pacientes en cuidados intensivos. A pesar de caracterizarse por ser una condición multifactorial, solo el uso de drogas vasoactivas, el tiempo de hospitalización y la ausencia de anemia se asociaron a la aparición de UP. Factores nutricionales y clínicos frecuentemente relacionados a las lesiones se asociaron con su desarrollo.

  3. Risk factors for acute kidney injury in a pediatric intensive care unit: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Lina María Serna-Higuita

    2017-04-01

    Full Text Available Resumen ANTECEDENTES La incidencia de la lesión renal aguda en la población pediátrica, al igual que los factores de riesgo asociados a esta complicación, no se conocen con certeza. OBJETIVOS Este estudio tuvo como objetivo determinar la incidencia de lesión renal aguda en la población pediátrica críticamente enferma del Hospital Pablo Tobón Uribe en el período 2010-2014, e identificar factores de riesgo para su aparición. MÉTODOS Cohorte retrospectiva en la que se evaluaron los pacientes menores de 14 años, admitidos en las unidades de cuidados intensivos y de cuidados intermedios pediátricos. La lesión renal aguda se definió según la clasificación Kidney Disease Improving Global Outcomes, KDIGO. RESULTADOS En total 382 pacientes fueron evaluados, de los cuales 11,5% presentaron lesión renal aguda (tasa de incidencia 0,99 persona por día. En el análisis de regresión logística multivariada, los valores de plaquetas (Odds ratio: 2,947; intervalo de confianza 95%: 1,276-6,805 y el uso de vasopresores (Odds ratio: 4,601; intervalo de confianza 95%: 1,665-2,710 fueron identificados como factores de riesgo para lesión renal aguda. La estancia hospitalaria, al igual que la mortalidad en los pacientes con lesión renal aguda, fue significativamente mayor al compararla con el grupo sin esta patología (19 días versus 5 días y 3,7 días-persona versus 0,32 días-persona respectivamente. CONCLUSIONES La lesión renal aguda en los pacientes pediátricos que ingresan a los servicios de cuidados intensivos e intermedios pediátricos, se presenta en un porcentaje significativo. A su vez, esta complicación aumenta la estancia hospitalaria y la mortalidad. Los valores bajos de plaquetas y el uso de soporte vasopresor, fueron factores de riesgo independientes para el desarrollo de lesión renal aguda.

  4. Enterococcal colonization of infants in a neonatal intensive care unit: associated predictors, risk factors and seasonal patterns

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    Proempeler Heinrich

    2007-09-01

    Full Text Available Abstract Background During and shortly after birth, newborn infants are colonized with enterococci. This study analyzes predictors for early enterococcal colonization of infants in a neonatal intensive care unit and describes risk factors associated with multidrugresistant enterococci colonization and its seasonal patterns. Methods Over a 12-month period, we performed a prospective epidemiological study in 274 infants admitted to a neonatal intensive care unit. On the first day of life, we compared infants with enterococcal isolates detected in meconium or body cultures to those without. We then tested the association of enterococcal colonization with peripartal predictors/risk factors by using bivariate and multivariate statistical methods. Results Twenty-three percent of the infants were colonized with enterococci. The three most common enterococcal species were E. faecium (48% of isolates, E. casseliflavus (25% and E. faecalis (13%. Fifty-seven percent of the enterococci found were resistant to three of five antibiotic classes, but no vancomycin-resistant isolates were observed. During winter/spring months, the number of enterococci and multidrug-resistant enterococci were higher than in summer/fall months (p = 0.002 and p Conclusion In neonatal intensive care units, an infant's susceptibility to early colonization with enterococci in general, and his or her risk for colonization with multidrug-resistant enterococci in particular, is increased in preterm newborns, especially during the winter/spring months. The prepartal use of antibiotics with no known activity against enterococci appears to increase the risk for colonization with multidrug-resistant enterococci.

  5. Selected Abiotic and Biotic Environmental Stress Factors Affecting Two Economically Important Sugarcane Stalk Boring Pests in the United States

    Directory of Open Access Journals (Sweden)

    Allan T. Showler

    2016-02-01

    Full Text Available Sugarcane, Saccharum spp., in the United States is attacked by a number of different arthropod pests. The most serious among those pests are two stalk boring moths in the Family Crambidae: the sugarcane borer, Diatraea saccharalis (F., and the Mexican rice borer, Eoreuma loftini (Dyar. The two species are affected by abiotic and biotic environmental stress factors. Water deficit and excessive soil nitrogen alter physical and physiochemical aspects of the sugarcane plant that make the crop increasingly vulnerable to E. loftini. Weed growth can be competitive with sugarcane but it also supports enhanced abundances and diversity of natural enemies that can suppress infestations of D. saccharalis. In an instance where the stalk borer is considered a stress factor, proximity of vulnerable crops to sugarcane can influence levels of E. loftini infestation of sugarcane. The adverse effects of each stress factor, in terms of stalk borer attack, can be reduced by adopting appropriate cultural practices, such as adequate irrigation, judicious use of nitrogen fertilizer, using noncompetitive weed growth, and not planting vulnerable crops near sugarcane fields. Understanding the relationships between stress factors and crop pests can provide valuable insights for plant breeders and tools for incorporation into integrated pest management strategies.

  6. COPING OF RISK FACTORS IN HYPERTENSIVE USERS OF A FAMILY HEALTH UNIT IN FEIRA DE SANTANA, BAHIA

    Directory of Open Access Journals (Sweden)

    Kele Cristina Santos Barbosa

    2013-12-01

    Full Text Available The aim of this study was to understand the occurrence of risk factors in hypertensive patients of a Family Health Unit (Short in Portuguese USF of Feira de Santana, Bahia, and demonstrate the importance of USF team in the diagnosis of arterial hypertension, control of risk factors and health education. We conducted a study with qualitative approach, using the registration forms of hypertensive and diabetic of Plan of Reorganization of Attention for Hypertension and Diabetes Mellitus (2010-2011. It was found that from 214 hypertensive patients of this USF, 155 (72.43% are female and 59 (27.57% are male. Most hypertensive patients had between 60 and 69 years (35,51%, mulatto (42.06%, married (69.16% and incomplete primary education (33.64%. The risk factors more frequent were the cardiovascular antecedent, with 61 cases (39.35% in women, smoking with 20 cases (33.90% in men and sedentary lifestyle with 74 cases (47.74% in women. These results motivated the realization of educational activities for hypertensive patients about changing habits, as well as the commitment to treatment. However, was obtained low participation, which was an obstacle in the quest for control of risk factors in these people.

  7. Dietary factors and non-Hodgkin's lymphoma in Nebraska (United States).

    Science.gov (United States)

    Ward, M H; Zahm, S H; Weisenburger, D D; Gridley, G; Cantor, K P; Saal, R C; Blair, A

    1994-09-01

    Little is known about dietary factors and non-Hodgkin's lymphoma (NHL) risk, although high intakes of animal protein and milk have been associated with NHL in two previous studies. As part of a population-based case-control study of agricultural and other risk factors for NHL in eastern Nebraska (USA), we examined the self- and proxy-reported frequency of consumption of 30 food items by 385 White men and women with NHL and 1,432 controls. Animal protein intake was not associated significantly with the risk of NHL, however, there was a nonsignificantly elevated risk of NHL among men with high milk consumption. Vitamin C, carotene, citrus fruit, and dark green vegetable intakes were inversely significantly related to the risk of NHL for men, but not for women. Among men, the odds ratios for the highest quartiles of both vitamin C and carotene intake were 0.6 (95% confidence intervals = 0.3-1.0). There were no meaningful differences in the associations of nutrient intakes and NHL risk between B- and T-cell lymphomas and histologic types. Risks for low intakes of vitamin C and carotene were greater among men and women with a family history of cancer, particularly a history of lymphatic or hematopoietic cancer among first-degree relatives.

  8. Factors associated with sugar-sweetened beverage intake among United States high school students.

    Science.gov (United States)

    Park, Sohyun; Blanck, Heidi M; Sherry, Bettylou; Brener, Nancy; O'Toole, Terrence

    2012-02-01

    This cross-sectional study examined associations of demographic characteristics, weight status, availability of school vending machines, and behavioral factors with sugar-sweetened beverage (SSB) intake, both overall and by type of SSB, among a nationally representative sample of high school students. The 2010 National Youth Physical Activity and Nutrition Study data for 11,209 students (grades 9-12) were used. SSB intake was based on intake of 4 nondiet beverages [soda, other (i.e., fruit-flavored drinks, sweetened coffee/tea drinks, or flavored milk), sports drinks, and energy drinks]. Nationwide, 64.9% of high school students drank SSB ≥1 time/d, 35.6% drank SSB ≥2 times/d, and 22.2% drank SSB ≥3 times/d. The most commonly consumed SSB was regular soda. Factors associated with a greater odds for high SSB intake (≥3 times/d) were male gender [OR = 1.66 (95% CI = 1.41,1.95); P 2 h/d [OR = 1.70 (95% CI = 1.44, 2.01); P intake [OR = 0.85 (95% CI = 0.76, 0.95); P intake. Differences in predictors by type of SSB were small. Our findings of significant associations of high SSB intake with frequent fast-food restaurant use and sedentary behaviors may be used to tailor intervention efforts to reduce SSB intake among high-risk populations.

  9. Social and dietary factors associated with obesity in university female students in United Arab Emirates.

    Science.gov (United States)

    Musaiger, A O; Radwan, H M

    1995-04-01

    A cross-sectional study on 215 university female students aged 18-30 years was undertaken in 1993 to examine some factors associated with obesity among this group of females. Based on Body Mass Index (BMI), (wt/ht2), 19% of females were overweight and 9.8% were obese. The proportion of obesity was the highest in females aged 18 years (31%) compared to those aged 19 and 20 years and above (23.8% and 27.6%, respectively). Although there was no significant association between obesity and social factors studied, the prevalence of obesity was higher in non-national, those with educated mothers, having no housemaid, and having a family history of obesity. Skipping meals and snacks had no significant association with obesity, however, obesity was more prevalent among females who did not skip lunch. In contrast, females who ate afternoon snacks and supper were more likely to be obese than females who skipped these events. Median BMI for university females was higher than that reported in USA for the same age group, while median values for weight and mid-arm circumference for females studied were similar to that reported in their counterparts in Western countries.

  10. Risk Factors for Cryptococcal Meningitis: A Single United States Center Experience.

    Science.gov (United States)

    Henao-Martínez, Andrés F; Gross, Lilyana; Mcnair, Bryan; McCollister, Bruce; DeSanto, Kristen; Montoya, Jose G; Shapiro, Leland; Beckham, J David

    2016-12-01

    Cryptococcal meningitis carries a high mortality. Further understanding of immune suppression factors associated with neuroinvasive infection will improve risk stratification and enhance early diagnosis and treatment with antifungal therapy. The aim of the study was to corroborate established or find novel clinical predictors for cryptococcal meningitis. We performed a matched case-control study of Cryptococcus infection in immunocompromised patients with or without cryptococcal meningitis. Data of all patients with a diagnosis of cryptococcal disease were collected at University of Colorado Hospital between 2000 and 2015 (n = 51). Thirty patients were diagnosed with cryptococcal meningitis. We built a logistic regression model for risk factors associated with cryptococcal meningitis. The single-predictor univariate model found that a positive blood culture, positive serum cryptococcal antigen, current malignancy, and headaches were significantly associated with cryptococcal meningitis (p = 0.02). In the adjusted multivariate model, central nervous system disease was significantly associated with a diagnosis of HIV infection (OR 24.45, 95 % CI 1.62-350.37; p = 0.022) and a positive serum cryptococcal antigen test (OR 42.92, 95 % CI 3.26-555.55; p = 0.0055). In patients with HIV infection or a positive serum cryptococcal antigen, the pretest probability of neuroinvasive Cryptococcus infection is increased and an aggressive diagnostic evaluation should be conducted to exclude infection and consider empiric therapy.

  11. Factors of human capital related to project success in health care work units.

    Science.gov (United States)

    Suhonen, Marjo; Paasivaara, Leena

    2011-03-01

    To explore factors of human capital related to project success that employees expect from nurse managers. Human capital refers to those resources that managers working with projects possess, such as abilities, knowledge and qualities of character. The data were collected by open interviews (n=14) with nurses, public health nurses and nurse managers working in primary health care and a hospital. Data analysis was carried out using qualitative content analysis. The main factors of human capital related to project success proved to be as follows: (1) management of enthusiastic project culture, (2) management of regeneration and (3) management of emotional intelligence. Future research is needed on the kind of means nurse managers use in human capital management in projects and how they see their possibilities in managing human capital. Human capital management skills should be underlined as an important competence area when recruiting a nurse manager. The success of health care projects cannot be improved only through education or by training of nurse managers; in addition, projects need nurse managers who understand workplace spirituality and have high emotional intelligence. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

  12. Factors Associated with Symptoms of Depression Among Bhutanese Refugees in the United States.

    Science.gov (United States)

    Vonnahme, Laura A; Lankau, Emily W; Ao, Trong; Shetty, Sharmila; Cardozo, Barbara Lopes

    2015-12-01

    Refugees are at risk for psychiatric morbidity, yet little is known about their mental health conditions. We identified factors associated with depression symptoms among Bhutanese refugees in the US. We randomly selected adult Bhutanese refugees (N = 386) to complete a cross-sectional survey concerning demographics, mental health symptoms, and associated risk factors. The case definition for depression symptoms was ≥1.75 mean depression score on the Hopkins Symptom Checklist-25. More women (26%) than men (16%) reported depression symptoms (p = 0.0097). Higher odds of depression symptoms were associated with being a family provider, self-reported poor health, and inability to read and write Nepali (OR 4.6, 39.7 and 4.3, respectively) among men; and self-reported poor health and inability to read and write Nepali (OR 7.6, and 2.6 respectively) among women. US-settled Bhutanese refugees are at risk for depression. Providers should be aware of these concerns. Culturally appropriate mental health services should be made more accessible at a local level.

  13. [The factors associated with a lengthy hospital stay in a third-level unit].

    Science.gov (United States)

    Aguirre-Gas, H; García-Melgar, M; Garibaldi-Zapatero, J

    1997-01-01

    A descriptive, cross-sectional and retrospective design was developed in order to assess the frequency of patients with lengthy hospital stay (LHS) and associated factors at the Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS, in Mexico City from January to April, 1993. Some 2,488 patients were discharged during this period and 541 were selected at random. There were 23.9% (n = 131) of patients who had LHS, with a specific mean of 7.7 days and a total mean of 18 days of hospital stay compared with 5 days for those patients who did not have LHS. The associated factors were: patient's origin, admission conditions, complications, hospital infections, category and specialty of attending physician, delay in laboratory and diagnostic imaging exams and results, delay in surgical interventions, and need of outside transportation at time of discharge. Characteristics of patients with greater probabilities of having LHS are outside origin, diagnosis of malignant tumor, complications, hospital infections, and delay in laboratory exams and in surgical interventions. Some of these characteristics can be modified in order to improve LHS and quality of medical care. Further investigations are required to individually analyze these characteristics as well as the justification for LHS and its costs.

  14. Attributes for NHDPlus Catchments (Version 1.1) for the Conterminous United States: Mean Annual R-factor, 1971-2000

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data set represents the average annual R-factor, rainfall-runoff erosivity measure, compiled for every catchment of NHDPlus for the conterminous United States....

  15. Health-Related Quality of Life Among Adults With Multiple Chronic Conditions in the United States, Behavioral Risk Factor Surveillance System, 2007

    Directory of Open Access Journals (Sweden)

    Han-Yang Chen, MS

    2011-01-01

    Full Text Available IntroductionLittle is known about health-related quality of life (HRQOL among people with multiple chronic conditions. We examined the association between the number of chronic conditions and self-reported HRQOL outcomes among adults in the United States.MethodsWe used data from the Behavioral Risk Factor Surveillance System (BRFSS in 2007 (n = 430,912 to compare 4 HRQOL measures for people with any of 8 chronic conditions. We also assessed the frequency of self-reported physical and mental distress and the number of days activity was limited because of chronic conditions. We estimated prevalence and adjusted odds ratios (AORs and 95% confidence intervals (CIs by using survey logistic regression analyses.ResultsPeople with 3 or more chronic conditions had the highest risk of reporting fair or poor health compared with respondents with no chronic conditions (AOR, 8.7; 95% CI, 8.0-9.4. People with cardiovascular conditions or diabetes had higher risk of reporting poor HRQOL outcomes than those with other chronic conditions. The odds ratios for frequent physical distress were consistently higher than those for frequent mental distress and frequent activity limitations for all conditions.ConclusionStrategies that help clinicians to manage their patients’ chronic conditions may contribute to improved HRQOL among adults. Our findings may help to inform these strategies.

  16. Factors Associated with Self-Reported Cervical Cancer Screening Among Women Aged 18 Years and Older in the United States.

    Science.gov (United States)

    Miles-Richardson, Stephanie; Allen, Shari; Claridy, Mechelle D; Booker, Elaine Archie; Gerbi, Gemechu

    2017-02-01

    In 2016, an estimated 4120 women will die as a result of cervical cancer. The objective of this study was to examine the factors associated with cervical cancer screening among women 18 years of age and older in the United States (U.S.). Using the 2012 Behavioral Risk Factor Surveillance System survey, women over the age of 18 in the U.S. were examined to assess factors associated with cervical cancer screening. Analyses were conducted using SAS 9.2. Of the 272,692 study participants, 258,496 (95 %) had obtained cervical cancer screening. After adjusting for demographic and socioeconomic factors, being non-Hispanic White, Hispanic or Latino, Asian, Native Hawaiian or Other Pacific Islander, in the age group 18-44 years and 75 years and above, having less than a high school education and an annual household income of less than a $25,000, having never married, and residing in the West region of the U.S. reduced the likelihood of participation in cervical cancer screening. Also, after adjusting for demographic and socioeconomic factors, being between the ages of 45-74 years of age, having more than a high school education, having a higher income, and residing in the South region of the U.S. increased the likelihood of participation in cervical cancer screening. The results of this study suggest that socio-demographic factors and region of residence are predictors of cervical cancer screening. These findings highlight the need to identify potential prevention strategies to promote cervical cancer screening among at-risk populations and groups.

  17. Risk factors for pressure injury development in critically ill patients in the intensive care unit: a systematic review protocol.

    Science.gov (United States)

    Coyer, Fiona; Tayyib, Nahla

    2017-03-20

    Pressure injuries (PIs) create a significant burden in the health care system. Up to 49% of critically ill patients develop PIs. Identifying and understanding potential risk factors is essential to the provision of effective targeted prevention strategies to mitigate risk. The objectives of this review are to identify patient-centred clinical factors that may be associated with PI development in the adult intensive care environment and to determine the effect size of the relationship between identified factors and PI development in this unique population. The review will follow the PRISMA reporting guidelines for systematic reviews. Electronic databases (Cochrane; PubMed/MEDLINE; CINAHL (EBSCOhost); Embase; Scopus; PsycINFO; Proquest; Networked Digital Library of Theses and Dissertations; Australian Digital Theses Program, Grey literature, Google scholar, and Clinical Trial Registries) will be systematically searched. A suite of search terms will identify articles that have examined the patient-centred risk factors for PI development in adult intensive care units. The search strategy will be designed to retrieve studies published since inception to 2016 in English language. Quality of the studies will be assessed by using an assessment framework designed to appraise quality in prognostic studies and methodological considerations in the analysis and publication of observational studies. Screening, study selection process, and data extraction will be undertaken by two independent reviewers. Disagreement will be resolved by discussion and, if required, a third independent reviewer. Clinical and methodological heterogeneity across studies will be assessed and, if possible, meta-analyses will be performed. The evidence synthesis arising from this review will identify person-centred risk factors that are associated with PI development among critically ill patients in intensive care. Findings from this review will demonstrate potential patient risk factors that may

  18. Risk Factors, Preventive Practices, and Health Care Among Breast Cancer Survivors, United States, 2010

    Directory of Open Access Journals (Sweden)

    Sherri G. Homan, RN, FNP, PhD

    2016-01-01

    Full Text Available Introduction We compared behavioral risk factors and preventive measures among female breast cancer survivors, female survivors of other types of cancers, and women without a history of cancer. Survivorship health care indicators for the 2 groups of cancer survivors were compared. Methods Using data from the 2010 Behavioral Risk Factor Surveillance System, we calculated the proportion of women with risk factors and their engagement in preventive practices, stratified by cancer status (cancer survivors or women with no history of cancer, and compared the proportions after adjusting for sociodemographic characteristics. Results A significantly higher proportion of breast cancer survivors had mammography in the previous year (79.5%; 95% confidence interval [CI], 76.0%–83.0% than did other cancer survivors (68.1%; 95% CI, 65.6%–70.7% or women with no history of cancer (66.4%; 95% CI, 65.5%–67.3%. Breast cancer survivors were also more likely to have had a Papanicolaou (Pap test within the previous 3 years than women with no history of cancer (89.4%; 95% CI, 85.9%–93.0 vs 85.1%; 95% CI, 84.4%–85.8% and a colonoscopy within the previous 10 years (75.4%; 95% CI, 71.7%–79.0% than women with no history of cancer (60.0%; 95% CI, 59.0%–61.0%. Current smoking was significantly lower among survivors of breast cancer (10.3%; 95% CI, 7.4%–13.2% than other cancer survivors (20.8%; 95% CI, 18.4%–23.3% and women with no history of cancer (18.3%; 95% CI, 17.5%–19.1%. After adjusting for sociodemographic characteristics, we found that breast cancer survivors were significantly more likely to have had mammography, a Pap test, and colonoscopy, and less likely to be current smokers. Conclusion Breast cancer survivors are more likely to engage in cancer screening and less likely to be current smokers than female survivors of other types of cancer or women with no history of cancer.

  19. A Novel Unit Power Factor Rectifier Based on Three-phase Digital PLL

    Directory of Open Access Journals (Sweden)

    Xuegui Zhu

    2013-07-01

    Full Text Available A novel three-phase phase-locked loop solution is proposed based on D-Q transformation aiming at the AC-DC rectifier with high efficiency and high power factor. The phase-locked loop is implemented digitally using the Xilinx blockset integrated with Matlab/Simulink. The three-phase digital phase-locked loop (TDPLL is elaborately designed with the parameters defined in detail. The AC-DC converter (rectifier model with the TDPLL is built and simulated in the high-speed VHS-ADC simulation platform from Canada. The simulation and test results show the TDPLL is locked right after the different three-phase voltage disturbances and very suitable for control of the rectifier with high parallelism through space vector pulse width modulation (SVPWM.  

  20. Assessment of Burnout and Associated Risk Factors Among Pharmacy Practice Faculty in the United States.

    Science.gov (United States)

    El-Ibiary, Shareen Y; Yam, Lily; Lee, Kelly C

    2017-05-01

    Objectives. To measure the level of burnout among pharmacy practice faculty members at US colleges and schools of pharmacy and to identify factors associated with burnout. Methods. Using a cross-sectional, electronic, anonymous survey-design, we measured faculty burnout (n=2318) at US colleges and schools of pharmacy using the Maslach Burnout Inventory-Educators Survey (MBI-ES), which measures burnout dimensions: emotional exhaustion, depersonalization, and personal accomplishment. We assessed MBI-ES scores, demographics and possible predictors of burnout. Results. The response rate was 32.7% (n=758). Emotional exhaustion was identified in 41.3% and was higher in women, assistant professors, and those without a hobby. Participants without a mentor had higher scores of depersonalization. Those with children ages 1-12 years had higher emotional exhaustion and depersonalization compared to those with older children. Conclusion. Pharmacy practice faculty members at US colleges and schools of pharmacy are suffering from burnout, exhibited mainly through emotional exhaustion.

  1. Carbapenem-resistant Klebsiella pneumoniae colonization in pediatric and neonatal intensive care units: risk factors for progression to infection

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    Hacer Akturk

    2016-04-01

    Full Text Available Abstract Background Little is known about factors associated with carbapenem-resistant Klebsiella pneumoniae infections in pediatric patients, who are initally colonized with carbapenem-resistant Klebsiella pneumoniae. Materials and methods A retrospective case–control study was conducted involving pediatric and neonatal intensive care units throughout a five-year period (January 2010–December 2014. Clinical and microbiological data were extracted from Hospital Infection Control Committee reports and patients’ medical records. Risk factors were assessed in carbapenem-resistant Klebsiella pneumoniae colonized patients who developed subsequent systemic infection (cases and compared to carbapenem-resistant Klebsiella pneumoniae colonized patients who did not develop infection (controls. Results Throughout the study period, 2.6% of patients admitted to neonatal intensive care units and 3.6% of patients admitted to pediatric intensive care units had become colonized with carbapenem-resistant Klebsiella pneumoniae. After a mean of 10.6 ± 1.9 days (median: 7 days, range: 2–38 days following detection of colonization, 39.0% of the carbapenem-resistant Klebsiella pneumoniae colonized patients in pediatric intensive care units and 18.1% of carbapenem-resistant Klebsiella pneumoniae colonized patients in neonatal intensive care units developed systemic carbapenem-resistant Klebsiella pneumoniae infection. Types of systemic carbapenem-resistant Klebsiella pneumoniae infections included bacteremia (n = 15, 62.5%, ventilator-associated pneumonia (n = 4, 16.6%, ventriculitis (n = 2, 8.3%, intraabdominal infections (n = 2, 8.3%, and urinary tract infection (n = 1, 4.1%. A logistic regression model including parameters found significant in univariate analysis of carbapenem resistant Klebsiella pneumoniae colonization and carbapenem resistant Klebsiella pneumoniae infection groups revealed underlying metabolic disease (OR: 10.1; 95% CI: 2.7–37

  2. Factors limiting the sensitivity and dynamic range of a seismic system employing analog magnetic tape recording and a seismic amplifier with adjustable gain settings and several output levels

    Science.gov (United States)

    Eaton, Jerry P.; Van Schaack, John R.

    1977-01-01

    In the course of modernizing the low-speed-tape-recorder portable seismic systems and considering the possibilities for the design of a cassette-tape-recorder seismic refraction system, the factors that limit the sensitivity and dynamic range of such systems have been reviewed. These factors will first be stated briefly, and then their influence on systems such as the new 5-day-tape seismic system will be examined in more detail. To fix ideas, we shall assume that the system consists of the following elements: 1. A seismic sensor: usually a moving coil inertial seismometer with a period of about 1 second, a coil resistance of about 5000 ohms, and an effective motor constant of 1.0 V/cm/sec (across a 10K load terminating the seismometer sensitivity-and-damping-adjustment resistive network). 2. A seismic amplifier/voltage controlled oscillator unit made up of the following components: a) A fixed gain preamplifier with an input resistance of 10K and an internal noise level of 0.5 muVpp referred to the preamp input (0.1 Hz filter serving to couple the 3 amplifier stages together. e) Voltage controlled oscillators for each output amplifier to produce modulated FM carriers for recording on separate tape tracks or modulated FM subcarriers for subsequent multiplexing and direct recording on tape in the California Network format. 3. An analog magnetic tape recorder: e.g. the PI 5100 (15/80 ips recording in the FM mode or in the direct mode with the 'broad-band' variant-of the Cal Net multiplex system, or 15/16 ips recording in the direct mode with the standard Cal Net multiplex system), or the Sony TC-126 cassette recorder operating in the direct record mode with the standard Cal Net multiplex system. 4. Appropriate magnetic tape playback equipment: e.g., the Bell and Howell 3700-B for the PI-5100 or the Sony TC 126 for its own tapes. 5. Appropriate discriminators (employing subtractive compensation, at least for the multiplexed systems) to restore the data signals to their

  3. Major Cardiovascular Risk Factors in Latin America: A Comparison with the United States. The Latin American Consortium of Studies in Obesity (LASO)

    Science.gov (United States)

    Chirinos, Julio A.; Gómez, Luis F.; Perel, Pablo; Pichardo, Rafael; González, Angel; Sánchez, José R.; Ferreccio, Catterina; Aguilera, Ximena; Silva, Eglé; Oróstegui, Myriam; Medina-Lezama, Josefina; Pérez, Cynthia M.; Suárez, Erick; Ortiz, Ana P.; Rosero, Luis; Schapochnik, Noberto; Ortiz, Zulma; Ferrante, Daniel; Casas, Juan P.

    2013-01-01

    Background Limited knowledge on the prevalence and distribution of risk factors impairs the planning and implementation of cardiovascular prevention programs in the Latin American and Caribbean (LAC) region. Methods and Findings Prevalence of hypertension, diabetes mellitus, abnormal lipoprotein levels, obesity, and smoking were estimated from individual-level patient data pooled from population-based surveys (1998–2007, n = 31,009) from eight LAC countries and from a national survey of the United States (US) population (1999–2004) Age and gender specific prevalence were estimated and age-gender adjusted comparisons between both populations were conducted. Prevalence of diabetes mellitus, hypertension, and low high-density lipoprotein (HDL)-cholesterol in LAC were 5% (95% confidence interval [95% CI]: 3.4, 7.9), 20.2% (95% CI: 12.5, 31), and 53.3% (95% CI: 47, 63.4), respectively. Compared to LAC region’s average, the prevalence of each risk factor tended to be lower in Peru and higher in Chile. LAC women had higher prevalence of obesity and low HDL-cholesterol than men. Obesity, hypercholesterolemia, and hypertriglyceridemia were more prevalent in the US population than in LAC population (31 vs. 16.1%, 16.8 vs. 8.9%, and 36.2 vs. 26.5%, respectively). However, the prevalence of low HDL-cholesterol was higher in LAC than in the US (53.3 vs. 33.7%). Conclusions Major cardiovascular risk factors are highly prevalent in LAC region, in particular low HDL-cholesterol. In addition, marked differences do exist in this prevalence profile between LAC and the US. The observed patterns of obesity-related risk factors and their current and future impact on the burden of cardiovascular diseases remain to be explained. PMID:23349785

  4. Major cardiovascular risk factors in Latin America: a comparison with the United States. The Latin American Consortium of Studies in Obesity (LASO.

    Directory of Open Access Journals (Sweden)

    J Jaime Miranda

    Full Text Available BACKGROUND: Limited knowledge on the prevalence and distribution of risk factors impairs the planning and implementation of cardiovascular prevention programs in the Latin American and Caribbean (LAC region. METHODS AND FINDINGS: Prevalence of hypertension, diabetes mellitus, abnormal lipoprotein levels, obesity, and smoking were estimated from individual-level patient data pooled from population-based surveys (1998-2007, n=31,009 from eight LAC countries and from a national survey of the United States (US population (1999-2004 Age and gender specific prevalence were estimated and age-gender adjusted comparisons between both populations were conducted. Prevalence of diabetes mellitus, hypertension, and low high-density lipoprotein (HDL-cholesterol in LAC were 5% (95% confidence interval [95% CI]: 3.4, 7.9, 20.2% (95% CI: 12.5, 31, and 53.3% (95% CI: 47, 63.4, respectively. Compared to LAC region's average, the prevalence of each risk factor tended to be lower in Peru and higher in Chile. LAC women had higher prevalence of obesity and low HDL-cholesterol than men. Obesity, hypercholesterolemia, and hypertriglyceridemia were more prevalent in the US population than in LAC population (31 vs. 16.1%, 16.8 vs. 8.9%, and 36.2 vs. 26.5%, respectively. However, the prevalence of low HDL-cholesterol was higher in LAC than in the US (53.3 vs. 33.7%. CONCLUSIONS: Major cardiovascular risk factors are highly prevalent in LAC region, in particular low HDL-cholesterol. In addition, marked differences do exist in this prevalence profile between LAC and the US. The observed patterns of obesity-related risk factors and their current and future impact on the burden of cardiovascular diseases remain to be explained.

  5. Socio-Demographic and Dietary Factors Associated with Excess Body Weight and Abdominal Obesity among Resettled Bhutanese Refugee Women in Northeast Ohio, United States

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    Madhav P. Bhatta

    2014-06-01

    Full Text Available Studies of obesity and related health conditions among the Bhutanese, one of the largest refugee groups resettled in the United States in the past five years, are limited. This study examined the factors associated with excess body weight (body mass index ≥ 23 kg/m2 and abdominal obesity (waist circumference > 80 cm in a community-based sample of 18–65 year old Bhutanese refugee women in Northeast Ohio. A Nepali-language questionnaire was used to measure socio-demographic and dietary factors. Height, weight, and waist circumference were measured to define excess body weight and abdominal obesity. The mean (±standard deviation age of the 108 participants was 36.5 (±12.2 years and length of time in the U.S. was 19.4 (±11.9 months. Overall, 64.8% and 69.4% of the women had excess body weight and abdominal obesity, respectively. Age was significantly associated with both excess body weight (odds ratio: 1.10; 95% confidence interval: 1.05–1.16 and abdominal obesity (1.09; 1.04–1.14. Consuming meat (4.01; 1.14–14.60 was significantly associated with excess body weight but not abdominal obesity. These findings suggest the need for lifestyle and dietary change education programs among this new and vulnerable group to reduce the prevalence of excess body weight and abdominal obesity and their health consequences.

  6. 26 CFR 301.6503(c)-1 - Suspension of running of period of limitation; location of property outside the United States or...

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Suspension of running of period of limitation... Limitations on Assessment and Collection § 301.6503(c)-1 Suspension of running of period of limitation... November 3, 1966. The running of the period of limitations on collection after assessment prescribed...

  7. Limitations in Activities of Daily Living in Community-Dwelling People Aged 75 and Over: A Systematic Literature Review of Risk and Protective Factors

    Science.gov (United States)

    Zijlstra, G. A. Rixt; Witte, Nico De; Duppen, Daan; Stuck, Andreas E.; Kempen, Gertrudis I. J. M.; Schols, Jos M. G. A.

    2016-01-01

    Background Most older people wish to age in place, for which functional status or being able to perform activities of daily living (ADLs) is an important precondition. However, along with the substantial growth of the (oldest) old, the number of people who develop limitations in ADLs or have functional decline dramatically increases in this part of the population. Therefore, it is important to gain insight into factors that can contribute to developing intervention strategies at older ages. As a first step, this systematic review was conducted to identify risk and protective factors as predictors for developing limitations in ADLs in community-dwelling people aged 75 and over. Methods Four electronic databases (CINAHL (EBSCO), EMBASE, PsycINFO and PubMed) were searched systematically for potentially relevant studies published between January 1998 and March 2016. Results After a careful selection process, 6,910 studies were identified and 25 were included. By far most factors were examined in one study only, and most were considered risk factors. Several factors do not seem to be able to predict the development of limitations in ADLs in people aged 75 years and over, and for some factors ambiguous associations were found. The following risk factors were found in at least two studies: higher age, female gender, diabetes, hypertension, and stroke. A high level of physical activity and being married were protective in multiple studies. Notwithstanding the fact that research in people aged 65 years and over is more extensive, risk and protective factors seem to differ between the ‘younger’ and ‘older’ olds. Conclusion Only a few risk and protective factors in community-dwelling people aged 75 years and over have been analysed in multiple studies. However, the identified factors could serve both detection and prevention purposes, and implications for future research are given as well. PMID:27760234

  8. Delirium in the geriatric unit: proton-pump inhibitors and other risk factors

    Directory of Open Access Journals (Sweden)

    Otremba I

    2016-04-01

    Full Text Available Iwona Otremba, Krzysztof Wilczyński, Jan SzewieczekDepartment of Geriatrics, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, PolandBackground: Delirium remains a major nosocomial complication of hospitalized elderly. Predictive models for delirium may be useful for identification of high-risk patients for implementation of preventive strategies.Objective: Evaluate specific factors for development of delirium in a geriatric ward setting.Methods: Prospective cross-sectional study comprised 675 consecutive patients aged 79.2±7.7 years (66% women and 34% men, admitted to the subacute geriatric ward of a multiprofile university hospital after exclusion of 113 patients treated with antipsychotic medication because of behavioral disorders before admission. Comprehensive geriatric assessments including a structured interview, physical examination, geriatric functional assessment, blood sampling, ECG, abdominal ultrasound, chest X-ray, Confusion Assessment Method for diagnosis of delirium, Delirium-O-Meter to assess delirium severity, Richmond Agitation-Sedation Scale to assess sedation or agitation, visual analog scale and Doloplus-2 scale to assess pain level were performed.Results: Multivariate logistic regression analysis revealed five independent factors associated with development of delirium in geriatric inpatients: transfer between hospital wards (odds ratio [OR] =2.78; confidence interval [CI] =1.54–5.01; P=0.001, preexisting dementia (OR =2.29; CI =1.44–3.65; P<0.001, previous delirium incidents (OR =2.23; CI =1.47–3.38; P<0.001, previous fall incidents (OR =1.76; CI =1.17–2.64; P=0.006, and use of proton-pump inhibitors (OR =1.67; CI =1.11–2.53; P=0.014.Conclusion: Transfer between hospital wards, preexisting dementia, previous delirium incidents, previous fall incidents, and use of proton-pump inhibitors are predictive of development of delirium in the geriatric inpatient setting.Keywords: delirium

  9. Prevalence and Risk Factors of Dry Eye Syndrome in a United States Veterans Affairs Population

    Science.gov (United States)

    GALOR, ANAT; FEUER, WILLIAM; LEE, DAVID J.; FLOREZ, HERMES; CARTER, DAVID; POUYEH, BOZORGMEHR; PRUNTY, WILLIAM J.; PEREZ, VICTOR L.

    2014-01-01

    PURPOSE To evaluate the prevalence of dry eye syndrome (DES) and its associated risk factors in a US Veterans Affairs population receiving ocular care services. DESIGN Retrospective study. METHODS SETTINGS Patients were seen in the Miami and Broward Veterans Affairs eye clinics between 2005 and 2010. PATIENTS POPULATION Patients were divided into cases and controls with regard to their dry eye status (cases = ICD9 code for DES plus dry eye therapy; controls = patients without ICD9 code plus no therapy). MAIN OUTCOME MEASURES The prevalence of DES and its associated risk factors. RESULTS A total of 16 862 patients were identified as either a dry eye case (n = 2056) or control (n = 14 806). Overall, 12% of male and 22% of female patients had a diagnosis of DES, with female gender imparting a 2.40 increased risk (95% confidence interval [CI] 2.04–2.81) over male gender. Several medical conditions were found to increase DES risk including post-traumatic stress disorder (odds ratio [OR] 1.97, 95% CI 1.75–2.23), depression (OR 1.91, 95% CI 1.73–2.10), thyroid disease (OR 1.81, 95% CI 1.46–2.26), and sleep apnea (OR 2.20, 95% CI 1.97–2.46) (all analyses adjusted for gender and age). The use of several systemic medications, including anti-depressant medications (OR 1.97, 95% CI 1.79–2.17), anti-anxiety medication (OR 1.74, 95% CI 1.58–1.91), and anti–benign prostatic hyperplasia medications (OR 1.68, 95% CI 1.51–1.86), was likewise associated with an increased risk of DES. CONCLUSIONS The prevalence of DES was found to be high in both men and women in our eye care population. This is the first study to demonstrate that in a veteran population, several diagnoses were significantly associated with DES, including post-traumatic stress disorder and depression. PMID:21684522

  10. Undiagnosed Obstructive Lung Disease in the United States. Associated Factors and Long-term Mortality.

    Science.gov (United States)

    Martinez, Carlos H; Mannino, David M; Jaimes, Fabian A; Curtis, Jeffrey L; Han, MeiLan K; Hansel, Nadia N; Diaz, Alejandro A

    2015-12-01

    Understanding factors associated with undiagnosed obstructive lung disease and its impact on mortality could inform the ongoing discussions about benefits and risks of screening and case finding. To define factors associated with undiagnosed obstructive lung disease and its long-term mortality. Cross-sectional analysis of participants, aged 20 to 79 years, in two National Health and Nutritional Examination Surveys (NHANES), NHANES III (1988-1994) and NHANES 2007-2012, with longitudinal follow-up of NHANES III participants. We classified participants with spirometry-confirmed obstructive disease, based on the fixed ratio definition (FEV1/FVC chronic obstructive pulmonary disease), and "undiagnosed" (no recorded physician diagnosis). For the longitudinal analysis of NHANES III participants, mortality was the outcome of interest. We tested the contribution of self-reported health status and comorbidity burden (exposure) to the odds of being undiagnosed using logistic models adjusted for demographics, smoking status, and lung function. We estimated hazard ratios (HRs) for all-cause mortality for diagnosed and undiagnosed subjects participating in NHANES III who had spirometry using Cox- proportional regression analysis. Among those with spirometry-defined obstruction, 71.2% (SE, 1.8) in NHANES III and 72.0% (SE, 1.9) in NHANES 2007-2012 were undiagnosed. In multivariate models, undiagnosed obstructive disease was consistently associated in both surveys with self-reported good/excellent health status, lower comorbidity burden, higher lung function, and being of racial/ethnic minority. Among NHANES III participants (median follow up, 14.5 yr), both undiagnosed (HR, 1.23; 95% confidence interval, 1.08-1.40) and correctly diagnosed participants (HR, 1.74; 95% confidence interval, 1.45-2.09) had higher risk for all-cause mortality than participants without obstruction. Undiagnosed obstructive lung disease is common among American adults and remained unchanged over 2 decades

  11. Risk factors for diarrhea-associated infant mortality in the United States, 2005-2007.

    Science.gov (United States)

    Mehal, Jason M; Esposito, Douglas H; Holman, Robert C; Tate, Jacqueline E; Callinan, Laura S; Parashar, Umesh D

    2012-07-01

    Diarrhea-associated deaths among US children increased from the mid-1980s through 2006, particularly among infants. Understanding risk factors for diarrhea-associated death could improve prevention strategies. Records of singleton infants with diarrhea listed anywhere on the death certificate were selected from the US Linked Birth/Infant Death data for the period, 2005 to 2007; characteristics of these infants were compared with those of infants who survived their first year. During 2005 to 2007, 1087 diarrhea-associated infant deaths were reported; 86% occurred among low birth weight (LBW, risk ratio: 91.9, 95% confidence interval: 77.4-109.0) and younger median age at death (7 versus 15 weeks, Pdiarrhea-associated death among LBW and NBW infants were sepsis (26%) and volume depletion (20%), respectively. Among LBW infants, 97% of diarrhea-associated deaths occurred in inpatient settings, whereas 27% of NBW infant deaths occurred in outpatient settings and 5.3% in the decedent's home. Male sex, black race, unmarried status and low 5-minute Apgar score (diarrhea-associated morality should focus on understanding and improving management of diarrhea in vulnerable LBW infants. For prevention of diarrhea-associated deaths in NBW infants, educating mothers who fit the high-risk profile regarding home hydration therapy and timely access to medical treatment is important.

  12. The minimal autoinhibited unit of the guanine nucleotide exchange factor intersectin.

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    K Farid Ahmad

    Full Text Available Intersectin-1L is a member of the Dbl homology (DH domain guanine nucleotide exchange factors (GEF which control Rho-family GTPase signaling. Intersectin-1L is a GEF that is specific for Cdc42. It plays an important role in endocytosis, and is regulated by several partners including the actin regulator N-WASP. Intact intersectin-1L shows low Cdc42 exchange activity, although the isolated catalytic DH domain shows high activity. This finding suggests that the molecule is autoinhibited. To investigate the mechanism of autoinhibition we have constructed a series of domain deletions. We find that the five SH3 domains of intersectin are important for autoinhibition, with the fifth domain (SH3(E being sufficient for the bulk of the autoinhibitory effect. This SH3 domain appears to primarily interact with the DH domain. We have determined the crystal structure of the SH3(E-DH domain construct, which shows a domain swapped arrangement in which the SH3 from one monomer interacts with the DH domain of the other monomer. Analytical ultracentrifugation and gel filtration, however, show that under biochemical concentrations, the construct is fully monomeric. Thus we propose that the actual autoinhibited structure contains the related intramolecular SH3(E-DH interaction. We propose a model in which this intramolecular interaction may block or distort the GTPase binding region of the DH domain.

  13. Familial factors related to suicidal ideation of Latina adolescents in the United States.

    Science.gov (United States)

    Piña-Watson, Brandy; Castillo, Linda G; Rodriguez, Kimberly M; Ray, Sara

    2014-01-01

    The purpose of this study was to examine whether a Latina adolescent's perception of mother connectedness, father connectedness, parental caring, autonomy granting from parents, and parental interest in their child's school life predicts suicidal ideation above and beyond known risk factors of adolescent depression and acculturation. Using the National Longitudinal Study of Adolescent Health (Add Health) Wave 1, 2 secondary logistic regression data analyses were conducted on a sample of 345 Latina adolescents. Results of correlational analyses indicated that perceived mother connectedness, father connectedness, parental caring, and academic interest were positively related; depression and nativity were negatively related to reports of suicidal ideation. Additionally, in a model with adolescents who reported having both a mother and father figure present in their life, depression and academic interest were significant predictors of suicidal ideation. In a second model, which included all Latinas regardless of the presence of both parents, depression, nativity, perceived academic interest, and caring were significant predictors. Implications are discussed for suicide prevention and intervention with Latina adolescents.

  14. Updated greenhouse gas and criteria air pollutant emission factors and their probability distribution functions for electricity generating units

    Energy Technology Data Exchange (ETDEWEB)

    Cai, H.; Wang, M.; Elgowainy, A.; Han, J. (Energy Systems)

    2012-07-06

    Greenhouse gas (CO{sub 2}, CH{sub 4} and N{sub 2}O, hereinafter GHG) and criteria air pollutant (CO, NO{sub x}, VOC, PM{sub 10}, PM{sub 2.5} and SO{sub x}, hereinafter CAP) emission factors for various types of power plants burning various fuels with different technologies are important upstream parameters for estimating life-cycle emissions associated with alternative vehicle/fuel systems in the transportation sector, especially electric vehicles. The emission factors are typically expressed in grams of GHG or CAP per kWh of electricity generated by a specific power generation technology. This document describes our approach for updating and expanding GHG and CAP emission factors in the GREET (Greenhouse Gases, Regulated Emissions, and Energy Use in Transportation) model developed at Argonne National Laboratory (see Wang 1999 and the GREET website at http://greet.es.anl.gov/main) for various power generation technologies. These GHG and CAP emissions are used to estimate the impact of electricity use by stationary and transportation applications on their fuel-cycle emissions. The electricity generation mixes and the fuel shares attributable to various combustion technologies at the national, regional and state levels are also updated in this document. The energy conversion efficiencies of electric generating units (EGUs) by fuel type and combustion technology are calculated on the basis of the lower heating values of each fuel, to be consistent with the basis used in GREET for transportation fuels. On the basis of the updated GHG and CAP emission factors and energy efficiencies of EGUs, the probability distribution functions (PDFs), which are functions that describe the relative likelihood for the emission factors and energy efficiencies as random variables to take on a given value by the integral of their own probability distributions, are updated using best-fit statistical curves to characterize the uncertainties associated with GHG and CAP emissions in life

  15. Updated greenhouse gas and criteria air pollutant emission factors and their probability distribution functions for electricity generating units

    Energy Technology Data Exchange (ETDEWEB)

    Cai, H.; Wang, M.; Elgowainy, A.; Han, J. (Energy Systems)

    2012-07-06

    Greenhouse gas (CO{sub 2}, CH{sub 4} and N{sub 2}O, hereinafter GHG) and criteria air pollutant (CO, NO{sub x}, VOC, PM{sub 10}, PM{sub 2.5} and SO{sub x}, hereinafter CAP) emission factors for various types of power plants burning various fuels with different technologies are important upstream parameters for estimating life-cycle emissions associated with alternative vehicle/fuel systems in the transportation sector, especially electric vehicles. The emission factors are typically expressed in grams of GHG or CAP per kWh of electricity generated by a specific power generation technology. This document describes our approach for updating and expanding GHG and CAP emission factors in the GREET (Greenhouse Gases, Regulated Emissions, and Energy Use in Transportation) model developed at Argonne National Laboratory (see Wang 1999 and the GREET website at http://greet.es.anl.gov/main) for various power generation technologies. These GHG and CAP emissions are used to estimate the impact of electricity use by stationary and transportation applications on their fuel-cycle emissions. The electricity generation mixes and the fuel shares attributable to various combustion technologies at the national, regional and state levels are also updated in this document. The energy conversion efficiencies of electric generating units (EGUs) by fuel type and combustion technology are calculated on the basis of the lower heating values of each fuel, to be consistent with the basis used in GREET for transportation fuels. On the basis of the updated GHG and CAP emission factors and energy efficiencies of EGUs, the probability distribution functions (PDFs), which are functions that describe the relative likelihood for the emission factors and energy efficiencies as random variables to take on a given value by the integral of their own probability distributions, are updated using best-fit statistical curves to characterize the uncertainties associated with GHG and CAP emissions in life

  16. A risk factor analysis of healthcare-associated fungal infections in an intensive care unit: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Yang Su-Pen

    2013-01-01

    Full Text Available Abstract Background The incidence of fungal healthcare-associated infection (HAI has increased in a major teaching hospital in the northern part of Taiwan over the past decade, especially in the intensive care units (ICUs. The purpose of this study was to determine the factors that were responsible for the outbreak and trend in the ICU. Methods Surveillance fungal cultures were obtained from “sterile” objects, antiseptic solutions, environment of infected patients and hands of medical personnel. Risk factors for comparison included age, gender, admission service, and total length of stay in the ICU, Acute Physiology and Chronic Health Evaluation (APACHE II scores at admission to the ICU, main diagnosis on ICU admission, use of invasive devices, receipt of hemodialysis, total parenteral nutrition (TPN use, history of antibiotic therapy before HAI or during ICU stay in no HAI group, and ICU discharge status (ie, dead or alive. Univariable analysis followed by multiple logistic regression analysis was performed to identify the independent risk factors for ICU fungal HAIs and ICU mortality. Results There was a significant trend in ICU fungal HAIs from 1998 to 2009 (P Candida albicans (27.3%, Candida tropicalis (6.6%, Candida glabrata (6.6%, Candida parapsilosis (1.9%, Candida species (0.8%, and other fungi (1.9%. Candida albicans accounted for 63% of all Candida species. Yeasts were found in the environment of more heavily infected patients. The independent risk factors (P P  Conclusions There was a secular trend of an increasing number of fungal HAIs in our ICU over the past decade. Patients with ICU fungal HAIs had a significantly higher mortality rate than did patients without ICU HAIs. Total parenteral nutrition was a significant risk factor for all types of ICU fungal HAIs, and its use should be monitored closely.

  17. Liver cirrhosis is a risk factor of repeat acute hemorrhagic rectal ulcer in intensive care unit patients

    Directory of Open Access Journals (Sweden)

    Pi-Kai Chang

    2014-01-01

    Full Text Available Background: Acute hemorrhagic rectal ulcer (AHRU can be found in patients with severe comorbid illness, who are bedridden for a long time. Per anal suturing is a quick and feasible treatment. However, recurrent bleeding occurs frequently after suture ligation of a bleeder and can be life-threatening. However, the risk factor for recurrent bleeding is not well known. Our study tries to clarify the risk factor of repeat AHRU in Intensive Care Unit (ICU patients. Materials and Methods: From January 2004 to December 2009, the medical records of 32 patients, who were admitted to the ICU of the Tri-Service General Hospital, a tertiary referral center in Taiwan, and who underwent per anal suturing of acute hemorrhagic rectal ulcer were retrospectively reviewed. Results: Of the 96 patients who received emergency treatment for acute massive hematochezia, 32 patients were diagnosed with AHRU. Eight (25% patients had recurrent bleeding following suture ligation of AHRU and underwent a reoperation; no patient had recurrent bleeding after the second operation. The duration from the first hematochezia attack to surgery (P = 0.04, liver cirrhosis (P = 0.002, and coagulopathy (P = 0.01 were the risk factors of recurrent bleeding after suture ligation of a bleeder. Multivariate logistic regression analysis indicated that liver cirrhosis (OR = 37.77, P = 0.014 was an independent risk factor for recurrent bleeding. Conclusion: AHRU could be a major cause of acute massive hematochezia in patients with severe illness. Our data showed that per anal suturing could quickly and effectively control bleeding. We found that liver cirrhosis was an independent risk factor for recurrent bleeding. Therefore, treatment of a liver cirrhosis patient with AHUR should be more aggressive, such as, early detection and proper suture ligation.

  18. Critical factors for bioenergy technology implementation. Five case studies of bioenergy markets in the United States, Sweden and Austria

    Energy Technology Data Exchange (ETDEWEB)

    Roos, Anders [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Forest-Industry-Market Studies

    1998-07-01

    This report analyses the driving forces of, and barriers to, biomass energy technology implementation with the objective of defining the most important factors behind the growth of bioenergy markets and suggesting strategies for policy makers and investors. The approach is to describe the important factors for the development of real bioenergy markets at two levels: (1) Institutional, primarily policy, and (2) market structure. Concepts from economic theory, primarily transaction cost theory and industrial organisation, are used in a qualitative way. The report is based on literature studies and field studies of bioenergy markets in three countries: the United States of America, Austria, and Sweden. It is divided into five sections. After the introduction in section one, literature with relevance for this study is reviewed in section two. In section three the energy policy and energy sectors of each country are described. The descriptions include an overview of the biomass energy sectors. Five cases of developed bioenergy markets in the three countries are presented in section four. The cases are residential heating with wood pellets in New Hampshire, United States, biomass power production in Maine, residential heating with pellets in Sweden, biomass district heating in Sweden, and biomass district heating in Austria. All markets are described in terms of the historical development, technical issues, economics, market structure and local policy influences. In the discussion in section five a number of key factors behind the success or failure of bioenergy are presented. Six factors are most important: (1) Complementaries between the bioenergy operations and another activity (for instance when the bioenergy production uses biomass waste products from another industry); (2) economics of scale within the bioenergy business through larger production series, standards, specialization etc.; (3) a competitive bioenergy market (Many sellers and buyers operate in the

  19. Multidrug-resistant Pseudomonas aeruginosa lower respiratory tract infections in the intensive care unit: Prevalence and risk factors.

    Science.gov (United States)

    Trinh, Trang D; Zasowski, Evan J; Claeys, Kimberly C; Lagnf, Abdalhamid M; Kidambi, Shravya; Davis, Susan L; Rybak, Michael J

    2017-09-01

    Intensive care unit (ICU) admission is a risk for multidrug-resistant (MDR) Pseudomonas aeruginosa, but factors specific to critically ill pneumonia patients are not fully characterized. Objective was to determine risk factors associated with MDR P. aeruginosa pneumonia among ICU patients. This was a retrospective case-control study of P. aeruginosa pneumonia in the ICU; cystic fibrosis and colonizers were excluded. Risk factors included comorbid conditions and prior healthcare exposure (anti-pseudomonal antibiotics, hospitalizations, nursing home, P. aeruginosa colonization/infection, mechanical ventilation). Of 200 patients, 47 (23.5%) had MDR P. aeruginosa pneumonia. Independent predictors for MDR were ≥24h antibiotics in the preceding 90days (carbapenems, fluoroquinolones, and piperacillin-tazobactam) (odds ratio, 3.6 [95% CI, 1.6-8.1]) and nursing home residence (2.3 [1.1-4.9]). MDR P. aeruginosa remains prevalent among ICU patients with pneumonia. Given poor outcomes with delayed therapy, patients should be thoroughly assessed for prior anti-pseudomonal antibiotic exposure and nursing home residency. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Are Physicians Likely to Adopt Emerging Mobile Technologies? Attitudes and Innovation Factors Affecting Smartphone Use in the Southeastern United States

    Science.gov (United States)

    Putzer, Gavin J; Park, Yangil

    2012-01-01

    The smartphone has emerged as an important technological device to assist physicians with medical decision making, clinical tasks, and other computing functions. A smartphone is a device that combines mobile telecommunication with Internet accessibility as well as word processing. Moreover, smartphones have additional features such as applications pertinent to clinical medicine and practice management. The purpose of this study was to investigate the innovation factors that affect a physician's decision to adopt an emerging mobile technological device such as a smartphone. The study sample consisted of 103 physicians from community hospitals and academic medical centers in the southeastern United States. Innovation factors are elements that affect an individual's attitude toward using and adopting an emerging technology. In our model, the innovation characteristics of compatibility, job relevance, the internal environment, observability, personal experience, and the external environment were all significant predictors of attitude toward using a smartphone. These influential innovation factors presumably are salient predictors of a physician's attitude toward using a smartphone to assist with clinical tasks. Health information technology devices such as smartphones offer promise as a means to improve clinical efficiency, medical quality, and care coordination and possibly reduce healthcare costs. PMID:22737094

  1. Are physicians likely to adopt emerging mobile technologies? Attitudes and innovation factors affecting smartphone use in the Southeastern United States.

    Science.gov (United States)

    Putzer, Gavin J; Park, Yangil

    2012-01-01

    The smartphone has emerged as an important technological device to assist physicians with medical decision making, clinical tasks, and other computing functions. A smartphone is a device that combines mobile telecommunication with Internet accessibility as well as word processing. Moreover, smartphones have additional features such as applications pertinent to clinical medicine and practice management. The purpose of this study was to investigate the innovation factors that affect a physician's decision to adopt an emerging mobile technological device such as a smartphone. The study sample consisted of 103 physicians from community hospitals and academic medical centers in the southeastern United States. Innovation factors are elements that affect an individual's attitude toward using and adopting an emerging technology. In our model, the innovation characteristics of compatibility, job relevance, the internal environment, observability, personal experience, and the external environment were all significant predictors of attitude toward using a smartphone. These influential innovation factors presumably are salient predictors of a physician's attitude toward using a smartphone to assist with clinical tasks. Health information technology devices such as smartphones offer promise as a means to improve clinical efficiency, medical quality, and care coordination and possibly reduce healthcare costs.

  2. Obesity as a risk factor for developing functional limitation among older adults: A conditional inference tree analysis

    Science.gov (United States)

    Objective: To examine the risk factors of developing functional decline and make probabilistic predictions by using a tree-based method that allows higher order polynomials and interactions of the risk factors. Methods: The conditional inference tree analysis, a data mining approach, was used to con...

  3. Factors associated to the overweight in adults assisted by a family health unit

    Directory of Open Access Journals (Sweden)

    Cloud Kennedy Couto de Sá

    2008-04-01

    Full Text Available The objective of this study was to investigate the factors associated with overweight in adults and the frequencies of these factors. The sample comprised 101 adults, all aged ≥ 18 years, 75 (74.0% females and 26 (26.0% males, registered at a Family Health Center (FHC in the town of Jequié, and distributed proportionally throughout the FHC’s seven sub-areas. Patients were defined as overweight if their body mass index (BMI was ≥ 25kg/m². The proportion of overweight people was calculated for the whole sample and for each of the associated variables (age, sex, occupation, educational level, number of meals per day, smoking, alcoholism, arterial hypertension, diabetes, dyslipidemia and habitual level of physical activity. The chi-square test was applied to test associations between the variables and the proportion of overweight to a significance level of 5% (p ≤ 0.05. the overall frequency of overweight was 28.0%, and this was more prevalent only among individuals who do not consume alcoholic beverages, although the comparison between those with and without hypertension was borderline (p = 0.052. The results of this study suggest a need for further investigation into the effect of alcoholic beverages on the nutritional status of adults and for implementation of nutritional vigilance strategies at this FHC, with special attention given to hypertense patients. Resumo ResumoO objetivo do estudo foi verificar a freqüência e fatores associados ao sobrepeso em adultos acompanhados por uma Unidade de Saúde da Família (USF, na cidade de Jequié, Bahia, Brasil. O desenho foi transversal em amostra de 101 adultos ≥ 18 anos de idade, cadastrados e distribuídos proporcionalmente entre as sete microáreas da USF, sendo 75 (74,0% do sexo feminino e 26 (26,0% do masculino. Com sobrepeso foram considerados aqueles que apresentaram índice de massa corporal (IMC ≥ 25kg/m². Calculou-se a freqüência do sobrepeso no total e por vari

  4. Hearing Loss Prevalence and Risk Factors Among Older Adults in the United States

    Science.gov (United States)

    Thorpe, Roland; Gordon-Salant, Sandra; Ferrucci, Luigi

    2011-01-01

    Background. Hearing loss has been associated with cognitive and functional decline in older adults and may be amenable to rehabilitative interventions, but national estimates of hearing loss prevalence and hearing aid use in older adults are unavailable. Methods. We analyzed data from the 2005–2006 cycle of the National Health and Nutritional Examination Survey, which is the first cycle to ever incorporate hearing assessment in adults aged 70 years and older. Audiometry was performed in 717 older adults, and data on hearing aid use, noise exposure, medical history, and demographics were obtained from interviews. Analyses incorporated sampling weights to account for the complex sampling design and yield results that are generalizable to the U.S. population. Results. The prevalence of hearing loss defined as a speech frequency pure tone average of more than 25 dB in the better ear was 63.1% (95% confidence interval: 57.4–68.8). Age, sex, and race were the factors most strongly associated with hearing loss after multivariate adjustment, with black race being substantially protective against hearing loss (odds ratio 0.32 compared with white participants [95% confidence interval: 0.19–0.53]). Hearing aids were used in 40.0% (95% confidence interval: 35.1–44.8) of adults with moderate hearing loss, but in only 3.4% (95% confidence interval: 0.8–6.0) of those with a mild hearing loss. Conclusion. Hearing loss is prevalent in nearly two thirds of adults aged 70 years and older in the U.S. population. Additional research is needed to determine the epidemiological and physiological basis for the protective effect of black race against hearing loss and to determine the role of hearing aids in those with a mild hearing loss. PMID:21357188

  5. Prevalence of Physical Activity in the United States: Behavioral Risk Factor Surveillance System, 2001

    Directory of Open Access Journals (Sweden)

    Barbara E. Ainsworth, PhD, MPH

    2005-03-01

    Full Text Available Introduction The health benefits of regular cardiovascular exercise are well-known. Such exercise, however, has traditionally been defined as vigorous physical activity, such as jogging, swimming, or aerobic dance. Exercise of moderate intensity also promotes health, and many U.S. adults may be experiencing the health benefits of exercise through lifestyle activities of moderate intensity, such as yard work, housework, or walking for transportation. Until recently, public health surveillance systems have not included assessments of this type of physical activity, focusing on exercise of vigorous intensity. We used an enhanced surveillance tool to describe the prevalence and amount of both moderate-intensity and vigorous-intensity physical activity among U.S. adults. Methods We analyzed data from the 2001 Behavioral Risk Factor Surveillance System, a state-based, random-digit–dialed telephone survey administered to U.S. adults aged 18 years and older (n = 82,834 men and 120,286 women. Physical activity behavior was assessed using questions designed to quantify the frequency of participation in moderate- or vigorous-intensity physical activities performed during leisure time or for household chores and transportation. Results Overall, 45% of adults (48% of men and 43% of women were active at recommended levels during nonworking hours (at least 30 minutes five or more days per week in moderate-intensity activities, equivalent to brisk walking, or at least 20 minutes three or more days per week in vigorous activities, equivalent to running, heavy yard work, or aerobic dance. Less than 16% of adults (15% of men and 17% of women reported no moderate or vigorous activity in a usual week. Conclusion Integrating surveillance of lifestyle activities into national systems is possible, and doing so may provide a more accurate representation of the prevalence of recommended levels of physical activity. These results, however, suggest that the majority of U

  6. The abiotic and biotic factors limiting establishment of predatory fishes at their expanding northern range boundaries in Ontario, Canada.

    Science.gov (United States)

    Alofs, Karen M; Jackson, Donald A

    2015-06-01

    There is a poor understanding of the importance of biotic interactions in determining species distributions with climate change. Theory from invasion biology suggests that the success of species introductions outside of their historical ranges may be either positively (biotic acceptance) or negatively (biotic resistance) related to native biodiversity. Using data on fish community composition from two survey periods separated by approximately 28 years during which climate was warming, we examined the factors influencing the establishment of three predatory centrarchids: Smallmouth Bass (Micropterus dolomieu), Largemouth Bass (M. salmoides), and Rock Bass (Ambloplites rupestris) in lakes at their expanding northern range boundaries in Ontario. Variance partitioning demonstrated that, at a regional scale, abiotic factors play a stronger role in determining the establishment of these species than biotic factors. Pairing lakes within watersheds where each species had established with lakes sharing similar abiotic conditions where the species had not established revealed both positive and negative relationships between the establishment of centrarchids and the historical presence of other predatory species. The establishment of these species near their northern range boundaries is primarily determined by abiotic factors at a regional scale; however, biotic factors become important at the lake-to-lake scale. Studies of exotic species invasions have previously highlighted how spatial scale mediates the importance of abiotic vs. biotic factors on species establishment. Our study demonstrates how concepts from invasion biology can inform our understanding of the factors controlling species distributions with changing climate.

  7. Low income and living alone are risk factors for admission to the intensive care unit with sepsis

    DEFF Research Database (Denmark)

    Storm, Line

    . There was no significant association between educational level and the risk of admission to the ICU with sepsis. Conclusion: Individuals either living alone or having a low income had significantly higher odds of ICU admission with sepsis. The results indicate that this patient group needs specific attention when......Background: A recent study showed significantly higher risk of bacteremia among individuals with low socioeconomic status. No studies have focused on socioeconomic status as a risk factor for intensive care unit (ICU) admission with sepsis. We hypothesize that individuals with low socioeconomic...... were matched on sex, age and area of residence (Central Region Denmark) to 9-10 controls per patient (3,869) retrieved from the background population through Statistics Denmark. Socioeconomic status was defined as highest accomplished educational level, yearly income (based on yearly tax declaration...

  8. Health disparities experienced by people with disabilities in the United States: a Behavioral Risk Factor Surveillance System study.

    Science.gov (United States)

    Pharr, Jennifer R; Bungum, Tim

    2012-09-09

    The Americans with Disabilities Act became law in 1990; since then research has shown that people with disabilities continue to experience barriers to health care. The purpose of this study was to compare utilization of preventive services, chronic disease rates, and engagement in health risk behaviors of participants with differing severities of disabilities to those without disabilities. This study was a secondary analysis of 2010 data collected in the Behavioral Risk Factor Surveillance System national survey in the United States. Rao Chi square test and logistic regression were employed. Participants with disabilities had significantly higher adjusted odds ratios for all chronic diseases, for physical inactivity, obesity and smoking. They were significantly more likely to participate in some preventive services (flu/pneumonia vaccination, HIV test) and significantly less likely to participate in other preventive services (mammogram, Pap test). Our findings suggest that people with disabilities are less able to fully participate in all preventive services offered.

  9. Growth Factor Independence-1 (Gfi1) Is Required for Pancreatic Acinar Unit Formation and Centroacinar Cell Differentiation

    DEFF Research Database (Denmark)

    Qu, Xiaoling; Nyeng, Pia; Xiao, Fan

    2015-01-01

    BACKGROUND & AIMS: The genetic specification of the compartmentalized pancreatic acinar/centroacinar unit is poorly understood. Growth factor independence-1 (Gfi1) is a zinc finger transcriptional repressor that regulates hematopoietic stem cell maintenance, pre-T-cell differentiation, formation...... of pancreatic acinar cells as well as the centroacinar cells (CACs) in Gfi1(-/-) mice when compared with wild-type littermates. Pancreatic endocrine differentiation, islet architecture, and function were unaffected. Organ domain patterning and the formation of ductal cells occurred normally during the murine...... of granulocytes, inner ear hair cells, and the development of secretory cell types in the intestine. As GFI1/Gfi1 is expressed in human and rodent pancreas, we characterized the potential function of Gfi1 in mouse pancreatic development. METHODS: Gfi1 knockout mice were analyzed at histological and molecular...

  10. Low skeletal muscle mass is a predictive factor for chemotherapy dose-limiting toxicity in patients with locally advanced head and neck cancer

    NARCIS (Netherlands)

    Wendrich, Anne W; Swartz, Justin E; Bril, Sandra I; Wegner, Inge; de Graeff, Alexander|info:eu-repo/dai/nl/187695997; Smid, Ernst J; de Bree, Remco; Pothen, Ajit J

    OBJECTIVES: Low skeletal muscle mass (SMM) or sarcopenia is emerging as an adverse prognostic factor for chemotherapy dose-limiting toxicity (CLDT) and survival in cancer patients. Our aim was to determine the impact of low SMM on CDLT in patients with locally advanced head and neck squamous cell

  11. Risk factors associated with calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States.

    Science.gov (United States)

    Okafor, Chika C; Lefebvre, Sandra L; Pearl, David L; Yang, Mingyin; Wang, Mansen; Blois, Shauna L; Lund, Elizabeth M; Dewey, Cate E

    2014-08-01

    Calcium oxalate urolithiasis results from the formation of aggregates of calcium salts in the urinary tract. Difficulties associated with effectively treating calcium oxalate urolithiasis and the proportional increase in the prevalence of calcium oxalate uroliths relative to other urolith types over the last 2 decades has increased the concern of clinicians about this disease. To determine factors associated with the development of calcium oxalate urolithiasis in dogs evaluated at general care veterinary hospitals in the United States, a retrospective case-control study was performed. A national electronic database of medical records of all dogs evaluated between October 1, 2007 and December 31, 2010 at 787 general care veterinary hospitals in the United States was reviewed. Dogs were selected as cases at the first-time diagnosis of a laboratory-confirmed urolith comprised of at least 70% calcium oxalate (n=452). Two sets of control dogs with no history of urolithiasis diagnosis were randomly selected after the medical records of all remaining dogs were reviewed: urinalysis examination was a requirement in the selection of one set (n=1808) but was not required in the other set (n=1808). Historical information extracted included urolith composition, dog's diet, age, sex, neuter status, breed size category, hospital location, date of diagnosis, and urinalysis results. Multivariable analysis showed that the odds of first-time diagnosis of calcium oxalate urolithiasis were significantly (P30 mg/dL (OR: 1.55, 1.04-2.30). Patient demographics and urinalysis results are important factors that can support risk assessment and early identification of canine oxalate urolithiasis. Therefore, periodic urolith screening and monitoring of urine parameters should be encouraged for dogs at risk of developing these uroliths.

  12. Delirium in Intensive Care Unit. Factors that affect the appearance of delirium and its importance to the patients’ final outcome

    Directory of Open Access Journals (Sweden)

    Olga Kadda

    2012-10-01

    Full Text Available Delirium is a common cause of acute brain dysfunction in patients treated in the Intensive Care Unit (ICU. Aim: The aim of the present study was to investigate the incidence of delirium in the ICU, to establish risk factors for its development and to determine the effect of delirium on patient’s length of the stay and mortality in the ICU.Material and Methods: The sample studied consisted of 122 patients hospitalized in the ICU of a General Hospital in Attica, having completed 48 hours of stay. In order to diagnose delirium the CAM-ICU delirium scale was used. There were recorded the demographic characteristics of the sample studied, the medical history, the type of sedation, the severity of their illness during admission, the complications, the environment and psychological factors. Moreover, the length of stay, morbidity and mortality of patients were recorded. Data analysis was performed with the statistical package SPSS-ver.17.Results: 62% (n=76 of the sample studied were male. The mean age of the sample was 57±18 years. Intubation and mechanical ventilation was applied in 90% (n=110 of the studied population and seductive drugs in 90% (n=110 of the sample. Delirium frequency was 43%. Risk factors, according to the results, seems to be arterial hypertension (p= 0.009, smoking history (p=0.023, alcohol abuse (p=0.005, severity of illness in admission Apache II (p=0.033. The age and length of stay in ICU doesn’t seem to affect delirium development in ICU. Finally, mortality was clearly increased (p=0.001.Conclusions: The increased frequency of delirium in ICU patients requires measures to prevent it. Factors that seem to be related to delirium development are: arterial hypertension, alcohol abuse, smoking, hyperpyrexia and the usage of sedative drugs., Delirium, also, increases mortality in ICU patients.

  13. Incidence and Risk Factors of Retinopathy of Prematurity in Two Neonatal Intensive Care Units in North and South China

    Directory of Open Access Journals (Sweden)

    Yi Chen

    2015-01-01

    Full Text Available Background: To investigate the incidence and risk factors of retinopathy of prematurity (ROP in two Neonatal Intensive Care Units in North and South of China, respectively. Methods: We studied data concerning 472 infants with gestational age (GA ≤34 weeks or birth weight (BW ≤2000 g who were admitted to the Zhujiang Hospital of Southern Medical University and the Fourth Hospital of Shijiazhuang between January 1, 2011 and December 31, 2011. Clinical information about perinatal neonates was collected and was confirmed by reviewing medical charts. The incidence and severity of ROP were assessed in the screened population. Main outcome measures are the incidence and severity of ROP. The relationship of clinical risk factors and the development of ROP were analyzed. Results: The overall incidence of ROP was 12.7%, and the overall incidence of type 1 ROP was 2.3%; 9.4% of infants in Zhujiang Hospital had ROP compared to 15.0% infants in the Fourth Hospital of Shijiazhuang developed ROP, and the difference is statistically significant. ROP was significantly associated with GA (odds ratio [OR]: 0.77 [0.62-0.95], P = 0.015, BW (OR: 0.998 [0.996-0.999], P = 0.008, maternal supplemental oxygen administration before and during delivery (OR: 4.27 [1.21-15.10], P = 0.024 and preeclampsia (OR: 6.07 [1.73-21.36] P = 0.005. The risk factors for ROP are different in two hospitals. In Zhujiang Hospital, BW is the independent risk factors for ROP while GA, BW and preeclampsia in the Fourth Hospital in Shijiazhuang Conclusions: Retinopathy of prematurity incidence is different based on area. Incidence of ROP is still high in China. More efforts need to prevent ROP.

  14. Incidence and Risk Factors of Retinopathy of Prematurity in Two Neonatal Intensive Care Units in North and South China

    Institute of Scientific and Technical Information of China (English)

    Yi Chen; Deng Xun; Ya-Cong Wang; Bin Wang; Shao-Hui Geng; Hui Chen; Yan-Tao Li

    2015-01-01

    Background:To investigate the incidence and risk factors of retinopathy of prematurity (ROP) in two Neonatal Intensive Care Units in North and South of China,respectively.Methods:We studied data concerning 472 infants with gestational age (GA) ≤34 weeks or birth weight (BW) ≤2000 g who were admitted to the Zhujiang Hospital of Southern Medical University and the Fourth Hospital of Shijiazhuang between January 1,2011 and December 31,2011.Clinical information about perinatal neonates was collected and was confirmed by reviewing medical charts.The incidence and severity of ROP were assessed in the screened population.Main outcome measures are the incidence and severity of ROP.The relationship of clinical risk factors and the development of ROP were analyzed.Results:The overall incidence of ROP was 12.7%,and the overall incidence of type 1 ROP was 2.3%; 9.4% of infants in Zhujiang Hospital had ROP compared to 15.0% infants in the Fourth Hospital of Shijiazhuang developed ROP,and the difference is statistically significant.ROP was significantly associated with GA (odds ratio [OR]:0.77 [0.62-0.95],P =0.015),BW (OR:0.998 [0.996-0.999],P =0.008),maternal supplemental oxygen administration before and during delivery (OR:4.27 [1.21-15.10],P =0.024) and preeclampsia (OR:6.07 [1.73-21.36] P =0.005).The risk factors for ROP are different in two hospitals.In Zhujiang Hospital,BW is the independent risk factors for ROP while GA,BW and preeclampsia in the Fourth Hospital in Shijiazhuang Conclusions:Retinopathy ofprematurity incidence is different based on area.Incidence of ROP is still high in China.More efforts need to prevent ROP.

  15. Performance of a limiting-antigen avidity enzyme immunoassay for cross-sectional estimation of HIV incidence in the United States.

    Directory of Open Access Journals (Sweden)

    Jacob Konikoff

    Full Text Available A limiting antigen avidity enzyme immunoassay (HIV-1 LAg-Avidity assay was recently developed for cross-sectional HIV incidence estimation. We evaluated the performance of the LAg-Avidity assay alone and in multi-assay algorithms (MAAs that included other biomarkers.Performance of testing algorithms was evaluated using 2,282 samples from individuals in the United States collected 1 month to >8 years after HIV seroconversion. The capacity of selected testing algorithms to accurately estimate incidence was evaluated in three longitudinal cohorts. When used in a single-assay format, the LAg-Avidity assay classified some individuals infected >5 years as assay positive and failed to provide reliable incidence estimates in cohorts that included individuals with long-term infections. We evaluated >500,000 testing algorithms, that included the LAg-Avidity assay alone and MAAs with other biomarkers (BED capture immunoassay [BED-CEIA], BioRad-Avidity assay, HIV viral load, CD4 cell count, varying the assays and assay cutoffs. We identified an optimized 2-assay MAA that included the LAg-Avidity and BioRad-Avidity assays, and an optimized 4-assay MAA that included those assays, as well as HIV viral load and CD4 cell count. The two optimized MAAs classified all 845 samples from individuals infected >5 years as MAA negative and estimated incidence within a year of sample collection. These two MAAs produced incidence estimates that were consistent with those from longitudinal follow-up of cohorts. A comparison of the laboratory assay costs of the MAAs was also performed, and we found that the costs associated with the optimal two assay MAA were substantially less than with the four assay MAA.The LAg-Avidity assay did not perform well in a single-assay format, regardless of the assay cutoff. MAAs that include the LAg-Avidity and BioRad-Avidity assays, with or without viral load and CD4 cell count, provide accurate incidence estimates.

  16. HIV knowledge and associated factors among internet-using men who have sex with men (MSM in South Africa and the United States.

    Directory of Open Access Journals (Sweden)

    Bradley H Wagenaar

    Full Text Available BACKGROUND: We compared factors associated with low HIV/AIDS knowledge among internet-using MSM in South Africa and the United States. METHODS: 1,154 MSM in the US and 439 MSM in South Africa, recruited through Facebook.com, completed an online survey using a US-validated HIV knowledge scale (HIV-KQ-18. Separate multivariable logistic regression models were built, one for the US and one for South Africa, using a dichotomized variable of scoring less than and equal to 13/18 ("low knowledge" on the HIV-KQ-18 as outcome. RESULTS: Median knowledge scores were 16/18 for both groups of respondents. For South African MSM, factors associated with low knowledge were: a high school education or less (adjusted odds ratio [aOR]: 2.5, 95% confidence interval [CI]: 1.4–4.6, not using condom-compatible lubrication during last anal sex with another man (aOR: 1.9, CI: 1.0–3.5, number of gay or bisexual acquaintances (aOR: 0.89, CI: 0.81–0.99, being unemployed (aOR: 2.2, CI: 1.0–4.6, and testing HIV negative (aOR: 0.30, CI: 0.16–0.59 or testing HIV positive (aOR: 0.15, CI: 0.03–0.74 compared to those never HIV tested. For US MSM, associated factors were: a high school education or less (aOR: 2.7, CI: 1.9–3.8, low pride and acceptance of homosexuality (aOR: 1.3, CI: 1.2–1.5, age 18–24 (aOR: 2.3, CI: 1.3–3.8 or age 50+ (aOR: 3.2, CI: 1.6–6.3 compared to age 25–29, Hispanic ethnicity compared to white non-Hispanic (aOR: 1.9, CI: 1.1–3.2, and testing HIV positive (aOR: 0.34, CI: 0.16–0.69 or testing HIV negative (aOR: 0.59, CI: 0.39–0.89 compared to those never HIV tested [corrected]. CONCLUSIONS: Those developing programs for MSM in South Africa should weigh these data and other relevant factors, and might consider focusing education services towards MSM with limited education, less integration into gay/bisexual communities, no HIV testing history, limited use of condom-compatible lube, and the unemployed. In the United States, Hispanic

  17. A critical appraisal of experimental factors influencing the definition of the 99th percentile limit for cardiac troponins.

    Science.gov (United States)

    Panteghini, Mauro

    2009-01-01

    The recently released document by the Global Task Force on the "universal" definition of myocardial infarction (MI) recommends a single decision limit for cardiac troponin (cTn) corresponding to the 99th percentile limit of the reference value distribution [99th upper reference limit (URL)] for the diagnosis of patients presenting with suspected MI. However, use of this cut-off concentration posed a problem because most assays do not have the sensitivity to consistently measure cTn in the blood of apparently healthy individuals, with a high proportion of the values being below the method's detection limit. In addition to the influence of assay sensitivity, the 99th URL for cTn can vary depending on the reference population used, and its sample size. A marked difference can also be observed between the 99th URL obtained using plasma vs. that obtained with serum. Finally, some interferences with cTn measurement (e.g., by heterophile antibodies) may become more noticeable using assays that have increased analytical sensitivity that measure lower concentrations of these markers. In conclusion, a number of issues can markedly influence the definition of the 99th URL for cTn, which most clinicians are unaware of and may markedly condition the clinical performance of the test in routine practice.

  18. Orofacial pain in young adults and associated childhood and adulthood factors: results of the population study, Wales, United Kingdom.

    Science.gov (United States)

    Macfarlane, Tatiana V; Kenealy, Pamela; Kingdon, H Anne; Mohlin, Benght; Pilley, J Richard; Mwangi, Caroline W; Hunter, Lindsay; Richmond, Steve; Shaw, William C

    2009-10-01

    The aim of the study was to investigate the prevalence of orofacial pain (OFP) among young adults (30-31 years old) and to determine the effect of childhood and adulthood risk factors on the occurrence of OFP. Prospective cohort study to investigate dental and social effects of malocclusion and effectiveness of orthodontic treatment was conducted in Wales, United Kingdom. At 20-year follow-up 337 subjects aged 30-31 participated (74% from previous follow-up aged 19-20 and 33% from the baseline) and were asked about OFP. The prevalence of OFP was 23% (95% CI: 19%, 28%). Childhood factors, socio-demographic, lifestyle, health behavior factors, history of orthodontic treatment and tooth wear were not associated with OFP. Participants with OFP were more likely to report that their teeth did not fit together properly [odds ratio (OR) = 12.4, 95% CI: 2.7-56.5) and reported previous trauma to the jaws (2.3; 1.3-4.2). Both diurnal and nocturnal teeth clenching and grinding were significantly associated with OFP (3.1; 1.4-7.1). Participants with frequent headaches had increased risk of having OFP (3.7; 1.6-8.4) while having reported 4-10 types of pain in other parts of the body other than the head, was associated with OR = 9.2 (3.7-23.0). An increased tendency to have OFP was seen in those individuals with higher levels of psychological distress (2.3; 1.4-3.9), high score on Life Event Inventory (2.6; 1.3-5.3), depressive symptoms (2.2; 1.2-4.0) and stress (2.2; 1.2-4.0). High self-esteem associated with lower risk of OFP (0.5; 0.3-0.9). This study shows that OFP is frequently reported by young adults aged 30-31 and supports a multifactorial etiology with factors from many domains, including local mechanical factors, psychological and co-morbidities. However, none of the childhood factors considered in this study were associated with OFP in adulthood.

  19. Risk factors affecting nasal colonization of methicillin-resistant Staphylococcus aureus when admitted in intensive care unit

    Institute of Scientific and Technical Information of China (English)

    Li Qiang; Zhuang Taifeng; Lin Ying; Xi Jingjing; Yao Gaiqi

    2014-01-01

    Background Colonization with methicillin-resistant Staphylococcus aureus (MRSA) is a risk factor for subsequent invasive MRSA infection,particularly in patients admitted for critical care.The purpose of this study was to investigate the risk factors affecting nasal colonization of MRSA in patients admitted to intensive care units (ICU).Methods Between August 1,2011 and June 30,2012,we screened for MRSA nasal colonization in 350 patients by Real-time PCR within 24 hours of admission by means of swab samples taken from the anterior nares.According to the results of PCR,the patients were divided into 2 groups:the positive group with nasal MRSA colonization and the negative group without nasal MRSA colonization.The 31 (8.86%) patients were MRSA positive.The risk factors evaluated included thirteen variables,which were analyzed by t test for continuous variables and X2 test for discrete variables.The variables with significance (P <0.05) were analyzed with stepwise Logistic regression.Results There were differences (P <0.05) in four variables between two groups.The duration of stay in hospital prior to ICU admission in the positive group was (35.7±16.1) days,vs.(4.5±3.1) days in the negative group.The average blood albumin level was (28.4±2.9) g/L in the positive group,vs.(30.5±4.3) g/L in the negative group.Of 31 patients in the positive group,seven had been treated with antibiotics longer than seven days vs.34 of 319 patients in the negative group.In the positive group,four of 31 patients received treatment with more than two classes of antibiotics prior to admission in ICU,contrasted to 13 of 319 patients in the negative group.Furthermore,stepwise Logistic regression analysis for these four variables indicates that the duration of stay in hospital prior to ICU admission may be an independent risk factor.Conclusions MRSA colonization in ICU admission may be related to many factors.The duration of stay in hospital prior to ICU admission is an independent risk

  20. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors.

    Directory of Open Access Journals (Sweden)

    Goodarz Danaei

    2009-04-01

    Full Text Available BACKGROUND: Knowledge of the number of deaths caused by risk factors is needed for health policy and priority setting. Our aim was to estimate the mortality effects of the following 12 modifiable dietary, lifestyle, and metabolic risk factors in the United States (US using consistent and comparable methods: high blood glucose, low-density lipoprotein (LDL cholesterol, and blood pressure; overweight-obesity; high dietary trans fatty acids and salt; low dietary polyunsaturated fatty acids, omega-3 fatty acids (seafood, and fruits and vegetables; physical inactivity; alcohol use; and tobacco smoking. METHODS AND FINDINGS: We used data on risk factor exposures in the US population from nationally representative health surveys and disease-specific mortality statistics from the National Center for Health Statistics. We obtained the etiological effects of risk factors on disease-specific mortality, by age, from systematic reviews and meta-analyses of epidemiological studies that had adjusted (i for major potential confounders, and (ii where possible for regression dilution bias. We estimated the number of disease-specific deaths attributable to all non-optimal levels of each risk factor exposure, by age and sex. In 2005, tobacco smoking and high blood pressure were responsible for an estimated 467,000 (95% confidence interval [CI] 436,000-500,000 and 395,000 (372,000-414,000 deaths, accounting for about one in five or six deaths in US adults. Overweight-obesity (216,000; 188,000-237,000 and physical inactivity (191,000; 164,000-222,000 were each responsible for nearly 1 in 10 deaths. High dietary salt (102,000; 97,000-107,000, low dietary omega-3 fatty acids (84,000; 72,000-96,000, and high dietary trans fatty acids (82,000; 63,000-97,000 were the dietary risks with the largest mortality effects. Although 26,000 (23,000-40,000 deaths from ischemic heart disease, ischemic stroke, and diabetes were averted by current alcohol use, they were outweighed by

  1. Nonlinear pre-coding apparatus of multi-antenna system, has pre-coding unit that extents original constellation points of modulated symbols to several constellation points by using limited perturbation vector

    DEFF Research Database (Denmark)

    2008-01-01

    A Coding/Modulating units (200-1-200-N) outputs modulated symbols by modulating coding bit streams based on certain modulation scheme. The limited perturbation vector is calculated by using distribution of perturbation vectors. The original constellation points of modulated symbols are extended...

  2. Nonlinear pre-coding apparatus of multi-antenna system, has pre-coding unit that extents original constellation points of modulated symbols to several constellation points by using limited perturbation vector

    DEFF Research Database (Denmark)

    2008-01-01

    A Coding/Modulating units (200-1-200-N) outputs modulated symbols by modulating coding bit streams based on certain modulation scheme. The limited perturbation vector is calculated by using distribution of perturbation vectors. The original constellation points of modulated symbols are extended t...

  3. Clinical Profiles and Factors Associated with Death in Adults with Dengue Admitted to Intensive Care Units, Minas Gerais, Brazil

    Science.gov (United States)

    Amâncio, Frederico Figueiredo; Heringer, Tiago Pires; de Oliveira, Cristina da Cunha Hueb Barata; Fassy, Liliane Boaventura; de Carvalho, Frederico Bruzzi; Oliveira, Daniela Pagliari; de Oliveira, Claudio Dornas; Botoni, Fernando Otoni; Magalhães, Fernanda do Carmo; Lambertucci, José Roberto; Carneiro, Mariângela

    2015-01-01

    The purpose of our study was to describe the clinical profile of dengue-infected patients admitted to Brazilian intensive care units (ICU) and evaluate factors associated with death. A longitudinal, multicenter case series study was conducted with laboratory-confirmed dengue patients admitted to nine Brazilian ICUs situated in Minas Gerais state, southeastern Brazil from January 1, 2008, to December 31, 2013. Demographic, clinical and laboratory data; disease severity scores; and mortality were evaluated. A total of 97 patients were studied. The in-ICU and in-hospital mortality rates were 18.6% and 19.6%, respectively. Patients classified as having severe dengue according to current World Health Organization classifications showed an increased risk of death in a univariate analysis. Nonsurvivors were older, exhibited lower serum albumin concentrations and higher total leukocyte counts and serum creatinine levels. Other risk factors (vomiting, lethargy/restlessness, dyspnea/respiratory distress) were also associated with death in a univariate analysis. Multivariate analysis indicated that in-hospital mortality was significantly associated with Acute Physiology and Chronic Health Evaluation II and the Sequential Organ Failure Assessment score. The ICU and in-hospital mortality observed in this study were higher than values reported in similar studies. An increased frequency of ICU admission due to severe organ dysfunction, higher severity indices and scarcity of ICU beds may partially explain the higher mortality. PMID:26090676

  4. Soil types and limiting factors in agricultural production in the San Fernando district, Tamaulipas, Mexico; Tipos de suelo y factores limitantes en la produccion agropecuaria en el distrito San Fernando, Tamaulipas, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa Ramirez, M.; Garza Cedillo, R.; Andrade limas, E.; Belmonte Serrato, F.

    2009-07-01

    The limiting factors in agricultural production, defined as those properties and characteristics of the geographical environment that influence the development of crops, can be diverse and are grouped with the physical environment of soil. They are the result of soil characteristics and soil degradation processes by anthropogenic influence. Due to the above, the objective of this study was to identify and surveying the limitative factors to agricultural production, as well as to define its ability land use capacity in San Fernando district, Tamaulipas. (Author) 7 refs.

  5. Risk factors for multi-drug resistant Acinetobacter baumannii bacteremia in patients with colonization in the intensive care unit

    Directory of Open Access Journals (Sweden)

    Kim Se

    2010-07-01

    Full Text Available Abstract Background Epidemic outbreaks of multi-drug resistant (MDR Acinetobacter baumannii (AB in intensive care units (ICUs are increasing. The incidence of MDR AB bacteremia, which develops as a result of colonization, is increasing through widespread dissemination of the pathogen, and further colonization. We sought to determine risk factors for MDR AB bacteremia in patients colonized with MDR AB in the ICU. Methods We conducted a retrospective, observational study of 200 patients colonized with MDR AB in the ICU at Severance Hospital, South Korea during the outbreak period between January 2008 and December 2009. Results Of the 200 patients colonized with MDR AB, 108 developed MDR AB bacteremia, and 92 did not. APACHE II scores were higher in bacteremic than non-bacteremic patients at the time of ICU admission and colonization (24.0 vs. 21.6; P = 0.035, 22.9 vs. 16.8; P P = 0.923, but the duration of time at risk was shorter in bacteremic patients (12.1 vs. 6.0 days; P = 0.016. A recent invasive procedure was a significant risk factor for development of bacteremia (odds ratio = 3.85; 95% CI 1.45-10.24; P = 0.007. Multivariate analysis indicated infection and respiratory failure at the time of ICU admission, maintenance of mechanical ventilation, maintenance of endotracheal tube instead of switching to a tracheostomy, recent central venous catheter insertion, bacteremia caused by other microorganism after colonization by MDR AB, and prior antimicrobial therapy, were significant risk factors for MDR AB bacteremia. Conclusions Patients in the ICU, colonized with MDR AB, should be considered for minimizing invasive procedures and early removal of the invasive devices to prevent development of MDR AB bacteremia.

  6. FACTORS ASSOCIATED WITH MORTALITY AMONG PATIENTS WITH CENTRAL VENOUS CATHETER-RELATED BLOODSTREAM INFECTION IN AN INTENSIVE CARE UNIT

    Directory of Open Access Journals (Sweden)

    Priscilla Roberta Silva Rocha

    2012-01-01

    Full Text Available Central venous catheterization is a common practice in the management of critically ill patients and is associated with various complications, such as Bloodstream Infections (BSI, which are major determinants of increased morbidity, mortality and healthcare expenses. Few studies have addressed factors that predict mortality in patients with this complication. The aim of this study was to investigate factors associated with mortality in patients with Central Venous Catheter (CVC-related BSI in an intensive care unit of a tertiary care hospital in the Federal District, Brazil. This was a retrospective and observational study, in which all CVC-related BSI that occurred between January 2008 and December 2010 were reviewed. We obtained demographic, clinical, biochemical and microbiological data from medical records and investigated its association with mortality during ICU stay. There were 4,504 ICU admissions during the study period and 68 were complicated by CVC-related BSI (4.09 per 1000 catheter-days, most due to gram-negative organisms (45.6%. Overall mortality was 59.7%. Death risk was significantly associated with mechanical ventilation (OR 27.8, 95% CI 3.28-250, p-1 in survivors vs. 73.9 mg dL-1 in non-survivors, p = 0.001. Mortality was not associated with other clinical or biochemical features, neither with microbiological variables, although lethality was high among patients with gram-positive infections (77% Vs 58.33% for fungi and 54.83% for gram-negative. CVC-related BSI was associated with high absolute mortality, which was predicted by mechanical ventilation and a higher number of invasive devices other than the CVC. Knowledge of local factors predictive of mortality is critical for planning strategies to reduce death risk associated with this complication.

  7. Limited clinical efficacy of azacitidine in transfusion-dependent, growth factor-resistant, low- and Int-1-risk MDS

    DEFF Research Database (Denmark)

    Dybedahl, I; Holm, Mette; Karimi, M

    2014-01-01

    This prospective phase II study evaluated the efficacy of azacitidine (Aza)+erythropoietin (Epo) in transfusion-dependent patients with lower-risk myelodysplastic syndrome (MDS). Patients ineligible for or refractory to full-dose Epo+granulocyte colony stimulation factors for >8 weeks and a trans...

  8. Regulatory approaches to obesity prevention: A systematic overview of current laws addressing diet-related risk factors in the European Union and the United States.

    Science.gov (United States)

    Sisnowski, Jana; Handsley, Elizabeth; Street, Jackie M

    2015-06-01

    High prevalence of overweight and obesity remains a significant international public health problem. Law has been identified as a tool for obesity prevention and selected high-profile measures have been reported. However, the nature and extent of enacted legislation internationally are unclear. This research provides an overview of regulatory approaches enacted in the United States, the European Union, and EU Member States since 2004. To this end, relevant databases of primary and secondary legislation were systematically searched to identify and explore laws addressing dietary risk factors for obesity. Across jurisdictions, current regulatory approaches to obesity prevention are limited in reach and scope. Target groups are rarely the general population, but instead sub-populations in government-supported settings. Consumer information provision is preferred over taxation and marketing restrictions other than the regulation of health and nutrition claims. In the EU in particular, product reformulation with industry consent has also emerged as a popular small-scale measure. While consistent and widespread use of law is lacking, governments have employed a range of regulatory measures in the name of obesity prevention, indicating that there is, in principle, political will. Results from this study may serve as a starting point for future research and policy development. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  9. Analysis of older adults' domestic kitchen storage practices in the United Kingdom: identification of risk factors associated with listeriosis.

    Science.gov (United States)

    Evans, Ellen W; Redmond, Elizabeth C

    2015-04-01

    Increased listeriosis incidence among older adults (≥ 60 years) has been reported internationally, with many cases reported to be sporadic and associated with ready-to-eat (RTE) food products with extended refrigerated shelf life. Given that the home kitchen is recognized as a significant location where foodborne illnesses are acquired, it is important that consumers implement safe food practices to minimize risks. This is crucial for vulnerable consumers, such as older adults. Consumer food safety recommendations in the United Kingdom to reduce the risk of listeriosis at home include (i) following "use-by" dates on unopened prepacked RTE food products, (ii) consuming RTE food products within 2 days of opening, and (iii) ensuring the safe operating temperatures of domestic refrigerators (≤ 5 °C). This study utilized observation, self-reporting, and microbiological analysis to determine actual food storage practices to identify behavioral risk factors. A domestic kitchen survey was conducted in older adult (≥ 60 years) consumers' domestic kitchens (n = 100) in South Wales, United Kingdom. Forty-one percent of foods in home refrigerators were beyond the use-by date, of which 11% were unopened RTE food products commonly associated with listeriosis. Sixty-six percent of opened RTE foods had been or were intended to be stored beyond the recommended 2 days after opening. Older adults failed to ensure safe refrigeration temperatures, with 50% of central storage and 85% of door storage areas operating at temperatures >5 °C. Older refrigerators operated at significantly (P listeriosis than its presence alone. The study has determined that many older adults fail to adhere to recommendations and subject RTE foods associated with L. monocytogenes to prolonged storage at unsafe temperatures which may render food unsafe for consumption.

  10. Prevalence and risk factors for allergic rhinitis in two resource-limited settings in Peru with disparate degrees of urbanization

    Science.gov (United States)

    Baumann, L. M.; Romero, K. M.; Robinson, C. L.; Hansel, N. N.; Gilman, R. H.; Hamilton, R. G.; Lima, J. J.; Wise, R. A.; Checkley, W.

    2017-01-01

    Summary Background Allergic rhinitis is a disease with a high global disease burden, but risk factors that contribute to this condition are not well understood. Objective To assess the prevalence and risk factors of allergic rhinitis in two Peruvian populations with disparate degrees of urbanization. Methods We conducted a population-based, cross-sectional study on 1441 children aged 13–15 years at enrollment (mean age 14.9 years, 51% boys) to investigate the prevalence of allergic disease. We used a standardized, Spanish validated questionnaire to determine the prevalence of allergic rhinitis and asked about sociodemographics and family history of allergies. Children also underwent spirometry, exhaled nitric oxide, allergy skin testing to 10 common household allergens and provided a blood sample for measurement of 25OH vitamin D and total serum IgE. Results Overall prevalence of allergic rhinitis was 18% (95% CI 16% to 20%). When stratified by site, the prevalence of allergic rhinitis was 23% Lima vs. 13% in Tumbes (P eczema vs. 17% of those without eczema (P < 0.001). Important risk factors for allergic rhinitis were parental rhinitis (adjusted OR = 3.0, 95% CI 1.9–4.7 for 1 parent and adjusted OR = 4.4, 95% CI 1.5–13.7 for 2 parents); allergic sensitization to common household aeroallergens (1.6, 1.1–2.3); being overweight (1.5, 1.0–2.3); exhaled nitric oxide ≥20 ppb (1.9, 1.3–2.7); and total serum IgE ≥ 95th percentile (2.4, 1.2–4.8). Population attributable risk of important factors for allergic rhinitis were 25% for high exhaled nitric oxide, 22% for allergic sensitization to common household aeroallergens, 22% for paternal rhinitis, 10% for being overweight and 7% for an elevated total serum IgE. Conclusion and Clinical Relevance Allergic rhinitis was prevalent in both settings, and important risk factors include elevated exhaled nitric oxide, allergic sensitization to common household aeroallergens, parental rhinitis, being overweight and

  11. Segment boundaries of the adult rat epididymis limit interstitial signaling by potential paracrine factors and segments lose differential gene expression after efferent duct ligation

    Institute of Scientific and Technical Information of China (English)

    Terry T. Turner; Daniel S. Johnston; Scott A. Jelinsky; Jose L. Tomsig; Joshua N. Finger

    2007-01-01

    The epididymis is divided into caput, corpus and cauda regions, organized into intraregional segments separated by connective tissue septa (CTS). In the adult rat and mouse these segments are highly differentiated. Regulation of these segments is by endocrine, lumicrine and paracrine factors, the relative importance of which remains under investigation. Here, the ability of the CTS to limit signaling in the interstitial compartment is reviewed as is the effect of 15 days of unilateral efferent duct ligation (EDL) on ipsilateral segmental transcriptional profiles. Inter-segmental microperifusions of epidermal growth factor (EGF), vascular endothelial growth factor (VEGFA) and fibroblast growth factor 2 (FGF2) increased phosphorylation of mitogen activated protein kinase (MAPK) in segments 1 and 2 of the rat epididymis and the effects of all factors were limited by the CTS separating the segments. Microarray analysis of segmental gene expression determined the effect of 15 days of unilateral EDL on the transcriptome-wide gene expression of rat segments 1-4. Over 11 000 genes were expressed in each of the four segments and over 2 000 transcripts in segment 1 responded to deprivation of testicular lumicrine factors. Segments 1 and 2 of control tissues were the most transcriptionally different and EDL had its greatest effects there. In the absence of lumicrine factors, all four segments regressed to a transcriptionally undifferentiated state, consistent with the less differentiated histology. Deprivation of lumicrine factors could stimulate an individual gene's expression in some segments yet suppress it in others. Such results reveal a higher complexity of the regulation of rat epididymal segments than that is generally appreciated.

  12. Factors Limiting Microbial Growth and Activity at a Proposed High-Level Nuclear Repository, Yucca Mountain, Nevada

    OpenAIRE

    Kieft, T. L.; Kovacik, W. P.; Ringelberg, D B; White, D. C.; Haldeman, D. L.; Amy, P S; Hersman, L. E.

    1997-01-01

    As part of the characterization of Yucca Mountain, Nev., as a potential repository for high-level nuclear waste, volcanic tuff was analyzed for microbial abundance and activity. Tuff was collected aseptically from nine sites along a tunnel in Yucca Mountain. Microbial abundance was generally low: direct microscopic cell counts were near detection limits at all sites (3.2 x 10(sup4) to 2.0 x 10(sup5) cells g(sup-1) [dry weight]); plate counts of aerobic heterotrophs ranged from 1.0 x 10(sup1) ...

  13. LXY6090 – a novel manassantin A derivative – limits breast cancer growth through hypoxia-inducible factor-1 inhibition

    OpenAIRE

    Lai, Fangfang; Liu, Qian; LIU, Xiaoyu; Ji, Ming; Xie, Ping; Chen, Xiaoguang

    2016-01-01

    Hypoxia-inducible factor-1 (HIF-1) represents a novel antitumor target owing to its involvement in vital processes considered hallmarks of cancer phenotypes. Manassantin A (MA) derived from Saururus cernuus has been reported as a selective HIF-1 inhibitor. Herein, the structure of MA was optimized to achieve new derivatives with simple chemical properties while retaining its activity. LXY6090 was designed to replace the central tetrahydrofuran moiety of MA with a cyclopentane ring and was ide...

  14. 2010 Joint United States-Canadian Program to explore the limits of the Extended Continental Shelf aboard U.S. Coast Guard Cutter Healy--Cruise HLY1002

    Science.gov (United States)

    Edwards, Brian D.; Childs, Jonathan R.; Triezenberg, Peter J.; Danforth, William W.; Gibbons, Helen

    2013-01-01

    In August and September 2010, the U.S. Geological Survey, in cooperation with Natural Resources Canada, Geological Survey of Canada, conducted bathymetric and geophysical surveys in the Beaufort Sea and eastern Arctic Ocean aboard the U.S. Coast Guard Cutter Healy. The principal objective of this mission to the high Arctic was to acquire data in support of a delineation of the outer limits of the U.S. and Canadian Extended Continental Shelf in the Arctic Ocean, in accordance with the provisions of Article 76 of the United Nations Convention on the Law of the Sea. The Healy was accompanied by the Canadian Coast Guard icebreaker Louis S. St-Laurent. The scientific parties on board the two vessels consisted principally of staff from the U.S. Geological Survey (Healy), and the Geological Survey of Canada and the Canadian Hydrographic Service (Louis). The crew also included marine-mammal observers, Native-community observers, ice observers, and biologists conducting research of opportunity in the Arctic Ocean. Despite interruptions necessitated by three medical emergencies, the joint survey proved largely successful. The Healy collected 7,201 trackline-kilometers of swath (multibeam) bathymetry (47,663 square kilometers) and CHIRP subbottom data, with accompanying marine gravity measurements, and expendable bathythermograph data. The Louis acquired 3,673 trackline-kilometers of multichannel seismic (airgun) deep-penetration reflection data along 25 continuous profiles, as well as 34 sonobuoy refraction stations and 9,500 trackline-kilometers of single-beam bathymetry. The coordinated efforts of the two vessels resulted in seismic-reflection-profile data that were of much higher quality and continuity than if the data had been acquired with a single vessel alone. The equipment-failure rate of the seismic equipment aboard the Louis was greatly reduced when the Healy led as the ice breaker. When ice conditions proved too severe to deploy the seismic system, the Louis led

  15. Reaggregation of human, chick, and human embryonic brain cells. Factors influencing the formation of a histiotypic unit.

    Science.gov (United States)

    Lodin, Z; Fleischmannová, V; Hájková, B; Faltin, J; Hartman, J

    1981-01-01

    1. Aggregation of embryo human, mouse, and chick brain cells was studied. The optimum age interval of donors from different species was determined. 2. The significance of different dissociation procedures (mild trypsinisation followed by sieving, trypsinisation + DNA digestion, mechanical dissociation in 1 or 2 steps, and Ca2+ chelation by EGTA) for the rate of aggregation was estimated. A significant reduction of aggregation was observed after one step mechanical dissociation. Nonspecific adhesion of cells on DNA molecules was found only during the first stages of aggregation. 3. The curve of aggregation kinetics follows the curve of floculation kinetics. 90% free cells disappear from the medium after 2 h of aggregation and a large number of microaggregates are formed which condense after 20 to 24 h into compact aggregates. The time course of aggregation was similar for all cells dissociated by different means. Small differences in the rate of aggregation, caused by dissociation procedures, were apparent only during the first stages of aggregation. 4. The histiotypic unit formed by aggregation of human, mouse, and chick embryo brain cells exhibits some common and some specific features. During aggregation a multiple structural reconstruction takes place and a limited number of cells are exchanged or sorted out from aggregates into the medium. 5. The structural organisation of aggregates from differently dissociated cells differs in several aspects. This indicates that membrane surface structures are influenced differently by dissociation and behave differently during distinct stages of aggregation.

  16. Epidemiological features and risk factors of sepsis-associated encephalopathy in intensive care unit patients: 2008-2011

    Institute of Scientific and Technical Information of China (English)

    ZHANG Li-na; WANG Xiao-ting; AI Yu-hang; GUO Qu-lian; HUANG Li; LIU Zhi-yong; Yao Bo

    2012-01-01

    Background Encephalopathy is a common complication of sepsis,and its onset can occur at any stage of sepsis and implies worse prognosis.However,the incidence,epidemiology,and pathogenesis of sepsis-associated encephalopathy remain controversial.The purpose of this study was to investigate the epidemiological features and risk factors for sepsis-associated encephalopathy.Methods Our retrospective study included all patients with sepsis admitted to our intensive care unit from 2008 to 2011.After excluding 91 patients,232 patients were assigned to either a sepsis-associated encephalopathy group or sepsis without encephalopathy group.Between-group differences in baseline patient data including vital signs,disease severity,pathogens,sites of infection,biochemical indicators,and time on a mechanical ventilator,intensive care unit (ICU) stay,and 28-day mortality rate were analyzed.Results The incidence of sepsis-associated encephalopathy was 17.7%.The sepsis-associated encephalopathy group had significantly higher 28-day mortality (56.1% vs.35.1%; P=0.013),spent a significantly longer time on a ventilator ((8.2±2.2) days vs.(2.9±0.4) days; P=0.021),and had a significantly longer ICU stay ((12.4±2.4) days vs.(7.1±0.6) days;P=0.042).Acute physiology and chronic health evaluation Ⅱ score,Glasgow coma scale,heart rate,blood lactate,serum sodium,platelets,serum albumin,and pH values were related to the presence of encephalopathy.Patients with biliary tract infections and intestinal infections caused by Staphylococcus aureus,Enterococcus faecium,Acinetobacter spp,Pseudomonas aeruginosa,and Stenotrophomonas maltophilia,were more prone to develop sepsis-associated encephalopathy.Conclusions Encephalopathy increases mortality rate in septic patients.Clinical intervention to reduce risk factors and thereby morbidity and mortality depends on a correct understanding of the differences between patients with sepsis and patients with both sepsis and encephalopathy.

  17. Interleukin-8, interleukin-1β and tumour necrosis factor-α in sequential units of packed red blood cells collected from retired racing Greyhounds.

    Science.gov (United States)

    Purcell, S L; Claus, M; Hosgood, G; Smart, L

    2017-01-01

    We hypothesised that concentrations of interleukin-8 (IL-8), interleukin-1β (IL-1β) and tumour necrosis factor-α (TNF-α) would increase during storage in the third sequential unit (U3) of canine packed red blood cells (PRBC) collected from terminal donors in haemorrhagic shock. We further hypothesised that leucoreduction would prevent cytokine accumulation in U3 and that cytokine concentrations in U3 would be higher than in the first units (U1) collected from the same dogs. U1 and U3 were each collected from 12 anaesthetised healthy Greyhounds. Removal of leucocytes from half of each PRBC unit produced one leucoreduced (LR) and one non-leucoreduced (NLR) unit. Canine IL-8, IL-1β and TNF-α concentrations were measured in samples collected from the units during storage on days 0, 10, 20, 30 and 37. The IL-8 concentration in U3 NLR units was significantly higher on days 10, 20, 30 and 37 than on day 0 and was significantly higher than in the LR units at all time points. The IL-1β concentration in U3 did not change over time, or between LR and NLR units. TNF-α was not detected in any unit. There were no significant differences in IL-8 or IL-1β concentrations between U3 and U1 at any time point; however, some NLR U3 units had markedly elevated IL-8 concentrations at day 37 (2060-20,682 pg/mL) compared with NLR U1 units (3369-5280 pg/mL). NLR U3 units collected from dogs in haemorrhagic shock showed a significant increase in IL-8 concentrations during storage. Leucoreduction was effective at preventing the accumulation of IL-8. There was no difference detected between U3 and U1. © 2017 Australian Veterinary Association.

  18. Meaningful learning: The essential factor for conceptual change in limited or inappropriate propositional hierarchies leading to empowerment of learners

    Science.gov (United States)

    Novak, Joseph D.

    2002-07-01

    The construction and reconstruction of meanings by learners requires that they actively seek to integrate new knowledge with knowledge already in their cognitive structure. Ausubel's assimilation theory of cognitive learning has been shown to be effective in guiding research and instructional design to facilitate meaningful learning (Ausubel, The psychology of meaningful verbal learning, New York: Grune and Stratton, 1963; Educational psychology: A cognitive view, New York: Holt, Rinehart and Winston, 1968; The acquisition and retention of knowledge, Dordrecht: Kluwer, 2000). Gowin's Vee heuristic has been employed effectively to aid teachers and students in understanding the constructed nature of knowledge (Gowin, Educating, Ithaca, NY: Cornell University Press, 1981). Situated learning occurs when learning is by rote or at a lower level of meaningful learning. Concept mapping has been used effectively to aid meaningful learning with resulting modification of student's knowledge structures. When these knowledge structures are limited or faulty in some way, they may be referred to as Limited or Inappropriate Propositional Hierarchies (LIPH's). Conceptual change, or more accurately conceptual reconstrution, requires meaningful learning to modify LIPH's. Collaborative group learning facilitates meaningful learning and new knowledge construction. World-wide economic changes are forcing major changes in business and industry placing a premium on the power and value of knowledge and new knowledge production. These changes require changes in school and university education that centers on the nature and power of meaningful learning. New computer tools are available to facilitate teaching activities targeted at modifying LIPH's, and aiding meaningful learning in general.

  19. Status and limiting factors of two rare plant species in dry montane communities of Hawai`i Volcanoes National Park.

    Science.gov (United States)

    Pratt, Linda W.; VanDeMark, Joshua R.; Euaparadorn, Melody

    2012-01-01

    Two rare plants native to montane dry forests and woodland communities of Hawai`i Volcanoes National Park (HAVO) were studied for more than two years to determine their stand structure, short-term mortality rates, patterns of reproductive phenology, success of fruit production, floral visitor composition, seed germination rates in the greenhouse, and survival of both natural and planted seedlings. Phyllostegia stachyoides, a shrubby Hawaiian mint (Lamiaceae) that is a species of concern, was studied within two small kīpuka at a natural population on the park’s Mauna Loa Strip, and three plantings at sites along the Mauna Loa Road were also monitored. Silene hawaiiensis, a threatened shrub species in the pink family (Caryophyllaceae), was monitored at two natural populations, one on Mauna Loa at the Three Trees Kīpuka and the second on Kīlauea Crater Rim south of Halema`uma`u. Silene hawaiiensis plantings were also made inside and outside ungulate exclosures at the park’s Kahuku Unit

  20. Association of Chronic Obstructive Pulmonary Disease With Increased Confusion or Memory Loss and Functional Limitations Among Adults in 21 States, 2011 Behavioral Risk Factor Surveillance System

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    Kurt J. Greenlund, PhD

    2016-01-01

    Full Text Available Introduction Chronic obstructive pulmonary disease (COPD is associated with cognitive impairment, but consequences of this association on a person’s functional limitations are unclear. We examined the association between COPD and increased confusion and memory loss (ICML and functional limitations among adults with COPD. Methods We studied adults aged 45 years or older in 21 states who participated in the 2011 Behavioral Risk Factor Surveillance System (n = 102,739. Presence of COPD was based on self-reported physician diagnosis. ICML was based on self-report that confusion or memory loss occurred more often or worsened during the prior year. ICML-associated difficulties were defined as giving up household chores and former activities, decreased ability to work or engage in social activities, or needing help from family or friends during the prior year due to ICML. General limitations were defined as needing special equipment as a result of a health condition, having had activity limitations for 2 weeks or more in the prior month, or being unable to work. Multivariable models were adjusted for demographics, health behaviors or conditions, and frequent mental distress. Results COPD was reported by 9.3% of adults. ICML was greater among those with COPD than among those without COPD (25.8% vs 11%; adjusted prevalence ratio [aPR], 1.48; 95% confidence interval [CI], 1.32%–1.66%. People with COPD, either with or without ICML, were more likely than those without COPD to report general functional limitations. Among people reporting ICML, those with COPD were more likely to report interference with work or social activities than those without COPD (aPR, 1.17; 95% CI, 1.01%–1.36%. Conclusion Functional limitations were greater among those with COPD than among those without, and ICML may further affect these limitations. Results from our study can inform future studies of self- management and functional limitations for people with COPD.

  1. Factors associated with low adherence to head-of-bed elevation during mechanical ventilation in Chinese intensive care units

    Institute of Scientific and Technical Information of China (English)

    LIU Jing-tao; SONG Hai-jing; WANG Yu; KANG Yan; JIANG Li; LIN Si-han; DU Bin

    2013-01-01

    Background Elevating the head of bed (HOB) 30°-45° has been widely supported as a means of ventilator associated pneumonia (VAP) prevention.However,it was poorly adhered in clinical practice.This observational study aimed to investigate the factors impeding this simple practice at the bedside.Methods This prospective study was conducted in 33 Chinese academic hospital intensive care units (ICUs).HOB angle was measured four times daily at 5-7 hour intervals.The predefined HOB elevation goal was an angle >30°.Results The overall rate of achieving the HOB goal was 27.8% of the 8647 measurements in 314 patients during 2842 ventilation days.The HOB goal of >3 times/d was consistently achieved only in 15.9% of the cases.Almost 60% of patients had at least one 24 hours period during which the HOB goal was never documented.This low rate of protocol compliance was not associated with acute physiology and chronic health evaluation (APACHE) Ⅱ score or dependence on vasopressors.In a survey,"nurse workload" was identified as the most important factor for non-compliance with the HOB goal.In addition,the rates of compliance were significantly different (P <0.001) between physicians self-reporting that they either did or did not know the Institutes of Healthcare Improvement (IHI) ventilator bundle.Conclusions Low adherence to a HOB angle of >30° was found in this nationwide survey.Nursing workload and lack of knowledge on VAP prevention were important barriers to changing this practice.

  2. Antimicrobial resistance risk factors and characterisation of faecal E. coli isolated from healthy Labrador retrievers in the United Kingdom.

    Science.gov (United States)

    Schmidt, Vanessa M; Pinchbeck, Gina L; Nuttall, Tim; McEwan, Neil; Dawson, Susan; Williams, Nicola J

    2015-04-01

    Antimicrobial resistant bacteria are increasingly detected from canine samples but few studies have examined commensal isolates in healthy community dogs. We aimed to characterise faecal Escherichia coli from 73 healthy non-veterinarian-visiting and non-antimicrobial treated Labrador retrievers, recruited from dog shows in the North West United Kingdom between November 2010 and June 2011. Each enrolled dog provided one faecal sample for our study. E. coli were isolated from 72/73 (99%) faecal samples. Disc diffusion susceptibility tests were determined for a range of antimicrobials, including phenotypic extended-spectrum beta-lactamase (ESBL) and AmpC-production. PCR assay detected phylogenetic groups and resistance genes (blaCTX-M, blaSHV, blaTEM, blaOXA, blaCIT, qnr), and conjugation experiments were performed to investigate potential transfer of mobile genetic elements. Multivariable logistic regression examined potential risk factors from owner-questionnaires for the presence of antimicrobial resistant faecal E. coli. Antimicrobial resistant, multi-drug resistant (≥3 antimicrobial classes; MDR) and AmpC-producing E. coli were detected in 63%, 30% and 16% of samples, respectively. ESBL-producing E. coli was detected from only one sample and conjugation experiments found that blaCTX-M and blaCIT were transferred from commensal E. coli to a recipient strain. Most isolates were phylogenetic groups B1 and A. Group B2 isolates were associated with lower prevalence of resistance to at least one antimicrobial (PE. coli were surprisingly prevalent in this group of non-antimicrobial treated and non-veterinarian-visiting dogs and consumption of raw meat was a significant risk factor for antimicrobial resistance. These findings are of concern due to the increasing popularity of raw-meat canine diets, and the potential for opportunistic infection, zoonotic transmission and transmission of antimicrobial resistant determinants from commensal isolates to potential pathogenic

  3. Plant size and abiotic factors determine the intra-specific variation in the multi-stemmed architecture of Prunus lusitanica in the Northeast limit of its global distribution

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    A. Muñoz Costa

    2013-12-01

    Full Text Available Aim of study: The present work provides novel insights on factors (either intrinsic or extrinsic that trigger sprouting in woody species living at range margins. We aim to explain the inter-individual variability in the multi-stemmed architecture of Prunus lusitanica L., an Iberian evergreen relict tree related to the Tertiary flora.Area of study: Northeastern Mediterranean mountains of the Iberian Peninsula, the Northeast limit of the global distribution of the species.Material and Methods: We gathered data on two modes of vegetative reproduction, basal and layering sprouts, in 288 clumps of Prunus lusitanica from four populations. We modeled and analyzed the effect of environmental factors (topography, canopy cover, soil moisture and disturbances and plant size (diameter at breast height on sprouting by means of Generalized Linear Model and other statistical approaches.Main results: Plant size arises as the principal factor to explain the variability of the numbers of both types of sprouts yet it is not a trigger factor. Natural and anthropogenic disturbances promote basal and layering shoots, while tree canopy is mainly relevant for basal shoots, and slope and soil moisture are significant factors for layering shoots.Research highlights: The multi-stemmed architecture of P. lusitanica at the Northeastern limit of its worldwide distribution is triggered by local environmental factors and disturbances. Each external factor shows different levels of influence on the variability and type of vegetative reproduction yet the intensity of the response is driven by the size of the largest trunk of each clump.Key words: vegetative reproduction; sprouting; disturbances; woody plants; relict tree; subtropical; Iberian Peninsula.

  4. Risk factors for acquisition of methicillin-resistant Staphylococcus aureus (MRSA) by trauma patients in the intensive care unit.

    Science.gov (United States)

    Marshall, C; Wolfe, R; Kossmann, T; Wesselingh, S; Harrington, G; Spelman, D

    2004-07-01

    In a previous study in the intensive care unit (ICU) of the Alfred Hospital, Melbourne, Australia, it was demonstrated that trauma patients were at particular risk of becoming colonized by methicillin-resistant Staphylococcus aureus (MRSA). We examined risk factors for MRSA acquisition in these patients using a cohort study comparing the 31 patients who acquired MRSA with 65 who did not. Data collected included ICU length of stay (LOS), mechanism of trauma, site of injury, type of surgery, trauma severity and antibiotic usage. Odds ratios (OR) were determined and adjusted for LOS. LOS in the ICU was a significant univariate predictor of MRSA acquisition (OR 13.7). When adjusted for LOS, mechanism of trauma (OR 10.4), laparotomy (OR 6.3) and administration of ticarcillin/clavulanic acid (OR 4.5) or glycopeptides (OR 5.9) remained significant. We confirmed our previous finding that LOS was associated with MRSA acquisition. Receipt of antibiotics correlated with reported literature. Novel associations were road trauma as a mechanism and laparotomy.

  5. Factors affecting the United Nations' response to natural disasters: what determines the allocation of the Central Emergency Response Fund?

    Science.gov (United States)

    Robinson, Tyler D; Oliveira, Thiago M; Kayden, Stephanie

    2017-01-30

    Natural disasters can overwhelm the domestic response of a country, leaving it dependent on external humanitarian relief. The Central Emergency Response Fund (CERF) of the United Nations centralises humanitarian funding and thus allows for a rapid response. This study combined data to analyse the factors that affected the allocation of CERF funding to countries that suffered a natural disaster between 2007 and 2013. It generated descriptive statistics and information on relative risks, and performed regressions of CERF funding across countries. There were 4,346 disasters in total in 188 countries between 2007 and 2013. CERF provided USD 2.98 billion to 87 countries, comprising 3.3 per cent of their total humanitarian funding. CERF more frequently supplied aid to countries in North Africa and the Middle East, and to those that had suffered geophysical disasters. Appropriately, it funds vulnerable countries experiencing severe natural disasters, yet its funding may be affected by variables beyond severity and vulnerability. Further investigation is warranted, therefore.

  6. Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey

    Science.gov (United States)

    Lala, AI; Sturzu, LM; Picard, JP; Druot, F; Grama, F; Bobirnac, G

    2016-01-01

    The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care. PMID:27928439

  7. Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey.

    Science.gov (United States)

    Lala, A I; Sturzu, L M; Picard, J P; Druot, F; Grama, F; Bobirnac, G

    2016-01-01

    The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care.

  8. Field measurement and analysis of climatic factors affecting dune mobility near Grand Falls on the Navajo Nation, southwestern United States

    Science.gov (United States)

    Bogle, Rian C.; Redsteer, Margaret Hiza; Vogel, John M.

    2015-01-01

    Aeolian sand covers extensive areas of the Navajo Nation in the southwestern United States. Much of this sand is currently stabilized by vegetation, although many drier parts of these Native lands also have active and partly active dunes. Current prolonged drought conditions that started in the mid-1990s are producing significant changes in dune mobility. Reactivation of regional aeolian deposits due to drought or increasing aridity from rising temperatures resulting from climate change could have serious consequences for human and animal populations, agriculture, grazing, and infrastructure. To understand and document the current and future potential for mobility, seasonally repeated surveys were used to track the location of multiple active barchan dunes. By utilizing Real-Time Kinematic GPS field surveys and simultaneously collecting in-situ meteorological data, it is possible to examine climatic parameters and seasonal variations that affect dune mobility and their relative influences. Through analysis of the recorded data, we examined the fit of various climate parameters, and demonstrate that under the current prolonged drought, wind power is the dominant factor controlling dune mobility.

  9. Two Decades of WRF/CMAQ simulations over the continental United States: New approaches for performing dynamic model evaluation and determining confidence limits for ozone exceedances

    Science.gov (United States)

    Confidence in the application of models for forecasting and regulatory assessments is furthered by conducting four types of model evaluation: operational, dynamic, diagnostic, and probabilistic. Operational model evaluation alone does not reveal the confidence limits that can be ...

  10. Utilization of health services in a resource-limited rural area in Kenya: Prevalence and associated household-level factors

    Science.gov (United States)

    Ngugi, Anthony K.; Agoi, Felix; Mahoney, Megan R.; Lakhani, Amyn; Mang’ong’o, David; Nderitu, Esther; Armstrong, Robert; Macfarlane, Sarah

    2017-01-01

    Background and methods Knowledge of utilization of health services and associated factors is important in planning and delivery of interventions to improve health services coverage. We determined the prevalence and factors associated with health services utilization in a rural area of Kenya. Our findings inform the local health management in development of appropriately targeted interventions. We used a cluster sample survey design and interviewed household key informants on history of illness for household members and health services utilization in the preceding month. We estimated prevalence and performed random effects logistic regression to determine the influence of individual and household level factors on decisions to utilize health services. Results and conclusions 1230/6,440 (19.1%, 95% CI: 18.3%-20.2%) household members reported an illness. Of these, 76.7% (95% CI: 74.2%-79.0%) sought healthcare in a health facility. The majority (94%) of the respondents visited dispensary-level facilities and only 60.1% attended facilities within the study sub-counties. Of those that did not seek health services, 43% self-medicated by buying non-prescription drugs, 20% thought health services were too costly, and 10% indicated that the sickness was not serious enough to necessitate visiting a health facility. In the multivariate analyses, relationship to head of household was associated with utilization of health services. Relatives other than the nuclear family of the head of household were five times less likely to seek medical help (Odds Ratio 0.21 (95% CI: 0.05–0.87)). Dispensary level health facilities are the most commonly used by members of this community, and relations at the level of the household influence utilization of health services during an illness. These data enrich the perspective of the local health management to better plan the allocation of healthcare resources according to need and demand. The findings will also contribute in the development of

  11. Limitação de suporte de vida em três unidades de terapia intensiva pediátrica do sul do Brasil Life support limitation at three pediatric intensive care units in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Patrícia M. Lago

    2005-04-01

    enfrentadas por intensivistas do sul do Brasil.OBJECTIVES: To describe causes of death and factors involved in the decision-making process related to life support limitation at three university-affiliated pediatric intensive care units in the south of Brazil. METHODS: A retrospective study was conducted, based on a review of the medical records of all deaths occurring during 2002 at three pediatric intensive care units in Porto Alegre. Three previously trained pediatric fellows from each service performed the study. Data were assessed relating to general case characteristics, causes of death (failed cardiopulmonary resuscitation, brain death, do-not-resuscitate orders, withholding or withdrawing life-sustaining treatment - the last three modes were classified as the life support limitation group, length of stay in hospital, end-of-life plans and the participation of patients' families and Ethics Committees. The Student t test, Mann Whitney, chi-square, odds ratio and multivariate analyses were used for comparisons. RESULTS: Close to 53.3% of fatal cases had received full cardiopulmonary resuscitation. The incidence of life support limitation was 36%, with statistical differences (p = 0.014 between the three hospitals (25 versus 54.3 and 45.5%, respectively. The most frequent form of life support limitation was a do-not-resuscitate order (70%. Life support limitation was associated with the presence of chronic disease (odds ratio = 8.2; 95%CI 3.2-21.3 and length stay in the pediatric intensive care unit (odds ratio = 4.4; 95%CI 1.6-11.8. The rate of involvement of families and Ethics Committees in the decision-making process was lesser than 10%. CONCLUSIONS: Cardiopulmonary resuscitation is offered more frequently than is observed in northern countries. In contrast, life support limitation is offered through do-not-resuscitate orders. These findings and the low participation of the families in the decision-making process reflect the difficulties to be overcome by those

  12. The linewidth enhancement factor of intersubband lasers: From a two-level limit to gain without inversion conditions

    Science.gov (United States)

    Pereira, M. F.

    2016-11-01

    The linewidth enhancement (α factor) due to fluctuations in the refractive index induced by carrier fluctuations of intersubband lasers was initially expected to be zero. However, values ranging from -0.5 to 3 have been found experimentally. This paper resolves this controversy showing that counter rotating terms, usually ignored in simulations, are the actual fundamental origin of nonzero α at peak gain even without the inclusion of nonparabolicity and manybody effects, which are however needed to explain negative values. For laser without inversion conditions, significant as a potential out of the box solution for the elusive room temperature operation of terahertz lasers, α is found to be larger, but still at the same order of magnitude of conventional inverted medium lasers, thus ensuring their applicability to a huge number of spectroscopic applications that require sharp laser linewidths.

  13. Factors limiting industrial development in peripheral regions of developing countries: a case study of kedah state, peninsular Malaysia

    Directory of Open Access Journals (Sweden)

    Morshidi Sirat

    2013-07-01

    Full Text Available Many developing countries, Malaysia included, have relied quite heavily on the policy of industrial decentralization to uplift the lagging economies of their peripheral regions. In Malaysia, the Malaysian Industrial Development Authorithy (MIDA - a federal agency - plays a major role in persuading foreign enterprises to locate in the periphery. In addition to MIDA there are plethora of state agencies which implement state industrial policy. Development officials, in their effort to attract more industries to their respective regions, work on the premise that certain locational factors are critical to investors locational decision- making process. Obviously, development officials have their own perceptions of the attractions and disadvantages of the periphery. This paper (a examines whether the officials have a good grasp of the industrialists dominant motives for selecting Kedah as production location, and (b discusses the implications for industrial development if officials assumptions do not concur with industrialists real reasons for selecting Kedah location.

  14. Plant nuclear factor Y (NF-Y) B subunits confer drought tolerance and lead to improved corn yields on water-limited acres.

    Science.gov (United States)

    Nelson, Donald E; Repetti, Peter P; Adams, Tom R; Creelman, Robert A; Wu, Jingrui; Warner, David C; Anstrom, Don C; Bensen, Robert J; Castiglioni, Paolo P; Donnarummo, Meghan G; Hinchey, Brendan S; Kumimoto, Roderick W; Maszle, Don R; Canales, Roger D; Krolikowski, Katherine A; Dotson, Stanton B; Gutterson, Neal; Ratcliffe, Oliver J; Heard, Jacqueline E

    2007-10-16

    Commercially improved crop performance under drought conditions has been challenging because of the complexity of the trait and the multitude of factors that influence yield. Here we report the results of a functional genomics approach that identified a transcription factor from the nuclear factor Y (NF-Y) family, AtNF-YB1, which acts through a previously undescribed mechanism to confer improved performance in Arabidopsis under drought conditions. An orthologous maize transcription factor, ZmNF-YB2, is shown to have an equivalent activity. Under water-limited conditions, transgenic maize plants with increased ZmNF-YB2 expression show tolerance to drought based on the responses of a number of stress-related parameters, including chlorophyll content, stomatal conductance, leaf temperature, reduced wilting, and maintenance of photosynthesis. These stress adaptations contribute to a grain yield advantage to maize under water-limited environments. The application of this technology has the potential to significantly impact maize production systems that experience drought.

  15. Ethylene Response Factor6 acts as a central regulator of leaf growth under water-limiting conditions in Arabidopsis.

    Science.gov (United States)

    Dubois, Marieke; Skirycz, Aleksandra; Claeys, Hannes; Maleux, Katrien; Dhondt, Stijn; De Bodt, Stefanie; Vanden Bossche, Robin; De Milde, Liesbeth; Yoshizumi, Takeshi; Matsui, Minami; Inzé, Dirk

    2013-05-01

    Leaf growth is a complex developmental process that is continuously fine-tuned by the environment. Various abiotic stresses, including mild drought stress, have been shown to inhibit leaf growth in Arabidopsis (Arabidopsis thaliana), but the underlying mechanisms remain largely unknown. Here, we identify the redundant Arabidopsis transcription factors ETHYLENE RESPONSE FACTOR5 (ERF5) and ERF6 as master regulators that adapt leaf growth to environmental changes. ERF5 and ERF6 gene expression is induced very rapidly and specifically in actively growing leaves after sudden exposure to osmotic stress that mimics mild drought. Subsequently, enhanced ERF6 expression inhibits cell proliferation and leaf growth by a process involving gibberellin and DELLA signaling. Using an ERF6-inducible overexpression line, we demonstrate that the gibberellin-degrading enzyme GIBBERELLIN 2-OXIDASE6 is transcriptionally induced by ERF6 and that, consequently, DELLA proteins are stabilized. As a result, ERF6 gain-of-function lines are dwarfed and hypersensitive to osmotic stress, while the growth of erf5erf6 loss-of-function mutants is less affected by stress. Besides its role in plant growth under stress, ERF6 also activates the expression of a plethora of osmotic stress-responsive genes, including the well-known stress tolerance genes STZ, MYB51, and WRKY33. Interestingly, activation of the stress tolerance genes by ERF6 occurs independently from the ERF6-mediated growth inhibition. Together, these data fit into a leaf growth regulatory model in which ERF5 and ERF6 form a missing link between the previously observed stress-induced 1-aminocyclopropane-1-carboxylic acid accumulation and DELLA-mediated cell cycle exit and execute a dual role by regulating both stress tolerance and growth inhibition.

  16. Condutas de limitação terapêutica em pacientes internados em Unidade de Terapia Intensiva Therapeutic limitation conducts in intensive care unit patients

    Directory of Open Access Journals (Sweden)

    Almir Galvão Vieira Bitencourt

    2007-06-01

    with dignity", rather than to prolong death and suffering of terminal patients on intensive care units (ICU. This study aims to evaluate medical practices that suggest therapeutic limitation (TL in patients who died in an adult ICU. METHODS: A retrospective exploratory study was carried out to evaluate medical records of patients who died in a general adult ICU of a private hospital in Salvador-BA, between January and August of 2003, after at least 24 hours from the admission. The patients were classified, in relation to their deaths, in: "not responding to cardiopulmonary resuscitation", "brain death", "decision not to resuscitate" (DNR and "withhold or withdrawal life-support measures". RESULTS: Sixty seven patients were included, corresponding to 90.4% of the deaths occurred in this ICU during the referred period. The most of them (56.7% were women and the patients’ mean age was 66.58 ± 17.86 years. Suggestive measures of TL were found in 59.7% of the patients, being "withhold of life-support measures" the most important (35.8%, followed by DNR (17.9% and "withdrawal of life-support measures" (6%. The procedures most commonly omitted were use of vasoactive drugs and dialysis, while antibiotics were the most discontinued. The use of TL measures was more frequent in clinical patients. CONCLUSIONS: The results of the present study suggest high frequencies of medical conducts suggestive of TL in a general ICU in Northeast of Brazil. Therapeutic methods that could cause discomfort or suffering to the patients, as nutrition, sedation and analgesia, were rarely omitted or discontinued.

  17. Derivation of greenhouse gas emission factors for peatlands managed for extraction in the Republic of Ireland and the United Kingdom

    Science.gov (United States)

    Wilson, D.; Dixon, S. D.; Artz, R. R. E.; Smith, T. E. L.; Evans, C. D.; Owen, H. J. F.; Archer, E.; Renou-Wilson, F.

    2015-09-01

    Drained peatlands are significant hotspots of carbon dioxide (CO2) emissions and may also be more vulnerable to fire with its associated gaseous emissions. Under the United Nations Framework Convention on Climate Change (UNFCCC) and the Kyoto Protocol, greenhouse gas (GHG) emissions from peatlands managed for extraction are reported on an annual basis. However, the Tier 1 (default) emission factors (EFs) provided in the IPCC 2013 Wetlands Supplement for this land use category may not be representative in all cases and countries are encouraged to move to higher-tier reporting levels with reduced uncertainty levels based on country- or regional-specific data. In this study, we quantified (1) CO2-C emissions from nine peat extraction sites in the Republic of Ireland and the United Kingdom, which were initially disaggregated by land use type (industrial versus domestic peat extraction), and (2) a range of GHGs that are released to the atmosphere with the burning of peat. Drainage-related methane (CH4) and nitrous oxide (N2O) emissions as well as CO2-C emissions associated with the off-site decomposition of horticultural peat were not included here. Our results show that net CO2-C emissions were strongly controlled by soil temperature at the industrial sites (bare peat) and by soil temperature and leaf area index at the vegetated domestic sites. Our derived EFs of 1.70 (±0.47) and 1.64 (±0.44) t CO2-C ha-1 yr-1 for the industrial and domestic sites respectively are considerably lower than the Tier 1 EF (2.8 ± 1.7 t CO2-C ha-1 yr-1) provided in the Wetlands Supplement. We propose that the difference between our derived values and the Wetlands Supplement value is due to differences in peat quality and, consequently, decomposition rates. Emissions from burning of the peat (g kg-1 dry fuel burned) were estimated to be approximately 1346 CO2, 8.35 methane (CH4), 218 carbon monoxide (CO), 1.53 ethane (C2H6), 1.74 ethylene (C2H4), 0.60 methanol (CH3OH), 2.21 hydrogen

  18. B cell-derived transforming growth factor-β1 expression limits the induction phase of autoimmune neuroinflammation

    Science.gov (United States)

    Bjarnadóttir, Kristbjörg; Benkhoucha, Mahdia; Merkler, Doron; Weber, Martin S.; Payne, Natalie L.; Bernard, Claude C. A.; Molnarfi, Nicolas; Lalive, Patrice H.

    2016-01-01

    Studies in experimental autoimmune encephalomyelitis (EAE), a murine model of multiple sclerosis (MS), have shown that regulatory B cells modulate the course of the disease via the production of suppressive cytokines. While data indicate a role for transforming growth factor (TGF)-β1 expression in regulatory B cell functions, this mechanism has not yet been tested in autoimmune neuroinflammation. Transgenic mice deficient for TGF-β1 expression in B cells (B–TGF-β1−/−) were tested in EAE induced by recombinant mouse myelin oligodendrocyte glycoprotein (rmMOG). In this model, B–TGF-β1−/− mice showed an earlier onset of neurologic impairment compared to their littermate controls. Exacerbated EAE susceptibility in B–TGF-β1−/− mice was associated with augmented CNS T helper (Th)1/17 responses. Moreover, selective B cell TGF-β1–deficiency increased the frequencies and activation of myeloid dendritic cells, potent professional antigen-presenting cells (APCs), suggesting that B cell-derived TGF-β1 can constrain Th1/17 responses through inhibition of APC activity. Collectively our data suggest that B cells can down-regulate the function of APCs, and in turn encephalitogenic Th1/17 responses, via TGF-β1, findings that may be relevant to B cell-targeted therapies. PMID:27708418

  19. LXY6090 - a novel manassantin A derivative - limits breast cancer growth through hypoxia-inducible factor-1 inhibition.

    Science.gov (United States)

    Lai, Fangfang; Liu, Qian; Liu, Xiaoyu; Ji, Ming; Xie, Ping; Chen, Xiaoguang

    2016-01-01

    Hypoxia-inducible factor-1 (HIF-1) represents a novel antitumor target owing to its involvement in vital processes considered hallmarks of cancer phenotypes. Manassantin A (MA) derived from Saururus cernuus has been reported as a selective HIF-1 inhibitor. Herein, the structure of MA was optimized to achieve new derivatives with simple chemical properties while retaining its activity. LXY6090 was designed to replace the central tetrahydrofuran moiety of MA with a cyclopentane ring and was identified as a potent HIF-1 inhibitor with an IC50 value of 4.11 nM. It not only inhibited the activity of HIF-1 in breast cancer cells but also downregulated the protein level of HIF-1α, which depended on von Hippel-Lindau for proteasome degradation. The related biological evaluation showed that the activity of HIF-1 target genes, VEGF and IGF-2, was decreased by LXY6090 in breast cancer cell lines. LXY6090 presented potent antitumor activity in vitro. Furthermore, LXY6090 showed in vivo anticancer efficacy by decreasing the HIF-1α expression in nude mice bearing MX-1 tumor xenografts. In conclusion, our data provide a basis for the future development of the novel compound LXY6090 as a potential therapeutic agent for breast cancer.

  20. LXY6090 – a novel manassantin A derivative – limits breast cancer growth through hypoxia-inducible factor-1 inhibition

    Science.gov (United States)

    Lai, Fangfang; Liu, Qian; Liu, Xiaoyu; Ji, Ming; Xie, Ping; Chen, Xiaoguang

    2016-01-01

    Hypoxia-inducible factor-1 (HIF-1) represents a novel antitumor target owing to its involvement in vital processes considered hallmarks of cancer phenotypes. Manassantin A (MA) derived from Saururus cernuus has been reported as a selective HIF-1 inhibitor. Herein, the structure of MA was optimized to achieve new derivatives with simple chemical properties while retaining its activity. LXY6090 was designed to replace the central tetrahydrofuran moiety of MA with a cyclopentane ring and was identified as a potent HIF-1 inhibitor with an IC50 value of 4.11 nM. It not only inhibited the activity of HIF-1 in breast cancer cells but also downregulated the protein level of HIF-1α, which depended on von Hippel–Lindau for proteasome degradation. The related biological evaluation showed that the activity of HIF-1 target genes, VEGF and IGF-2, was decreased by LXY6090 in breast cancer cell lines. LXY6090 presented potent antitumor activity in vitro. Furthermore, LXY6090 showed in vivo anticancer efficacy by decreasing the HIF-1α expression in nude mice bearing MX-1 tumor xenografts. In conclusion, our data provide a basis for the future development of the novel compound LXY6090 as a potential therapeutic agent for breast cancer. PMID:27445487

  1. Source evaluation report phase 2 investigation: Limited field investigation. Final report: United States Air Force Environmental Restoration Program, Eielson Air Force Base, Alaska

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-01

    This report describes the limited field investigation work done to address issues and answer unresolved questions regarding a collection of potential contaminant sources at Eielson Air Force Base (AFB), near Fairbanks, Alaska. These sources were listed in the Eielson AFB Federal Facility Agreement supporting the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) cleanup of the base. The limited field investigation began in 1993 to resolve all remaining technical issues and provide the data and analysis required to evaluate the environmental hazard associated with these sites. The objective of the limited field investigation was to allow the remedial project managers to sort each site into one of three categories: requiring remedial investigation/feasibility study, requiring interim removal action, or requiring no further remedial action.

  2. Limited impact of sustained simple feedback based on soap and paper towel consumption on the frequency of hand washing in an adult intensive care unit.

    Science.gov (United States)

    Bittner, Marvin J; Rich, Eugene C; Turner, Paul D; Arnold, William H

    2002-03-01

    To determine whether hand washing would increase with sustained feedback based on measurements of soap and paper towel consumption. Prospective trial with a nonequivalent control group. Open multibed rooms in the Omaha Veterans Affairs Medical Center's Surgical Intensive Care Unit (SICU) and Medical Intensive Care Unit (MICU). Unit staff. Every weekday from May 26 through December 8, 1998, we recorded daytime soap and paper towel consumption, nurse staffing, and occupied beds in the SICU (intervention unit) and the MICU (control unit) and used these data to calculate estimated hand washing episodes (EHWEs), EHWEs per occupied bed per hour, and patient-to-nurse ratios. In addition, from May 26 through June 26 (baseline period) and from November 2 through December 8 (follow-up period), live observers stationed daily for random 4-hour intervals in the MICU and the SICU counted actual hand washing episodes (CHWEs). The intervention consisted of posting in the SICU, but not in the MICU, a graph showing the weekly EHWEs per occupied bed per hour for the preceding 5 weeks. Directly counted hand washing fell in the SICU from a baseline of 2.68+/-0.72 (mean +/- standard deviation) episodes per occupied bed per hour to 1.92+/-1.35 in the follow-up period. In the MICU, episodes fell from 2.58+/-0.95 (baseline) to 1.74+/-0.69. In the MICU, the withdrawal of live observers was associated with a decrease in estimated episodes from 1.36+/-0.49 at baseline to 1.01+/-0.36, with a return to 1.16+/-0.50 when the observers returned. In the SICU, a similar decrease did not persist throughout a period of feedback. Estimated hand washing correlated negatively with the patient-to-nurse ratio (r = -0.35 for the MICU, r = -0.46 for the SICU). Sustained feedback on hand washing failed to produce a sustained improvement. Live observers were associated with increased hand washing, even when they did not offer feedback. Hand washing decreased when the patient-to-nurse ratio increased.

  3. Reinforcement of the Gas Barrier Properties of Polyethylene and Polyamide Through the Nanocomposite Approach: Key Factors and Limitations

    Directory of Open Access Journals (Sweden)

    Picard E.

    2015-02-01

    Full Text Available In this study, polyamide 6 (PA6 and polyethylene (PE nanocomposites were prepared from melt blending and a detailed characterization of the nanocomposite morphology and gas barrier properties was performed. The choice of the organoclay was adapted to each polymer matrix. Exfoliated morphology and improved gas transport properties were obtained by melt mixing the polar PA6 matrix and the organoclay, whereas a microcomposite with poor barrier properties was formed from the binary PE/organomodified clay mixture. Different modified polyethylenes were examined as compatibilizers for the polyethylene/organoclay system. The effect of compatibilizer molar mass, polarity and content was investigated on the clay dispersion and on the gas barrier properties. The optimal compatibilizer to clay weight ratio was found to be equal to 4 whatever the compatibilizer. However, a high degree of clay delamination was obtained with the high molar mass compatibilizer whereas highly swollen clay aggregates resulted from the incorporation of the low molar mass interfacial agents. Contrary to the PA based system, the barrier properties of PE nanocomposites were not directly related to the clay dispersion state but resulted also from the matrix/clay interfacial interactions. Oxidized wax was identified as a very promising interfacial agent and a step by step study was performed to optimize the gas transport properties of the systems based on PE, oxidized wax and organoclay. In particular, an interesting combination of oxidized wax and high molar mass maleic anhydride grafted polyethylene allowing dividing the gas permeability by a factor 2 in comparison with neat PE was proposed.

  4. Integrating Limiting-Factors Analysis with Process-Based Restoration to Improve Recovery of Endangered Salmonids in the Pacific Northwest, USA

    Directory of Open Access Journals (Sweden)

    Derek B. Booth

    2016-04-01

    Full Text Available Two approaches to ecological restoration planning, limiting-factors analysis and process-based restoration, are employed in efforts to recover endangered salmonid species throughout the Pacific Northwest of North America. Limiting-factors analysis seeks to identify physical limitations to fish production that may be addressed by habitat restoration; it is known as the “Field of Dreams” hypothesis (i.e., if you build it, they will come. Process-based restoration, in contrast, assumes that protection and/or restoration of watershed-scale processes will best achieve self-sustaining habitat features that support salmon populations. Two case studies from the Columbia River basin (northwestern USA display current efforts to integrate these two restoration approaches to improve salmonid populations. Although these examples both identify site-specific habitat features to construct, they also recognize the importance of supporting key watershed processes to achieve restoration goals. The challenge in advancing the practice of restoration planning is not in simply acknowledging the conceptual benefits of process-based restoration while maintaining a traditional focus on enumerating site-specific conditions and identifying habitat-construction projects, but rather in following process-based guidance during recovery planning and, ultimately, through implementation of on-the-ground actions. We encourage a realignment of the restoration community to truly embrace a process-based, multi-scalar view of the riverine landscape.

  5. Ventilator-associated pneumonia in a tertiary care intensive care unit: Analysis of incidence, risk factors and mortality

    Directory of Open Access Journals (Sweden)

    Neelima Ranjan

    2014-01-01

    Full Text Available Background: Ventilator-associated pneumonia (VAP is the most common nosocomial infection diagnosed in the intensive care unit (ICU and in spite of advances in diagnostic techniques and management it remains a common cause of hospital morbidity and mortality. Objective: The primary objective of the following study is to determine the incidence, various risk factors and attributable mortality associated with VAP and secondary objective is to identify the various bacterial pathogens causing VAP in the ICU. Materials and Methods: This prospective observational study was carried out over a period of 1 year. VAP was diagnosed using the clinical pulmonary infection score. Endotracheal aspirate (ETA and bronchoalveolar lavage (BAL samples of suspected cases of VAP were collected from ICU patients and processed as per standard protocols. Statistical Analysis: Fisher′s exact test was applied when to compare two or more set of variables were compared. Results: The incidence of VAP in our study was 57.14% and the incidence density of VAP was 31.7/1000 ventilator days. Trauma was the commonest underlying condition associated with VAP. The incidence of VAP increased as the duration of mechanical ventilation increased and there was a total agreement in bacteriology between semi-quantitative ETAs and BALs in our study. The overall mortality associated with VAP was observed to be 48.33%. Conclusions: The incidence of VAP was 57.14%. Study showed that the incidence of VAP is directly proportional to the duration of mechanical ventilation. The most common pathogens causing VAP were Acinetobacter spp. and Pseudomonas aeruginosa and were associated with a high fatality rate.

  6. Facilitating and Inhibiting Factors of Sexual Behavior among Migrants in Transition from Mexico to the United States.

    Science.gov (United States)

    Guerra-Ordoñez, Jesús Alejandro; Benavides-Torres, Raquel A; Zapata-Garibay, Rogelio; Onofre-Rodríguez, Dora Julia; Márquez-Vega, María Aracely; Zamora-Carmona, Gabriela

    2017-01-01

    Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is one of the most prevalent infectious diseases in the border region of Mexico due to the flow of migrants under desperate conditions, encouraging casual and unprotected sex. Since this has become a binational public health problem, it is important to understand the factors that predict these sexual behaviors. The aim of the current study was to investigate the facilitators and inhibitors of transition in the sexual behavior of migrants from two border regions on the Mexico-United States (US) border. This was a predictive and cross-sectional study. A sample of 256 migrants in shelters for migrants on the border between Mexico and US were selected through systematic random sampling. Predictor variables investigated for effect on the safe sexual behavior (SSB) of the migrant were reasons for having sex; sexual attitudes; sexual machismo; knowledge about HIV; access to health services; and social discrimination. The sample was predominantly male (89.5%), with 46.1% reporting being single. The average age was 33.38 years (SD = 9.73) and the average number of years of education reported was 8.05 (SD = 3.37). A permissive sexual attitude and sexual machismo both correlated with condom use (rs = 0.130, p machismo (β = -0.28, t = -4.83, p machismo, and HIV knowledge were all variables capable of predicting SSB. It is recommended that the study is extended to study migrant populations from other parts of the border, as well undertaking as a qualitative approach to explore new variables.

  7. Analysis of epidemiology, lifestyle, and psychosocial factors in patients with back pain admitted to an orthopedic emergency unit.

    Science.gov (United States)

    Gotfryd, Alberto Ofenhejm; Valesin Filho, Edgar Santiago; Viola, Dan Carai Maia; Lenza, Mario; Silva, Joselito Adriano da; Emi, Angélica Santos; Tomiosso, Raylton; Piccinato, Carla de Azevedo; Antonioli, Eliane; Ferretti, Mario

    2015-01-01

    To correlate epidemiological data, lifestyle, and psychosocial factors as predictors for clinical manifestation of back pain in patients treated at the orthopedic emergency unit of a Brazilian tertiary care hospital, and to evaluate their interest in participating in a hypothetical program for physical rehabilitation. This is an observational cross-sectional study. We evaluated 210 patients from the emergency department of a tertiary hospital with a major complaint of back pain. We used: epidemiological multiple-choice questionnaires developed for this study; Oswestry questionnaire for physical disability; Hospital Anxiety and Depression Scale (HAD) scale. Data analyses were performed using SAS - Statistical Analysis System (S