Sample records for admit variable zoning

  1. Star Products with Separation of Variables Admitting a Smooth Extension

    NASA Astrophysics Data System (ADS)

    Karabegov, Alexander

    2012-08-01

    Given a complex manifold M with an open dense subset Ω endowed with a pseudo-Kähler form ω which cannot be smoothly extended to a larger open subset, we consider various examples where the corresponding Kähler-Poisson structure and a star product with separation of variables on (Ω, ω) admit smooth extensions to M. We give a simple criterion of the existence of a smooth extension of a star product and apply it to these examples.

  2. Zone edge effects with variable rate irrigation

    USDA-ARS?s Scientific Manuscript database

    Variable rate irrigation (VRI) systems may offer solutions to enhance water use efficiency by addressing variability within a field. However, the design of VRI systems should be considered to maximize application uniformity within sprinkler zones, while minimizing edge effects between such zones alo...

  3. Evaluation of variable advisory speed limits in work zones.

    DOT National Transportation Integrated Search

    2013-08-01

    Variable advisory speed limit (VASL) systems could be effective at both urban and rural work zones, at both uncongested and congested sites. At uncongested urban work zones, the average speeds with VASL were lower than without VASL. But the standard ...

  4. First World War and Mental Health: a retrospective comparative study of veterans admitted to a psychiatric hospital between 1915 and 1918.

    PubMed

    Lagonia, Paolo; Aloi, Matteo; Magliocco, Fabio; Cerminara, Gregorio; Segura-Garcia, Cristina; Del Vecchio, Valeria; Luciano, Mario; Fiorillo, Andrea; De Fazio, Pasquale

    2017-01-01

    The association between mental illness and war has been repeatedly investigated. Higher levels of depressive symptoms and an increased suicidal risk have been found in veterans. In this study we investigated the mental health conditions among Italian soldiers during the “Great War”, who were hospitalized in a mental health hospital in Italy. The study sample consists of 498 soldiers who were admitted during the World War I between 1915 and 1918, and 498 civilian patients admitted in two different periods (1898-1914, 1919- 1932). Psychiatric diagnoses have been recorded retrospectively by a detailed examination of clinical records. Socio-demographic informations, diagnosis at first admission, number of admissions, and deployment in war zones were collected. A logistic regression analysis was performed, the diagnosis of depression was considered as dependent variable while clinical and demographic variables as independent predictors. Soldiers deployed in war zones were more likely to have a diagnosis of depression compared to those not serving on the frontline. The logistic regression analysis showed that the diagnosis of depression is predicted by being a soldier and being deployed in a war area. Our data confirm that soldiers engaged in war are at higher risk of developing depression compared to non-deployed soldiers.

  5. Climate variability and vadose zone controls on damping of transient recharge

    USGS Publications Warehouse

    Corona, Claudia R.; Gurdak, Jason J.; Dickinson, Jesse; Ferré, T.P.A.; Maurer, Edwin P.

    2018-01-01

    Increasing demand on groundwater resources motivates understanding of the controls on recharge dynamics so model predictions under current and future climate may improve. Here we address questions about the nonlinear behavior of flux variability in the vadose zone that may explain previously reported teleconnections between global-scale climate variability and fluctuations in groundwater levels. We use hundreds of HYDRUS-1D simulations in a sensitivity analysis approach to evaluate the damping depth of transient recharge over a range of periodic boundary conditions and vadose zone geometries and hydraulic parameters that are representative of aquifer systems of the conterminous United States (U.S). Although the models were parameterized based on U.S. aquifers, findings from this study are applicable elsewhere that have mean recharge rates between 3.65 and 730 mm yr–1. We find that mean infiltration flux, period of time varying infiltration, and hydraulic conductivity are statistically significant predictors of damping depth. The resulting framework explains why some periodic infiltration fluxes associated with climate variability dampen with depth in the vadose zone, resulting in steady-state recharge, while other periodic surface fluxes do not dampen with depth, resulting in transient recharge. We find that transient recharge in response to the climate variability patterns could be detected at the depths of water levels in most U.S. aquifers. Our findings indicate that the damping behavior of transient infiltration fluxes is linear across soil layers for a range of texture combinations. The implications are that relatively simple, homogeneous models of the vadose zone may provide reasonable estimates of the damping depth of climate-varying transient recharge in some complex, layered vadose zone profiles.

  6. Variable-intercept panel model for deformation zoning of a super-high arch dam.

    PubMed

    Shi, Zhongwen; Gu, Chongshi; Qin, Dong

    2016-01-01

    This study determines dam deformation similarity indexes based on an analysis of deformation zoning features and panel data clustering theory, with comprehensive consideration to the actual deformation law of super-high arch dams and the spatial-temporal features of dam deformation. Measurement methods of these indexes are studied. Based on the established deformation similarity criteria, the principle used to determine the number of dam deformation zones is constructed through entropy weight method. This study proposes the deformation zoning method for super-high arch dams and the implementation steps, analyzes the effect of special influencing factors of different dam zones on the deformation, introduces dummy variables that represent the special effect of dam deformation, and establishes a variable-intercept panel model for deformation zoning of super-high arch dams. Based on different patterns of the special effect in the variable-intercept panel model, two panel analysis models were established to monitor fixed and random effects of dam deformation. Hausman test method of model selection and model effectiveness assessment method are discussed. Finally, the effectiveness of established models is verified through a case study.

  7. Propagation of hydroclimatic variability through the critical zone

    NASA Astrophysics Data System (ADS)

    Porporato, A. M.; Calabrese, S.; Parolari, A.

    2016-12-01

    The interaction between soil moisture dynamics and mineral-weathering reactions (e.g., ion exchange, precipitation-dissolution) affects the availability of nutrients to plants, composition of soils, soil acidification, as well as CO2 sequestration. Across the critical zone (CZ), this interaction is responsible for propagating hydroclimatic fluctuations to deeper soil layers, controlling weathering rates via leaching events which intermittently alter the alkalinity levels. In this contribution, we analyze these dynamics using a stochastic modeling approach based on spatially lumped description of soil hydrology and chemical weathering reactions forced by multi-scale temporal hydrologic variability. We quantify the role of soil moisture dynamics in filtering the rainfall fluctuations through its impacts on soil water chemistry, described by a system of ordinary differential equations (and algebraic equations, for the equilibrium reactions), driving the evolution of alkalinity, pH, the chemical species of the soil solution, and the mineral-weathering rate. A probabilistic description of the evolution of the critical zone is thus obtained, allowing us to describe the CZ response to long-term climate fluctuations, ecosystem and land-use conditions, in terms of key variables groups. The model is applied to the weathering rate of albite in the Calhoun CZ observatory and then extended to explore similarities and differences across other CZs. Typical time scales of response and degrees of sensitivities of CZ to hydroclimatic fluctuations and human forcing are also explored.

  8. Subduction zone slip variability during the last millennium, south-central Chile

    USGS Publications Warehouse

    Dura, Tina; Horton, Benjamin P.; Cisternas, Macro; Ely, Lisa L; Hong, Isabel; Nelson, Alan R.; Wesson, Robert L.; Pilarczyk, Jessica E.; Parnell, Andrew C.; Nikitina, Daria

    2017-01-01

    The Arauco Peninsula (37°-38°S) in south-central Chile has been proposed as a possible barrier to the along-strike propagation of megathrust ruptures, separating historical earthquakes to the south (1960 AD 1837, 1737, and 1575) and north (2010 AD, 1835, 1751, 1657, and 1570) of the peninsula. However, the 2010 (Mw 8.8) earthquake propagated into the Arauco Peninsula, re-rupturing part of the megathrust that had ruptured only 50 years earlier during the largest subduction zone earthquake in the instrumental record (Mw 9.5). To better understand long-term slip variability in the Arauco Peninsula region, we analyzed four coastal sedimentary sections from two sites (Tirúa, 38.3°S and Quidico, 38.1°S) located within the overlap of the 2010 and 1960 ruptures to reconstruct a ∼600-year record of coseismic land-level change and tsunami inundation. Stratigraphic, lithologic, and diatom results show variable coseismic land-level change coincident with tsunami inundation of the Tirúa and Quidico marshes that is consistent with regional historical accounts of coseismic subsidence during earthquakes along the Valdivia portion of the subduction zone (1960 AD and 1575) and coseismic uplift during earthquakes along the Maule portion of the subduction zone (2010 AD, 1835, 1751). In addition, we document variable coseismic land-level change associated with three new prehistoric earthquakes and accompanying tsunamis in 1470–1570 AD, 1425–1455, and 270–410. The mixed record of coseismic subsidence and uplift that we document illustrates the variability of down-dip and lateral slip distribution at the overlap of the 2010 and 1960 ruptures, showing that ruptures have repeatedly propagated into, but not through the Arauco Peninsula and suggesting the area has persisted as a long-term impediment to slip through at least seven of the last megathrust earthquakes (∼600 years).

  9. Subduction zone slip variability during the last millennium, south-central Chile

    NASA Astrophysics Data System (ADS)

    Dura, Tina; Horton, Benjamin P.; Cisternas, Marco; Ely, Lisa L.; Hong, Isabel; Nelson, Alan R.; Wesson, Robert L.; Pilarczyk, Jessica E.; Parnell, Andrew C.; Nikitina, Daria

    2017-11-01

    The Arauco Peninsula (37°-38°S) in south-central Chile has been proposed as a possible barrier to the along-strike propagation of megathrust ruptures, separating historical earthquakes to the south (1960 AD 1837, 1737, and 1575) and north (2010 AD, 1835, 1751, 1657, and 1570) of the peninsula. However, the 2010 (Mw 8.8) earthquake propagated into the Arauco Peninsula, re-rupturing part of the megathrust that had ruptured only 50 years earlier during the largest subduction zone earthquake in the instrumental record (Mw 9.5). To better understand long-term slip variability in the Arauco Peninsula region, we analyzed four coastal sedimentary sections from two sites (Tirúa, 38.3°S and Quidico, 38.1°S) located within the overlap of the 2010 and 1960 ruptures to reconstruct a ∼600-year record of coseismic land-level change and tsunami inundation. Stratigraphic, lithologic, and diatom results show variable coseismic land-level change coincident with tsunami inundation of the Tirúa and Quidico marshes that is consistent with regional historical accounts of coseismic subsidence during earthquakes along the Valdivia portion of the subduction zone (1960 AD and 1575) and coseismic uplift during earthquakes along the Maule portion of the subduction zone (2010 AD, 1835, 1751). In addition, we document variable coseismic land-level change associated with three new prehistoric earthquakes and accompanying tsunamis in 1470-1570 AD, 1425-1455, and 270-410. The mixed record of coseismic subsidence and uplift that we document illustrates the variability of down-dip and lateral slip distribution at the overlap of the 2010 and 1960 ruptures, showing that ruptures have repeatedly propagated into, but not through the Arauco Peninsula and suggesting the area has persisted as a long-term impediment to slip through at least seven of the last megathrust earthquakes (∼600 years).

  10. Small scale denitrification variability in riparian zones: Results from a high-resolution dataset

    NASA Astrophysics Data System (ADS)

    Gassen, Niklas; Knöller, Kay; Musolff, Andreas; Popp, Felix; Lüders, Tillmann; Stumpp, Christine

    2017-04-01

    Riparian zones are important compartments at the interface between groundwater and surface water where biogeochemical processes like denitrification are often enhanced. Nitrate loads of either groundwater entering a stream through the riparian zone or streamwater infiltrating into the riparian zone can be substantially reduced. These processes are spatially and temporally highly variable, making it difficult to capture solute variabilities, estimate realistic turnover rates and thus to quantify integral mass removal. A crucial step towards a more detailed characterization is to monitor solutes on a scale which adequately resemble the highly heterogeneous distribution and on a scale where processes occur. We measured biogeochemical parameters in a spatial high resolution within a riparian corridor of a German lowland river system over the course of one year. Samples were taken from three newly developed high-resolution multi-level wells with a maximum vertical resolution of 5 cm and analyzed for major ions, DOC and N-O isotopes. Sediment derived during installation of the wells was analyzed for specific denitrifying enzymes. Results showed a distinct depth zonation of hydrochemistry within the shallow alluvial aquifer, with a 1 m thick zone just below the water table with lower nitrate concentrations and EC values similar to the nearby river. Conservative parameters were consistent inbetween the three wells, but nitrate was highly variable. In addition, spots with low nitrate concentrations showed isotopic and microbial evidence for higher denitrification activities. The depth zonation was observed throughout the year, with stronger temporal variations of nitrate concentrations just below the water table compared to deeper layers. Nitrate isotopes showed a clear seasonal trend of denitrification activities (high in summer, low in winter). Our dataset gives new insight into river-groundwater exchange processes and shows the highly heterogeneous distribution of

  11. A first approach to calculate BIOCLIM variables and climate zones for Antarctica

    NASA Astrophysics Data System (ADS)

    Wagner, Monika; Trutschnig, Wolfgang; Bathke, Arne C.; Ruprecht, Ulrike

    2018-02-01

    For testing the hypothesis that macroclimatological factors determine the occurrence, biodiversity, and species specificity of both symbiotic partners of Antarctic lecideoid lichens, we present a first approach for the computation of the full set of 19 BIOCLIM variables, as available at http://www.worldclim.org/ for all regions of the world with exception of Antarctica. Annual mean temperature (Bio 1) and annual precipitation (Bio 12) were chosen to define climate zones of the Antarctic continent and adjacent islands as required for ecological niche modeling (ENM). The zones are based on data for the years 2009-2015 which was obtained from the Antarctic Mesoscale Prediction System (AMPS) database of the Ohio State University. For both temperature and precipitation, two separate zonings were specified; temperature values were divided into 12 zones (named 1 to 12) and precipitation values into five (named A to E). By combining these two partitions, we defined climate zonings where each geographical point can be uniquely assigned to exactly one zone, which allows an immediate explicit interpretation. The soundness of the newly calculated climate zones was tested by comparison with already published data, which used only three zones defined on climate information from the literature. The newly defined climate zones result in a more precise assignment of species distribution to the single habitats. This study provides the basis for a more detailed continental-wide ENM using a comprehensive dataset of lichen specimens which are located within 21 different climate regions.

  12. Measuring Spatial Variability of Vapor Flux to Characterize Vadose-zone VOC Sources: Flow-cell Experiments

    DOE PAGES

    Mainhagu, Jon; Morrison, C.; Truex, Michael J.; ...

    2014-08-05

    A method termed vapor-phase tomography has recently been proposed to characterize the distribution of volatile organic contaminant mass in vadose-zone source areas, and to measure associated three-dimensional distributions of local contaminant mass discharge. The method is based on measuring the spatial variability of vapor flux, and thus inherent to its effectiveness is the premise that the magnitudes and temporal variability of vapor concentrations measured at different monitoring points within the interrogated area will be a function of the geospatial positions of the points relative to the source location. A series of flow-cell experiments was conducted to evaluate this premise. Amore » well-defined source zone was created by injection and extraction of a non-reactive gas (SF6). Spatial and temporal concentration distributions obtained from the tests were compared to simulations produced with a mathematical model describing advective and diffusive transport. Tests were conducted to characterize both areal and vertical components of the application. Decreases in concentration over time were observed for monitoring points located on the opposite side of the source zone from the local–extraction point, whereas increases were observed for monitoring points located between the local–extraction point and the source zone. We found that the results illustrate that comparison of temporal concentration profiles obtained at various monitoring points gives a general indication of the source location with respect to the extraction and monitoring points.« less

  13. [Length of stay in patients admitted for acute heart failure].

    PubMed

    Martín-Sánchez, Francisco Javier; Carbajosa, Virginia; Llorens, Pere; Herrero, Pablo; Jacob, Javier; Miró, Òscar; Fernández, Cristina; Bueno, Héctor; Calvo, Elpidio; Ribera Casado, José Manuel

    2016-01-01

    To identify the factors associated with prolonged length of hospital stay in patients admitted for acute heart failure. Multipurpose observational cohort study including patients from the EAHFE registry admitted for acute heart failure in 25 Spanish hospitals. Data were collected on demographic and clinical variables and on the day and place of admission. The primary outcome was length of hospital stay longer than the median. We included 2,400 patients with a mean age of 79.5 (9.9) years; of these, 1,334 (55.6%) were women. Five hundred and ninety (24.6%) were admitted to the short stay unit (SSU), 606 (25.2%) to cardiology, and 1,204 (50.2%) to internal medicine or gerontology. The mean length of hospital stay was 7.0 (RIC 4-11) days. Fifty-eight (2.4%) patients died and 562 (23.9%) were readmitted within 30 days after discharge. The factors associated with prolonged length of hospital stay were chronic pulmonary disease; being a device carrier; having an unknown or uncommon triggering factor; the presence of renal insufficiency, hyponatremia and anaemia in the emergency department; not being admitted to an SSU or the lack of this facility in the hospital; and being admitted on Monday, Tuesday or Wednesday. The factors associated with length of hospital stay≤7days were hypertension, having a hypertensive episode, or a lack of treatment adherence. The area under the curve of the mixed model adjusted to the center was 0.78 (95% CI: 0.76-0.80; p<0.001). A series of factors is associated with prolonged length of hospital stay and should be taken into account in the management of acute heart failure. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  14. Prognosis of patients with rheumatic diseases admitted to intensive care.

    PubMed

    Beil, M; Sviri, S; de la Guardia, V; Stav, I; Ben-Chetrit, E; van Heerden, P V

    2017-01-01

    Variable mortality rates have been reported for patients with rheumatic diseases admitted to an intensive care unit (ICU). Due to the absence of appropriate control groups in previous studies, it is not known whether the presence of a rheumatic disease constitutes a risk factor. Moreover, the accuracy of the Acute Physiology and Chronic Health Evaluation II (APACHE II) score for predicting outcome in this group of patients has been questioned. The primary goal of this study was to compare outcome of patients with rheumatic diseases admitted to a medical ICU to those of controls. The records of all patients admitted between 1 April 2003 and 30 June 2014 (n=4020) were screened for the presence of a rheumatic disease during admission (n=138). The diagnosis of a rheumatic disease was by standard criteria for these conditions. An age- and gender-matched control group of patients without a rheumatic disease was extracted from the patient population in the database during the same period (n=831). Mortality in ICU, in hospital and after 180 days did not differ significantly between patients with and without rheumatic diseases. There was no difference in the performance of the APACHE II score for predicting outcome in patients with rheumatic diseases and controls. This score, as well as a requirement for the use of inotropes or vasopressors, accurately predicted hospital mortality in the group of patients with rheumatic diseases. In conclusion, patients with a rheumatic condition admitted to intensive care do not do significantly worse than patients without such a disease.

  15. Short-term spatial and temporal variability in greenhouse gas fluxes in riparian zones.

    PubMed

    Vidon, P; Marchese, S; Welsh, M; McMillan, S

    2015-08-01

    Recent research indicates that riparian zones have the potential to contribute significant amounts of greenhouse gases (GHG: N2O, CO2, CH4) to the atmosphere. Yet, the short-term spatial and temporal variability in GHG emission in these systems is poorly understood. Using two transects of three static chambers at two North Carolina agricultural riparian zones (one restored, one unrestored), we show that estimates of the average GHG flux at the site scale can vary by one order of magnitude depending on whether the mean or the median is used as a measure of central tendency. Because the median tends to mute the effect of outlier points (hot spots and hot moments), we propose that both must be reported or that other more advanced spatial averaging techniques (e.g., kriging, area-weighted average) should be used to estimate GHG fluxes at the site scale. Results also indicate that short-term temporal variability in GHG fluxes (a few days) under seemingly constant temperature and hydrological conditions can be as large as spatial variability at the site scale, suggesting that the scientific community should rethink sampling protocols for GHG at the soil-atmosphere interface to include repeated measures over short periods of time at select chambers to estimate GHG emissions in the field. Although recent advances in technology provide tools to address these challenges, their cost is often too high for widespread implementation. Until technology improves, sampling design strategies will need to be carefully considered to balance cost, time, and spatial and temporal representativeness of measurements.

  16. Assessment of surf zone environmental variables in a southwestern Atlantic sandy beach (Monte Hermoso, Argentina).

    PubMed

    Menéndez, M Clara; Fernández Severini, Melisa D; Buzzi, Natalia S; Piccolo, M Cintia; Perillo, Gerardo M E

    2016-08-01

    The aim of this study was to investigate the temporal dynamics (monthly/tidal) of water temperature, salinity, chlorophyll-a (chlo-a), suspended particulate matter (SPM), particulate organic carbon (POC), and dissolved nutrients in the surf zone of Monte Hermoso sandy beach, Argentina. We also aimed to understand the underlying mechanisms responsible for the observed variability. Sampling was carried out approximately monthly (September 2009-November 2010), and all samples were collected in a fixed station during high and low tide. Water temperature showed a clear seasonal variability (July: 9 °C-December: 26.5 °C) and a thermal amplitude of 17.5 °C. Salinity ranged from 33 to 37, without a pronounced seasonality. SPM (10-223 mg L(-1)) and POC concentrations (399-6445 mg C m(-3)) were high in surf zone waters. Chlo-a (0.05-9.16 μg L(-1)) was low and did not evidence the occurrence of surf diatom accumulations. Dissolved nutrient concentration was quite fluctuating. None of the variables seemed to be affected by tidal stage. The results showed how fluctuating the physico-chemical and biological variables can be in this particular system. The observed variability can be related with local beach conditions but also with regional processes. The study area is highly influenced by a neighbor estuary and as a consequence, could be vulnerable to their seasonal and inter-annual dynamics. All of these characteristics must be considered for further studies and planning of the uses of natural resources and should be taken into account in any environmental monitoring program conducted in a similar beach system.

  17. Characterization of the intra-annual variability in the Oxygen Minimum Zone (OMZ) off Peru

    NASA Astrophysics Data System (ADS)

    Paulmier, A.; Campos, F.; Dewitte, B.; Garcon, V.; Illig, S.; Carrasco, E.; Depretz de Gesincourt, O.; Grelet, J.; Ledesma, J. A.; Maes, C.; Montes, I.; Oschlies, A.; Quispe, J.; Scouarnec, L.

    2016-02-01

    The Oxygen Minimum Zones (OMZs) are oceanic deoxygenated layers between 50 and 1000 meters depth, which impact climate and ecosystems at both local and global scales. In particular, associated with the most productive upwelling system (10% of the world fisheries), the OMZ off Peru has the shallowest and most intense core with the lowest O2 concentration. Little is known on O2 variability at hourly to intra-seasonal timescales in this region. Thanks to the first long term subsurface mooring deployed off Lima (12°02'S, 77°40'W) at 30 nm from the coast, this study investigates the OMZ variability. The mooring consists in an instrumented line including sensors of pressure, temperature, salinity and oxygen located at 5 depths (30, 50, 75, 145 and 160 meters below the surface) with an acquisition frequency of 15 minutes during 14 months from January 5th , 2013 until February 21th, 2014. These data collected in the framework of the trans-disciplinary AMOP project (Activity of investigation dedicated to Oxygen Minimum Zone of the eastern Pacific) allow documenting the dynamics of both the oxycline and core and of their physical forcing (e.g. waves, wind). Three main regimes of variability are reported: sub-daily (< 1 day), sub-monthly (1-30 days) and sub-seasonal (30-90 days), which corresponds to distinct physical mechanisms. Preliminary results from a high-resolution coupled model platform are presented, which serve as material for the interpretation of the data.

  18. [Variability of vegetation growth season in different latitudinal zones of North China: a monitoring by NOAA NDVI and MSAVI].

    PubMed

    Wang, Hong; Li, Xiaobing; Han, Ruibo; Ge, Yongqin

    2006-12-01

    In this study, North China was latitudinally divided into five zones, i.e., 32 degrees - 36 degrees N (Zone I), 36 degrees - 40 degrees N (Zone II), 40 degrees - 44 degrees N (Zone III), 44 degrees - 48 degrees N (Zone IV) and 48 degrees - 52 degrees N (Zone V), and the NOAA/ AVHRR NDVI and MSAVI time-series images from 1982 to 1999 were smoothed with Savitzky-Golay filter algorithm. Based on the EOF analysis, the principal components of NDVI and MSAVI for the vegetations in different latitudinal zones of North China were extracted, the annual beginning and ending dates and the length of growth season in 1982 - 1999 were estimated, and the related parameters were linearly fitted, aimed to analyze the variability of vegetation growth season. The results showed that the beginning date of the growth season in different zones tended to be advanced, while the ending date tended to be postponed with increasing latitude. The length of the growth season was also prolonged, with the prolonging time exceeded 10 days.

  19. Variability of High Resolution Vp/Vs and Seismic Velocity Structure Along the Nicaragua/Costa Rica Segment of the Middle America Subduction Zone

    NASA Astrophysics Data System (ADS)

    Moore-Driskell, M. M.; DeShon, H. R.

    2012-12-01

    Previous studies of subduction zone earthquakes have shown that fault conditions control earthquake rupture and behavior. There are many potential properties that may vary along the subduction margin that could cause fault zone variability, including plate age, temperature, and/or geometry, convergence rate, state of hydration, overriding geology, subducting sediment packages, or subducting seamounts/ridges. The Nicaragua/Costa Rica segment of the Middle America subduction zone is highly variable along strike and down dip. We use this margin to examine how these variable conditions affect earthquake behavior by determining local ratios of compressional to shear wave velocities (Vp/Vs) and detailed seismic velocity structure. Vp/Vs is one of the best tools available to reliably define fault conditions because it is directly related to the Poisson's ratio of the fault material, and it is sensitive to the presence of fluids and changing permeability. Thus with well-resolved near source Vp/Vs measurements we can infer composition and/or high fluid pressures. Here, we use a technique developed by Lin and Shearer (2007) to determine local Vp/Vs in small areas (~2 x 2 x 2 km) with high seismicity. Within the seismogenic zone, we find the margin to be highly variable along strike in Vp/Vs and seismic velocity. These changes correlate to documented variability in incoming plate properties. Increased Vp/Vs is associated with intraplate earthquakes along Nicaragua and northern Costa Rica. We compare our results with other geophysical studies including new high-resolution images of seismic velocity structure, an extensive catalog of high quality relocated events, apparent stress calculations, coupling, and SSE/NVT occurrence. A better understanding of the connection between fault properties and earthquake behavior gives insight into the role of fluids in seismogenesis, the spectrum of earthquake rupture, and possible hazard at subduction zones.

  20. Using high-frequency sensors to identify hydroclimatological controls on storm-event variability in catchment nutrient fluxes and source zone activation

    NASA Astrophysics Data System (ADS)

    Blaen, Phillip; Khamis, Kieran; Lloyd, Charlotte; Krause, Stefan

    2017-04-01

    At the river catchment scale, storm events can drive highly variable behaviour in nutrient and water fluxes, yet short-term dynamics are frequently missed by low resolution sampling regimes. In addition, nutrient source contributions can vary significantly within and between storm events. Our inability to identify and characterise time dynamic source zone contributions severely hampers the adequate design of land use management practices in order to control nutrient exports from agricultural landscapes. Here, we utilise an 8-month high-frequency (hourly) time series of streamflow, nitrate concentration (NO3) and fluorescent dissolved organic matter concentration (FDOM) derived from optical in-situ sensors located in a headwater agricultural catchment. We characterised variability in flow and nutrient dynamics across 29 storm events. Storm events represented 31% of the time series and contributed disproportionately to nutrient loads (43% of NO3 and 36% of CDOM) relative to their duration. Principal components analysis of potential hydroclimatological controls on nutrient fluxes demonstrated that a small number of components, representing >90% of variance in the dataset, were highly significant model predictors of inter-event variability in catchment nutrient export. Hysteresis analysis of nutrient concentration-discharge relationships suggested spatially discrete source zones existed for NO3 and FDOM, and that activation of these zones varied on an event-specific basis. Our results highlight the benefits of high-frequency in-situ monitoring for characterising complex short-term nutrient dynamics and unravelling connections between hydroclimatological variability and river nutrient export and source zone activation under extreme flow conditions. These new process-based insights are fundamental to underpinning the development of targeted management measures to reduce nutrient loading of surface waters.

  1. Situation awareness: when nurses decide to admit or not admit a person with mental illness as an involuntary patient.

    PubMed

    Patterson, Christopher; Procter, Nicholas; Toffoli, Luisa

    2016-09-01

    This paper will explore the application of situation awareness in nursing to determine its suitability as a framework to study how the decision to admit or not admit a person as an involuntary patient is made. The decision by a specially qualified nurse to admit or not admit a person to a mental health facility against their will remains a central component of contemporary mental health legislation. The decision has an impact on a person's autonomy and human rights. Conversely, the decision to admit may facilitate urgent assessment and treatment and ensure the safety of the individual and others. Research highlights that decision-making in this context is challenging due to the multiple information sources and often incomplete information available to the clinician. Situation awareness is a concept used to explain how practitioners identify, use and make meaning of a multitude of factors and elements relevant to their practice. Discussion paper. A search of terms related to situation awareness and mental health nursing was conducted in the period 2000 - present. Exploring nurses decision-making using a situation awareness framework provides for a more nuanced understanding of nurses knowledge and skill when deciding to admit or not a person as an involuntary patient. The concept of situation awareness provides a framework to better understand the decision-making process associated with the involuntary admission decision. © 2016 John Wiley & Sons Ltd.

  2. An Assessment of Actual and Potential Building Climate Zone Change and Variability From the Last 30 Years Through 2100 Using NASA's MERRA and CMIP5 Simulations

    NASA Technical Reports Server (NTRS)

    Stackhouse, Paul W., Jr.; Chandler, William S.; Hoell, James M.; Westberg, David; Zhang, Taiping

    2015-01-01

    Background: In the US, residential and commercial building infrastructure combined consumes about 40% of total energy usage and emits about 39% of total CO2 emission (DOE/EIA "Annual Energy Outlook 2013"). Building codes, as used by local and state enforcement entities are typically tied to the dominant climate within an enforcement jurisdiction classified according to various climate zones. These climate zones are based upon a 30-year average of local surface observations and are developed by DOE and ASHRAE. Establishing the current variability and potential changes to future building climate zones is very important for increasing the energy efficiency of buildings and reducing energy costs and emissions in the future. Objectives: This paper demonstrates the usefulness of using NASA's Modern Era Retrospective-analysis for Research and Applications (MERRA) atmospheric data assimilation to derive the DOE/ASHRAE building climate zone maps and then using MERRA to define the last 30 years of variability in climate zones for the Continental US. An atmospheric assimilation is a global atmospheric model optimized to satellite, atmospheric and surface in situ measurements. Using MERRA as a baseline, we then evaluate the latest Climate Model Inter-comparison Project (CMIP) climate model Version 5 runs to assess potential variability in future climate zones under various assumptions. Methods: We derive DOE/ASHRAE building climate zones using surface and temperature data products from MERRA. We assess these zones using the uncertainties derived by comparison to surface measurements. Using statistical tests, we evaluate variability of the climate zones in time and assess areas in the continental US for statistically significant trends by region. CMIP 5 produced a data base of over two dozen detailed climate model runs under various greenhouse gas forcing assumptions. We evaluate the variation in building climate zones for 3 different decades using an ensemble and quartile

  3. Effects of Atlantic warm pool variability over climate of South America tropical transition zone

    NASA Astrophysics Data System (ADS)

    Ricaurte Villota, Constanza; Romero-Rodríguez, Deisy; Andrés Ordoñez-Zuñiga, Silvio; Murcia-Riaño, Magnolia; Coca-Domínguez, Oswaldo

    2016-04-01

    Colombia is located in the northwestern corner of South America in a climatically complex region due to the influence processes modulators of climate both the Pacific and Atlantic region, becoming in a transition zone between phenomena of northern and southern hemisphere. Variations in the climatic conditions of this region, especially rainfall, have been attributed to the influence of the El Nino Southern Oscillation (ENSO), but little is known about the interaction within Atlantic Ocean and specifically Caribbean Sea with the environmental conditions of this region. In this work We studied the influence of the Atlantic Warm Pool (AWP) on the Colombian Caribbean (CC) climate using data of Sea Surface Temperature (SST) between 1900 - 2014 from ERSST V4, compared with in situ data SIMAC (National System for Coral Reef Monitoring in Colombia - INVEMAR), rainfall between 1953-2013 of meteorological stations located at main airports in the Colombian Caribbean zone, administered by IDEAM, and winds data between 2003 - 2014 from WindSat sensor. The parameters analyzed showed spatial differences throughout the study area. SST anomalies, representing the variability of the AWP, showed to be associated with Multidecadal Atlantic Oscillation (AMO) and with the index of sea surface temperature of the North-tropical Atlantic (NTA), the variations was on 3 to 5 years on the ENSO scale and of approximately 11 years possibly related to solar cycles. Rainfall anomalies in the central and northern CC respond to changes in SST, while in the south zone these are not fully engage and show a high relationship with the ENSO. Finally, the winds also respond to changes in SST and showed a signal approximately 90 days possibly related to the Madden-Julian Oscillation, whose intensity depends on the CC region being analyzed. The results confirm that region is a transition zone in which operate several forcing, the variability of climate conditions is difficult to attribute only one, as ENSO

  4. Time-Variable Transit Time Distributions in the Hyporheic Zone of a Headwater Mountain Stream

    NASA Astrophysics Data System (ADS)

    Ward, Adam S.; Schmadel, Noah M.; Wondzell, Steven M.

    2018-03-01

    Exchange of water between streams and their hyporheic zones is known to be dynamic in response to hydrologic forcing, variable in space, and to exist in a framework with nested flow cells. The expected result of heterogeneous geomorphic setting, hydrologic forcing, and between-feature interaction is hyporheic transit times that are highly variable in both space and time. Transit time distributions (TTDs) are important as they reflect the potential for hyporheic processes to impact biogeochemical transformations and ecosystems. In this study we simulate time-variable transit time distributions based on dynamic vertical exchange in a headwater mountain stream with observed, heterogeneous step-pool morphology. Our simulations include hyporheic exchange over a 600 m river corridor reach driven by continuously observed, time-variable hydrologic conditions for more than 1 year. We found that spatial variability at an instance in time is typically larger than temporal variation for the reach. Furthermore, we found reach-scale TTDs were marginally variable under all but the most extreme hydrologic conditions, indicating that TTDs are highly transferable in time. Finally, we found that aggregation of annual variation in space and time into a "master TTD" reasonably represents most of the hydrologic dynamics simulated, suggesting that this aggregation approach may provide a relevant basis for scaling from features or short reaches to entire networks.

  5. [Prognostic factors of early 30-day mortality in elderly patients admitted to an emergency department].

    PubMed

    Morales Erazo, Alexander; Cardona Arango, Doris

    The main aim of this study was to identify the variables related to early mortality in the elderly at the time of admission to the emergency department. Using probability sampling, the study included patients 60 years old or older of both genders who were admitted for observation to the emergency department of the University Hospital of Nariño, ¿Colombia? in 2015. Using a questionnaire designed for this study, some multidimensional features that affect the health of the elderly were collected (demographic, clinical, psychological, functional, and social variables). The patients were then followed-up for 30 days in order to determine the mortality rate during this time. Univariate and multivariate logistic regressions and survival analysis were performed. Data were collected from 246 patients, with a mean age of 75.27 years and the majority female. The 30-day mortality rate was 15%. The variables most associated with death were: being female, temperature problems, initial diagnosis of neoplasia, and unable to walk independently in the emergency department. It is possible to determine the multidimensional factors present in the older patient admitted to an emergency department that could affect their 30-day mortality prognosis. and which should be intervened. Copyright © 2017 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Children's Motives for Admitting to Prosocial Behavior

    PubMed Central

    Watanabe, Yayoi; Lee, Kayo

    2016-01-01

    There has been extensive research on children's moral evaluation of lying in prosocial situations. Current knowledge regarding the concept of lying has been derived from studies showing that cultural differences exist, whereby non-Western children tend to rate lie telling more positively than Western children do. These findings suggest that there are different views about whether children should publicize their prosocial behaviors and that children have universal motives when they admit to engaging in prosocial behavior. A gender difference has also been found in relation to prosocial behavior. However, previous studies did not investigate in detail children's motives for admission or non-admission to prosocial behavior, and if there is a gender difference. Therefore, this study examined the diversity in and development of motives for admitting or not admitting to engaging in prosocial behavior, with the aim of clarifying these behaviors as a function of children's grade level in school, and how such motives differ with age and gender. Questionnaires from 1345 elementary and junior high school students in Japan were analyzed. Results showed that children's communication tendency with regard to prosocial behavior reports peaked in the fourth grade of elementary school and gradually decreased thereafter. From the third grade of elementary school onwards, children reported that they refrained from admitting prosocial behaviors. Younger children more likely cited honesty as a crucial motive for admitting to prosocial behaviors. Girls were more likely to endorse honesty as a motive than boys were. Moreover, among younger children, girls feared others' negative evaluation and wanted to comply with modesty norms when not admitting. Further research is needed to examine the developmental process for motives behind prosocial behaviors. PMID:26925025

  7. Children's Motives for Admitting to Prosocial Behavior.

    PubMed

    Watanabe, Yayoi; Lee, Kayo

    2016-01-01

    There has been extensive research on children's moral evaluation of lying in prosocial situations. Current knowledge regarding the concept of lying has been derived from studies showing that cultural differences exist, whereby non-Western children tend to rate lie telling more positively than Western children do. These findings suggest that there are different views about whether children should publicize their prosocial behaviors and that children have universal motives when they admit to engaging in prosocial behavior. A gender difference has also been found in relation to prosocial behavior. However, previous studies did not investigate in detail children's motives for admission or non-admission to prosocial behavior, and if there is a gender difference. Therefore, this study examined the diversity in and development of motives for admitting or not admitting to engaging in prosocial behavior, with the aim of clarifying these behaviors as a function of children's grade level in school, and how such motives differ with age and gender. Questionnaires from 1345 elementary and junior high school students in Japan were analyzed. Results showed that children's communication tendency with regard to prosocial behavior reports peaked in the fourth grade of elementary school and gradually decreased thereafter. From the third grade of elementary school onwards, children reported that they refrained from admitting prosocial behaviors. Younger children more likely cited honesty as a crucial motive for admitting to prosocial behaviors. Girls were more likely to endorse honesty as a motive than boys were. Moreover, among younger children, girls feared others' negative evaluation and wanted to comply with modesty norms when not admitting. Further research is needed to examine the developmental process for motives behind prosocial behaviors.

  8. Lithologic Controls on Critical Zone Processes in a Variably Metamorphosed Shale-Hosted Watershed

    NASA Astrophysics Data System (ADS)

    Eldam Pommer, R.; Navarre-Sitchler, A.

    2017-12-01

    Local and regional shifts in thermal maturity within sedimentary shale systems impart significant variation in chemical and physical rock properties, such as pore-network morphology, mineralogy, organic carbon content, and solute release potential. Even slight variations in these properties on a watershed scale can strongly impact surface and shallow subsurface processes that drive soil formation, landscape evolution, and bioavailability of nutrients. Our ability to map and quantify the effects of this heterogeneity on critical zone processes is hindered by the complex coupling of the multi-scale nature of rock properties, geochemical signatures, and hydrological processes. This study addresses each of these complexities by synthesizing chemical and physical characteristics of variably metamorphosed shales in order to link rock heterogeneity with modern earth surface and shallow subsurface processes. More than 80 samples of variably metamorphosed Mancos Shale were collected in the East River Valley, Colorado, a headwater catchment of the Upper Colorado River Basin. Chemical and physical analyses of the samples show that metamorphism decreases overall rock porosity, pore anisotropy, and surface area, and introduces unique chemical signatures. All of these changes result in lower overall solute release from the Mancos Shale in laboratory dissolution experiments and a change in rock-derived solute chemistry with decreasing organic carbon and cation exchange capacity (Ca, Na, Mg, and K). The increase in rock competency and decrease in reactivity of the more thermally mature shales appear to subsequently control river morphology, with lower channel sinuosity associated with areas of the catchment underlain by metamorphosed Mancos Shale. This work illustrates the formative role of the geologic template on critical zone processes and landscape development within and across watersheds.

  9. Great earthquakes of variable magnitude at the Cascadia subduction zone

    USGS Publications Warehouse

    Nelson, A.R.; Kelsey, H.M.; Witter, R.C.

    2006-01-01

    Comparison of histories of great earthquakes and accompanying tsunamis at eight coastal sites suggests plate-boundary ruptures of varying length, implying great earthquakes of variable magnitude at the Cascadia subduction zone. Inference of rupture length relies on degree of overlap on radiocarbon age ranges for earthquakes and tsunamis, and relative amounts of coseismic subsidence and heights of tsunamis. Written records of a tsunami in Japan provide the most conclusive evidence for rupture of much of the plate boundary during the earthquake of 26 January 1700. Cascadia stratigraphic evidence dating from about 1600??cal yr B.P., similar to that for the 1700 earthquake, implies a similarly long rupture with substantial subsidence and a high tsunami. Correlations are consistent with other long ruptures about 1350??cal yr B.P., 2500??cal yr B.P., 3400??cal yr B.P., 3800??cal yr B.P., 4400??cal yr B.P., and 4900??cal yr B.P. A rupture about 700-1100??cal yr B.P. was limited to the northern and central parts of the subduction zone, and a northern rupture about 2900??cal yr B.P. may have been similarly limited. Times of probable short ruptures in southern Cascadia include about 1100??cal yr B.P., 1700??cal yr B.P., 3200??cal yr B.P., 4200??cal yr B.P., 4600??cal yr B.P., and 4700??cal yr B.P. Rupture patterns suggest that the plate boundary in northern Cascadia usually breaks in long ruptures during the greatest earthquakes. Ruptures in southernmost Cascadia vary in length and recurrence intervals more than ruptures in northern Cascadia.

  10. Climate variability and environmental stress in the Sudan-Sahel zone of West Africa.

    PubMed

    Mertz, Ole; D'haen, Sarah; Maiga, Abdou; Moussa, Ibrahim Bouzou; Barbier, Bruno; Diouf, Awa; Diallo, Drissa; Da, Evariste Dapola; Dabi, Daniel

    2012-06-01

    Environmental change in the Sudan-Sahel region of West Africa (SSWA) has been much debated since the droughts of the 1970s. In this article we assess climate variability and environmental stress in the region. Households in Senegal, Mali, Burkina Faso, Niger, and Nigeria were asked about climatic changes and their perceptions were compared across north-south and west-east rainfall gradients. More than 80% of all households found that rainfall had decreased, especially in the wettest areas. Increases in wind speeds and temperature were perceived by an overall 60-80% of households. Contrary to household perceptions, observed rainfall patterns showed an increasing trend over the past 20 years. However, August rainfall declined, and could therefore potentially explain the contrasting negative household perceptions of rainfall trends. Most households reported degradation of soils, water resources, vegetation, and fauna, but more so in the 500-900 mm zones. Adaptation measures to counter environmental degradation included use of manure, reforestation, soil and water conservation, and protection of fauna and vegetation. The results raise concerns for future environmental management in the region, especially in the 500-900 mm zones and the western part of SSWA.

  11. Using MERRA, AMIP II, CMIP5 Outputs to Assess Actual and Potential Building Climate Zone Change and Variability From the Last 30 Years Through 2100

    NASA Astrophysics Data System (ADS)

    Stackhouse, P. W.; Westberg, D. J.; Hoell, J. M., Jr.; Chandler, W.; Zhang, T.

    2014-12-01

    In the US, residential and commercial building infrastructure combined consumes about 40% of total energy usage and emits about 39% of total CO2emission (DOE/EIA "Annual Energy Outlook 2013"). Thus, increasing the energy efficiency of buildings is paramount to reducing energy costs and emissions. Building codes, as used by local and state enforcement entities are typically tied to the dominant climate within an enforcement jurisdiction classified according to various climate zones. These climates zones are based upon a 30-year average of local surface observations and are developed by DOE and ASHRAE (formerly known as the American Society of Hearting, Refrigeration and Air-Conditioning Engineers). A significant shortcoming of the methodology used in constructing such maps is the use of surface observations (located mainly near airports) that are unequally distributed and frequently have periods of missing data that need to be filled by various approximation schemes. This paper demonstrates the usefulness of using NASA's Modern Era Retrospective-analysis for Research and Applications (MERRA) atmospheric data assimilation to derive the ASHRAE climate zone maps and then using MERRA to define the last 30 years of variability in climate zones. These results show that there is a statistically significant increase in the area covered by warmer climate zones and some tendency for a reduction of area in colder climate zones that require longer time series to confirm. Using the uncertainties of the basic surface temperature and precipitation parameters from MERRA as determined by comparison to surface measurements, we first compare patterns and variability of ASHRAE climate zones from MERRA relative to present day climate model runs from AMIP simulations to establish baseline sensitivity. Based upon these results, we assess the variability of the ASHRAE climate zones according to CMIP runs through 2100 using an ensemble analysis that classifies model output changes by

  12. Regional variability of nitrate fluxes in the unsaturated zone and groundwater, Wisconsin, USA

    USGS Publications Warehouse

    Green, Christopher T.; Liao, Lixia; Nolan, Bernard T.; Juckem, Paul F.; Shope, Christopher L.; Tesoriero, Anthony J.; Jurgens, Bryant

    2018-01-01

    Process-based modeling of regional NO3− fluxes to groundwater is critical for understanding and managing water quality, but the complexity of NO3− reactive transport processes make implementation a challenge. This study introduces a regional vertical flux method (VFM) for efficient estimation of reactive transport of NO3− in the vadose zone and groundwater. The regional VFM was applied to 443 well samples in central-eastern Wisconsin. Chemical measurements included O2, NO3−, N2 from denitrification, and atmospheric tracers of groundwater age including carbon-14, chlorofluorocarbons, tritium, and tritiogenic helium. VFM results were consistent with observed chemistry, and calibrated parameters were in-line with estimates from previous studies. Results indicated that (1) unsaturated zone travel times were a substantial portion of the transit time to wells and streams (2) since 1945 fractions of applied N leached to groundwater have increased for manure-N, possibly due to increased injection of liquid manure, and decreased for fertilizer-N, and (3) under current practices and conditions, approximately 60% of the shallow aquifer will eventually be affected by downward migration of NO3−, with denitrification protecting the remaining 40%. Recharge variability strongly affected the unsaturated zone lag times and the eventual depth of the NO3− front. Principal components regression demonstrated that VFM parameters and predictions were significantly correlated with hydrogeochemical landscape features. The diverse and sometimes conflicting aspects of N management (e.g. limiting N volatilization versus limiting N losses to groundwater) warrant continued development of large-scale holistic strategies to manage water quality and quantity.

  13. Regional Variability of Nitrate Fluxes in the Unsaturated Zone and Groundwater, Wisconsin, USA

    NASA Astrophysics Data System (ADS)

    Green, Christopher T.; Liao, Lixia; Nolan, Bernard T.; Juckem, Paul F.; Shope, Christopher L.; Tesoriero, Anthony J.; Jurgens, Bryant C.

    2018-01-01

    Process-based modeling of regional NO3- fluxes to groundwater is critical for understanding and managing water quality, but the complexity of NO3- reactive transport processes makes implementation a challenge. This study introduces a regional vertical flux method (VFM) for efficient estimation of reactive transport of NO3- in the vadose zone and groundwater. The regional VFM was applied to 443 well samples in central-eastern Wisconsin. Chemical measurements included O2, NO3-, N2 from denitrification, and atmospheric tracers of groundwater age including carbon-14, chlorofluorocarbons, tritium, and tritiogenic helium. VFM results were consistent with observed chemistry, and calibrated parameters were in-line with estimates from previous studies. Results indicated that (1) unsaturated zone travel times were a substantial portion of the transit time to wells and streams, (2) since 1945 fractions of applied N leached to groundwater have increased for manure-N, possibly due to increased injection of liquid manure, and decreased for fertilizer-N, and (3) under current practices and conditions, approximately 60% of the shallow aquifer will eventually be affected by downward migration of NO3-, with denitrification protecting the remaining 40%. Recharge variability strongly affected the unsaturated zone lag times and the eventual depth of the NO3- front. Principal components regression demonstrated that VFM parameters and predictions were significantly correlated with hydrogeochemical landscape features. The diverse and sometimes conflicting aspects of N management (e.g., limiting N volatilization versus limiting N losses to groundwater) warrant continued development of large-scale holistic strategies to manage water quality and quantity.

  14. A Descriptive Study Comparing GPA, Retention and Graduation of First-Time, Full-Time, Provisionally Admitted First-Generation College Students and Their Peers

    ERIC Educational Resources Information Center

    Lodhavia, Rajalakshmi

    2009-01-01

    This quantitative research study used ex post facto data to analyze possible relationships between a discrete set of independent variables and academic achievement among provisionally admitted students at a public, four-year historically black university located in the mid-Atlantic United States. The independent variables were first-generation…

  15. Formal Integrals and Noether Operators of Nonlinear Hyperbolic Partial Differential Systems Admitting a Rich Set of Symmetries

    NASA Astrophysics Data System (ADS)

    Startsev, Sergey Ya.

    2017-05-01

    The paper is devoted to hyperbolic (generally speaking, non-Lagrangian and nonlinear) partial differential systems possessing a full set of differential operators that map any function of one independent variable into a symmetry of the corresponding system. We demonstrate that a system has the above property if and only if this system admits a full set of formal integrals (i.e., differential operators which map symmetries into integrals of the system). As a consequence, such systems possess both direct and inverse Noether operators (in the terminology of a work by B. Fuchssteiner and A.S. Fokas who have used these terms for operators that map cosymmetries into symmetries and perform transformations in the opposite direction). Systems admitting Noether operators are not exhausted by Euler-Lagrange systems and the systems with formal integrals. In particular, a hyperbolic system admits an inverse Noether operator if a differential substitution maps this system into a system possessing an inverse Noether operator.

  16. Climate change and dead zones.

    PubMed

    Altieri, Andrew H; Gedan, Keryn B

    2015-04-01

    Estuaries and coastal seas provide valuable ecosystem services but are particularly vulnerable to the co-occurring threats of climate change and oxygen-depleted dead zones. We analyzed the severity of climate change predicted for existing dead zones, and found that 94% of dead zones are in regions that will experience at least a 2 °C temperature increase by the end of the century. We then reviewed how climate change will exacerbate hypoxic conditions through oceanographic, ecological, and physiological processes. We found evidence that suggests numerous climate variables including temperature, ocean acidification, sea-level rise, precipitation, wind, and storm patterns will affect dead zones, and that each of those factors has the potential to act through multiple pathways on both oxygen availability and ecological responses to hypoxia. Given the variety and strength of the mechanisms by which climate change exacerbates hypoxia, and the rates at which climate is changing, we posit that climate change variables are contributing to the dead zone epidemic by acting synergistically with one another and with recognized anthropogenic triggers of hypoxia including eutrophication. This suggests that a multidisciplinary, integrated approach that considers the full range of climate variables is needed to track and potentially reverse the spread of dead zones. © 2014 John Wiley & Sons Ltd.

  17. Dated eclogitic diamond growth zones reveal variable recycling of crustal carbon through time

    NASA Astrophysics Data System (ADS)

    Timmerman, S.; Koornneef, J. M.; Chinn, I. L.; Davies, G. R.

    2017-04-01

    Monocrystalline diamonds commonly record complex internal structures reflecting episodic growth linked to changing carbon-bearing fluids in the mantle. Using diamonds to trace the evolution of the deep carbon cycle therefore requires dating of individual diamond growth zones. To this end Rb-Sr and Sm-Nd isotope data are presented from individual eclogitic silicate inclusions from the Orapa and Letlhakane diamond mines, Botswana. δ13 C values are reported from the host diamond growth zones. Heterogeneous 87Sr/86Sr ratios (0.7033-0.7097) suggest inclusion formation in multiple and distinct tectono-magmatic environments. Sm-Nd isochron ages were determined based on groups of inclusions with similar trace element chemistry, Sr isotope ratios, and nitrogen aggregation of the host diamond growth zone. Diamond growth events at 0.14 ± 0.09, 0.25 ± 0.04, 1.1 ± 0.09, 1.70 ± 0.34 and 2.33 ± 0.02 Ga can be directly related to regional tectono-magmatic events. Individual diamonds record episodic growth with age differences of up to 2 Ga. Dated diamond zones have variable δ13 C values (-5.0 to -33.6‰ vs PDB) and appear to imply changes in subducted material over time. The studied Botswanan diamonds are interpreted to have formed in different tectono-magmatic environments that involve mixing of carbon from three sources that represent: i) subducted biogenic sediments (lightest δ13 C, low 87Sr/86Sr); ii) subducted carbonate-rich sediments (heavy δ13 C, high 87Sr/86Sr) and iii) depleted upper mantle (heavy δ13 C, low 87Sr/86Sr). We infer that older diamonds from these two localities are more likely to have light δ13 C due to greater subduction of biogenic sediments that may be related to hotter and more reduced conditions in the Archaean before the Great Oxidation Event at 2.3 Ga. These findings imply a marked temporal change in the nature of subducted carbon beneath Botswana and warrant further study to establish if this is a global phenomenon.

  18. Temporal variation on environmental variables and pollution indicators in marine sediments under sea Salmon farming cages in protected and exposed zones in the Chilean inland Southern Sea.

    PubMed

    Urbina, Mauricio A

    2016-12-15

    The impacts of any activity on marine ecosystems will depend on the characteristics of the receptor medium and its resilience to external pressures. Salmon farming industry develops along a constant gradient of hydrodynamic conditions in the south of Chile. However, the influence of the hydrodynamic characteristics (weak or strong) on the impacts of intensive salmon farming is still poorly understood. This one year study evaluates the impacts of salmon farming on the marine sediments of both protected and exposed marine zones differing in their hydrodynamic characteristics. Six physico-chemical, five biological variables and seven indexes of marine sediments status were evaluated under the salmon farming cages and control sites. Our results identified a few key variables and indexes necessary to accurately evaluate the salmon farming impacts on both protected and exposed zones. Interestingly, the ranking of importance of the variables and the temporality of the observed changes, varied depending on the hydrodynamic characteristics. Biological variables (nematodes abundance) and environmental indexes (Simpson's dominance, Shannon's diversity and Pielou evenness) are the first to reflect detrimental impacts under the salmon farming cages. Then the physico-chemical variables such as redox, sulphurs and phosphorus in both zones also show detrimental impacts. Based on the present results we propose that the hydrodynamic regime is an important driver of the magnitude and temporality of the effects of salmon farming on marine sediments. The variables and indexes that best reflect the effects of salmon farming, in both protected and exposed zones, are also described. Copyright © 2016. Published by Elsevier B.V.

  19. Validating modelled variable surface saturation in the riparian zone with thermal infrared images

    NASA Astrophysics Data System (ADS)

    Glaser, Barbara; Klaus, Julian; Frei, Sven; Frentress, Jay; Pfister, Laurent; Hopp, Luisa

    2015-04-01

    Variable contributing areas and hydrological connectivity have become prominent new concepts for hydrologic process understanding in recent years. The dynamic connectivity within the hillslope-riparian-stream (HRS) system is known to have a first order control on discharge generation and especially the riparian zone functions as runoff buffering or producing zone. However, despite their importance, the highly dynamic processes of contraction and extension of saturation within the riparian zone and its impact on runoff generation still remain not fully understood. In this study, we analysed the potential of a distributed, fully coupled and physically based model (HydroGeoSphere) to represent the spatial and temporal water flux dynamics of a forested headwater HRS system (6 ha) in western Luxembourg. The model was set up and parameterised under consideration of experimentally-derived knowledge of catchment structure and was run for a period of four years (October 2010 to August 2014). For model evaluation, we especially focused on the temporally varying spatial patterns of surface saturation. We used ground-based thermal infrared (TIR) imagery to map surface saturation with a high spatial and temporal resolution and collected 20 panoramic snapshots of the riparian zone (ca. 10 by 20 m) under different hydrologic conditions. These TIR panoramas were used in addition to several classical discharge and soil moisture time series for a spatially-distributed model validation. In a manual calibration process we optimised model parameters (e.g. porosity, saturated hydraulic conductivity, evaporation depth) to achieve a better agreement between observed and modelled discharges and soil moistures. The subsequent validation of surface saturation patterns by a visual comparison of processed TIR panoramas and corresponding model output panoramas revealed an overall good accordance for all but one region that was always too dry in the model. However, quantitative comparisons of

  20. Temporal Variation of NDVI and the Drivers of Climate Variables in the Arctic Tundra Transition Zone

    NASA Astrophysics Data System (ADS)

    Lee, J.; Ryu, Y.; Lee, Y. K.

    2016-12-01

    The Arctic is a sensitive region to temperature, which is drastically increasing with climate change. Vegetation in transition zones of the sub-arctic tundra biome are most sensitive to the warming climate, as temperature in the Arctic ecosystem is one of important limiting factors of vegetation growth and decomposition. Previous research in the transition zone show that there is a difference of sensible heat flux (21 Wm-2), Leaf Area Index increase from 0.58 - 2.76 and canopy height from 0.1 - 6.1m across dwarf and tall shrubs to forest, however, we lack understanding of NDVI trend of this zone. To better understand the vegetation in transition zones of the arctic ecosystem, we analyze the long-term trend of NDVI (AVHRR 3g GIMMs data), temperature and precipitation (Climate Research Unit data) trend from 1982 - 2010 in Council, Alaska that is a region where arctic tundra is transitioning to boreal forest. We also analyze how the climatic factors, temperature or precipitation, affect NDVI. Annual precipitation had the highest interannual variability compared to temperature and NDVI. There was an overall decreasing trend of annual maximum NDVI (y = -0.0019x+4.7). During 1982 to 2003, NDVI and temperature had a similar pattern, but when temperature suddenly jumped to 13.2°C in 2004, NDVI and precipitation declined. This study highlights that temperature increase does not always lead to greening, but after a certain threshold they may cause damage to sub-arctic tundra vegetation.

  1. The sensitivity of primary productivity to intra-seasonal mixed layer variability in the sub-Antarctic Zone of the Atlantic Ocean

    NASA Astrophysics Data System (ADS)

    Joubert, W. R.; Swart, S.; Tagliabue, A.; Thomalla, S. J.; Monteiro, P. M. S.

    2014-03-01

    The seasonal cycle of primary productivity is impacted by seasonal and intra-seasonal dynamics of the mixed layer through the changing balance between mixing and buoyancy forcing, which regulates nutrient supply and light availability. Of particular recent interest is the role of synoptic scale events in supplying nutrients, particularly iron, to the euphotic zone in the Sub Antarctic Zone (SAZ), where phytoplankton blooms occur throughout summer. In this study, we present high resolution measurements of net community production (NCP) constrained by ΔO2/Ar ratios, and mixed layer depth (MLD) in the Atlantic SAZ. We found a non-linear relationship between NCP and MLD, with the highest and most variable NCP observed in shallow MLDs (< 45 m). We propose that NCP variability in the SAZ may be driven by alternating states of synoptic-scale deepening of the mixed layer, leading to the entrainment of iron (dFe), followed by restratification, allowing rapid growth in an iron replete, high light environment. Synoptic iron fluxes into the euphotic zone based on water column dFe profiles and high resolution glider MLD data, reveal a potentially significant contribution of "new iron" which could sustain NCP throughout summer. Future process studies will help elaborate these findings further.

  2. Variable power distribution for zoned regeneration of an electrically heated particulate filter

    DOEpatents

    Bhatia, Garima [Bangalore, IN; Gonze, Eugene V [Pinckney, MI

    2012-04-03

    A system includes a particulate matter (PM) filter with multiple zones, an electric heater and a control module. The electrical heater includes heater segments, which each correspond with a respective one of the zones. The electrical heater is arranged upstream from and is proximate with the PM filter. The control module selectively applies a first energy level to a first one of the zones via a first one of the heater segments to initiate regeneration in the first zone. The control module also selectively applies a second energy level that is less than the first energy level to a second one of the zones via a second one of the heater segments to initiate regeneration in the second zone.

  3. Systematically variable planktonic carbon metabolism along a land-to-lake gradient in a Great Lakes coastal zone.

    PubMed

    Weinke, Anthony D; Kendall, Scott T; Kroll, Daniel J; Strickler, Eric A; Weinert, Maggie E; Holcomb, Thomas M; Defore, Angela A; Dila, Deborah K; Snider, Michael J; Gereaux, Leon C; Biddanda, Bopaiah A

    2014-11-01

    During the summers of 2002-2013, we measured rates of carbon metabolism in surface waters of six sites across a land-to-lake gradient from the upstream end of drowned river-mouth Muskegon Lake (ML) (freshwater estuary) to 19 km offshore in Lake Michigan (LM) (a Great Lake). Despite considerable inter-year variability, the average rates of gross production (GP), respiration (R) and net production (NP) across ML (604 ± 58, 222 ± 22 and 381 ± 52 µg C L -1 day -1 , respectively) decreased steeply in the furthest offshore LM site (22 ± 3, 55 ± 17 and -33 ± 15 µg C L -1 day -1 , respectively). Along this land-to-lake gradient, GP decreased by 96 ± 1%, whereas R only decreased by 75 ± 9%, variably influencing the carbon balance along this coastal zone. All ML sites were consistently net autotrophic (mean GP:R = 2.7), while the furthest offshore LM site was net heterotrophic (mean GP:R = 0.4). Our study suggests that pelagic waters of this Great Lakes coastal estuary are net carbon sinks that transition into net carbon sources offshore. Reactive and dynamic estuarine coastal zones everywhere may contribute similarly to regional and global carbon cycles.

  4. Spatial Variability of Climate Signatures Recorded in an Array of Shallow Firn Cores from the Western Greenland Percolation Zone

    NASA Astrophysics Data System (ADS)

    Thundercloud, Z. R.; Osterberg, E. C.; Ferris, D. G.; Graeter, K.; Lewis, G.; Hawley, R. L.; Marshall, H. P.

    2016-12-01

    Greenland ice cores provide seasonally to annually resolved proxy records of past temperature, accumulation and atmospheric circulation. Most Greenland ice cores have been collected from the dry snow zone at elevations greater than 2500 m to produce records of North Atlantic paleoclimate over the last full glacial cycle. Ice cores collected from more costal regions, however, provide the opportunity to develop regional-scale records of climate conditions along ice sheet margins where recent temperature and precipitation changes have been larger than those in the ice sheet interior. These cores are more readily comparable to lake sediment and landscape (i.e. moraine) records from the ice sheet margin, and are potentially more sensitive to sea-ice variability due to the proximity to the coast. Here we present major ion and stable isotope records from an array of firn cores (40-55 year records) collected in the western Greenland percolation zone, and assess the spatial variability of ice core statistical relationships with the North Atlantic Oscillation (NAO) and Baffin Bay sea ice extent. Seven cores were collected from elevations of 2100-2500 m along a 400-km segment of the ice sheet from Dye-2 to Milcent as part of the Greenland Traverse for Accumulation and Climate Studies (GreenTrACS) project from May-June 2016. They were sampled by a continuous melter system at Dartmouth College, and analyzed using Dionex ion chromatographs and a Picarro L2130-i laser ring-down spectrometer. We focus on the signature of the NAO and Baffin Bay sea ice extent in the sea-salt, dust, deuterium excess (d-excess), and methanesulfonic acid (MSA) firn core records, and assess the special variability of these climate-ice core relationships across the study area. Climate reanalysis data indicate that NAO-ice core correlations should be stronger at lower elevation in the percolation zone than high in the dry snow zone. Our results will provide valuable insight into the sensitivity of

  5. The Approach to Study the Kama Reservoir Basin Deformation in the Zone of a Variable Backwater

    NASA Astrophysics Data System (ADS)

    Dvinskikh, S. A.; Kitaev, A. B.; Shaydulina, A. A.

    2018-01-01

    A reservoir floor starts to change since it has been filled up to a normal headwater level (NHL) under the impact of hydrosphere and lithosphere interactions as well as under the impact of chemical and biological processes that occur in its water masses. At that complicated and often contradictory “relations” between features of geo- and hydrodynamic processes are created. The consequences of these relations are the alterations of values of morphometric indices of the reservoir water surface, depth and volume. We observe two processes that are oppositely directed. They are accumulation and erosion. They are more complex at the upper area of the reservoir - the zone of a variable backwater. The basin deformation observed there is lop-sided and relatively quiet, but with time these deformations make difficulties for water users. To provide good navigation and to reduce harmful effect of waters on other water consumption objects, it is necessary to study and to forecast constantly the basin transformation processes that occur at this zone.

  6. Utility of blood cultures in children admitted to hospital with community-acquired pneumonia.

    PubMed

    Davis, Tessa R; Evans, Hannah R; Murtas, Jennifer; Weisman, Aimee; Francis, J Lynn; Khan, Ahmed

    2017-03-01

    The aim of the study was to assess the utility of blood cultures in children admitted to hospital with community-acquired pneumonia. The primary outcome was the number of positive blood culture results, and secondary outcomes included the effect of positive blood culture results on management, and the identification of other clinical/biochemical variables that could predict blood culture results or the course of illness. A retrospective data analysis was carried out on all children admitted to Gosford Hospital during the 2-year period from July 2013 to June 2015. Included were patients under 16 years old who had a diagnosis-related group code of pneumonia. A review of blood culture results, chest X-ray, serology, C-reactive protein and white cell count and clinical outcomes were analysed. There were 215 paediatric admissions with a diagnosis of pneumonia during the 2-year study period. A blood culture was collected in 82.3% (177/215). Although seven had a positive blood culture, only two of these were finally reported as true positives and both were Streptococcus pneumoniae. Both patients were treated with a cephalosporin and demonstrated clinical improvement. No changes were made to their treatment based on the blood culture results. Blood cultures have a low yield and do not appear to be helpful when collected in all patients admitted to hospital with community-acquired pneumonia. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  7. 78 FR 49254 - Foreign-Trade Zone 158-Vicksburg/Jackson, Mississippi; Authorization of Production Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    .../Jackson, Mississippi; Authorization of Production Activity; Extension of Production Authority; H.M... the Foreign-Trade Zones (FTZ) Board on behalf of H.M. Richards, Inc., in Guntown, Mississippi. The...) is limited to 6.5 million square yards. 2. H.M. Richards, Inc., must admit all foreign upholstery...

  8. Tactical Determinants of Setting Zone in Elite Men'S Volleyball

    PubMed Central

    Afonso, Jose; Esteves, Francisca; Araújo, Rui; Thomas, Luke; Mesquita, Isabel

    2012-01-01

    The interactions between two opposing teams lead to the emergence of unique game patterns. In volleyball, attack efficacy emerges as the strongest predictor of the final result and thus it becomes of foremost importance to understand which game patterns afford the attaining of higher attack efficacies. These rely on the quality of the setting action. In turn, the serve and the serve reception constrain the setter's actions and the attacker's efficacy. Therefore, the purpose of this study was to examine predictors of the setting zone in elite-level men's volleyball. Thirty-one matches of the 2007 World Cup were analyzed, in total 5117 rallies. The dependent variable was the setting zone, and the independent variables were the server player, serve type, serve direction, serve depth, reception zone, receiver player and reception type. Multinomial logistic regression was applied, in order to obtain the estimated likelihood of occurrence of the dependent variable, based on the values of the independent variables (p < 0.05). Only the serve direction showed not to be predictive of the setting zone. Concerning the remaining variables, the tennis jump serve, serves from the middle-player, deep serves, reception near the endline or sidelines, reception by the zone 4 attackers when in defensive zone, and low reception all proved to impair the quality of reception, demanding the setter to play more often in the not acceptable setting zone. Results suggest that, at this level, practice of serve-reception should preferably cover the deep tennis jump serve, and attempt to afford the libero more opportunities to receive. By focusing on the variables with the most predictive power, performers may better allocate their attention towards the most pertinent cues at each moment. Knowledge of these interactive models provides valuable insights into the dynamics of the action sequences, affording coaches important information and guidance. Key pointsA set of key variables interact and

  9. Risk in the "Red Zone": Outcomes for Children Admitted to Ebola Holding Units in Sierra Leone Without Ebola Virus Disease.

    PubMed

    Fitzgerald, F; Wing, K; Naveed, A; Gbessay, M; Ross, J C G; Checchi, F; Youkee, D; Jalloh, M B; Baion, D; Mustapha, A; Jah, H; Lako, S; Oza, S; Boufkhed, S; Feury, R; Bielicki, J; Williamson, E; Gibb, D M; Klein, N; Sahr, F; Yeung, S

    2017-07-01

    We collected data on 1054 children admitted to Ebola Holding Units in Sierra Leone and describe outcomes of 697/1054 children testing negative for Ebola virus disease (EVD) and accompanying caregivers. Case-fatality was 9%; 3/630 (0.5%) children discharged testing negative were readmitted EVD-positive. Nosocomial EVD transmission risk may be lower than feared. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  10. Vertical variability in saturated zone hydrochemistry near Yucca Mountain, Nevada

    USGS Publications Warehouse

    Patterson, G.L.; Striffler, P.S.

    2006-01-01

    The differences in the saturated zone hydrochemistry with depth at borehole NC-EWDP-22PC reflect the addition of recharge along Fortymile Wash. The differences in water chemistry with depth at borehole NC-EWDP-19PB appear to indicate that other processes are involved. Water from the lower part of NC-EWDP-19PB possesses chemical characteristics that clearly indicate that it has undergone cation exchange that resulted in the removal of calcium and magnesium and the addition of sodium. This water is very similar to water from the Western Yucca Mountain facies that has previously been thought to flow west of NC-EWDP-19PB. Water from the lower zone in NC-EWDP-19PB also could represent water from the Eastern Yucca Mountain fades that has moved through day-bearing or zeolitized aquifer material resulting in the altered chemistry. Water chemistry from the upper part of the saturated zone at NC-EWDP-19PB, both zones at NC-EWDP-22PC, and wells in the Fortymile Wash facies appears to be the result of recharge through the alluvium south of Yucca Mountain and within the Fortymile Wash channel.

  11. Spatial and temporal variability of nitrate and nitrous oxide concentrations in the unsaturated zone at a corn field in the US Midwest

    NASA Astrophysics Data System (ADS)

    Gopalakrishnan, G.; Negri, C.

    2011-12-01

    There has been a significant increase in reactive nitrogen in the environment as a result of human activity. Reactive nitrogen of anthropogenic origin now equals that derived from natural terrestrial nitrogen fixation and is expected to exceed it by the end of the decade. Nitrogen is applied to crops as fertilizer and impacts the environment through water quality impairments (mostly as nitrate) and as greenhouse gas emissions (as nitrous oxide). Research on environmental impacts resulting from nitrogen application in the form of fertilizers has focused disproportionately on the degradation of water quality from agricultural non-point sources. The impacts of this degradation are registered both locally, with runoff and percolation of agrochemicals into local surface water and groundwater, and on a larger scale, such as the increase in the anoxic zone in the Gulf of Mexico attributed to nitrate from the Mississippi River. Impacts to the global climate from increased production of nitrous oxide as a result of increased fertilization are equally significant. Nitrous oxide is a greenhouse gas with a warming potential that is approximately 300 times greater than carbon dioxide. Direct emissions of nitrous oxide from the soil have been expressed as 1% of the applied nitrogen. Indirect emissions due to runoff, leaching and volatilization of the nitrogen from the field have been expressed as 0.75% of the applied nitrogen. Many studies have focused on processes governing nitrogen fluxes in the soil, surface water and groundwater systems. However, research on the biogeochemical processes regulating nitrogen fluxes in the unsaturated zone and consequent impacts on nitrate and nitrous oxide concentrations in groundwater are lacking. Our study explores the spatial and temporal variability of nitrate and nitrous oxide concentrations in the vadose zone at a 15 acre corn field in the US Midwest and links it to the concentrations found in the groundwater at the field site. Results

  12. Application of artificial neural networks to establish a predictive mortality risk model in children admitted to a paediatric intensive care unit.

    PubMed

    Chan, C H; Chan, E Y; Ng, D K; Chow, P Y; Kwok, K L

    2006-11-01

    Paediatric risk of mortality and paediatric index of mortality (PIM) are the commonly-used mortality prediction models (MPM) in children admitted to paediatric intensive care unit (PICU). The current study was undertaken to develop a better MPM using artificial neural network, a domain of artificial intelligence. The purpose of this retrospective case series was to compare an artificial neural network (ANN) model and PIM with the observed mortality in a cohort of patients admitted to a five-bed PICU in a Hong Kong non-teaching general hospital. The patients were under the age of 17 years and admitted to our PICU from April 2001 to December 2004. Data were collected from each patient admitted to our PICU. All data were randomly allocated to either the training or validation set. The data from the training set were used to construct a series of ANN models. The data from the validation set were used to validate the ANN and PIM models. The accuracy of ANN models and PIM was assessed by area under the receiver operator characteristics (ROC) curve and calibration. All data were randomly allocated to either the training (n=274) or validation set (n=273). Three ANN models were developed using the data from the training set, namely ANN8 (trained with variables required for PIM), ANN9 (trained with variables required for PIM and pre-ICU intubation) and ANN23 (trained with variables required for ANN9 and 14 principal ICU diagnoses). Three ANN models and PIM were used to predict mortality in the validation set. We found that PIM and ANN9 had a high ROC curve (PIM: 0.808, 95 percent confidence interval 0.552 to 1.000, ANN9: 0.957, 95 percent confidence interval 0.915 to 1.000), whereas ANN8 and ANN23 gave a suboptimal area under the ROC curve. ANN8 required only five variables for the calculation of risk, compared with eight for PIM. The current study demonstrated the process of predictive mortality risk model development using ANN. Further multicentre studies are required to

  13. Splenic marginal zone lymphoma.

    PubMed

    Piris, Miguel A; Onaindía, Arantza; Mollejo, Manuela

    Splenic marginal zone lymphoma (SMZL) is an indolent small B-cell lymphoma involving the spleen and bone marrow characterized by a micronodular tumoral infiltration that replaces the preexisting lymphoid follicles and shows marginal zone differentiation as a distinctive finding. SMZL cases are characterized by prominent splenomegaly and bone marrow and peripheral blood infiltration. Cells in peripheral blood show a villous cytology. Bone marrow and peripheral blood characteristic features usually allow a diagnosis of SMZL to be performed. Mutational spectrum of SMZL identifies specific findings, such as 7q loss and NOTCH2 and KLF2 mutations, both genes related with marginal zone differentiation. There is a striking clinical variability in SMZL cases, dependent of the tumoral load and performance status. Specific molecular markers such as 7q loss, p53 loss/mutation, NOTCH2 and KLF2 mutations have been found to be associated with the clinical variability. Distinction from Monoclonal B-cell lymphocytosis with marginal zone phenotype is still an open issue that requires identification of precise and specific thresholds with clinical meaning. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Rainfall variability and drought characteristics in two agro-climatic zones: An assessment of climate change challenges in Africa.

    PubMed

    Ayanlade, Ayansina; Radeny, Maren; Morton, John F; Muchaba, Tabitha

    2018-07-15

    This paper examines drought characteristics as an evidence of climate change in two agro-climatic zones of Nigeria and farmers' climate change perceptions of impacts and adaptation strategies. The results show high spatial and temporal rainfall variability for the stations. Consequently, there are several anomalies in rainfall in recent years but much more in the locations around the Guinea savanna. The inter-station and seasonality statistics reveal less variable and wetter early growing seasons and late growing seasons in the Rainforest zone, and more variable and drier growing seasons in other stations. The probability (p) of dry spells exceeding 3, 5 and 10 consecutive days is very high with 0.62≤p≥0.8 in all the stations, though, the p-values for 10day spells drop below 0.6 in Ibadan and Osogbo. The results further show that rainfall is much more reliable from the month of May until July with the coefficient of variance for rainy days <0.30, but less reliable in the months of March, August and October (CV-RD>0.30), though CV-RD appears higher in the month of August for all the stations. It is apparent that farmers' perceptions of drought fundamentally mirror climatic patterns from historical weather data. The study concludes that the adaptation facilities and equipment, hybrids of crops and animals are to be provided to farmers, at a subsidized price by the government, for them to cope with the current condition of climate change. Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.

  15. Two Millennia of South Atlantic Convergence Zone Variability Reconstructed From Isotopic Proxies

    NASA Astrophysics Data System (ADS)

    Novello, V. F.; Cruz, F. W.; Moquet, J. S.; Vuille, M.; de Paula, M. S.; Nunes, D.; Edwards, R. L.; Cheng, H.; Karmann, I.; Utida, G.; Stríkis, N. M.; Campos, J. L. P. S.

    2018-05-01

    Most reconstructions of the South American Monsoon System (SAMS) over the last two millennia are based on δ18O records from locations at high-elevation sites in the Andes, which are not influenced by the South Atlantic Convergence Zone (SACZ). Yet the SACZ is a key driver of SAMS variability over much of Brazil. Here we use two new δ18O records from speleothems sampled in the central and southwestern portions of the SACZ core to show that the SAMS was not varying in phase over the entire tropical continent during the last two millennia. In fact, speleothem records located to the northeast of the SACZ record precipitation variations that are antiphased with similar records on the opposite side of the SACZ, in particular during the Little Ice Age period, while records close to the core of the SACZ axis show no significant departure from the mean state during this period.

  16. Burn-center quality improvement: are burn outcomes dependent on admitting facilities and is there a volume-outcome "sweet-spot"?

    PubMed

    Hranjec, Tjasa; Turrentine, Florence E; Stukenborg, George; Young, Jeffrey S; Sawyer, Robert G; Calland, James F

    2012-05-01

    Risk factors of mortality in burn patients such as inhalation injury, patient age, and percent of total body surface area (%TBSA) burned have been identified in previous publications. However, little is known about the variability of mortality outcomes between burn centers and whether the admitting facilities or facility volumes can be recognized as predictors of mortality. De-identified data from 87,665 acute burn observations obtained from the National Burn Repository between 2003 and 2007 were used to estimate a multivariable logistic regression model that could predict patient mortality with reference to the admitting burn facility/facility volume, adjusted for differences in age, inhalation injury, %TBSA burned, and an additional factor, percent full thickness burn (%FTB). As previously reported, all three covariates (%TBSA burned, inhalation injury, and age) were found to be highly statistically significant risk factors of mortality in burn patients (P value < 0.0001). The additional variable, %FTB, was also found to be a statistically significant determinant, although it did not greatly improve the multivariable model. The treatment/admitting facility was found to be an independent mortality predictor, with certain hospitals having increased odds of death and others showing a protective effect (decreased odds ratio). Hospitals with high burn volumes had the highest risk of mortality. Mortality outcomes of patients with similar risk factors (%TBSA burned, inhalation injury, age, and %FTB) are significantly affected by the treating facility and their admission volumes.

  17. Albedo Spatial Variability and Causes on the Western Greenland Ice Sheet Percolation Zone

    NASA Astrophysics Data System (ADS)

    Lewis, G.; Osterberg, E. C.; Hawley, R. L.; Koffman, B. G.; Marshall, H. P.; Birkel, S. D.; Dibb, J. E.

    2016-12-01

    Many recent studies have concluded that Greenland Ice Sheet (GIS) mass loss has been accelerating over recent decades, but spatial and temporal variations in GIS mass balance remain poorly understood due to a complex relationship among precipitation and temperature changes, increasing melt and runoff, ice discharge, and surface albedo. Satellite measurements from MODerate resolution Imaging Spectroradiometer (MODIS) indicate that albedo has been declining over the past decade, but the cause and extent of GIS albedo change remains poorly constrained by field data. As fresh snow (albedo > 0.85) warms and melts, its albedo decreases due to snow grain growth, promoting solar absorption, higher snowpack temperatures and further melt. However, dark impurities like soot and dust can also significantly reduce snow albedo, even in the dry snow zone. While many regional climate models (e.g. the Regional Atmospheric Climate MOdel - RACMO2) calculate albedo spatial resolutions on the order of 10-30 km, and MODIS averages albedo over 500 m, surface features like sastrugi can affect albedo on much smaller scales. Here we assess the relative importance of grain size and shape vs. impurity concentrations on albedo in the western GIS percolation zone. We collected broadband albedo measurements (300-2500 nm at 3-8 nm resolution) at 35 locations using an ASD FieldSpec4 spectroradiometer to simultaneously quantify radiative fluxes and spectral reflectance. Measurements were collected on 10 x 10 m, 1 x 1 km, 5 x 5 km, and 10 x 10 km grids to determine the spatial variability of albedo as part of the 850-km Greenland Traverse for Accumulation and Climate Studies (GreenTrACS) traverse from Raven/Dye 2 to Summit. Additionally, we collected shallow (0-50 cm) snow pit samples every 5 cm at ASD measurement sites to quantify black carbon and mineral dust concentrations and size distributions using a Single Particle Soot Photometer and Coulter Counter, respectively. Preliminary results

  18. A coral-based reconstruction of Intertropical Convergence Zone variablity over Central America since 1707

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Linsley, B.K.; Dunbar, R.B.; Mucciarone, D.A.

    1994-05-15

    Seasonal movements of the Intertropical Convergence Zone (ITCZ) control precipitation patterns and cloud cover throughout the tropics. In this study the authors have reconstructed seasonal and interannual variability of the eastern Pacific ITCZ from 1984 to 1707 using subseasonal {delta}{sup 18}O analyses on a massive coral from Secas Island (7{degrees}59{prime}N, 82{degrees}3{prime}W) in the Gulf of Chiriqui, Panama. The land area that drains into the Gulf of Chiriqui has served to amplify the rainfall effect on nearshore surface waters and coral {delta}{sup 18}O{sub ppt} composition. During the protracted wet season in Panama, the {delta}{sup 18}O of precipitation ({delta}{sup 18}O{sub ppt}) ismore » reduced on average by 10{per_thousand} and sea surface salinity (SSS) along the western coast is reduced up to 11{per_thousand}. Calibration of the coral {delta}{sup 18}O{sub ppt} from Secas Island against instrumental sea surface temperature (SST), SSS, precipitation and {delta}{sup 18}O{sub ppt} data indicate that seasonal rainfall induced variations in seawater {delta}{sup 18}O are responsible for {approximately}80% of the annual {delta}{sup 18}O variance. The regularity of the reconstructed seasonal ITCZ cycle indicates that over the length of the record the zone of maximum rainfall in the eastern Pacific has always expanded north to at least Panama in every northern hemisphere summer. Significant interannual and interdecadal {delta}{sup 18}O oscillations occur at average periods near 9, 3-7 (ENSO band), 17 and 33 years (listed in order of decreasing variance). As the Gulf of Chiriqui coral {delta}{sup 18}O time series is the first paleoclimatic record of past variations in the ITCZ, other seasonal-resolution reconstructions of the past behavior of the ITCZ are required to test whether the interannual and long-term variability observed in the eastern Pacific ITCZ is more than regional in scale. 79 refs., 13 figs., 2 tabs.« less

  19. Nutritional evaluation of alcoholic inpatients admitted for alcohol detoxification.

    PubMed

    Teixeira, Joana; Mota, Teresa; Fernandes, João Cabral

    2011-01-01

    To assess nutritional risk of alcoholic patients admitted for alcohol detoxification. Screening of nutritional risk of alcoholic patients using the Malnutrition Universal Screening Tool. Fifty-three percentage patients at presentation were rated as being at medium or high risk of malnutrition. Malnutrition should be actively considered and screened for in alcoholic patients admitted for alcohol detoxification due to its high prevalence and benefits obtained from treatment.

  20. Interactions among Variables Affecting Hospital Utilization

    PubMed Central

    Ro, Kong-kyun

    1973-01-01

    For purposes of developing a more refined basis for prediction of hospital utilization using readily available demographic variables, data for some 9000 patients admitted to 22 short-term general hospitals in the Pittsburgh area are analyzed to determine the relationship of age, sex, and race to hospital use. Significant differences in length of stay and number of services used are found for various combinations of these variables when a form of multiple regression is used that allows for interaction effects among the variables. PMID:4783753

  1. Geochemical evolution of the Critical Zone across variable time scales informs concentration-discharge relationships: Jemez River Basin Critical Zone Observatory

    NASA Astrophysics Data System (ADS)

    McIntosh, Jennifer C.; Schaumberg, Courtney; Perdrial, Julia; Harpold, Adrian; Vázquez-Ortega, Angélica; Rasmussen, Craig; Vinson, David; Zapata-Rios, Xavier; Brooks, Paul D.; Meixner, Thomas; Pelletier, Jon; Derry, Louis; Chorover, Jon

    2017-05-01

    This study investigates the influence of water, carbon, and energy fluxes on solute production and transport through the Jemez Critical Zone (CZ) and impacts on C-Q relationships over variable spatial and temporal scales. Chemical depletion-enrichment profiles of soils, combined with regolith thickness and groundwater data indicate the importance to stream hydrochemistry of incongruent dissolution of silicate minerals during deep bedrock weathering, which is primarily limited by water fluxes, in this highly fractured, young volcanic terrain. Under high flow conditions (e.g., spring snowmelt), wetting of soil and regolith surfaces and presence of organic acids promote mineral dissolution and provide a constant supply of base cations, Si, and DIC to soil water and groundwater. Mixing of waters from different hydrochemical reservoirs in the near stream environment during "wet" periods leads to the chemostatic behavior of DIC, base cations, and Si in stream flow. Metals transported by organic matter complexation (i.e., Ge, Al) and/or colloids (i.e., Al) during periods of soil saturation and lateral connectivity to the stream display a positive relationship with Q. Variable Si-Q relationships, under all but the highest flow conditions, can be explained by nonconservative transport and precipitation of clay minerals, which influences long versus short-term Si weathering fluxes. By combining measurements of the CZ obtained across different spatial and temporal scales, we were able to constrain weathering processes in different hydrological reservoirs that may be flushed to the stream during hydrologic events, thereby informing C-Q relationships.

  2. Overseas visitors admitted to Queensland hospitals for water-related injuries.

    PubMed

    Wilks, J; Coory, M

    2000-09-01

    To determine the number of overseas visitors admitted to Queensland hospitals for water-related injuries over three years, the causes of their injuries, the resulting conditions treated, and the type of hospitals to which they were admitted. Retrospective analysis of admissions of overseas visitors to Queensland hospitals over the three financial years 1995/96, 1996/97 and 1997/98. 296 overseas visitors admitted for water-related injuries, identified from hospital records by their usual place of residence. Number of admissions, causes of injuries, conditions treated, and bed days occupied by these patients at different types of hospitals (metropolitan, regional and rural public hospitals, and private hospitals). The 296 overseas visitors accounted for a total of 596 separate admissions, many of these the result of patients with decompression illness being admitted several times to a regional hospital hyperbaric chamber for treatment as day patients. The largest number of injuries involved the use of diving equipment. The main conditions treated were decompression illness (54.7%), fractures and dislocations (15.5%), and drowning and non-fatal submersion (14.9%). Overall, overseas visitors admitted to hospital following a water-related incident occupied 1215 bed days; 90% of these admissions were to regional hospitals. The main reason for admission of overseas visitors is for decompression illness, suggesting that the prevention of injuries among scuba divers requires further coordinated efforts by health and tourism authorities.

  3. Predictors of suicide in the patient population admitted to a locked-door psychiatric acute ward

    PubMed Central

    Fosse, Roar; Ryberg, Wenche; Carlsson, Merete Kvalsvik; Hammer, Jan

    2017-01-01

    Objective No prior study appears to have focused on predictors of suicide in the general patient population admitted to psychiatric acute wards. We used a case-control design to investigate the association between suicide risk factors assessed systematically at admission to a locked-door psychiatric acute ward in Norway and subsequent death by suicide. Method From 2008 to 2013, patients were routinely assessed for suicide risk upon admission to the acute ward with a 17-item check list based on recommendations from the Norwegian Directorate of Health and Social Affairs. Among 1976 patients admitted to the ward, 40 patients, 22 men and 18 women, completed suicide within December 2014. Results Compared to a matched control group (n = 120), after correction for multiple tests, suicide completers scored significantly higher on two items on the check list: presence of suicidal thoughts and wishing to be dead. An additional four items were significant in non-corrected tests: previous suicide attempts, continuity of suicidal thoughts, having a suicide plan, and feelings of hopelessness, indifference, and/or aggression. A brief scale based on these six items was the only variable associated with suicide in multivariate regression analysis, but its predictive value was poor. Conclusion Suicide specific ideations may be the most central risk markers for suicide in the general patient population admitted to psychiatric acute wards. However, a low predictive value may question the utility of assessing suicide risk. PMID:28301590

  4. Genetic mutations of young patients admitted to an emergency department for syncope during sport practice.

    PubMed

    Gómez Alcaraz, Jorge; Bustamante, José; Corral, Ervigio; Casado Florez, Maria Isabel; Vivas, David; Cañadas-Godoy, Victoria; González Del Castillo, Juan; González Armengol, Juan Jorge; López-Farré, Antonio; Martín Sánchez, Francisco Javier

    2018-04-25

    To study the frequency of genetic mutations related to genetic heart disease among young patients admitted for syncope during sport practice. A case series study that included patients≤45 years admitted for syncope during sport practice during 2010-2011. We collected demographic and clinical variables, genetic tests mutations and final clinical diagnosis. A genetic test was performed in 46 (76.7%) of 60 patients evaluated. The genetic test was positive in 12 (26%; 95% CI 15.6-40.3) patients; 10 (21.7%) had PKP2 mutation related to arrhythmogenic right ventricular dysplasia mutation, one (2.2%) KCNQ1 mutation and one (2.2%) SCN5A mutation related to channelopathies. The genetic test was positive in 11 (35.5%) cases of undetermined syncope and one (50%) case of cardiac syncope, being negative in all cases with neuromediated syncopes (P=.037). Gene mutations are common in young patients suffering from syncope during sports, especially in those with cardiac or undetermined aetiology. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

  5. Decadal variability of the position and strength of the South Atlantic Convergence Zone and its relationship to precipitation variability and extremes over Southeastern Brazil

    NASA Astrophysics Data System (ADS)

    Zilli, M. T.; Carvalho, L. V.; Lintner, B. R.

    2016-12-01

    The South Atlantic Convergence Zone (SACZ) is a diagonally oriented zone of low-level convergence, convective cloudiness, and rainfall originating over South America and extending to the southeast over the Atlantic Ocean. The objective of this study is to investigate the role of variability in the position and strength of the SACZ in causing precipitation variability and extremes over the southeastern Brazilian coast (SE). To that end, we perform Empirical Orthogonal Function (EOF) analysis of total summer (DJF) precipitation from 1979 to 2013, using the National Center for Environmental Prediction (NCEP) Climate Forecast System Reanalysis (CFSR), at 0.5° spatial resolution. The first mode (EOF-1) explains 22.7% of total variance and is characterized by a dipole-like structure, with opposite signs over central South America and over central South Atlantic along the northern margin of the SACZ. The time-coefficient or principal component of EOF-1 indicates a transition from a predominantly negative phase over 1999 to 2005 to a predominantly positive phase after 2006. The positive phase is associated with an increase in total precipitation over the continent and a reduction over the central South Atlantic, along the northern margin of the SACZ. These results provide evidence of the poleward shift of the SACZ and weakening of convergence along its northern margin over the past decade, consistent with the observed recent trends in extreme precipitation over SE. Compositing reanalysis fields with respect to the PC of EOF-1 suggests changes in moisture availability and circulation that could have affected precipitation regimes over SE. In particular, an increase in available precipitable water may have enhanced convective activity over the southern portion of SE Brazil, whereas the weakening of the northerly winds may be responsible for the weakening of convergence over the northern flank of the SACZ, inhibiting convection in this region.

  6. Surveillance for West Nile virus in clinic-admitted raptors, Colorado.

    PubMed

    Nemeth, Nicole; Kratz, Gail; Edwards, Eric; Scherpelz, Judy; Bowen, Richard; Komar, Nicholas

    2007-02-01

    In 2005, 13.5% of clinic-admitted raptors in northern Colorado tested positive for West Nile virus (WNV). Clinic-admitted-raptor surveillance detected WNV activity nearly 14 weeks earlier than other surveillance systems. WNV surveillance using live raptor admissions to rehabilitation clinics may offer a novel surveillance method and should be considered along with other techniques already in use.

  7. Delineation of marine ecosystem zones in the northern Arabian Sea during winter

    NASA Astrophysics Data System (ADS)

    Shalin, Saleem; Samuelsen, Annette; Korosov, Anton; Menon, Nandini; Backeberg, Björn C.; Pettersson, Lasse H.

    2018-03-01

    The spatial and temporal variability of marine autotrophic abundance, expressed as chlorophyll concentration, is monitored from space and used to delineate the surface signature of marine ecosystem zones with distinct optical characteristics. An objective zoning method is presented and applied to satellite-derived Chlorophyll a (Chl a) data from the northern Arabian Sea (50-75° E and 15-30° N) during the winter months (November-March). Principal component analysis (PCA) and cluster analysis (CA) were used to statistically delineate the Chl a into zones with similar surface distribution patterns and temporal variability. The PCA identifies principal components of variability and the CA splits these into zones based on similar characteristics. Based on the temporal variability of the Chl a pattern within the study area, the statistical clustering revealed six distinct ecological zones. The obtained zones are related to the Longhurst provinces to evaluate how these compared to established ecological provinces. The Chl a variability within each zone was then compared with the variability of oceanic and atmospheric properties viz. mixed-layer depth (MLD), wind speed, sea-surface temperature (SST), photosynthetically active radiation (PAR), nitrate and dust optical thickness (DOT) as an indication of atmospheric input of iron to the ocean. The analysis showed that in all zones, peak values of Chl a coincided with low SST and deep MLD. The rate of decrease in SST and the deepening of MLD are observed to trigger the algae bloom events in the first four zones. Lagged cross-correlation analysis shows that peak Chl a follows peak MLD and SST minima. The MLD time lag is shorter than the SST lag by 8 days, indicating that the cool surface conditions might have enhanced mixing, leading to increased primary production in the study area. An analysis of monthly climatological nitrate values showed increased concentrations associated with the deepening of the mixed layer. The

  8. Factors Influencing Success of Conditionally Admitted Students in Graduate TESOL Programs

    ERIC Educational Resources Information Center

    Micek, Timothy A.; Kim, Soonhyang; Weinstein, Daniel A.

    2012-01-01

    Many graduate TESOL programs grapple with whether to admit applicants who fall short of meeting established admission criteria yet who show promise as future TESOL professionals. This study examined key characteristics affecting the success of candidates admitted conditionally to graduate TESOL programs. Participants were 21 students who had been…

  9. Assessment of the spatial variability in tall wheatgrass forage using LANDSAT 8 satellite imagery to delineate potential management zones.

    PubMed

    Cicore, Pablo; Serrano, João; Shahidian, Shakib; Sousa, Adelia; Costa, José Luis; da Silva, José Rafael Marques

    2016-09-01

    Little information is available on the degree of within-field variability of potential production of Tall wheatgrass (Thinopyrum ponticum) forage under unirrigated conditions. The aim of this study was to characterize the spatial variability of the accumulated biomass (AB) without nutritional limitations through vegetation indexes, and then use this information to determine potential management zones. A 27-×-27-m grid cell size was chosen and 84 biomass sampling areas (BSA), each 2 m(2) in size, were georeferenced. Nitrogen and phosphorus fertilizers were applied after an initial cut at 3 cm height. At 500 °C day, the AB from each sampling area, was collected and evaluated. The spatial variability of AB was estimated more accurately using the Normalized Difference Vegetation Index (NDVI), calculated from LANDSAT 8 images obtained on 24 November 2014 (NDVInov) and 10 December 2014 (NDVIdec) because the potential AB was highly associated with NDVInov and NDVIdec (r (2)  = 0.85 and 0.83, respectively). These models between the potential AB data and NDVI were evaluated by root mean squared error (RMSE) and relative root mean squared error (RRMSE). This last coefficient was 12 and 15 % for NDVInov and NDVIdec, respectively. Potential AB and NDVI spatial correlation were quantified with semivariograms. The spatial dependence of AB was low. Six classes of NDVI were analyzed for comparison, and two management zones (MZ) were established with them. In order to evaluate if the NDVI method allows us to delimit MZ with different attainable yields, the AB estimated for these MZ were compared through an ANOVA test. The potential AB had significant differences among MZ. Based on these findings, it can be concluded that NDVI obtained from LANDSAT 8 images can be reliably used for creating MZ in soils under permanent pastures dominated by Tall wheatgrass.

  10. Calculation method for steady-state pollutant concentration in mixing zones considering variable lateral diffusion coefficient.

    PubMed

    Wu, Wen; Wu, Zhouhu; Song, Zhiwen

    2017-07-01

    Prediction of the pollutant mixing zone (PMZ) near the discharge outfall in Huangshaxi shows large error when using the methods based on the constant lateral diffusion assumption. The discrepancy is due to the lack of consideration of the diffusion coefficient variation. The variable lateral diffusion coefficient is proposed to be a function of the longitudinal distance from the outfall. Analytical solution of the two-dimensional advection-diffusion equation of a pollutant is derived and discussed. Formulas to characterize the geometry of the PMZ are derived based on this solution, and a standard curve describing the boundary of the PMZ is obtained by proper choices of the normalization scales. The change of PMZ topology due to the variable diffusion coefficient is then discussed using these formulas. The criterion of assuming the lateral diffusion coefficient to be constant without large error in PMZ geometry is found. It is also demonstrated how to use these analytical formulas in the inverse problems including estimating the lateral diffusion coefficient in rivers by convenient measurements, and determining the maximum allowable discharge load based on the limitations of the geometrical scales of the PMZ. Finally, applications of the obtained formulas to onsite PMZ measurements in Huangshaxi present excellent agreement.

  11. Management and outcomes of neonates with down syndrome admitted to neonatal units.

    PubMed

    Mann, Jake P; Statnikov, Eugene; Modi, Neena; Johnson, Nik; Springett, Anna; Morris, Joan K

    2016-06-01

    Neonates with Down syndrome have an increased risk of being admitted to a neonatal unit compared with unaffected neonates. We aimed to estimate the proportion of neonates with Down syndrome admitted to a neonatal unit and compare their management and outcomes with other neonatal admissions. Case-control study of neonates born from 2009 to 2011 admitted to 122 NHS Neonatal Units in England using data from the National Down Syndrome Cytogenetic Register and the National Neonatal Research Database. For each neonate with Down syndrome, three neonates admitted to the same unit in the same month and born at the same gestation were identified. Forty-six percent of neonates with Down syndrome were admitted to a neonatal unit. Boys were more likely to be admitted than girls (odds ratio = 1.7; 95% confidence interval, 1.4-2.0). Neonates with Down syndrome required more intensive or high dependency care compared with unaffected neonates (37% vs. 27%. p < 0.01) and stayed in neonatal units for longer (11 days vs. 5 days, p < 0.01). A total of 31% of neonates with Down syndrome required respiratory support compared with 22% (p < 0.001) of unaffected neonates, and 11% were discharged requiring oxygen supplementation compared with 3% (p < 0.001) of unaffected neonates. A total of 3% of neonates with Down syndrome died in a neonatal unit compared with 1% (p = 0.01) of unaffected neonates. Neonates with Down syndrome are more likely than unaffected neonates to be admitted to a neonatal unit, have a prolonged stay, and be discharged home on supplemental oxygen. Birth Defects Research (Part A) 106:468-474, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace

    PubMed Central

    Manzano Nunez, Ramiro; Parra, Michael W; Herrera, Juan Pablo; Naranjo, Maria Paula; Escobar, Sara Sofia; Badiel, Marisol; Morales, Monica; Cevallos, Cecibel; Bayona, Juan G; Sanchez, Alvaro Ignacio; Puyana, Juan Carlos; García, Alberto F

    2017-01-01

    Abstract Aim: Our objective was to describe the variations in casualties admitted to the emergency department during the period of the negotiation of the comprehensive peace agreement in Colombia between 2011 and 2016. Methods: A retrospective study of all hostile military casualties managed at a regional Level I trauma center from January 2011 to December 2016. Patients were subsequently divided into two groups: those seen before the declaration of the process of peace truce (November 2012) and those after (negotiation period). Variables were compared with respect to periods Results: A total of 448 hostile casualties were registered. There was a gradual decline in the number of admissions to the emergency department during the negotiation period. The number of soldiers suffering blast and rifle injuries also decreased over this period. In 2012 there were nearly 150 hostile casualties' admissions to the ER. This number decreased to 84, 63, 32 and 6 in 2013, 2014, 2015 and 2016 respectively. Both, the proportion of patients with an ISS ≥9 and admitted to the intensive care unit were significantly higher in the period before peace negotiation. From August to December/2016 no admissions of war casualties were registered. Conclusion: We describe a series of soldiers wounded in combat that were admitted to the emergency department before and during the negotiation of the Colombian process of peace. Overall, we found a trend toward a decrease in the number of casualties admitted to the emergency department possibly in part, as a result of the period of peace negotiation. PMID:29662256

  13. Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace.

    PubMed

    Ordoñez, Carlos A; Manzano Nunez, Ramiro; Parra, Michael W; Herrera, Juan Pablo; Naranjo, Maria Paula; Escobar, Sara Sofia; Badiel, Marisol; Morales, Monica; Cevallos, Cecibel; Bayona, Juan G; Sanchez, Alvaro Ignacio; Puyana, Juan Carlos; García, Alberto F

    2017-12-30

    Our objective was to describe the variations in casualties admitted to the emergency department during the period of the negotiation of the comprehensive peace agreement in Colombia between 2011 and 2016. A retrospective study of all hostile military casualties managed at a regional Level I trauma center from January 2011 to December 2016. Patients were subsequently divided into two groups: those seen before the declaration of the process of peace truce (November 2012) and those after (negotiation period). Variables were compared with respect to periods. A total of 448 hostile casualties were registered. There was a gradual decline in the number of admissions to the emergency department during the negotiation period. The number of soldiers suffering blast and rifle injuries also decreased over this period. In 2012 there were nearly 150 hostile casualties' admissions to the ER. This number decreased to 84, 63, 32 and 6 in 2013, 2014, 2015 and 2016 respectively. Both, the proportion of patients with an ISS ≥9 and admitted to the intensive care unit were significantly higher in the period before peace negotiation. From August to December/2016 no admissions of war casualties were registered. We describe a series of soldiers wounded in combat that were admitted to the emergency department before and during the negotiation of the Colombian process of peace. Overall, we found a trend toward a decrease in the number of casualties admitted to the emergency department possibly in part, as a result of the period of peace negotiation.

  14. The structure of Leibniz superalgebras admitting a multiplicative basis

    NASA Astrophysics Data System (ADS)

    Albuquerque, Helena; Barreiro, Elisabete; Calderón Martín, Antonio J.; Sánchez Delgado, José M.

    2016-12-01

    In the literature, most of the descriptions of different classes of Leibniz superalgebras (L =L0bar ⊕L1bar , [ ṡ , ṡ ]) have been made by giving the multiplication table on the elements of a graded basis B ={vk } k ∈ K of L, in such a way that for any i , j ∈ K we have [vi ,vj ] =λi,j [vj ,vi ] ∈ Fvk for some k ∈ K, where F denotes the base field and λi,j ∈ F. In order to give a unifying viewpoint of all these classes of algebras we introduce the category of Leibniz superalgebras admitting a multiplicative basis and study its structure. We show that if a Leibniz superalgebra L =L0bar ⊕L1bar admits a multiplicative basis then it is the direct sum L =⨁αIα with any Iα =I α , 0 bar ⊕I α , 1 bar being a well described ideal of L admitting a multiplicative basis inherited from B. Also the B-simplicity of L is characterized in terms of J-connections.

  15. Outcomes in patients with community-acquired pneumonia admitted to the intensive care unit.

    PubMed

    Cavallazzi, Rodrigo; Wiemken, Timothy; Arnold, Forest W; Luna, Carlos M; Bordon, Jose; Kelley, Robert; Feldman, Charles; Chalmers, James D; Torres, Antoni; Ramirez, Julio

    2015-06-01

    Severe community-acquired pneumonia (CAP) portends a serious prognosis. The temporal trend in outcome of severe CAP is not well established. We evaluated the temporal trends in the outcomes of severe CAP. This is a secondary analysis of 800 patients with severe CAP enrolled in the Community-Acquired Pneumonia Organization International Cohort. Severe CAP was defined as CAP requiring admission to the intensive care unit. Only patients admitted to the ICU upon hospital admission were included in this study. We assessed the trend in outcomes of these patients during three time periods: Period I (June 2001 to April 2004), Period II (May 2004 to January 31 2008), and Period III (February 2008 to February 2013). After adjustment for other variables, mortality was higher for patients admitted during Period II compared with Period I (RR: 1.46; 95% CI: 1.002 to 2.14; P value = 0.049), and for Period III compared with Period I (RR: 1.70; 95% CI: 1.15 to 2.50; P value = 0.008). No significant difference in length of stay or time to clinical stability was found among the three periods. The mortality of patients with severe CAP increased over time in our study population. This finding has important health policy implications if confirmed by other studies. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Mapping and Assessing Variability in the Antarctic Marginal Ice Zone, the Pack Ice and Coastal Polynyas

    NASA Astrophysics Data System (ADS)

    Stroeve, Julienne; Jenouvrier, Stephanie

    2016-04-01

    Sea ice variability within the marginal ice zone (MIZ) and polynyas plays an important role for phytoplankton productivity and krill abundance. Therefore mapping their spatial extent, seasonal and interannual variability is essential for understanding how current and future changes in these biological active regions may impact the Antarctic marine ecosystem. Knowledge of the distribution of different ice types to the total Antarctic sea ice cover may also help to shed light on the factors contributing towards recent expansion of the Antarctic ice cover in some regions and contraction in others. The long-term passive microwave satellite data record provides the longest and most consistent data record for assessing different ice types. However, estimates of the amount of MIZ, consolidated pack ice and polynyas depends strongly on what sea ice algorithm is used. This study uses two popular passive microwave sea ice algorithms, the NASA Team and Bootstrap to evaluate the distribution and variability in the MIZ, the consolidated pack ice and coastal polynyas. Results reveal the NASA Team algorithm has on average twice the MIZ and half the consolidated pack ice area as the Bootstrap algorithm. Polynya area is also larger in the NASA Team algorithm, and the timing of maximum polynya area may differ by as much as 5 months between algorithms. These differences lead to different relationships between sea ice characteristics and biological processes, as illustrated here with the breeding success of an Antarctic seabird.

  17. Population characteristics of feral cats admitted to seven trap-neuter-return programs in the United States.

    PubMed

    Wallace, Jennifer L; Levy, Julie K

    2006-08-01

    Internationally, large populations of feral cats constitute an important and controversial issue due to their impact on cat overpopulation, animal welfare, public health, and the environment, and to disagreement about what are the best methods for their control. Trap-neuter-return (TNR) programs are an increasingly popular alternative to mass euthanasia. The objective of this study was to determine the population characteristics of feral cats admitted to large-scale TNR programs from geographically diverse locations in the United States. Data from 103,643 feral cats admitted to TNR programs from 1993 to 2004 were evaluated. All groups reported more intact females (53.4%) than intact males (44.3%); only 2.3% of the cats were found to be previously sterilized. Overall, 15.9% of female cats were pregnant at the time of surgery. Pregnancy was highly seasonal and peaked between March and April for all of the groups. The average prenatal litter size was 4.1+/-0.1 fetuses per litter. Cryptorchidism was observed in 1.3% of male cats admitted for sterilization. A total of 0.4% of cats was euthanased because of the presence of debilitating conditions, and 0.4% died during the TNR clinics. Remarkably similar populations of cats with comparable seasonal variability were seen at each program, despite their wide geographical distribution. These results suggest that it is feasible to safely sterilize large numbers of feral cats and that the experiences of existing programs are a consistent source of information upon which to model new TNR programs.

  18. Change in quality of life of people with dementia recently admitted to long-term care facilities.

    PubMed

    Beerens, Hanneke C; Zwakhalen, Sandra M G; Verbeek, Hilde; Ruwaard, Dirk; Ambergen, Antonius W; Leino-Kilpi, Helena; Stephan, Astrid; Zabalegui, Adelaida; Soto, Maria; Saks, Kai; Bökberg, Christina; Sutcliffe, Caroline L; Hamers, Jan P H

    2015-06-01

    To assess which factors are associated with change in quality of life of people with dementia who have recently been admitted to long-term care facilities. Many people with dementia will be admitted to long-term care facilities at some point during their disease. It is currently unknown which factors are associated with improvement and/or deterioration of quality of life immediately following admission. An observational and longitudinal survey. Data on 343 people with dementia who have been recently admitted to long-term care facilities across eight European countries were collected between November 2010-April 2012. Quality of life was assessed by people with dementia and their proxies using the 'Quality of Life-Alzheimer's Disease scale'. Explanatory variables included cognitive status, comorbidities, activities of daily living, depressive symptoms and neuropsychiatric symptoms. Descriptive and multilevel regression analyses were performed. Better cognitive abilities at baseline were associated with a decrease in self-reported quality of life. Greater dependency and more depressive symptoms at baseline were associated with declined proxy-reported quality of life. Furthermore, an increased dependency and an increase of depressive symptoms between baseline and follow-up were associated with a decreased proxy-reported quality of life. On an individual level, three groups were identified, namely people whose quality of life: (1) decreased; (2) stayed the same; and (3) increased. Cognitive functioning, functional rehabilitation and treatment of depressive symptoms should receive special attention. However, quality of life of people with dementia does not necessarily decrease after institutionalization. © 2014 John Wiley & Sons Ltd.

  19. RIEMANNIAN MANIFOLDS ADMITTING A CONFORMAL TRANSFORMATION GROUP

    PubMed Central

    Yano, Kentaro

    1969-01-01

    Let M be a Riemannian manifold with constant scalar curvature K which admits an infinitesimal conformal transformation. A necessary and sufficient condition in order that it be isometric with a sphere is obtained. Inequalities giving upper and lower bounds for K are also derived. PMID:16578692

  20. 9 CFR 96.9 - Casings admitted on disinfection; sealing; transfer and disinfection.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Casings admitted on disinfection; sealing; transfer and disinfection. 96.9 Section 96.9 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.9 Casings admitted on disinfection; sealing; transfer and disinfection. Foreign animal...

  1. 9 CFR 96.9 - Casings admitted on disinfection; sealing; transfer and disinfection.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Casings admitted on disinfection; sealing; transfer and disinfection. 96.9 Section 96.9 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.9 Casings admitted on disinfection; sealing; transfer and disinfection. Foreign animal...

  2. 9 CFR 96.9 - Casings admitted on disinfection; sealing; transfer and disinfection.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Casings admitted on disinfection; sealing; transfer and disinfection. 96.9 Section 96.9 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.9 Casings admitted on disinfection; sealing; transfer and disinfection. Foreign animal...

  3. Selected medical students achieve better than lottery-admitted students during clerkships.

    PubMed

    Urlings-Strop, Louise C; Themmen, Axel P N; Stijnen, Theo; Splinter, Ted A W

    2011-10-01

    A recent controlled study by our group showed that the dropout rate in the first 2 years of study of medical students selected for entry by the assessment of a combination of non-cognitive and cognitive abilities was 2.6 times lower than that of a control group of students admitted by lottery. The aim of the present study was to compare the performance of these two groups in the clinical phase. A prospective cohort study was performed to compare the performance of 389 medical students admitted by selection with that of 938 students admitted by weighted lottery between 2001 and 2004. Follow-up of these cohorts lasted 5.5-8.5 years. The main outcome measures were the mean grade obtained on the first five discipline-specific clerkships by all cohorts and the mean grade achieved on all 10 clerkships by the cohorts of 2001 and 2002. Selected students obtained a significantly higher mean grade during their first five clerkships than lottery-admitted students (mean ± standard error [SE] 7.95 ± 0.03, 95% confidence interval [CI] 7.90-8.00 versus mean ± SE 7.84 ± 0.02, 95% CI 7.81-7.87; p < 0.001). This difference reflected the fact that selected students achieved a grade of ≥ 8.0 1.5 times more often than lottery-admitted students. An analysis of all mean grades awarded on 10 clerkships revealed the same results. Moreover, the longer follow-up period over the clerkships showed that the relative risk for dropout was twice as low in the selected student group as in the lottery-admitted student group. The selected group received significantly higher mean grades on their first five clerkships, which could not be attributed to factors other than the selection procedure. Although the risk for dropout before the clinical phase increased somewhat in both groups, the actual dropout rate proved to be twice as low in the selected group. © Blackwell Publishing Ltd 2011.

  4. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Answer admitting facts. 71.65 Section 71.65 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... and such answer although such an answer shall not affect the respondent's right to submit proposed...

  5. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2013-04-01 2013-04-01 false Answer admitting facts. 71.65 Section 71.65 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... and such answer although such an answer shall not affect the respondent's right to submit proposed...

  6. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2012-04-01 2011-04-01 true Answer admitting facts. 71.65 Section 71.65 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... and such answer although such an answer shall not affect the respondent's right to submit proposed...

  7. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2011-04-01 2011-04-01 false Answer admitting facts. 71.65 Section 71.65 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... and such answer although such an answer shall not affect the respondent's right to submit proposed...

  8. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Answer admitting facts. 71.65 Section 71.65 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... and such answer although such an answer shall not affect the respondent's right to submit proposed...

  9. Defining an Abrasion Index for Lunar Surface Systems as a Function of Dust Interaction Modes and Variable Concentration Zones

    NASA Technical Reports Server (NTRS)

    Kobrick, Ryan L.; Klaus, David M.; Street, Kenneth W., Jr.

    2010-01-01

    Unexpected issues were encountered during the Apollo era of lunar exploration due to detrimental abrasion of materials upon exposure to the fine-grained, irregular shaped dust on the surface of the Moon. For critical design features involving contact with the lunar surface and for astronaut safety concerns, operational concepts and dust tolerance must be considered in the early phases of mission planning. To systematically define material selection criteria, dust interaction can be characterized by two-body or three-body abrasion testing, and subcategorically by physical interactions of compression, rolling, sliding and bending representing specific applications within the system. Two-body abrasion occurs when a single particle or asperity slides across a given surface removing or displacing material. Three-body abrasion occurs when multiple particles interact with a solid surface, or in between two surfaces, allowing the abrasives to freely rotate and interact with the material(s), leading to removal or displacement of mass. Different modes of interaction are described in this paper along with corresponding types of tests that can be utilized to evaluate each configuration. In addition to differential modes of abrasion, variable concentrations of dust in different zones can also be considered for a given system design and operational protocol. These zones include: (1) outside the habitat where extensive dust exposure occurs, (2) in a transitional zone such as an airlock or suitport, and (3) inside the habitat or spacesuit with a low particle count. These zones can be used to help define dust interaction frequencies, and corresponding risks to the systems and/or crew can be addressed by appropriate mitigation strategies. An abrasion index is introduced that includes the level of risk, R, the hardness of the mineralogy, H, the severity of the abrasion mode, S, and the frequency of particle interactions, F.

  10. Multichannel imager for littoral zone characterization

    NASA Astrophysics Data System (ADS)

    Podobna, Yuliya; Schoonmaker, Jon; Dirbas, Joe; Sofianos, James; Boucher, Cynthia; Gilbert, Gary

    2010-04-01

    This paper describes an approach to utilize a multi-channel, multi-spectral electro-optic (EO) system for littoral zone characterization. Advanced Coherent Technologies, LLC (ACT) presents their EO sensor systems for the surf zone environmental assessment and potential surf zone target detection. Specifically, an approach is presented to determine a Surf Zone Index (SZI) from the multi-spectral EO sensor system. SZI provides a single quantitative value of the surf zone conditions delivering an immediate understanding of the area and an assessment as to how well an airborne optical system might perform in a mine countermeasures (MCM) operation. Utilizing consecutive frames of SZI images, ACT is able to measure variability over time. A surf zone nomograph, which incorporates targets, sensor, and environmental data, including the SZI to determine the environmental impact on system performance, is reviewed in this work. ACT's electro-optical multi-channel, multi-spectral imaging system and test results are presented and discussed.

  11. [Predictors of the therapeutic discharge in patients with dual pathology admitted to a therapeutic community with a psychiatric unit].

    PubMed

    Madoz-Gúrpide, Agustín; García Vicent, Vicente; Luque Fuentes, Encarnación; Ochoa Mangado, Enriqueta

    2013-01-01

    This study aims to analyze the variables on which depends therapeutic discharge, in patients with a severe dual diagnosis admitted to a professional therapeutic community where their pathology is treated. 325 patients admitted between June 2000 and June 2009 to the therapeutic community. This is a retrospective, cross-sectional study with no control group, based on the detailed analysis of the information collected in a model of semi-structured clinical interview designed in the therapeutic community. The 29.5% of the individuals included in the sample were therapeutically discharged. Of all the variables introduced in this analysis the most significant ones were gender, age at the beginning of treatment, education level, opiate dependence, polidrug abuse, and the presence of psychotic disorders and borderline personality disorder. In our study, gender determines the type of discharge, being therapeutic discharge more frequent among women. A higher educational also increases a better prognosis with a higher rate of therapeutic discharge among individuals with higher education level. A later age at the beginning of the treatment reduces the likelihood of therapeutic discharge. Likewise, polidrug abuse, diagnosis of psychotic disorders and borderline personality disorder are associated to a lower rate of therapeutic discharge. Recognizing these characteristics will allow the early identification of those patients more at risk of dropping treatment hastily, while trying to prevent it by increasing the therapeutic intensity.

  12. Modeling work zone crash frequency by quantifying measurement errors in work zone length.

    PubMed

    Yang, Hong; Ozbay, Kaan; Ozturk, Ozgur; Yildirimoglu, Mehmet

    2013-06-01

    Work zones are temporary traffic control zones that can potentially cause safety problems. Maintaining safety, while implementing necessary changes on roadways, is an important challenge traffic engineers and researchers have to confront. In this study, the risk factors in work zone safety evaluation were identified through the estimation of a crash frequency (CF) model. Measurement errors in explanatory variables of a CF model can lead to unreliable estimates of certain parameters. Among these, work zone length raises a major concern in this analysis because it may change as the construction schedule progresses generally without being properly documented. This paper proposes an improved modeling and estimation approach that involves the use of a measurement error (ME) model integrated with the traditional negative binomial (NB) model. The proposed approach was compared with the traditional NB approach. Both models were estimated using a large dataset that consists of 60 work zones in New Jersey. Results showed that the proposed improved approach outperformed the traditional approach in terms of goodness-of-fit statistics. Moreover it is shown that the use of the traditional NB approach in this context can lead to the overestimation of the effect of work zone length on the crash occurrence. Copyright © 2013 Elsevier Ltd. All rights reserved.

  13. A note on specific variability of long surface gravity waves and drag coefficient in coastal upwelling zone

    NASA Astrophysics Data System (ADS)

    Krzyścin, Janusz

    1990-01-01

    In this paper we solve analytically wave kinematic equations and the wave energy transport equation, for basic long surface gravity wave in the coastal upwelling zone. Using Gent and Taylor's (1978) parameterization of drag coefficient (which includes interaction between long surface waves and the air flow) we find variability of this coefficient due to wave amplification and refraction caused by specific surface water current in the region. The drag coefficient grows towards the shore. The growth is faster for stronger current. When the angle between waves and the current is less than 90° the growth is mainly connected with the waves steepness, but when the angle is larger, it is caused by relative growth of the wave phase velocity.

  14. Survival status and predictors of mortality among severely acute malnourished children <5 years of age admitted to stabilization centers in Gedeo Zone: a retrospective cohort study.

    PubMed

    Girum, Tadele; Kote, Mesfin; Tariku, Befikadu; Bekele, Henok

    2017-01-01

    Despite the existence of standard protocol, many stabilization centers (SCs) continue to experience high mortality of children receiving treatment for severe acute malnutrition. Assessing treatment outcomes and identifying predictors may help to overcome this problem. Therefore, a 30-month retrospective cohort study was conducted among 545 randomly selected medical records of children <5 years of age admitted to SCs in Gedeo Zone. Data was entered by Epi Info version 7 and analyzed by STATA version 11. Cox proportional hazards model was built by forward stepwise procedure and compared by the likelihood ratio test and Harrell's concordance, and fitness was checked by Cox-Snell residual plot. During follow-up, 51 (9.3%) children had died, and 414 (76%) and 26 (4.8%) children had recovered and defaulted (missed follow-up for 2 consecutive days), respectively. The survival rates at the end of the first, second and third weeks were 95.3%, 90% and 85%, respectively, and the overall mean survival time was 79.6 days. Age <24 months (adjusted hazard ratio [AHR] =2.841, 95% confidence interval [CI] =1.101-7.329), altered pulse rate (AHR =3.926, 95% CI =1.579-9.763), altered temperature (AHR =7.173, 95% CI =3.05-16.867), shock (AHR =3.805, 95% CI =1.829-7.919), anemia (AHR =2.618, 95% CI =1.148-5.97), nasogastric tube feeding (AHR =3.181, 95% CI =1.18-8.575), hypoglycemia (AHR =2.74, 95% CI =1.279-5.87) and treatment at hospital stabilization center (AHR =4.772, 95% CI =1.638-13.9) were independent predictors of mortality. The treatment outcomes and incidence of death were in the acceptable ranges of national and international standards. Intervention to further reduce deaths has to focus on young children with comorbidities and altered general conditions.

  15. Spatial Variability of Soil-Water Storage in the Southern Sierra Critical Zone Observatory: Measurement and Prediction

    NASA Astrophysics Data System (ADS)

    Oroza, C.; Bales, R. C.; Zheng, Z.; Glaser, S. D.

    2017-12-01

    Predicting the spatial distribution of soil moisture in mountain environments is confounded by multiple factors, including complex topography, spatial variably of soil texture, sub-surface flow paths, and snow-soil interactions. While remote-sensing tools such as passive-microwave monitoring can measure spatial variability of soil moisture, they only capture near-surface soil layers. Large-scale sensor networks are increasingly providing soil-moisture measurements at high temporal resolution across a broader range of depths than are accessible from remote sensing. It may be possible to combine these in-situ measurements with high-resolution LIDAR topography and canopy cover to estimate the spatial distribution of soil moisture at high spatial resolution at multiple depths. We study the feasibility of this approach using six years (2009-2014) of daily volumetric water content measurements at 10-, 30-, and 60-cm depths from the Southern Sierra Critical Zone Observatory. A non-parametric, multivariate regression algorithm, Random Forest, was used to predict the spatial distribution of depth-integrated soil-water storage, based on the in-situ measurements and a combination of node attributes (topographic wetness, northness, elevation, soil texture, and location with respect to canopy cover). We observe predictable patterns of predictor accuracy and independent variable ranking during the six-year study period. Predictor accuracy is highest during the snow-cover and early recession periods but declines during the dry period. Soil texture has consistently high feature importance. Other landscape attributes exhibit seasonal trends: northness peaks during the wet-up period, and elevation and topographic-wetness index peak during the recession and dry period, respectively.

  16. Fractional flow reserve-guided revascularization: practical implications of a diagnostic gray zone and measurement variability on clinical decisions.

    PubMed

    Petraco, Ricardo; Sen, Sayan; Nijjer, Sukhjinder; Echavarria-Pinto, Mauro; Escaned, Javier; Francis, Darrel P; Davies, Justin E

    2013-03-01

    This study sought to evaluate the effects of fractional flow reserve (FFR) measurement variability on FFR-guided treatment strategy. Current appropriateness guidelines recommend the utilization of FFR to guide coronary revascularization based on a fixed cut-off of 0.8. This rigid approach does not take into account the intrinsic biological variability of a single FFR result and the clinical judgment of experienced interventional cardiologists. [corrected]. FFR reproducibility data from the landmark Deferral Versus Performance of PTCA in Patients Without Documented Ischemia (DEFER) trial was analyzed (two repeated FFR measurements in the same lesion, 10 min apart) and the standard deviation of the difference (SDD) between repeated measurements was calculated. The measurement certainty (probability that the FFR-guided revascularization strategy will not change if the test is repeated 10 min later) was subsequently established across the whole range of FFR values, from 0.2 to 1. Outside the [0.75 to 0.85] FFR range, measurement certainty of a single FFR result is >95%. However, closer to its cut-off, certainty falls to less than 80% within 0.77 to 0.83, reaching a nadir of 50% around 0.8. In clinical practice, that means that each time a single FFR value falls between 0.75 and 0.85, there is a chance that the FFR-derived revascularization recommendation will change if the measurement is repeated 10 min later, with this chance increasing the closer the FFR result is to 0.8. A measurement FFR gray-zone is found between 0.75 and 0.85]. Therefore, clinicians should make revascularization decisions based on broadened clinical judgment when a single FFR result falls within this uncertainty zone, particularly between 0.77 and 0.83, when measurement certainty falls to less than 80%. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Spatio-temporal variability of urban heat islands in local climate zones of Delhi-NCR

    NASA Astrophysics Data System (ADS)

    Budhiraja, Bakul; Pathak, Prasad; Agrawal, Girish

    2017-10-01

    Land use change is at the nexus of human territory expansion and urbanization. Human intrusion disturbs the natural heat energy balance of the area, although a new equilibrium of energy flux is attained but with greater diurnal range and adversely affecting the geo/physical variables. Modification in the trend of these variables causes a phenomenon known as Urban Heat Island (UHI) i.e. a dome of heat is formed around the city which has 7-10 °C high temperature than the nearby rural area at night. The study focuses on Surface UHI conventionally studied using thermal band of the remotely sensed satellite images. Land Surface Temperature (LST) is determined for the year 2015 using Landsat 8 for Delhi National Capital Region (NCR). This region was chosen because it is the biggest urban agglomeration in India, many satellite cities are coming in periphery and it has temperate climate. Quantification of UHI is predictably done using UHI intensity that is the difference between representative Urban and rural temperature. Recently the definition of urban and rural has been questioned because of various kinds of configurations of urban spaces across the globe. Delhi NCR urban configurations vary spatially- thus one UHI intensity does not give a deep understanding of the micro-climate. Advancement was made recently to standardize UHI intensity by dividing city into Local Climate Zones (LCZ), comes with 17 broad categories. LCZ map of Delhi NCR has been acquired from World Urban Database. The seasonality in LST across LCZ has been determined along with identifying warmest and coolest LCZ.

  18. An overview of dry-wet climate variability among monsoon-westerly regions and the monsoon northernmost marginal active zone in China

    NASA Astrophysics Data System (ADS)

    Qian, Weihong; Ding, Ting; Hu, Haoran; Lin, Xiang; Qin, Aimin

    2009-07-01

    Climate in mainland China can be divided into the monsoon region in the southeast and the westerly region in the northwest as well as the intercross zone, i.e., the monsoon northernmost marginal active zone that is oriented from Southwest China to the upper Yellow River, North China, and Northeast China. In the three regions, dry-wet climate changes are directly linked to the interaction of the southerly monsoon flow on the east side of the Tibetan Plateau and the westerly flow on the north side of the Plateau from the inter-annual to inter-decadal timescales. Some basic features of climate variability in the three regions for the last half century and the historical hundreds of years are reviewed in this paper. In the last half century, an increasing trend of summer precipitation associated with the enhancing westerly flow is found in the westerly region from Xinjiang to northern parts of North China and Northeast China. On the other hand, an increasing trend of summer precipitation along the Yangtze River and a decreasing trend of summer precipitation along the monsoon northernmost marginal active zone are associated with the weakening monsoon flow in East Asia. Historical documents are widely distributed in the monsoon region for hundreds of years and natural climate proxies are constructed in the non-monsoon region, while two types of climate proxies can be commonly found over the monsoon northernmost marginal active zone. In the monsoon region, dry-wet variation centers are altered among North China, the lower Yangtze River, and South China from one century to another. Dry or wet anomalies are firstly observed along the monsoon northernmost marginal active zone and shifted southward or southeastward to the Yangtze River valley and South China in about a 70-year timescale. Severe drought events are experienced along the monsoon northernmost marginal active zone during the last 5 centuries. Inter-decadal dry-wet variations are depicted by natural proxies for the

  19. Glycaemic variability in patients with severe sepsis or septic shock admitted to an Intensive Care Unit.

    PubMed

    Silveira, L M; Basile-Filho, A; Nicolini, E A; Dessotte, C A M; Aguiar, G C S; Stabile, A M

    2017-08-01

    Sepsis is associated with morbidity and mortality, which implies high costs to the global health system. Metabolic alterations that increase glycaemia and glycaemic variability occur during sepsis. To verify mean body glucose levels and glycaemic variability in Intensive Care Unit (ICU) patients with severe sepsis or septic shock. Retrospective and exploratory study that involved collection of patients' sociodemographic and clinical data and calculation of severity scores. Glycaemia measurements helped to determine glycaemic variability through standard deviation and mean amplitude of glycaemic excursions. Analysis of 116 medical charts and 6730 glycaemia measurements revealed that the majority of patients were male and aged over 60 years. Surgical treatment was the main reason for ICU admission. High blood pressure and diabetes mellitus were the most usual comorbidities. Patients that died during the ICU stay presented the highest SOFA scores and mean glycaemia; they also experienced more hypoglycaemia events. Patients with diabetes had higher mean glycaemia, evaluated through standard deviation and mean amplitude of glycaemia excursions. Organic impairment at ICU admission may underlie glycaemic variability and lead to a less favourable outcome. High glycaemic variability in patients with diabetes indicates that monitoring of these individuals is crucial to ensure better outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015.

    PubMed

    Haftu, Hansa; Hailu, Tedrose; Medhaniye, Araya; G/Tsadik, Teklit

    2018-05-24

    To describe admission pattern and outcome with its predictor variable on the mortality of children admitted to pediatric intensive care unit (PICU), Ayder Referral Hospital, Northern Ethiopia, from September 2012 to August 2014. From 680 admitted patients, 400 patients were analyzed. Average age at admission was 62.99 ± 60.94 months, with F:M ratio of 1:1.2. Overall (from infectious and non-infectious) the most commonly affected systems were respiratory (90/400 pts., 22.5%) and central nervous system (83/400 pts., 20.75%). Most were admitted due to meningitis (44/400 pts., 11%), post-operative (43/400 pts., 10.8%) and acute glomerulonephritis (41/400 pts., 10.3%). The overall mortality rate was 8.5%. Multivariable logistic regression shows, use of inotropes (p = 0.000), need for mechanical ventilator (p = 0.007) and presence of comorbid illness (p = 0.002), infectious cause (p = 0.015) and low level of Glasgow coma scale less than eight (p = 0.04) were independent predictors of mortality. From this study, common cause of PICU admission and death was meningitis. This highlights the importance of focusing on the preventable methods in the public such as vaccine, creating awareness about hygiene, and expanding ICU for early detection and for treatment acutely ill children.

  1. [Infectious diseases in the adult population admitted to a general hospital].

    PubMed

    Ramos, José M; Pinargote, Héctor; Torrús, Diego; Sánchez-Martínez, Rosario; Merino, Esperanza; Portilla, Joaquín

    2015-10-01

    To determine the infectious diseases (ID) that led to hospital admission of the foreign population>14 years. A retrospective study of foreign patients admitted to hospital (2000-2012). A total of 3,087 foreigners were admitted with infectious diseases. Of these, 73.6% were from low income countries, and 26.4% from high income countries. Most of them (86.9%) were admitted with common ID, 11.8% with transmissible ID, and 1.6% with tropical ID. Tropical ID and transmissible ID were higher in patients from low income countries (14.7%) than from high income countries (9.7%, p<0.001). The main tropical ID was malaria (74%). The main transmissible ID were tuberculosis (40.3%), hepatitis (27.8%), and HIV/AIDS (27.5%). Common ID were the main reason for admission in foreign population. Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  2. Reduction of admit wait times: the effect of a leadership-based program.

    PubMed

    Patel, Pankaj B; Combs, Mary A; Vinson, David R

    2014-03-01

    Prolonged admit wait times in the emergency department (ED) for patients who require hospitalization lead to increased boarding time in the ED, a significant cause of ED congestion. This is associated with decreased quality of care, higher morbidity and mortality, decreased patient satisfaction, increased costs for care, ambulance diversion, higher numbers of patients who leave without being seen (LWBS), and delayed care with longer lengths of stay (LOS) for other ED patients. The objective was to assess the effect of a leadership-based program to expedite hospital admissions from the ED. This before-and-after observational study was undertaken from 2006 through 2011 at one community hospital ED. A team of ED and hospital leaders implemented a program to reduce admit wait times, using a computerized hospital-wide tracking system to monitor inpatient and ED bed status. The team collaboratively and consistently moved ED patients to their inpatient beds within an established goal of 60 minutes after an admission decision was reached. Top leadership actively intervened in real time by contacting staff whenever delays occurred to expedite immediate solutions to achieve the 60-minute goal. The primary outcome measures were the percentage of ED patients who were admitted to inpatient beds within 60 minutes from the time the beds were requested and ED boarding time. LOS, patient satisfaction, LWBS rate, and ambulance diversion hours were also measured. After ED census, hospital admission rates, and ED bed capacity were controlled for using a multivariable linear regression analysis, the admit wait time reduction program contributed to an increase in patients being admitted to the hospital within 60 minutes by 16 percentage points (95% confidence intervals [CI] = 10 to 22 points; p < 0.0001) and a decrease in boarding time per admission of 46 minutes (95% CI = 63 to 82 minutes; p < 0.0001). LOS decreased for admitted patients by 79 minutes (95% CI = 55 to 104 minutes; p < 0

  3. Malaria in rural Mozambique. Part II: children admitted to hospital.

    PubMed

    Bassat, Quique; Guinovart, Caterina; Sigaúque, Betuel; Aide, Pedro; Sacarlal, Jahit; Nhampossa, Tacilta; Bardají, Azucena; Nhacolo, Ariel; Macete, Eusébio; Mandomando, Inácio; Aponte, John J; Menéndez, Clara; Alonso, Pedro L

    2008-02-26

    Characterization of severe malaria cases on arrival to hospital may lead to early recognition and improved management. Minimum community based-incidence rates (MCBIRs) complement hospital data, describing the malaria burden in the community. A retrospective analysis of all admitted malaria cases to a Mozambican rural hospital between June 2003 and May 2005 was conducted. Prevalence and case fatality rates (CFR) for each sign and symptom were calculated. Logistic regression was used to identify variables which were independent risk factors for death. MCBIRs for malaria and severe malaria were calculated using data from the Demographic Surveillance System. Almost half of the 8,311 patients admitted during the study period had malaria and 13,2% had severe malaria. Children under two years accounted for almost 60% of all malaria cases. CFR for malaria was 1.6% and for severe malaria 4.4%. Almost 19% of all paediatric hospital deaths were due to malaria. Prostration (55.0%), respiratory distress (41.1%) and severe anaemia (17.3%) were the most prevalent signs among severe malaria cases. Severe anaemia and inability to look for mother's breast were independent risk factors for death in infants younger than eight months. For children aged eight months to four years, the risk factors were malnutrition, hypoglycaemia, chest indrawing, inability to sit and a history of vomiting.MCBIRs for severe malaria cases were highest in children aged six months to two years of age. MCBIRs for severe malaria per 1,000 child years at risk for the whole study period were 27 in infants, 23 in children aged 1 to <5 years and two in children aged > or =5 years. Malaria remains the number one cause of admission in this area of rural Mozambique, predominantly affecting young children, which are also at higher risk of dying. Measures envisaged to protect children during their first two years of life are likely to have a greater impact than at any other age.

  4. Malaria in rural Mozambique. Part II: children admitted to hospital

    PubMed Central

    Bassat, Quique; Guinovart, Caterina; Sigaúque, Betuel; Aide, Pedro; Sacarlal, Jahit; Nhampossa, Tacilta; Bardají, Azucena; Nhacolo, Ariel; Macete, Eusébio; Mandomando, Inácio; Aponte, John J; Menéndez, Clara; Alonso, Pedro L

    2008-01-01

    Background Characterization of severe malaria cases on arrival to hospital may lead to early recognition and improved management. Minimum community based-incidence rates (MCBIRs) complement hospital data, describing the malaria burden in the community. Methods A retrospective analysis of all admitted malaria cases to a Mozambican rural hospital between June 2003 and May 2005 was conducted. Prevalence and case fatality rates (CFR) for each sign and symptom were calculated. Logistic regression was used to identify variables which were independent risk factors for death. MCBIRs for malaria and severe malaria were calculated using data from the Demographic Surveillance System. Results Almost half of the 8,311 patients admitted during the study period had malaria and 13,2% had severe malaria. Children under two years accounted for almost 60% of all malaria cases. CFR for malaria was 1.6% and for severe malaria 4.4%. Almost 19% of all paediatric hospital deaths were due to malaria. Prostration (55.0%), respiratory distress (41.1%) and severe anaemia (17.3%) were the most prevalent signs among severe malaria cases. Severe anaemia and inability to look for mother's breast were independent risk factors for death in infants younger than eight months. For children aged eight months to four years, the risk factors were malnutrition, hypoglycaemia, chest indrawing, inability to sit and a history of vomiting. MCBIRs for severe malaria cases were highest in children aged six months to two years of age. MCBIRs for severe malaria per 1,000 child years at risk for the whole study period were 27 in infants, 23 in children aged 1 to <5 years and two in children aged ≥5 years. Conclusion Malaria remains the number one cause of admission in this area of rural Mozambique, predominantly affecting young children, which are also at higher risk of dying. Measures envisaged to protect children during their first two years of life are likely to have a greater impact than at any other age

  5. To admit or not to admit? The effect of framing on risk assessment decision making in psychiatrists.

    PubMed

    Jefferies-Sewell, Kiri; Sharma, Shivani; Gale, Tim M; Hawley, Chris J; Georgiou, George J; Laws, Keith R

    2015-02-01

    The way that information is presented is well known to induce a range of biases in human decision tasks. Little research exists on framing effects in psychiatric decision making, but it is reasonable to assume that psychiatrists are not immune and, if so, there may be implications for the welfare of patients, staff and the general public. To investigate whether presentation of risk information in different formats (frequency, percentage and semantic) influences inpatient admission decisions by psychiatrists. Six-hundred seventy-eight general adult psychiatrists read a short clinical vignette presenting a case scenario of a patient presenting for inpatient admission. One of four condition questions followed the vignette, incorporating either numerical or percentage probabilities and the semantic labels "high" and "low" risk. In each condition, the actual risk was identical, but the way it was presented varied. The decision to admit the patient or not was recorded and compared across conditions. More individuals chose to admit the patient when risk information was presented in numerical form (X2 = 7.43, p = 0.006) and with the semantic label "high" (X2 = 7.27, p = 0.007). Presentation of risk information may influence decision making in psychiatrists. This has important implications for mental health clinical practice where clinicians are required to interpret probabilistic information within their daily work.

  6. [Efficacy of a multidisciplinary care management program for patients admitted at hospital because of heart failure (ProMIC)].

    PubMed

    Domingo, Cristina; Aros, Fernando; Otxandategi, Agurtzane; Beistegui, Idoia; Besga, Ariadna; Latorre, Pedro María

    2018-02-26

    To assess the efficacy of the ProMIC, multidisciplinary program for patients admitted at hospital because of heart failure (HF) programme, in reducing the HF-related readmission rate. Quasi-experimental research with control group. Twelve primary health care centres and 3 hospitals from the Basque Country. Aged 40 years old or above patients admitted for HF with a New York Heart Association functional class II to IV. Patients in the intervention group carried out the ProMIC programme, a structured clinical intervention based on clinical guidelines and on the chronic care model. Control group received usual care. The rate of readmission for HF and health-related quality of life RESULTS: One hundred fifty five patients were included in ProMIC group and 129 in control group. 45 rehospitalisation due to heart failure happened in ProMIC versus 75 in control group (adjusted hazard ratio=0.59, CI 95%: 0.36-0.98; P=.049). There were significant differences in specific quality of life al 6 months. No significant differences were found in rehospitalisation due to all causes, due to cardiovascular causes, visits to emergency room, mortality, the combined variable of these events, the functional capacity or quality of life at 12 months of follow up. ProMIC reduces significantly heart failure rehospitalisation and improve quality of life al 6 months of follow up. No significant differences were found in the rests of variables. Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Risk factors and rate of progression for zone I versus zone II type 1 retinopathy of prematurity.

    PubMed

    Shin, Dong Hoon; Kong, Mingui; Kim, Sang Jin; Ham, Don Il; Kang, Se Woong; Chang, Yun Sil; Park, Won Soon

    2014-04-01

    To compare the risk factors and rate of progression of zone I versus zone II type 1 retinopathy of prematurity (ROP). The medical records of consecutive preterm infants with bilateral type 1 ROP in zone I and age-matched control infants with type 1 ROP in zone II were retrospectively analyzed. Fundus findings at each screening examination and systemic parameters were compared between groups. Univariate and conditional multivariate regression analyses were employed to identify variables significantly associated with zone I ROP. A total of 30 cases and 30 controls were included. The mean gestational age of included infants was 24.6 weeks in both groups, and the mean birth weights were 685 g in the zone I group and 667 g in the zone II group. The postmenstrual age (PMA) at the time of initial ROP detection did not differ between groups, but the PMA at the time of type 1 ROP detection was significantly earlier in the zone I group (mean, 34.9 vs 37.6 weeks). Conditional multiple logistic regression revealed that mechanical ventilation for 30 days or more was significantly associated with the type 1 ROP in zone I compared with zone II (OR, 3.5; 95% CI, 1.2-10.0). Zone I ROP exhibited rapid progression, necessitating close monitoring and prompt treatment. Compromised pulmonary function with associated mechanical ventilation in early life may restrict retinal vascular growth and increase the likelihood of zone I type 1 ROP. Copyright © 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

  8. Dietary supplement consumption among cardiac patients admitted to internal medicine and cardiac wards.

    PubMed

    Karny-Rahkovich, Orith; Blatt, Alex; Elbaz-Greener, Gabby Atalya; Ziv-Baran, Tomer; Golik, Ahuva; Berkovitch, Matityahu

    2015-01-01

    Dietary supplements may have adverse effects and potentially interact with conventional medications. They are perceived as "natural" products, free of side effects with no need for medical consultation. Little is known about consumption of dietary supplements by patients with cardiac diseases. The objective of this study was to investigate dietary supplement consumption among cardiac patients admitted to internal and cardiology wards. Potential drug-dietary supplement interactions were also assessed. During a period of 6 months, patients with cardiac disease hospitalized in the Internal Medicine and Cardiology Wards at Assaf Harofeh Medical Center were evaluated regarding their dietary supplement consumption. A literature survey examining possible drug-supplement interaction was performed. Out of 149 cardiac patients, 45% were dietary supplement consumers. Patients ad-mitted to the Internal Medicine Wards consumed more dietary supplements than those admit-ted to the Cardiology Division. Dietary supplement consumption was associated with older age (OR = 1.05, p = 0.022), female gender (OR = 2.94, p = 0.014) and routine physical activity (OR = 3.15, p = 0.007). Diabetes mellitus (OR = 2.68, p = 0.020), hematological diseases (OR = 13.29, p = 0.022), and the use of anti-diabetic medications (OR = 4.28, p = 0.001) were independently associated with dietary supplement intake. Sixteen potential moderate interactions between prescribed medications and dietary supplements were found. Consumption of dietary supplements is common among cardiac patients. It is more common in those admitted to Internal Medicine Departments than in those admitted to the Cardiology Wards. Due to the risk of various drug-supplement interactions consumed by patients with cardiac diseases, there is a need to increase awareness and knowledge among medical staff regarding the intake of dietary supplements.

  9. Zoning method for environmental engineering geological patterns in underground coal mining areas.

    PubMed

    Liu, Shiliang; Li, Wenping; Wang, Qiqing

    2018-09-01

    Environmental engineering geological patterns (EEGPs) are used to express the trend and intensity of eco-geological environment caused by mining in underground coal mining areas, a complex process controlled by multiple factors. A new zoning method for EEGPs was developed based on the variable-weight theory (VWT), where the weights of factors vary with their value. The method was applied to the Yushenfu mining area, Shaanxi, China. First, the mechanism of the EEGPs caused by mining was elucidated, and four types of EEGPs were proposed. Subsequently, 13 key control factors were selected from mining conditions, lithosphere, hydrosphere, ecosphere, and climatic conditions; their thematic maps were constructed using ArcGIS software and remote-sensing technologies. Then, a stimulation-punishment variable-weight model derived from the partition of basic evaluation unit of study area, construction of partition state-variable-weight vector, and determination of variable-weight interval was built to calculate the variable weights of each factor. On this basis, a zoning mathematical model of EEGPs was established, and the zoning results were analyzed. For comparison, the traditional constant-weight theory (CWT) was also applied to divide the EEGPs. Finally, the zoning results obtained using VWT and CWT were compared. The verification of field investigation indicates that VWT is more accurate and reliable than CWT. The zoning results are consistent with the actual situations and the key of planning design for the rational development of coal resources and protection of eco-geological environment. Copyright © 2018 Elsevier B.V. All rights reserved.

  10. Investigating admitted patients' satisfaction with nursing care at Debre Berhan Referral Hospital in Ethiopia: a cross-sectional study.

    PubMed

    Sharew, Nigussie Tadesse; Bizuneh, Hailegiorgis Teklegiorgis; Assefa, Hilina Ketema; Habtewold, Tesfa Dejenie

    2018-05-17

    The aims of the study were (1) to assess the level of patient satisfaction with nursing care and (2) to identify factors influencing patient satisfaction. A hospital-based, cross-sectional study was conducted with 252 admitted patients in the medical, surgical and paediatric wards. Debre Berhan Referral Hospital, Debre Berhan, Ethiopia, with a catchment population of 2.8 million. All patients admitted at least for 2 days and capable of independent communication were included. However, patients were excluded on any one of the following conditions: admitted for less than 2 days, cannot understand Amharic language, with critical illness or cognitive impairment that affects judgement, or inability to provide written informed consent. The mean age of the patients was 37.9 (SD=12.9) years, and half (50.4%) of them were male. Patient satisfaction with nursing care, measured by the Newcastle Satisfaction with Nursing Scale, was the outcome variable. Using a mean split approach, patient satisfaction scores were dichotomised into 'satisfied' and 'unsatisfied'. 49.2% of patients were satisfied with nursing care. Educational status and history of admission were significant factors influencing patient satisfaction with nursing care. Patients who had high educational status were 80% less satisfied compared with those who had no formal education (p=0.01, OR=0.2, 95% CI 0.1 to 0.7). Patients who had a history of admission were 2.2 times more satisfied compared with those who had no history of admission (p=0.02, OR=2.2, 95% CI 1.2 to 4.2). About half the admitted patients were satisfied with the nursing care. Satisfaction differed significantly by patients' educational attainment and history of admission. This study provided evidence on patient satisfaction with nursing care in Ethiopia. This information may be useful in comparative studies of patient satisfaction and in identifying characteristics that may explain or predict patient satisfaction. © Article author(s) (or

  11. Investigating admitted patients’ satisfaction with nursing care at Debre Berhan Referral Hospital in Ethiopia: a cross-sectional study

    PubMed Central

    Assefa, Hilina Ketema

    2018-01-01

    Objectives The aims of the study were (1) to assess the level of patient satisfaction with nursing care and (2) to identify factors influencing patient satisfaction. Design A hospital-based, cross-sectional study was conducted with 252 admitted patients in the medical, surgical and paediatric wards. Setting Debre Berhan Referral Hospital, Debre Berhan, Ethiopia, with a catchment population of 2.8 million. Participants All patients admitted at least for 2 days and capable of independent communication were included. However, patients were excluded on any one of the following conditions: admitted for less than 2 days, cannot understand Amharic language, with critical illness or cognitive impairment that affects judgement, or inability to provide written informed consent. The mean age of the patients was 37.9 (SD=12.9) years, and half (50.4%) of them were male. Primary outcome measure Patient satisfaction with nursing care, measured by the Newcastle Satisfaction with Nursing Scale, was the outcome variable. Using a mean split approach, patient satisfaction scores were dichotomised into ‘satisfied’ and ‘unsatisfied’. Results 49.2% of patients were satisfied with nursing care. Educational status and history of admission were significant factors influencing patient satisfaction with nursing care. Patients who had high educational status were 80% less satisfied compared with those who had no formal education (p=0.01, OR=0.2, 95% CI 0.1 to 0.7). Patients who had a history of admission were 2.2 times more satisfied compared with those who had no history of admission (p=0.02, OR=2.2, 95% CI 1.2 to 4.2). Conclusions About half the admitted patients were satisfied with the nursing care. Satisfaction differed significantly by patients’ educational attainment and history of admission. This study provided evidence on patient satisfaction with nursing care in Ethiopia. This information may be useful in comparative studies of patient satisfaction and in identifying

  12. Characteristics of Synthetic Cannabinoid and Cannabis Users Admitted to a Psychiatric Hospital: A Comparative Study.

    PubMed

    Shalit, Nadav; Barzilay, Ran; Shoval, Gal; Shlosberg, Dan; Mor, Nofar; Zweigenhaft, Nofar; Weizman, Abraham; Krivoy, Amir

    2016-08-01

    Psychotic and affective exacerbations associated with synthetic cannabinoid (SC) use are becoming an emerging concern in psychiatric hospitals. However, data are lacking regarding whether clinical manifestations of SC use differ from those associated with cannabis use. Our aim was to explore the unique profile of SC users admitted to a mental health center in terms of demographic, clinical, and physiologic variables in comparison to cannabis users. We retrieved retrospective data of patients admitted to a mental health center between October 2007 and May 2014 who self-reported recent use of SC (n = 60) and patients who were cannabis users (positive carboxy-tetrahydrocannabinol urine test at admission) without a history of SC use (n = 163). Clinical measures included hospitalization length, number of previous hospitalizations, Positive and Negative Syndrome Scale (PANSS) scores, psychiatric status at admission, and relevant physiologic and laboratory parameters. Hospitalized SC users were younger than hospitalized cannabis users (n = 163) (30.46 ± 7.83 years versus 34.67 ± 10.07 years, U₂₂₃ = 3,781.5, P = .009, respectively). SC patients had longer hospitalizations compared to cannabis users (43.45 ± 54.02 days versus 22.91 ± 31.36 days, U₂₁₉ = 5,701.5, P = .005, respectively), had more previous hospitalizations (3.73 ± 5.05 versus 1.98 ± 5.12, U₂₂₃ = 6,284, P < .001, respectively), and were more likely to be hospitalized by criminal court order (36.7% [n = 22] versus 19.9% [n = 32], χ²₂ = 7.136, P = .028, respectively). SC patients presented with a more severe clinical picture manifested by higher total PANSS scores (82.53 ± 23.05 versus 69.98 ± 19.94, t₉₁ = -2.696, P = .008) in a subset of patients with PANSS scores assessed within a week from admission (n = 30 in the SC group and n = 63 in the cannabis group). No differences were found in physiologic or laboratory measures on admission between the SC and cannabis groups. Patients

  13. Transient flow conditions in probabilistic wellhead protection: importance and ways to manage spatial and temporal uncertainty in capture zone delineation

    NASA Astrophysics Data System (ADS)

    Enzenhoefer, R.; Rodriguez-Pretelin, A.; Nowak, W.

    2012-12-01

    "From an engineering standpoint, the quantification of uncertainty is extremely important not only because it allows estimating risk but mostly because it allows taking optimal decisions in an uncertain framework" (Renard, 2007). The most common way to account for uncertainty in the field of subsurface hydrology and wellhead protection is to randomize spatial parameters, e.g. the log-hydraulic conductivity or porosity. This enables water managers to take robust decisions in delineating wellhead protection zones with rationally chosen safety margins in the spirit of probabilistic risk management. Probabilistic wellhead protection zones are commonly based on steady-state flow fields. However, several past studies showed that transient flow conditions may substantially influence the shape and extent of catchments. Therefore, we believe they should be accounted for in the probabilistic assessment and in the delineation process. The aim of our work is to show the significance of flow transients and to investigate the interplay between spatial uncertainty and flow transients in wellhead protection zone delineation. To this end, we advance our concept of probabilistic capture zone delineation (Enzenhoefer et al., 2012) that works with capture probabilities and other probabilistic criteria for delineation. The extended framework is able to evaluate the time fraction that any point on a map falls within a capture zone. In short, we separate capture probabilities into spatial/statistical and time-related frequencies. This will provide water managers additional information on how to manage a well catchment in the light of possible hazard conditions close to the capture boundary under uncertain and time-variable flow conditions. In order to save computational costs, we take advantage of super-positioned flow components with time-variable coefficients. We assume an instantaneous development of steady-state flow conditions after each temporal change in driving forces, following

  14. Use of distance measures to assess environmental and genetic variability across sagebrush hybrid zones

    Treesearch

    D. Carl Freeman; John H. Graham; Terra Jones; Han Wang; Kathleen J. Miglia; E. Durant McArthur

    2001-01-01

    Reciprocal transplant studies in the big sagebrush hybrid zone at Salt Creek Canyon, Utah, showed that hybrids between basin (Artemisia tridentata ssp. tridentata) and mountain big sagebrush (A. t. ssp. vaseyana) are more fit than either parental taxon, but only when raised in the hybrid zone. Hybrids are less fit than the native parent when raised in the parental...

  15. A hidden variable in shear transformation zone volume versus Poisson's ratio relation in metallic glasses

    NASA Astrophysics Data System (ADS)

    Kim, S. Y.; Oh, H. S.; Park, E. S.

    2017-10-01

    Herein, we elucidate a hidden variable in a shear transformation zone (STZ) volume (Ω) versus Poisson's ratio (ν) relation and clarify the correlation between STZ characteristics and the plasticity of metallic glasses (MGs). On the basis of cooperative shear model and atomic stress theories, we carefully formulate Ω as a function of molar volume (Vm) and ν. The twofold trend in Ω and ν is attributed to a relatively large variation of Vm as compared to that of ν as well as an inverse relation between Vm and ν. Indeed, the derived equation reveals that the number of atoms in an STZ instead of Ω is a microstructural characteristic which has a close relationship with plasticity since it reflects the preference of atomistic behaviors between cooperative shearing and the generation of volume strain fluctuation under stress. The results would deepen our understanding of the correlation between microscopic behaviors (STZ activation) and macroscopic properties (plasticity) in MGs and enable a quantitative approach in associating various STZ-related macroscopic behaviors with intrinsic properties of MGs.

  16. Variable Speed Limit (VSL) - Best Management Practice [Summary

    DOT National Transportation Integrated Search

    2012-01-01

    In variable speed limit (VSL) zones, the speed : limit changes in response to traffic congestion, : adverse weather, or road conditions. VSL zones are : often highly automated and have been employed : successfully in several U.S. and European : locat...

  17. Temporal and Spatial Variability of Surface Motor Activation Zones in Hemiplegic Patients During Functional Electrical Stimulation Therapy Sessions.

    PubMed

    Malešević, Jovana; Štrbac, Matija; Isaković, Milica; Kojić, Vladimir; Konstantinović, Ljubica; Vidaković, Aleksandra; Dedijer Dujović, Suzana; Kostić, Miloš; Keller, Thierry

    2017-11-01

    The goal of this study was to investigate surface motor activation zones and their temporal variability using an advanced multi-pad functional electrical stimulation system. With this system motor responses are elicited through concurrent activation of electrode matrix pads collectively termed "virtual electrodes" (VEs) with appropriate stimulation parameters. We observed VEs used to produce selective wrist, finger, and thumb extension movements in 20 therapy sessions of 12 hemiplegic stroke patients. The VEs which produce these three selective movements were created manually on the ergonomic multi-pad electrode by experienced clinicians based on visual inspection of the muscle responses. Individual results indicated that changes in VE configuration were required each session for all patients and that overlap in joint movements was evident between some VEs. However, by analyzing group data, we defined the probability distribution over the electrode surface for the three VEs of interest. Furthermore, through Bayesian logic we obtained preferred stimulation zones that are in accordance with our previously reported heuristically obtained results. We have also analyzed the number of active pads and stimulation amplitudes for these three VEs. Presented results provide a basis for an automated electrode calibration algorithm built on a priori knowledge or the starting point for manual selection of stimulation points. © 2017 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

  18. The Markov process admits a consistent steady-state thermodynamic formalism

    NASA Astrophysics Data System (ADS)

    Peng, Liangrong; Zhu, Yi; Hong, Liu

    2018-01-01

    The search for a unified formulation for describing various non-equilibrium processes is a central task of modern non-equilibrium thermodynamics. In this paper, a novel steady-state thermodynamic formalism was established for general Markov processes described by the Chapman-Kolmogorov equation. Furthermore, corresponding formalisms of steady-state thermodynamics for the master equation and Fokker-Planck equation could be rigorously derived in mathematics. To be concrete, we proved that (1) in the limit of continuous time, the steady-state thermodynamic formalism for the Chapman-Kolmogorov equation fully agrees with that for the master equation; (2) a similar one-to-one correspondence could be established rigorously between the master equation and Fokker-Planck equation in the limit of large system size; (3) when a Markov process is restrained to one-step jump, the steady-state thermodynamic formalism for the Fokker-Planck equation with discrete state variables also goes to that for master equations, as the discretization step gets smaller and smaller. Our analysis indicated that general Markov processes admit a unified and self-consistent non-equilibrium steady-state thermodynamic formalism, regardless of underlying detailed models.

  19. Reductive dechlorination of trichloroethene DNAPL source zones: source zone architecture versus electron donor availability

    NASA Astrophysics Data System (ADS)

    Krol, M.; Kokkinaki, A.; Sleep, B.

    2014-12-01

    The persistence of dense-non-aqueous-phase liquids (DNAPLs) in the subsurface has led practitioners and regulatory agencies to turn towards low-maintenance, low-cost remediation methods. Biological degradation has been suggested as a possible solution, based on the well-proven ability of certain microbial species to break down dissolved chlorinated ethenes under favorable conditions. However, the biodegradation of pure phase chlorinated ethenes is subject to additional constraints: the continuous release of electron acceptor at a rate governed by mass transfer kinetics, and the temporal and spatial heterogeneity of DNAPL source zones which leads to spatially and temporally variable availability of the reactants for reductive dechlorination. In this work, we investigate the relationship between various DNAPL source zone characteristics and reaction kinetics using COMPSIM, a multiphase groundwater model that considers non-equilibrium mass transfer and Monod-type kinetics for reductive dechlorination. Numerical simulations are performed for simple, homogeneous trichloroethene DNAPL source zones to demonstrate the effect of single source zone characteristics, as well as for larger, more realistic heterogeneous source zones. It is shown that source zone size, and mass transfer kinetics may have a decisive effect on the predicted bio-enhancement. Finally, we evaluate the performance of DNAPL bioremediation for realistic, thermodynamically constrained, concentrations of electron donor. Our results indicate that the latter may be the most important limitation for the success of DNAPL bioremediation, leading to reduced bio-enhancement and, in many cases, comparable performance with water flooding.

  20. Effects of work zone configurations and traffic density on performance variables and subjective workload.

    PubMed

    Shakouri, Mahmoud; Ikuma, Laura H; Aghazadeh, Fereydoun; Punniaraj, Karthy; Ishak, Sherif

    2014-10-01

    This paper investigates the effect of changing work zone configurations and traffic density on performance variables and subjective workload. Data regarding travel time, average speed, maximum percent braking force and location of lane changes were collected by using a full size driving simulator. The NASA-TLX was used to measure self-reported workload ratings during the driving task. Conventional lane merge (CLM) and joint lane merge (JLM) were modeled in a driving simulator, and thirty participants (seven female and 23 male), navigated through the two configurations with two levels of traffic density. The mean maximum braking forces was 34% lower in the JLM configuration, and drivers going through the JLM configuration remained in the closed lane longer. However, no significant differences in speed were found between the two merge configurations. The analysis of self-reported workload ratings show that participants reported 15.3% lower total workload when driving through the JLM. In conclusion, the implemented changes in the JLM make it a more favorable merge configuration in both high and low traffic densities in terms of optimizing traffic flow by increasing the time and distance cars use both lanes, and in terms of improving safety due to lower braking forces and lower reported workload. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Investigations of Spatial and Temporal Variability of Ocean and Ice Conditions in and Near the Marginal Ice Zone. The “Marginal Ice Zone Observations and Processes Experiment” (MIZOPEX) Final Campaign Summary

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    DeMott, P. J.; Hill, T. C.J.

    Despite the significance of the marginal ice zones of the Arctic Ocean, basic parameters such as sea surface temperature (SST) and a range of sea-ice characteristics are still insufficiently understood in these areas, and especially so during the summer melt period. The field campaigns summarized here, identified collectively as the “Marginal Ice Zone Ocean and Ice Observations and Processes Experiment” (MIZOPEX), were funded by U.S. National Aeronautic and Space Administration (NASA) with the intent of helping to address these information gaps through a targeted, intensive observation field campaign that tested and exploited unique capabilities of multiple classes of unmanned aerialmore » systems (UASs). MIZOPEX was conceived and carried out in response to NASA’s request for research efforts that would address a key area of science while also helping to advance the application of UASs in a manner useful to NASA for assessing the relative merits of different UASs. To further exercise the potential of unmanned systems and to expand the science value of the effort, the field campaign added further challenges such as air deployment of miniaturized buoys and coordinating missions involving multiple aircraft. Specific research areas that MIZOPEX data were designed to address include relationships between ocean skin temperatures and subsurface temperatures and how these evolve over time in an Arctic environment during summer; variability in sea-ice conditions such as thickness, age, and albedo within the marginal ice zone (MIZ); interactions of SST, salinity, and ice conditions during the melt cycle; and validation of satellite-derived SST and ice concentration fields provided by satellite imagery and models.« less

  2. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false How is a Tribe/Consortium admitted to the applicant pool...-DETERMINATION AND EDUCATION ACT Selection of Additional Tribes for Participation in Tribal Self-Governance Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be...

  3. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false How is a Tribe/Consortium admitted to the applicant pool...-DETERMINATION AND EDUCATION ACT Selection of Additional Tribes for Participation in Tribal Self-Governance Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be...

  4. Relationship between pharmacy residency examination rank and specialty choice for French pharmacy residency-admitted students

    PubMed Central

    Fardel, Olivier

    2016-01-01

    Objective: To analyze the link between the rank at the national pharmacy residency examination and the choice of pharmacy specialty for hospital residency-admitted French pharmacy students. Methods: Examination ranks as well as the pharmacy residency specialty to which residency candidates are finally admitted were collected for all students (n=1948) having successfully passed the national French pharmacy residency examination over the period 2013-2016. Students were categorized by their pharmacy specialty for residency, i.e., “Medical Biology” (n=591), “Hospital Pharmacy” (n=1175) and “Pharmaceutical Innovation and Research” (n=182), and medians of examination ranks as well as limit ranks (the rank of the last admitted postulant) by specialty were compared. Results: Examination ranks for pharmacy residency-admitted students were found to significantly differ according to the nature of the specialty in which students were finally admitted. “Medical Biology” has the lowest examination ranks (and appears thus as the most selective specialty), followed by “Hospital Pharmacy” and ended by “Pharmaceutical Innovation and Research”, that has the highest examination ranks (and appears thus as the least selective specialty). Limit examination ranks were additionally shown to discriminate university hospitals in which residents were assigned. Conclusion: Specialty choice for hospital residency-admitted French pharmacy candidates is closely associated with their rank at the national pharmacy residency examination, which can be assumed as reflecting their academic level. By this way, an implicit hierarchy of French pharmacy residency specialties according to the academic level of postulants can likely be drawn. PMID:28503227

  5. Spatial and temporal variability of clouds and precipitation over Germany: multiscale simulations across the "gray zone"

    NASA Astrophysics Data System (ADS)

    Barthlott, C.; Hoose, C.

    2015-11-01

    This paper assesses the resolution dependance of clouds and precipitation over Germany by numerical simulations with the COnsortium for Small-scale MOdeling (COSMO) model. Six intensive observation periods of the HOPE (HD(CP)2 Observational Prototype Experiment) measurement campaign conducted in spring 2013 and 1 summer day of the same year are simulated. By means of a series of grid-refinement resolution tests (horizontal grid spacing 2.8, 1 km, 500, and 250 m), the applicability of the COSMO model to represent real weather events in the gray zone, i.e., the scale ranging between the mesoscale limit (no turbulence resolved) and the large-eddy simulation limit (energy-containing turbulence resolved), is tested. To the authors' knowledge, this paper presents the first non-idealized COSMO simulations in the peer-reviewed literature at the 250-500 m scale. It is found that the kinetic energy spectra derived from model output show the expected -5/3 slope, as well as a dependency on model resolution, and that the effective resolution lies between 6 and 7 times the nominal resolution. Although the representation of a number of processes is enhanced with resolution (e.g., boundary-layer thermals, low-level convergence zones, gravity waves), their influence on the temporal evolution of precipitation is rather weak. However, rain intensities vary with resolution, leading to differences in the total rain amount of up to +48 %. Furthermore, the location of rain is similar for the springtime cases with moderate and strong synoptic forcing, whereas significant differences are obtained for the summertime case with air mass convection. Domain-averaged liquid water paths and cloud condensate profiles are used to analyze the temporal and spatial variability of the simulated clouds. Finally, probability density functions of convection-related parameters are analyzed to investigate their dependance on model resolution and their impact on cloud formation and subsequent precipitation.

  6. Variability of thermohaline fields in the East China Sea

    NASA Astrophysics Data System (ADS)

    Moroz, V. V.; Bogdanov, K. T.

    2007-04-01

    Characteristic features of the water structure and dynamics in the East China Sea, which is the zone of the formation of the Kuroshio Current, are studied from a database of mean multiannual hydrological and meteorological characteristics gathered for more than a half-century period and the data of expeditionary observations in this region. Characteristic distinctions between the waters in different regions of the current zone are shown. It was found that the formation of the structure of the water in the current zone is affected by the variability of the water exchange via the straits of the Ryukyu Islands and by the supply of the shelf waters against the background of the climatic variability.

  7. Thermocapillary flow and melt/solid interfaces in floating-zone crystal growth under microgravity

    NASA Technical Reports Server (NTRS)

    Lan, C. W.; Kou, Sindo

    1990-01-01

    Computer simulation of steady-state axisymmetrical heat transfer and fluid flow was conducted to study thermocapillary flow and melt/solid interfaces in floating-zone crystal growth under microgravity. The effects of key variables on the extent of thermocapillary flow in the melt zone, the shapes of melt/solid interfaces and the length of the melt zone were discussed. These variables are: (1) the temperature coefficient of surface tension (or the Marangoni number), (2) the pulling speed (or the Peclet number), (3) the feed rod radius, (4) the ambient temperature distribution, (5) the heat transfer coefficient (or the Biot number), and (6) the thermal diffusivity of the material (or the Prandtl number).

  8. Variability of dissolved organic carbon in precipitation during storms at the Shale Hills Critical Zone Observatory

    USGS Publications Warehouse

    Iavorivska , Lidiia; Boyer, Elizabeth W.; Grimm, Jeffrey W.; Miller, Matthew P.; DeWalle, David R.; Davis, Kenneth J.; Kaye, Margot W.

    2017-01-01

    Organic compounds are removed from the atmosphere and deposited to the earth's surface via precipitation. In this study, we quantified variations of dissolved organic carbon (DOC) in precipitation during storm events at the Shale Hills Critical Zone Observatory, a forested watershed in central Pennsylvania (USA). Precipitation samples were collected consecutively throughout the storm during 13 events, which spanned a range of seasons and synoptic meteorological conditions, including a hurricane. Further, we explored factors that affect the temporal variability by considering relationships of DOC in precipitation with atmospheric and storm characteristics. Concentrations and chemical composition of DOC changed considerably during storms, with the magnitude of change within individual events being comparable or higher than the range of variation in average event composition among events. While some previous studies observed that concentrations of other elements in precipitation typically decrease over the course of individual storm events, results of this study show that DOC concentrations in precipitation are highly variable. During most storm events concentrations decreased over time, possibly as a result of washing out of the below-cloud atmosphere. However, increasing concentrations that were observed in the later stages of some storm events highlight that DOC removal with precipitation is not merely a dilution response. Increases in DOC during events could result from advection of air masses, local emissions during breaks in precipitation, or chemical transformations in the atmosphere that enhance solubility of organic carbon compounds. This work advances understanding of processes occurring during storms that are relevant to studies of atmospheric chemistry, carbon cycling, and ecosystem responses.

  9. ADMIT: a toolbox for guaranteed model invalidation, estimation and qualitative-quantitative modeling.

    PubMed

    Streif, Stefan; Savchenko, Anton; Rumschinski, Philipp; Borchers, Steffen; Findeisen, Rolf

    2012-05-01

    Often competing hypotheses for biochemical networks exist in the form of different mathematical models with unknown parameters. Considering available experimental data, it is then desired to reject model hypotheses that are inconsistent with the data, or to estimate the unknown parameters. However, these tasks are complicated because experimental data are typically sparse, uncertain, and are frequently only available in form of qualitative if-then observations. ADMIT (Analysis, Design and Model Invalidation Toolbox) is a MatLab(TM)-based tool for guaranteed model invalidation, state and parameter estimation. The toolbox allows the integration of quantitative measurement data, a priori knowledge of parameters and states, and qualitative information on the dynamic or steady-state behavior. A constraint satisfaction problem is automatically generated and algorithms are implemented for solving the desired estimation, invalidation or analysis tasks. The implemented methods built on convex relaxation and optimization and therefore provide guaranteed estimation results and certificates for invalidity. ADMIT, tutorials and illustrative examples are available free of charge for non-commercial use at http://ifatwww.et.uni-magdeburg.de/syst/ADMIT/

  10. Assessing potential climate change pressures across the conterminous United States: mapping plant hardiness zones, heat zones, growing degree days, and cumulative drought severity throughout this century

    Treesearch

    Stephen N. Matthews; Louis R. Iverson; Matthew P. Peters; Anantha M. Prasad

    2018-01-01

    The maps and tables presented here represent potential variability of projected climate change across the conterminous United States during three 30-year periods in this century and emphasizes the importance of evaluating multiple signals of change across large spatial domains. Maps of growing degree days, plant hardiness zones, heat zones, and cumulative drought...

  11. Prevalence of stroke in children admitted with sickle cell anaemia to Mulago Hospital.

    PubMed

    Munube, Deogratias; Katabira, Elly; Ndeezi, Grace; Joloba, Moses; Lhatoo, Samden; Sajatovic, Martha; Tumwine, James K

    2016-09-17

    Stroke is a major complication of sickle cell anaemia (SCA). It occurs commonly in childhood with about 10 % of children with sickle cell anaemia getting affected by this complication. In Uganda, there is paucity of data on the prevalence of stroke in children admitted in a tertiary institution. We determined the prevalence of stroke amongst children with SCA admitted to Mulago National Referral Hospital in Uganda and described the ir co-morbidities. We conducted a retrospective record review of children with SCA admitted from August 2012 to August 2014 to the Paediatric Haematology Ward of Mulago Hospital in Kampala, Uganda. The target population was SCA children age 6 months-17 years of age. A descriptive analysis was used to summarize the demographic characteristics and clinical diagnosis. There were 2,176 children with SCA admitted who were included in this study. There were 147 children with stroke. Their mean age 6.1, (SD 3), with a male to female ratio was 1:1 (71 males and 76 females). The M: F ratio of non-stroke children was 1.1:1 (1084 males and 945 females) with a mean age of 5.2, (SD 3). The prevalence of stroke was 6.8 % (147 of 2176). Amongst the children with stroke, 72.1 % (106 of 147) had co-morbidities which included severe anaemia 21.7 % (23 of 106), bacteraemia and vaso-occlusive crisis 17 % (18 of 106), pneumonia 8.4 % (9 of 106) and malaria 6.6 % (7 of 106). The prevalence of stroke in hospitalized Ugandan children with SCA was 6.8 %. Children with stroke were often admitted with other medical conditions such as severe anaemia, bacteraemia and vaso-occlusion.

  12. Concentration-Discharge Relations in the Critical Zone: Implications for Resolving Critical Zone Structure, Function, and Evolution

    NASA Astrophysics Data System (ADS)

    Chorover, Jon; Derry, Louis A.; McDowell, William H.

    2017-11-01

    Critical zone science seeks to develop mechanistic theories that describe critical zone structure, function, and long-term evolution. One postulate is that hydrogeochemical controls on critical zone evolution can be inferred from solute discharges measured down-gradient of reactive flow paths. These flow paths have variable lengths, interfacial compositions, and residence times, and their mixing is reflected in concentration-discharge (C-Q) relations. Motivation for this special section originates from a U.S. Critical Zone Observatories workshop that was held at the University of New Hampshire, 20-22 July 2015. The workshop focused on resolving mechanistic CZ controls over surface water chemical dynamics across the full range of lithogenic (e.g., nonhydrolyzing and hydrolyzing cations and oxyanions) and bioactive solutes (e.g., organic and inorganic forms of C, N, P, and S), including dissolved and colloidal species that may cooccur for a given element. Papers submitted to this special section on "concentration-discharge relations in the critical zone" include those from authors who attended the workshop, as well as others who responded to the open solicitation. Submissions were invited that utilized information pertaining to internal, integrated catchment function (relations between hydrology, biogeochemistry, and landscape structure) to help illuminate controls on observed C-Q relations.

  13. Evaluating the role of soil variability on groundwater pollution and recharge at regional scale by integrating a process-based vadose zone model in a stochastic approach

    NASA Astrophysics Data System (ADS)

    Coppola, Antonio; Comegna, Alessandro; Dragonetti, Giovanna; Lamaddalena, Nicola; Zdruli, Pandi

    2013-04-01

    Interpreting and predicting the evolution of water resources and soils at regional scale are continuing challenges for natural scientists. Examples include non-point source (NPS) pollution of soil and surface and subsurface water from agricultural chemicals and pathogens, as well as overexploitation of groundwater resources. The presence and build up of NPS pollutants may be harmful for both soil and groundwater resources. The accumulation of salts and trace elements in soils can significantly impact crop productivity, while loading of salts, nitrates, trace elements and pesticides into groundwater supplies can deteriorate a source of drinking and irrigation water. Consequently, predicting the spatial distribution and fate of NPS pollutants in soils at applicative scales is now considered crucial for maintaining the fragile balance between crop productivity and the negative environmental impacts of NPS pollutants, which is a basis of sustainable agriculture. Soil scientists and hydrologists are regularly asked to assist state agencies to understand these critical environmental issues. The most frequent inquiries are related to the development of mathematical models needed for analyzing the impacts of alternative land-use and best management use and management of soil and water resources. Different modelling solutions exist, mainly differing on the role of the vadose zone and its horizontal and vertical variability in the predictive models. The vadose zone (the region from the soil surface to the groundwater surface) is a complex physical, chemical and biological ecosystem that controls the passage of NPS pollutants from the soil surface where they have been deposited or accumulated due to agricultural activities, to groundwater. Physically based distributed hydrological models require the internal variability of the vadose zone be explored at a variety of scales. The equations describing fluxes and storage of water and solutes in the unsaturated zone used in these

  14. Between-subject variability in asymmetry analysis of macular thickness.

    PubMed

    Alluwimi, Muhammed S; Swanson, William H; Malinovsky, Victor E

    2014-05-01

    To investigate the use of asymmetry analysis to reduce between-subject variability of macular thickness measurements using spectral domain optical coherence tomography. Sixty-three volunteers (33 young subjects [aged 21 to 35 years] and 30 older subjects [aged 45 to 85 years]) free of eye disease were recruited. Macular images were gathered with the Spectralis optical coherence tomography. An overlay 24- by 24-degree grid was divided into five zones per hemifield, and asymmetry analysis was computed as the difference between superior and inferior zone thicknesses. We hypothesized that the lowest variation and the highest density of ganglion cells will be found approximately 3 to 6 degrees from the foveola, corresponding to zones 1 and 2. For each zone and age group, between-subject SDs were compared for retinal thickness versus asymmetry analysis using an F test. To account for repeated comparisons, p < 0.0125 was required for statistical significance. Axial length and corneal curvature were measured with an IOLMaster. For OD, asymmetry analysis reduced between-subject variability in zones 1 and 2 in both groups (F > 3.2, p < 0.001). Standard deviation for zone 1 dropped from 12.0 to 3.0 μm in the young group and from 11.7 to 2.6 μm in the older group. Standard deviation for zone 2 dropped from 13.6 to 5.3 μm in the young group and from 11.1 to 5.8 μm in the older group. Combining all subjects, neither retinal thickness nor asymmetry analysis showed a strong correlation with axial length or corneal curvature (R² < 0.01). Analysis for OS yielded the same pattern of results, as did asymmetry analyses between eyes (F > 3.8, p < 0.0001). Asymmetry analysis reduced between-subject variability in zones 1 and 2. Combining the five zones together produced a higher between-subject variation of the retinal thickness asymmetry analysis; thus, we encourage clinicians to be cautious when interpreting the asymmetry analysis printouts.

  15. Admitting Failure (With a Little Help from My Friends)

    ERIC Educational Resources Information Center

    Cooper, Sarah

    2015-01-01

    Teachers who are no longer considered novices can have a difficult time admitting failures. There is an expectation that teachers should be "on" all the time, but disorientation can happen even to veteran teachers--or maybe especially to veteran teachers--if expectations are too high. Sarah Cooper, an experienced teacher and dean of…

  16. Variables that Predict Serve Efficacy in Elite Men’s Volleyball with Different Quality of Opposition Sets

    PubMed Central

    Valhondo, Álvaro; Fernández-Echeverría, Carmen; González-Silva, Jara; Claver, Fernando; Moreno, M. Perla

    2018-01-01

    Abstract The objective of this study was to determine the variables that predicted serve efficacy in elite men’s volleyball, in sets with different quality of opposition. 3292 serve actions were analysed, of which 2254 were carried out in high quality of opposition sets and 1038 actions were in low quality of opposition sets, corresponding to a total of 24 matches played during the Men’s European Volleyball Championships held in 2011. The independent variables considered in this study were the serve zone, serve type, serving player, serve direction, reception zone, receiving player and reception type; the dependent variable was serve efficacy and the situational variable was quality of opposition sets. The variables that acted as predictors in both high and low quality of opposition sets were the serving player, reception zone and reception type. The serve type variable only acted as a predictor in high quality of opposition sets, while the serve zone variable only acted as a predictor in low quality of opposition sets. These results may provide important guidance in men’s volleyball training processes. PMID:29599869

  17. A Semester Late: A Phenomenological Study Examining the Experiences of Spring Admits in Higher Education

    ERIC Educational Resources Information Center

    Roth-Francis, Chrissy

    2013-01-01

    More than 25% of new college students begin their higher education careers outside of the traditional fall start date (National Student Clearinghouse, 2012). This study examines the social, personal, and academic experiences of spring admits at a large, private research institution in the western United States. In this study, a spring admit is…

  18. Spatial Variability of accumulation across the Western Greenland Ice Sheet Percolation Zone from ground-penetrating-radar and shallow firn cores

    NASA Astrophysics Data System (ADS)

    Lewis, G.; Osterberg, E. C.; Hawley, R. L.; Marshall, H. P.; Birkel, S. D.; Meehan, T. G.; Graeter, K.; Overly, T. B.; McCarthy, F.

    2017-12-01

    The mass balance of the Greenland Ice Sheet (GrIS) in a warming climate is of critical interest to scientists and the general public in the context of future sea-level rise. Increased melting in the GrIS percolation zone over the past several decades has led to increased mass loss at lower elevations due to recent warming. Uncertainties in mass balance are especially large in regions with sparse and/or outdated in situ measurements. This study is the first to calculate in situ accumulation over a large region of western Greenland since the Program for Arctic Regional Climate Assessment campaign during the 1990s. Here we analyze 5000 km of 400 MHz ground penetrating radar data and sixteen 25-33 m-long firn cores in the western GrIS percolation zone to determine snow accumulation over the past 50 years. The cores and radar data were collected as part of the 2016-2017 Greenland Traverse for Accumulation and Climate Studies (GreenTrACS). With the cores and radar profiles we capture spatial accumulation gradients between 1850-2500 m a.s.l and up to Summit Station. We calculate accumulation rates and use them to validate five widely used regional climate models and to compare with IceBridge snow and accumulation radars. Our results indicate that while the models capture most regional spatial climate patterns, they lack the small-scale spatial variability captured by in situ measurements. Additionally, we evaluate temporal trends in accumulation at ice core locations and throughout the traverse. Finally, we use empirical orthogonal function and correlation analyses to investigate the principal drivers of radar-derived accumulation rates across the western GrIS percolation zone, including major North Atlantic climate modes such as the North Atlantic Oscillation, Atlantic Multidecadal Oscillation, and Greenland Blocking Index.

  19. Comparative study of the prevalence of sepsis in patients admitted to dermatology and internal medicine wards*

    PubMed Central

    Almeida, Luiz Maurício Costa; Diniz, Michelle dos Santos; Diniz, Lorena dos Santos; Machado-Pinto, Jackson; Silva, Francisco Chagas Lima

    2013-01-01

    BACKGROUND Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively. PMID:24173179

  20. Violence from young women involuntarily admitted for severe drug abuse.

    PubMed

    Palmstierna, T; Olsson, D

    2007-01-01

    To simultaneously evaluate actuarial and dynamic predictors of severe in-patient violence among women involuntarily admitted for severe drug abuse. All patients admitted to special facilities for involuntary treatment of absconding-prone, previously violent, drug abusing women in Sweden were assessed with the Staff Observation Aggression Scale, revised. Actuarial data on risk factors for violence were collected and considered in an extended Cox proportional hazards model with multiple events and daily assessments of the Broset Violence Checklist as time-dependent covariates. Low-grade violence and being influenced by illicit drugs were the best predictors of severe violence within 24 h. Significant differences in risk for violence between different institutions were also found. In-patient violence risk is rapidly varying over time with being influenced by illicit drugs and exhibiting low-grade violence being significant dynamic predictors. Differences in violence between patients could not be explained by patient characteristics.

  1. ADMIT: a toolbox for guaranteed model invalidation, estimation and qualitative–quantitative modeling

    PubMed Central

    Streif, Stefan; Savchenko, Anton; Rumschinski, Philipp; Borchers, Steffen; Findeisen, Rolf

    2012-01-01

    Summary: Often competing hypotheses for biochemical networks exist in the form of different mathematical models with unknown parameters. Considering available experimental data, it is then desired to reject model hypotheses that are inconsistent with the data, or to estimate the unknown parameters. However, these tasks are complicated because experimental data are typically sparse, uncertain, and are frequently only available in form of qualitative if–then observations. ADMIT (Analysis, Design and Model Invalidation Toolbox) is a MatLabTM-based tool for guaranteed model invalidation, state and parameter estimation. The toolbox allows the integration of quantitative measurement data, a priori knowledge of parameters and states, and qualitative information on the dynamic or steady-state behavior. A constraint satisfaction problem is automatically generated and algorithms are implemented for solving the desired estimation, invalidation or analysis tasks. The implemented methods built on convex relaxation and optimization and therefore provide guaranteed estimation results and certificates for invalidity. Availability: ADMIT, tutorials and illustrative examples are available free of charge for non-commercial use at http://ifatwww.et.uni-magdeburg.de/syst/ADMIT/ Contact: stefan.streif@ovgu.de PMID:22451270

  2. Development of gravity theory application in the internalregional inter-zone commodity movement distribution with the origin zone movement generation boundary

    NASA Astrophysics Data System (ADS)

    Akbardin, J.; Parikesit, D.; Riyanto, B.; TMulyono, A.

    2018-05-01

    Zones that produce land fishery commodity and its yields have characteristics that is limited in distribution capability because infrastructure conditions availability. High demand for fishery commodities caused to a growing distribution at inefficient distribution distance. The development of the gravity theory with the limitation of movement generation from the production zone can increase the interaction inter-zones by distribution distances effectively and efficiently with shorter movement distribution distances. Regression analysis method with multiple variable of transportation infrastructure condition based on service level and quantitative capacity is determined to estimate the 'mass' of movement generation that is formed. The resulting movement distribution (Tid) model has the equation Tid = 27.04 -0.49 tid. Based on barrier function of power model with calibration value β = 0.0496. In the way of development of the movement generation 'mass' boundary at production zone will shorten the distribution distance effectively with shorter distribution distances. Shorter distribution distances will increase the accessibility inter-zones to interact according to the magnitude of the movement generation 'mass'.

  3. Climate-based seed zones for Mexico: guiding reforestation under observed and projected climate change

    Treesearch

    Dante Castellanos-Acuña; Kenneth W. Vance-Borland; J. Bradley St. Clair; Andreas Hamann; Javier López-Upton; Erika Gómez-Pineda; Juan Manuel Ortega-Rodríguez; Cuauhtémoc Sáenz-Romero

    2018-01-01

    Seed zones for forest tree species are a widely used tool in reforestation programs to ensure that seedlings are well adapted to their planting environments. Here, we propose a climate-based seed zone system for Mexico to address observed and projected climate change. The proposed seed zone classification is based on bands of climate variables often related to genetic...

  4. Nurses' understanding influences comprehension of patients admitted in the observation unit.

    PubMed

    Desme, Aline; Mendes, Nathalie; Perruche, Franck; Veillard, Elsa; Elie, Caroline; Moulinet, Françoise; Sanson, Fabienne; Georget, Jean-Michel; Tissier, Anne; Pourriat, Jean-Louis; Claessens, Yann-Erick

    2013-01-01

    Comprehension is poor in patients admitted in the emergency observation unit. Teamwork communication gaps could contribute to patients' misunderstanding of their health condition. To determine in patients admitted in the emergency observation unit whether comprehension of diagnosis, prognosis, and management depended on nurses' comprehension, the authors conducted a prospective observational study in a busy adult emergency department of a tertiary teaching hospital in Paris over 2 months. Consecutive patients admitted in the emergency observation unit were included. Patients' and nurses' comprehension of diagnosis, prognosis, and management was compared with the statements of the emergency department attending physicians for these items. The authors observed whether patients' misunderstanding was associated with nurses' misunderstanding. A total of 544 patients were evaluated. For each patient, nurses' and patients' comprehension was available. Patients understood severity in 40%, organ involved in 69%, medical wording in 57%, reason for admission in 48%, and discharge instruction in 67%. In comparison with patients, nurses better understood each item except for discharge instruction. The authors observed that patients' comprehension was better when nurses understood diagnosis (p <.0001), reasons for admission (p =.032) and discharge instructions (p =.002). Nurses' understanding of severity did not modify patients' comprehension. These results support the conclusions that communication gaps in teamwork alter patients' comprehension and that nurses' and patients' misunderstandings are associated. Therefore, improving communication by nurses and physicians to patients may improve patients' understanding.

  5. Clinical Features of Adult Patients Admitted to Pediatric Wards in Japan.

    PubMed

    Michihata, Nobuaki; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo

    2015-10-01

    Pediatricians generally need to treat adult patients who require long-term care for pediatric diseases. However, little is known about the characteristics of adult patients in pediatric wards. Using a national inpatient database, the aim of this study was to determine the clinical details of adult patients admitted to pediatric wards in Japanese acute-care hospitals. We extracted all inpatients aged ≥19 years who were admitted to pediatric departments in Japan from April 2012 to March 2013. We examined the patients' main diagnoses and the use of life-supporting home medical devices. Of 417,352 patients admitted to pediatric wards during the study period, we identified 4,729 (1.1%) adult patients. The major diagnoses of the adult patients were malignancy, congenital heart disease, epilepsy, and cerebral palsy. More than 35% of the patients with cerebral palsy had a tracheostomy tube, gastrostomy tube, home central venous alimentation, or home respirator. More than 20% of patients aged ≥40 years in pediatric wards had adult diseases, including ischemic heart diseases, cerebrovascular diseases, and adult malignancy. Many adult patients in pediatric wards had adult diseases. It is essential to establish a disease-oriented support system for adults with chronic conditions that originated in their childhood. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  6. Care and Outcomes of Patients With Cancer Admitted to the Hospital on Weekends and Holidays: A Retrospective Cohort Study.

    PubMed

    Lapointe-Shaw, Lauren; Abushomar, Hani; Chen, Xi-Kuan; Gapanenko, Katerina; Taylor, Chelsea; Krzyzanowska, Monika K; Bell, Chaim M

    2016-07-01

    Patients admitted to the hospital on weekends experience worse outcomes than those admitted on weekdays. Patients with cancer may be especially vulnerable to the effects of weekend care. Our objective was to compare the care and outcomes of patients with cancer admitted urgently to the hospital on weekends and holidays versus those of patients with cancer admitted at other times. This was a retrospective study of all adult patients with cancer having an urgent hospitalization in Canada from 2010 to 2013. Patients admitted to hospital on weekends/holidays were compared with those admitted on weekdays. The primary outcome was 7-day in-hospital mortality. We also compared performance of procedures in the first 2 days of hospital admission and admission to critical care after the first 24 hours. 290,471 hospital admissions were included. Patients admitted to hospital on weekends/holidays had an increased risk of 7-day in-hospital mortality (4.8% vs 4.3%; adjusted odds ratio [OR], 1.13; 95% CI, 1.08-1.17), corresponding to 137 excess deaths per year compared with the weekday group. This risk persisted after restricting the analysis to patients arriving by ambulance (7.1% vs 6.4%; adjusted OR, 1.11; 95% CI, 1.04-1.18). Among those who had procedures in the first 4 days of admission, fewer weekend/holiday-admitted patients had them performed in the first 2 days, for 8 of 9 common procedure groups. There was no difference in critical care admission risk after the first 24 hours. Patients with cancer admitted to the hospital on weekends/holidays experience higher mortality relative to patients admitted on weekdays. This may result from different care processes for weekend/holiday patients, including delayed procedures. Future research is needed to identify key outcome-driving procedures, and ensure timely access to these on all days of the week. Copyright © 2016 by the National Comprehensive Cancer Network.

  7. Auroral zone effects on hydrogen geocorona structure and variability

    NASA Technical Reports Server (NTRS)

    Moore, T. E.; Biddle, A. P.; Waite, J. H., Jr.; Killeen, T. L.

    1985-01-01

    The effect of diurnal and magnetospheric modulations on the structure of the hydrogen geocorona is analyzed on the basis of recent observations. Particular attention is given to the enhancement of neutral escape by plasma effects, including the recently observed phenomenon of low-altitude ion acceleration. It is found that, while significant fluxes of neutral H should be produced by transverse ion acceleration in the auroral zone, the process is probably insufficient to account for the observed polar depletion of hydrogen atoms. Analysis of recent exospheric temperature measurements from the Dynamics Explorer-2 satellite suggest that neutral heating in and near the high latitude cusp may be the major contributor to depleted atomic hydrogen densities at high latitudes. Altitude profiles of the production rates for escaping neutral hydrogen atoms during periods of maximum, minimum, and typical solar activity are provided.

  8. [Defining of wheat growth management zones based on remote sensing and geostatistics].

    PubMed

    Huang, Yan; Zhu, Yan; Ma, Meng-Li; Wang, Hang; Cao, Wei-Xing; Tian, Yong-Chao

    2011-02-01

    Taking the winter wheat planting areas in Rugao City and Haian County of Jiangsu Province as test objects, the clustering defining of wheat growth management zones was made, based on the spatial variability analysis and principal component extraction of the normalized difference vegetation index (NDVI) data calculated from the HJ-1A/B CCD images (30 m resolution) at different growth stages of winter wheat, and of the soil nutrient indices (total nitrogen, organic matter, available phosphorus, and available potassium). The results showed that the integration of the NDVI at heading stage with above-mentioned soil nutrient indices produced the best results of wheat growth management zone defining, with the variation coefficients of NDVI and soil nutrient indices in each defined zone ranged in 4.5% -6.1% and 3.3% -87.9%, respectively. However, the variation coefficients were much larger when the wheat growth management zones were defined individually by NDVI or by soil nutrient indices, suggesting that the newly developed defining method could reduce the variability within the defined management zones and improve the crop management precision, and thereby, contribute to the winter wheat growth management and process simulation at regional scale.

  9. Multi-level hot zone identification for pedestrian safety.

    PubMed

    Lee, Jaeyoung; Abdel-Aty, Mohamed; Choi, Keechoo; Huang, Helai

    2015-03-01

    According to the National Highway Traffic Safety Administration (NHTSA), while fatalities from traffic crashes have decreased, the proportion of pedestrian fatalities has steadily increased from 11% to 14% over the past decade. This study aims at identifying two zonal levels factors. The first is to identify hot zones at which pedestrian crashes occurs, while the second are zones where crash-involved pedestrians came from. Bayesian Poisson lognormal simultaneous equation spatial error model (BPLSESEM) was estimated and revealed significant factors for the two target variables. Then, PSIs (potential for safety improvements) were computed using the model. Subsequently, a novel hot zone identification method was suggested to combine both hot zones from where vulnerable pedestrians originated with hot zones where many pedestrian crashes occur. For the former zones, targeted safety education and awareness campaigns can be provided as countermeasures whereas area-wide engineering treatments and enforcement may be effective safety treatments for the latter ones. Thus, it is expected that practitioners are able to suggest appropriate safety treatments for pedestrian crashes using the method and results from this study. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. 37 CFR 1.127 - Petition from refusal to admit amendment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2014-07-01 2014-07-01 false Petition from refusal to admit amendment. 1.127 Section 1.127 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES National Processing...

  11. 37 CFR 1.127 - Petition from refusal to admit amendment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Petition from refusal to admit amendment. 1.127 Section 1.127 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES National Processing...

  12. Evaluation of a Specialized Yoga Program for Persons Admitted to a Complex Continuing Care Hospital: A Pilot Study

    PubMed Central

    Kuluski, Kerry; Bechsgaard, Gitte; Ridgway, Jennifer; Katz, Joel

    2016-01-01

    Introduction. The purpose of this study was to evaluate a specialized yoga intervention for inpatients in a rehabilitation and complex continuing care hospital. Design. Single-cohort repeated measures design. Methods. Participants (N = 10) admitted to a rehabilitation and complex continuing care hospital were recruited to participate in a 50–60 min Hatha Yoga class (modified for wheelchair users/seated position) once a week for eight weeks, with assigned homework practice. Questionnaires on pain (pain, pain interference, and pain catastrophizing), psychological variables (depression, anxiety, and experiences with injustice), mindfulness, self-compassion, and spiritual well-being were collected at three intervals: pre-, mid-, and post-intervention. Results. Repeated measures ANOVAs revealed a significant main effect of time indicating improvements over the course of the yoga program on the (1) anxiety subscale of the Hospital Anxiety and Depression Scale, F(2,18) = 4.74, p < .05, and η p 2 = .35, (2) Self-Compassion Scale-Short Form, F(2,18) = 3.71, p < .05, and η p 2 = .29, and (3) Magnification subscale of the Pain Catastrophizing Scale, F(2,18) = 3. 66, p < .05, and η p 2 = .29. Discussion. The results suggest that an 8-week Hatha Yoga program improves pain-related factors and psychological experiences in individuals admitted to a rehabilitation and complex continuing care hospital. PMID:28115969

  13. Providers' competencies positively affect personal recovery of involuntarily admitted patients with severe mental illness: A prospective observational study.

    PubMed

    Jas, Ellen; Wieling, Martijn

    2018-03-01

    There is limited research on the patient-provider relationship in inpatient settings. The purpose of this study was to measure the effect of mental healthcare providers' recovery-promoting competencies on personal recovery in involuntarily admitted psychiatric patients with severe mental illness. In all, 127 Dutch patients suffering from a severe mental illness residing in a high-secure psychiatric hospital reported the degree of their personal recovery (translated Questionnaire about Processes of Recovery questionnaire (QPR)) and the degree of mental healthcare providers' recovery-promoting competence (Recovery Promoting Relationship Scale (RPRS)) at two measurement points, 6 months apart. (Mixed-effects) linear regression analysis was used to test the effect of providers' recovery-promoting competence on personal recovery, while controlling for the following confounding variables: age, gender drug/alcohol problems, social relationships, activities of daily living, treatment motivation and medication adherence. Analyses revealed a significant positive effect of providers' recovery-promoting competencies on the degree of personal recovery ( t = 8.4, p < .001) and on the degree of change in personal recovery over time ( ts > 4, p < .001). This study shows that recovery-promoting competencies of mental healthcare providers are positively associated with (a change in) personal recovery of involuntarily admitted patients. Further research is necessary on how to organize recovery-oriented care in inpatient settings and how to enhance providers' competencies in a sustainable way.

  14. Assessment of post-operative pain management among acutely and electively admitted patients - a Swedish ward perspective.

    PubMed

    Magidy, Mahnaz; Warrén-Stomberg, Margareta; Bjerså, Kristofer

    2016-04-01

    Swedish health care is regulated to involve the patient in every intervention process. In the area of post-operative pain, it is therefore important to evaluate patient experience of the quality of pain management. Previous research has focused on mapping this area but not on comparing experiences between acutely and electively admitted patients. Hence, the aim of this study was to investigate the experiences of post-operative pain management quality among acutely and electively admitted patients at a Swedish surgical department performing soft-tissue surgery. A survey study design was used as a method based on a multidimensional instrument to assess post-operative pain management: Strategic and Clinical Quality Indicators in Postoperative Pain Management (SCQIPP). Consecutive patients at all wards of a university hospital's surgical department were included. Data collection was performed at hospital discharge. In total, 160 patients participated, of whom 40 patients were acutely admitted. A significant difference between acutely and electively admitted patients was observed in the SCQIPP area of environment, whereas acute patients rated the post-operative pain management quality lower compared with those who were electively admitted. There may be a need for improvement in the areas of post-operative pain management in Sweden, both specifically and generally. There may also be a difference in the experience of post-operative pain quality between acutely and electively admitted patients in this study, specifically in the area of environment. In addition, low levels of the perceived quality of post-operative pain management among the patients were consistent, but satisfaction with analgesic treatment was rated as good. © 2015 John Wiley & Sons, Ltd.

  15. Acute coronary syndrome patients admitted to a cardiology vs non-cardiology service: variations in treatment & outcome.

    PubMed

    O'Neill, Deirdre E; Southern, Danielle A; Norris, Colleen M; O'Neill, Blair J; Curran, Helen J; Graham, Michelle M

    2017-05-16

    Specialized cardiology services have contributed to reduced mortality in acute coronary syndromes (ACS).  We sought to evaluate the outcomes of ACS patients admitted to non-cardiology services in Southern Alberta. Retrospective chart review performed on all troponin-positive patients in the Calgary Health Region identified those diagnosed with ACS by their attending team. Patients admitted to non-cardiology and cardiology services were compared, using linked data from the Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) registry and the Strategic Clinical Network for Cardiovascular Health and Stroke. From January 1, 2007 to December 31, 2008, 2105 ACS patients were identified, with 1636 (77.7%) admitted to cardiology and 469 (22.3%) to non-cardiology services. Patients admitted to non-cardiology services were older, had more comorbidities, and rarely received cardiology consultation (5.1%). Cardiac catheterization was underutilized (5.1% vs 86.4% in cardiology patients (p < 0.0001)), as was evidence-based pharmacotherapy (p < 0.0001). Following adjustment for baseline comorbidities, 30-day through 4-year mortality was significantly higher on non-cardiology vs. cardiology services (49.1% vs. 11.0% respectively at 4-years, p < 0.0001). In a large ACS population in the Calgary Health Region, 25% were admitted to non-cardiology services. These patients had worse outcomes, despite adjustment for baseline risk factor differences. Although many patients were appropriately admitted to non-cardiology services, the low use of investigations and secondary prevention medications may contribute to poorer patient outcome. Further research is required to identify process of care strategies to improve outcomes and lessen the burden of illness for patients and the health care system.

  16. Anthropogenic and natural variability in the composition of sedimentary organic matter of the urbanised coastal zone of Montevideo (Río de la Plata).

    PubMed

    Bueno, C; Brugnoli, E; Bergamino, L; Muniz, P; García-Rodríguez, F; Figueira, R

    2018-01-01

    This study is aimed to identify the different sources of sedimentary organic matter (SOM) within Montevideo coastal zone (MCZ). To this end δ 13 C, δ 15 N and C/N ratio were analysed in surface sediments and a sediment core. Sediment core analysis showed that until ~1950CE SOM was mainly marine, observing a shift towards lower δ 13 C in recent sediments, evidencing an estuarine composition. This trend was associated to the climatic variability, which exerted a major influence on the SOM composition, leading to an increased input of terrigenous material and associated anthropogenic contaminants. Surface sediments collected during different El Niño South Oscillation (ENSO) phases did not show inter-annual variability in SOM composition, which was mainly marine in both eastern and western region of MCZ and estuarine in Montevideo Bay. This spatial pattern provides new insights on the dynamics and factors affecting organic matter sources available for primary consumers along the study region. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Hospital organization and importance of an interventional radiology inpatient admitting service: Italian single-center 3-year experience.

    PubMed

    Simonetti, Giovanni; Bollero, Enrico; Ciarrapico, Anna Micaela; Gandini, Roberto; Konda, Daniel; Bartolucci, Alberto; Di Primio, Massimiliano; Mammucari, Matteo; Chiocchi, Marcello; D'Alba, Fabrizio; Masala, Salvatore

    2009-03-01

    In June 2005 a Complex Operating Unit of Interventional Radiology (COUIR), consisting of an outpatient visit service, an inpatient admitting service with four beds, and a day-hospital service with four beds was installed at our department. Between June 2005 and May 2008, 1772 and 861 well-screened elective patients were admitted to the inpatient ward of the COUIR and to the Internal Medicine Unit (IMU) or Surgery Unit (SU) of our hospital, respectively, and treated with IR procedures. For elective patients admitted to the COUIR's inpatient ward, hospital stays were significantly shorter and differences between reimbursements and costs were significantly higher for almost all IR procedures compared to those for patients admitted to the IMU and SU (Student's t-test for unpaired data, p < 0.05). The results of the 3-year activity show that the activation of a COUIR with an inpatient admitting service, and the better organization of the patient pathway that came with it, evidenced more efficient use of resources, with the possibility for the hospital to save money and obtain positive margins (differences between reimbursements and costs). During 3 years of activity, the inpatient admitting service of our COUIR yielded a positive difference between reimbursements and effective costs of 1,009,095.35 euros. The creation of an inpatient IR service and the admission of well-screened elective patients allowed short hospitalization times, reduction of waiting lists, and a positive economic outcome.

  18. Hospital Organization and Importance of an Interventional Radiology Inpatient Admitting Service: Italian Single-Center 3-Year Experience

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Simonetti, Giovanni; Bollero, Enrico; Ciarrapico, Anna Micaela

    2009-03-15

    In June 2005 a Complex Operating Unit of Interventional Radiology (COUIR), consisting of an outpatient visit service, an inpatient admitting service with four beds, and a day-hospital service with four beds was installed at our department. Between June 2005 and May 2008, 1772 and 861 well-screened elective patients were admitted to the inpatient ward of the COUIR and to the Internal Medicine Unit (IMU) or Surgery Unit (SU) of our hospital, respectively, and treated with IR procedures. For elective patients admitted to the COUIR's inpatient ward, hospital stays were significantly shorter and differences between reimbursements and costs were significantly highermore » for almost all IR procedures compared to those for patients admitted to the IMU and SU (Student's t-test for unpaired data, p < 0.05). The results of the 3-year activity show that the activation of a COUIR with an inpatient admitting service, and the better organization of the patient pathway that came with it, evidenced more efficient use of resources, with the possibility for the hospital to save money and obtain positive margins (differences between reimbursements and costs). During 3 years of activity, the inpatient admitting service of our COUIR yielded a positive difference between reimbursements and effective costs of Euro 1,009,095.35. The creation of an inpatient IR service and the admission of well-screened elective patients allowed short hospitalization times, reduction of waiting lists, and a positive economic outcome.« less

  19. The characteristics of patients frequently admitted to academic medical centers in the United States

    PubMed Central

    Williams, Mark V.; Carrier, Danielle; Hensley, Laurie; Thomas, Stephen; Cerese, Julie

    2015-01-01

    BACKGROUND The recent intense attention to hospital readmissions and their implications for quality, safety, and reimbursement necessitates understanding specific subsets of readmitted patients. Frequently admitted patients, defined as patients who are admitted 5 or more times within 1 year, may have some distinguishing characteristics that require novel solutions. METHODS A comprehensive administrative database (University HealthSystem Consortium's Clinical Data Base/Resource Manager™) was analyzed to identify demographic, social, and clinical characteristics of frequently admitted patients in 101 US academic medical centers. RESULTS We studied 28,291 frequently admitted patients with 180,185 admissions over a 1‐year period (2011–2012). These patients comprise 1.6% of all patients, but account for 8% of all admissions and 7% of direct costs. Their admissions are driven by multiple chronic conditions; compared to other hospitalized patients, they have significantly more comorbidities (an average of 7.1 vs 2.5), and 84% of their admissions are to medical services. A minority, but significantly more than other patients, have comorbidities of psychosis or substance abuse. Moreover, although they are slightly more likely than other patients to be on Medicaid or to be uninsured (27.6% vs 21.6%), nearly three‐quarters have private or Medicare coverage. CONCLUSIONS Patients who are frequently admitted to US academic medical centers are likely to have multiple complex chronic conditions and may have behavioral comorbidities that mediate their health behaviors, resulting in acute episodes requiring hospitalization. This information can be used to identify solutions for preventing repeat hospitalization for this small group of patients who consume a highly disproportionate share of healthcare resources. Journal of Hospital Medicine 2015;10:563–568. © 2015 The Authors Journal of Hospital Medicine published by Wiley Periodicals, Inc. on behalf of Society of Hospital

  20. Using the Admitted Class Evaluation Service (ACES) to Conduct Institution-Specific Admission or Placement Validity Studies

    ERIC Educational Resources Information Center

    Shaw, Emily J.

    2011-01-01

    Presented at the 23rd Annual Historically Black Colleges & Universities (HBCU) Conference in Atlanta, GA, in September 2011. Admitted Class Evaluation Service (ACES) is the College Board's free online service that predicts how admitted students will perform at a college or university generally, and how successful students will be in specific…

  1. Climatically driven yield variability of major crops in Khakassia (South Siberia)

    NASA Astrophysics Data System (ADS)

    Babushkina, Elena A.; Belokopytova, Liliana V.; Zhirnova, Dina F.; Shah, Santosh K.; Kostyakova, Tatiana V.

    2018-06-01

    We investigated the variability of yield of the three main crop cultures in the Khakassia Republic: spring wheat, spring barley, and oats. In terms of yield values, variability characteristics, and climatic response, the agricultural territory of Khakassia can be divided into three zones: (1) the Northern Zone, where crops yield has a high positive response to the amount of precipitation, May-July, and a moderately negative one to the temperatures of the same period; (2) the Central Zone, where crops yield depends mainly on temperatures; and (3) the Southern Zone, where climate has the least expressed impact on yield. The dominant pattern in the crops yield is caused by water stress during periods of high temperatures and low moisture supply with heat stress as additional reason. Differences between zones are due to combinations of temperature latitudinal gradient, precipitation altitudinal gradient, and the presence of a well-developed hydrological network and the irrigational system as moisture sources in the Central Zone. More detailed analysis shows differences in the climatic sensitivity of crops during phases of their vegetative growth and grain development and, to a lesser extent, during harvesting period. Multifactor linear regression models were constructed to estimate climate- and autocorrelation-induced variability of the crops yield. These models allowed prediction of the possibility of yield decreasing by at least 2-11% in the next decade due to increasing of the regional summer temperatures.

  2. Climatically driven yield variability of major crops in Khakassia (South Siberia)

    NASA Astrophysics Data System (ADS)

    Babushkina, Elena A.; Belokopytova, Liliana V.; Zhirnova, Dina F.; Shah, Santosh K.; Kostyakova, Tatiana V.

    2017-12-01

    We investigated the variability of yield of the three main crop cultures in the Khakassia Republic: spring wheat, spring barley, and oats. In terms of yield values, variability characteristics, and climatic response, the agricultural territory of Khakassia can be divided into three zones: (1) the Northern Zone, where crops yield has a high positive response to the amount of precipitation, May-July, and a moderately negative one to the temperatures of the same period; (2) the Central Zone, where crops yield depends mainly on temperatures; and (3) the Southern Zone, where climate has the least expressed impact on yield. The dominant pattern in the crops yield is caused by water stress during periods of high temperatures and low moisture supply with heat stress as additional reason. Differences between zones are due to combinations of temperature latitudinal gradient, precipitation altitudinal gradient, and the presence of a well-developed hydrological network and the irrigational system as moisture sources in the Central Zone. More detailed analysis shows differences in the climatic sensitivity of crops during phases of their vegetative growth and grain development and, to a lesser extent, during harvesting period. Multifactor linear regression models were constructed to estimate climate- and autocorrelation-induced variability of the crops yield. These models allowed prediction of the possibility of yield decreasing by at least 2-11% in the next decade due to increasing of the regional summer temperatures.

  3. Transmissivity and water quality of water-producing zones in the intermediate aquifer system, Sarasota County, Florida

    USGS Publications Warehouse

    Knochenmus, L.A.; Bowman, Geronia

    1998-01-01

    The intermediate aquifer system is an important water source in Sarasota County, Florida, because the quality of water in it is usually better than that in the underlying Upper Floridan aquifer. The intermediate aquifer system consists of a group of up to three water-producing zones separated by less-permeable units that restrict the vertical movement of ground water between zones. The diverse lithology, that makes up the intermediate aquifer system, reflects the variety of depositional environments that occurred during the late Oligocene and Miocene epochs. Slight changes in the depositional environment resulted in aquifer heterogeneity, creating both localized connection between water-producing zones and abrupt culmination of water-producing zones that are not well documented. Aquifer heterogeneity results in vertical and areal variability in hydraulic and water-quality properties. The uppermost water-producing zone is designated producing zone 1 but is not extensively used because of its limited production capability and limited areal extent. The second water-producing zone is designated producing zone 2, and most of the domestic- and irrigation-supply wells in the area are open to this zone. Additionally, producing zone 2 is utilized for public supply in southern coastal areas of Sarasota County. Producing zone 3 is the lowermost and most productive water-producing zone in the intermediate aquifer system. Public-supply well fields serving the cities of Sarasota and Venice, as well as the Plantation and Mabry Carlton Reserve well fields, utilize producing zone 3. Heads within the intermediate aquifer system generally increase with aquifer depth. However, localized head-gradient reversals occur in the study area, coinciding with sites of intense ground-water withdrawals. Heads in producing zones 1, 2, and 3 range from 1 to 23, 0.2 to 34, and 7 to 42 feet above sea level, respectively. Generally, an upward head gradient exists between producing zones 3 and 2

  4. Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre-active versus Active Labor

    PubMed Central

    NEAL, Jeremy L.; LAMP, Jane M.; BUCK, Jacalyn S.; LOWE, Nancy K.; GILLESPIE, Shannon L.; RYAN, Sharon L.

    2014-01-01

    Introduction The timing of when a woman is admitted to the hospital for labor care following spontaneous contraction onset may be among the most important decisions that labor attendants make as it can influence care patterns and birth outcomes. The aims of this study were to estimate the percentage of low-risk, nulliparous women at term who are admitted to labor units prior to active labor and to evaluate the effects of the timing of admission (i.e., pre-active versus active labor) on labor interventions and mode of birth. Methods Obstetrics data from low-risk, nulliparous women with spontaneous labor onset at term gestation (N = 216) were merged from two prospective studies conducted at three large, Midwestern hospitals. Baseline characteristics, labor interventions, and outcomes were compared between groups using Fisher’s exact and Mann-Whitney U tests, as appropriate. Likelihoods for oxytocin augmentation, amniotomy, and cesarean delivery were assessed by logistic regression. Results Of the sample of 216 low-risk nulliparous women, 114 (52.8%) were admitted in pre-active labor and 102 (47.2%) were admitted in active labor. Women admitted in pre-active labor were more likely to undergo oxytocin augmentation (84.2% and 45.1%, respectively; odds ratio (OR) 6.5, 95% confidence interval (CI) 3.43–12.27) but not amniotomy (55.3% and 61.8%, respectively; OR 0.8, 95% CI 0.44–1.32) when compared to women admitted in active labor. The likelihood of cesarean delivery was higher for women admitted before active labor onset (15.8% and 6.9%, respectively; OR 2.6, 95% CI 1.02–6.37). Discussion Many low-risk nulliparous women with regular, spontaneous uterine contractions are admitted to labor units before active labor onset, which increases their likelihood of receiving oxytocin and being delivered via cesarean section. An evidence-based, standardized approach for labor admission decision-making is recommended to decrease inadvertent admissions of women in pre

  5. Missed Opportunities for Nutritional Rehabilitation in Children Admitted to Surgical Wards

    PubMed Central

    Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish

    2016-01-01

    Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a “missed opportunity.” Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. “Identification” and hence management of malnutrition need more attention. PMID:27429836

  6. Socially cooperative choices: An approach to achieving resource sustainability in the coastal zone

    NASA Astrophysics Data System (ADS)

    Crance, Colin; Draper, Dianne

    1996-03-01

    Achieving resource sustainability, particularly in the coastal zone, is complicated by a variety of interdependencies and trade-offs between economic, social, and ecological variables. Although trade-offs between each of these variables are important, this paper emphasizes the social components of resource management. In this regard a distinction is made between individual and cooperative choices. Individual choices frequently are made from a shortterm, self-interested perspective, whereas cooperative choices are made from a long-term, community and resource-sustainability perspective. Typically, when presented with a spectrum of resource management decisions, individuals have a tendency to act in a self-interested manner. Thus, cooperative benefits, such as reduced conflict and improved resource certainty, are not realized. An overview of selected aspects of social dilemma theory suggests that socially cooperative choice outcomes are attainable in coastal zone management by integrating structural and behavioral solutions in resource use decision making. Three barriers to successful integration of structural and behavioral solutions are identified as self-interest, mistrust, and variable perceptions of resource amenities. Examples from coastal zone management indicate that these barriers may be overcome using approaches such as scopereduction, co-management, community education, and local participation. The paper also provides comment on the potential benefits of integrating structural and behavioral solutions in international coastal zone management efforts.

  7. Rainfall Morphology in Semi-Tropical Convergence Zones

    NASA Technical Reports Server (NTRS)

    Shepherd, J. Marshall; Ferrier, Brad S.; Ray, Peter S.

    2000-01-01

    Central Florida is the ideal test laboratory for studying convergence zone-induced convection. The region regularly experiences sea breeze fronts and rainfall-induced outflow boundaries. The focus of this study is the common yet poorly-studied convergence zone established by the interaction of the sea breeze front and an outflow boundary. Previous studies have investigated mechanisms primarily affecting storm initiation by such convergence zones. Few have focused on rainfall morphology yet these storms contribute a significant amount precipitation to the annual rainfall budget. Low-level convergence and mid-tropospheric moisture have both been shown to correlate with rainfall amounts in Florida. Using 2D and 3D numerical simulations, the roles of low-level convergence and mid-tropospheric moisture in rainfall evolution are examined. The results indicate that time-averaged, vertical moisture flux (VMF) at the sea breeze front/outflow convergence zone is directly and linearly proportional to initial condensation rates. This proportionality establishes a similar relationship between VMF and initial rainfall. Vertical moisture flux, which encompasses depth and magnitude of convergence, is better correlated to initial rainfall production than surface moisture convergence. This extends early observational studies which linked rainfall in Florida to surface moisture convergence. The amount and distribution of mid-tropospheric moisture determines how rainfall associated with secondary cells develop. Rainfall amount and efficiency varied significantly over an observable range of relative humidities in the 850- 500 mb layer even though rainfall evolution was similar during the initial or "first-cell" period. Rainfall variability was attributed to drier mid-tropospheric environments inhibiting secondary cell development through entrainment effects. Observationally, 850-500 mb moisture structure exhibits wider variability than lower level moisture, which is virtually always

  8. [Respiratory infections caused by Aspergillus spp. in critically ill patients admitted to the intensive care units].

    PubMed

    Álvarez Lerma, F; Olaechea Astigarraga, P; Palomar Martínez, M; Rodríguez Carvajal, M; Machado Casas, J F; Jiménez Quintana, M M; Esteve Urbano, F; Ballesteros Herráez, J C; Zavala Zegarra, E

    2015-04-01

    The presence of respiratory fungal infection in the critically ill patient is associated with high morbidity and mortality. To assess the incidence of respiratory infection caused by Aspergillus spp. independently of the origin of infection in patients admitted to Spanish ICUs, as well as to describe the rates, characteristics, outcomes and prognostic factors in patients with this type of infection. An observational, retrospective, open-label and multicenter study was carried out in a cohort of patients with respiratory infection caused by Aspergillus spp. admitted to Spanish ICUs between 2006 and 2012 (months of April, May and June), and included in the ENVIN-HELICS registry (108,244 patients and 825,797 days of ICU stay). Variables independently related to in-hospital mortality were identified by multiple logistic regression analysis. A total of 267 patients from 79 of the 198 participating ICUs were included (2.46 cases per 1000 ICU patients and 3.23 episodes per 10,000 days of ICU stay). From a clinical point of view, infections were classified as ventilator-associated pneumonia in 93 cases (34.8%), pneumonia unrelated to mechanical ventilation in 120 cases (44.9%), and tracheobronchitis in 54 cases (20.2%). The study population included older patients (mean 64.8±17.1 years), with a high severity level (APACHE II score 22.03±7.7), clinical diseases (64.8%) and prolonged hospital stay before the identification of Aspergillus spp. (median 11 days), transferred to the ICU mainly from hospital wards (58.1%) and with high ICU (57.3%) and hospital (59.6%) mortality rates, exhibiting important differences depending on the type of infection involved. Independent mortality risk factors were previous admission to a hospital ward (OR=7.08, 95%CI: 3.18-15.76), a history of immunosuppression (OR=2.52, 95%CI: 1.24-5.13) and severe sepsis or septic shock (OR=8.91, 95%CI: 4.24-18.76). Respiratory infections caused by Aspergillus spp. in critically ill patients admitted to

  9. Todays Foundlings: A Survey of Young Children Admitted to the Care of Voluntary Societies in England.

    ERIC Educational Resources Information Center

    London Univ. (England). Inst. of Education.

    This survey was undertaken to provide information about the fate of young children (0-5 years) admitted to the care of voluntary societies. Data, collected from the files of three large voluntary societies, included information about all children admitted in 1962, 1963 and 1964. The movements of the children were followed until December 1968. None…

  10. Individual variability in the core interthreshold zone as related to body physique, somatotype, and physical constitution.

    PubMed

    Kakitsuba, Naoshi; Mekjavic, Igor B; Katsuura, Tetsuo

    2009-11-01

    For evaluating the effect of body physique, somatotype, and physical constitution on individual variability in the core interthreshold zone (CIZ), data from 22 healthy young Japanese male subjects were examined. The experiment was carried out in a climatic chamber in which air temperature was maintained at 20-24 degrees C. The subjects' body physique and the maximum work load were measured. Somatotype was predicted from the Heath-Carter Somatotype method. In addition, factors reflecting physical constitution, for example, susceptibility to heat and cold, and quality of sleep were obtained by questionnaire. The subjects wore a water-perfused suit which was perfused with water at a temperature of 25 degrees C and at a rate of 600 cc/min, and exercised on an ergometer at 50% of their maximum work rate for 10-15 min until their sweating rate increased. They then remained continuously seated without exercise until shivering increased. Rectal temperature (T(re)) and skin temperatures at four sites were monitored by thermistors, and sweating rate was measured at the forehead with a sweat rate monitor. Oxygen uptake was monitored with a gas analyzer. The results showed individual variability in the CIZ. According to the reciprocal cross-inhibition (RCI) theory, thermoafferent information from peripheral and core sensors is activated by T(re), mean skin temperature (T(sk)), and their changes. Since T(sk) was relatively unchanged, the data were selected to eliminate the influence of the core cooling rate on the sensor-to-effector pathway before RCI, and the relationship between the CIZ and the various factors was then analyzed. The results revealed that susceptibility to heat showed a good correlation with the CIZ, indicating that individual awareness of heat may change the CIZ due to thermoregulatory behavior.

  11. Seasonal Variability in Vadose zone biodegradation at a crude oil pipeline rupture site

    USGS Publications Warehouse

    Sihota, Natasha J.; Trost, Jared J.; Bekins, Barbara; Berg, Andrew M.; Delin, Geoffrey N.; Mason, Brent E.; Warren, Ean; Mayer, K. Ulrich

    2016-01-01

    Understanding seasonal changes in natural attenuation processes is critical for evaluating source-zone longevity and informing management decisions. The seasonal variations of natural attenuation were investigated through measurements of surficial CO2 effluxes, shallow soil CO2 radiocarbon contents, subsurface gas concentrations, soil temperature, and volumetric water contents during a 2-yr period. Surficial CO2 effluxes varied seasonally, with peak values of total soil respiration (TSR) occurring in the late spring and summer. Efflux and radiocarbon data indicated that the fractional contributions of natural soil respiration (NSR) and contaminant soil respiration (CSR) to TSR varied seasonally. The NSR dominated in the spring and summer, and CSR dominated in the fall and winter. Subsurface gas concentrations also varied seasonally, with peak values of CO2 and CH4 occurring in the fall and winter. Vadose zone temperatures and subsurface CO2 concentrations revealed a correlation between contaminant respiration and temperature. A time lag of 5 to 7 mo between peak subsurface CO2 concentrations and peak surface efflux is consistent with travel-time estimates for subsurface gas migration. Periods of frozen soils coincided with depressed surface CO2 effluxes and elevated CO2 concentrations, pointing to the temporary presence of an ice layer that inhibited gas transport. Quantitative reactive transport simulations demonstrated aspects of the conceptual model developed from field measurements. Overall, results indicated that source-zone natural attenuation (SZNA) rates and gas transport processes varied seasonally and that the average annual SZNA rate estimated from periodic surface efflux measurements is 60% lower than rates determined from measurements during the summer.

  12. Mercury concentration variability in the zooplankton of the southern Baltic coastal zone

    NASA Astrophysics Data System (ADS)

    Bełdowska, Magdalena; Mudrak-Cegiołka, Stella

    2017-12-01

    Being a toxic element, mercury is introduced to the human organism through the consumption of fish and seafood, which in turn often feed on zooplankton. The bioaccumulation of Hg by zooplankton is an important factor influencing the magnitude of the mercury load introduced with food into the predator organism. Therefore the present article attempts to identify the processes and factors influencing Hg concentration in the zooplankton of the coastal zone, an area where marine organisms - an attractive food source for humans - thrive. This is particularly important in areas where climate changes influence the species composition and quantity of plankton. The studies were carried out on three test sites in the coastal zone of the southern Baltic Sea in the period from December 2011 to May 2013. The obtained results show that the shorting of the winter season is conducive to Hg increase in zooplankton and, consequently, in the trophic chain. High mercury concentrations were measured in genus Synchaeta and Keratella when Mesodinium rubrum were predominant in phytoplankton, while other sources of this metal in the plankton fauna were epilithon, epiphton and microbenthos. This is of particular importance when it comes to sheltered bays and estuaries with low water dynamics.

  13. Yield response to variable rate irrigation in corn

    USDA-ARS?s Scientific Manuscript database

    To investigate the impact of variable rate irrigation on corn yield, twenty plots of corn were laid out under a center pivot variable rate irrigation (VRI) system in an experimental field near Stoneville, MS. The VRI system is equipped with five VRI zone control units, a global positioning system (G...

  14. Short-term variability and long-term change in the composition of the littoral zone fish community in Spirit Lake, Iowa

    USGS Publications Warehouse

    Pierce, C.L.; Sexton, M.D.; Pelham, M.E.; Larscheid, J.G.

    2001-01-01

    We assessed short-term variability and long-term change in the composition of the littoral fish community in Spirit Lake, Iowa. Fish were sampled in several locations at night with large beach seines during spring, summer and fall of 1995-1998. Long-term changes were inferred from comparison with a similar study conducted over 70 y earlier in Spirit Lake. We found 26 species in the littoral zone. The number of species per sample ranged from 4 to 18, averaging 11.8. The average number of species per sample was higher at stations with greater vegetation density. A distinct seasonal pattern was evident in the number of species collected per sample in most years, increasing steadily from spring to fall. Patterns of variability within our 1995-1998 study period suggest that: (1) numerous samples are necessary to adequately characterize a littoral fish community, (2) sampling should be done when vegetation and young-of-year densities are highest and (3) sampling during a single year is inadequate to reveal the full community. The number of native species has declined by approximately 25% over the last 70 y. A coincident decline in littoral vegetation and associated habitat changes during the same period are likely causes of the long-term community change.

  15. Patients admitted to hospital after suicide attempt with violent methods compared to patients with deliberate self-poisoning -a study of background variables, somatic and psychiatric health and suicidal behavior.

    PubMed

    Persett, Per Sverre; Grimholt, Tine K; Ekeberg, Oivind; Jacobsen, Dag; Myhren, Hilde

    2018-01-24

    In Norway, there are about 550 suicides recorded each year. The number of suicide attempts is 10-15 times higher. Suicide attempt is a major risk factor for suicide, in particular when violent methods are used. Suicide attempts with violent methods have hardly been studied in Norway. This study describes demographic, psychiatric and somatic health in patients admitted to somatic hospitals in Norway after suicide attempt by violent methods compared with suicide attempters using deliberate self-poisoning (DSP). Patients admitted to somatic hospital after suicide attempt aged > 18 years were included in a prospective cohort study, enrolled from December 2010 to April 2015. Demographics (gender, age, marital and living condition, educational and employment status), previous somatic and psychological health were registered. Patients who had used violent methods were compared with patients admitted after suicide attempt by DSP. The study included 80 patients with violent methods and 81 patients with DSP (mean age both groups 42 yrs.). Violent methods used were cutting (34%), jumping from heights (32%), hanging (14%), others (10%), shooting (7%) and drowning (4%). Patients with violent methods had more often psychosis than patients admitted with DSP (14% vs 4%, p <  0.05), less anxiety disorders (4% vs 19%, p <  0.01) and less affective disorders (21% vs. 36%, p <  0.05). There were no significant differences between the numbers of patients who received psychiatric treatment at the time of the suicide attempt (violent 55% versus DSP 48%) or reported previous suicide attempt, 58% in patients with violent methods and 47% in DSP. Patients with violent methods stayed longer in hospital (14.3 (mean 8.3-20.3) vs. 2.3 (mean 1.6-3.1) days, p <  0.001), stayed longer in intensive care unit (5 days vs. 0.5 days, p <  0.001) and were in need of longer mechanical ventilation (1.4 vs 0.1 days, p <  0.001). Patients with violent methods had more

  16. Climate variability controls on unsaturated water and chemical movement, High Plains aquifer, USA

    USGS Publications Warehouse

    Gurdak, J.J.; Hanson, R.T.; McMahon, P.B.; Bruce, B.W.; McCray, J.E.; Thyne, G.D.; Reedy, R.C.

    2007-01-01

    Responses in the vadose zone and groundwater to interannual, interdecadal, and multidecadal climate variability have important implications for groundwater resource sustainability, yet they are poorly documented and not well understood in most aquifers of the USA. This investigation systematically examines the role of interannual to multidecadal climate variability on groundwater levels, deep infiltration (3-23 m) events, and downward displacement (>1 m) of chloride and nitrate reservoirs in thick (15-50 m) vadose zones across the regionally extensive High Plains aquifer. Such vadose zone responses are unexpected across much of the aquifer given a priori that unsaturated total-potential profiles indicate upward water movement from the water table toward the root zone, mean annual potential evapotranspiration exceeds mean annual precipitation, and millennia-scale evapoconcentration results in substantial vadose zone chloride and nitrate reservoirs. Using singular spectrum analysis (SSA) to reconstruct precipitation and groundwater level time-series components, variability was identified in all time series as partially coincident with known climate cycles, such as the Pacific Decadal Oscillation (PDO) (10-25 yr) and the El Nin??o/Southern Oscillation (ENSO) (2-6 yr). Using these lag-correlated hydrologic time series, a new method is demonstrated to estimate climate-varying unsaturated water flux. The results suggest the importance of interannual to interdecadal climate variability on water-flux estimation in thick vadose zones and provide better understanding of the climate-induced transients responsible for the observed deep infiltration and chemical-mobilization events. Based on these results, we discuss implications for climate-related sustainability of the High Plains aquifer. ?? Soil Science Society of America.

  17. Seasonal variability in particulate matter source and composition to the depositional zone of Baltimore Canyon, U.S. Mid-Atlantic Bight

    USGS Publications Warehouse

    Prouty, Nancy G.; Mienis, Furu; Campbell, P.; Roark, E. Brendan; Davies, Andrew; Robertson, Craig M.; Duineveld, Gerard; Ross, Steve W.; Rhodes, M.; Demopoulos, Amanda W.J.

    2017-01-01

    Submarine canyons are often hotspots of biomass and productivity in the deep sea. However, the majority of deep-sea canyons remain poorly sampled. Using a multi-tracer approach, results from a detailed geochemical investigation from a year-long sediment trap deployment reveals details concerning the source, transport, and fate of particulate matter to the depositional zone (1318 m) of Baltimore Canyon on the US Mid-Atlantic Bight (MAB). Both organic biomarker composition (sterol and n-alkanes) and bulk characteristics (δ13C, Δ14C, Chl-a) suggest that on an annual basis particulate matter from marine and terrestrially-derived organic matter are equally important. However, elevated Chlorophyll-a and sterol concentrations during the spring sampling period highlight the seasonal influx of relatively fresh phytodetritus. In addition, the contemporaneous increase in the particle reactive elements cadmium (Cd) and molybdenum (Mo) in the spring suggest increased scavenging, aggregation, and sinking of biomass during seasonal blooms in response to enhanced surface production within the nutricline. While internal waves within the canyon resuspend sediment between 200 and 600 m, creating a nepheloid layer rich in lithogenic material, near-bed sediment remobilization in the canyon depositional zone is minimal. Instead, vertical transport and lateral transport across the continental margin are the dominant processes driving seasonal input of particulate matter. In turn, seasonal variability in deposited particulate organic matter may be linked to benthic faunal composition and ecosystem scale carbon cycling.

  18. Wintertime atmospheric response to decadal SST anomalies in the North Pacific frontal zone and its relationship to dominant atmospheric internal variability

    NASA Astrophysics Data System (ADS)

    Okajima, S.; Nakamura, H.; Nishii, K.; Miyasaka, T.; Kuwano-Yoshida, A.; Taguchi, B.

    2016-02-01

    A decadal-scale warm SST anomaly observed in the North Pacific subarctic frontal zone (SAFZ) tends to accompany a basin-scale anticyclonic anomaly in the troposphere that peaks in January. A set of sensitivity experiments conducted with an AGCM simulates an anticyclonic ensemble response over the North Pacific in January. As observed, the simulated anticyclonic response is in equivalent barotropic structure and maintained mainly through energy conversion from the ensemble mean circulation realized under the climatological SST, suggesting that the anomaly may have a characteristic of a dynamical mode. Conversion of both available potential energy (APE) and kinetic energy (KE) from the mean flow is important for the observed anomaly, while only the former is important for the model response. This is because the model response is located to the north of the jet core region whereas the observed anomaly is straddling the jet exit region, which appears to be in correspondence to the northwestward displacement of the center of the dominant atmospheric internal variability in our model relative to the observed center. Transient eddy feedback forcing also acts to maintain the observed anomaly rather efficiently, while its efficiency is much lower for the simulated response, which seems to be consistent with the poleward displacement of the anticyclonic response from the jet and stormtrack axes. A multi-decadal integration of our coupled GCM also suggests that atmospheric internal variability may be important for determining atmospheric response to the decadal SST variability of the SAFZ.

  19. Influence of riparian seepage zones on nitrate variability in two agricultural headwater streams

    USDA-ARS?s Scientific Manuscript database

    Riparian seepage zones are one of the primary pathways of groundwater transport to headwater streams. While seeps have been recognized for their contributions to streamflow, there is little information on how seeps affect stream water quality. The objective of this study was to examine the influence...

  20. Component testing of a ground based gas turbine steam cooled rich-burn primary zone combustor for emissions control of nitrogeneous fuels

    NASA Technical Reports Server (NTRS)

    Schultz, D. F.

    1986-01-01

    This effort summarizes the work performed on a steam cooled, rich-burn primary zone, variable geometry combustor designed for combustion of nitrogeneous fuels such as heavy oils or synthetic crude oils. The steam cooling was employed to determine its feasibility and assess its usefulness as part of a ground based gas turbine bottoming cycle. Variable combustor geometry was employed to demonstrate its ability to control primary and secondary zone equivalence ratios and overall pressure drop. Both concepts proved to be highly successful in achieving their desired objectives. The steam cooling reduced peak liner temperatures to less than 800 K. This low temperature offers the potential of both long life and reduced use of strategic materials for liner fabrication. These degrees of variable geometry were successfully employed to control air flow distribution within the combustor. A variable blade angle axial flow air swirler was used to control primary zone air flow, while the secondary and tertiary zone air flows were controlled by rotating bands which regulated air flow to the secondary zone quench holes and the dilutions holes respectively.

  1. Variability in pigment concentration in warm-core rings as determined by coastal zone color scanner satellite imagery from the Mid-Atlantic Bight

    NASA Technical Reports Server (NTRS)

    Garcia-Moliner, Graciela; Yoder, James A.

    1994-01-01

    A time series of coastal zone color scanner (CZCS) derived chlorophyll (CZCS-chl) and sea surface temperature (SST) satellite imagery was developed for the Mid-Atlantic Bight (MAB). Warm-core rings (WCR) were identified by both the warmer SST signal as well as the low pigment concentrations of their cores. The variation in pigment concentrations and SST observed in satellite imagery over the geographic range and life span of four WCRs is investigated. The hypotheses are that pigment concentration increase during the lifetime of the WCR is a response to processes such as convective overturn, upwelling, edge enhancement due to increased vertical mixing, active convergence, or lateral exchange. Empirical orthogonal function analysis (EOF) is used to investigate the relationship between SST and pigment patterns observed in the presence of a WCR. The first two EOF modes explain more than 80% of the variability observed in all four WCRs and in both (SST and pigment) data sets. The results of this study show that, at the synoptic scales of staellite data, the variability observed in the WCRs is greater at the periphery of the rings. These results show that advective entrainment, rather than processes at ring center (e.g., shoaling of the pycnocline/nutricline in response to frictional decay) or at the periphery due to other processes such as vertical mixing, is the mechanism responsible for the observed variability.

  2. Depression and cognitive impairment among newly admitted nursing home residents in the USA.

    PubMed

    Ulbricht, Christine M; Rothschild, Anthony J; Hunnicutt, Jacob N; Lapane, Kate L

    2017-11-01

    The objective of this study is to describe the prevalence of depression and cognitive impairment among newly admitted nursing home residents in the USA and to describe the treatment of depression by level of cognitive impairment. We identified 1,088,619 newly admitted older residents between 2011 and 2013 with an active diagnosis of depression documented on the Minimum Data Set 3.0. The prevalence of receiving psychiatric treatment was estimated by cognitive impairment status and depression symptoms. Binary logistic regression using generalized estimating equations provided adjusted odds ratios and 95% confidence intervals for the association between level of cognitive impairment and receipt of psychiatric treatment, adjusted for clustering of residents within nursing homes and resident characteristics. Twenty-six percent of newly admitted residents had depression; 47% of these residents also had cognitive impairment. Of those who had staff assessments of depression, anhedonia, impaired concentration, psychomotor disturbances, and irritability were more commonly experienced by residents with cognitive impairment than residents without cognitive impairment. Forty-eight percent of all residents with depression did not receive any psychiatric treatment. Approximately one-fifth of residents received a combination of treatment. Residents with severe cognitive impairment were less likely than those with intact cognition to receive psychiatric treatment (adjusted odds ratio = 0.95; 95% confidence interval: 0.93-0.98). Many newly admitted residents with an active diagnosis of depression are untreated, potentially missing an important window to improve symptoms. The extent of comorbid cognitive impairment and depression and lack of treatment suggest opportunities for improved quality of care in this increasingly important healthcare setting. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  3. Geochronological and Petrological Constraints on the Evolution of the Pan African Ajjaj Shear Zone, Saudi Arabia

    NASA Astrophysics Data System (ADS)

    Hassan, M.; Stuewe, K.; Abu-Alam, T. S.; Kloetzli, U. S.; Tiepolo, M.

    2014-12-01

    In the active tectonic regions, shear zones play an important role to re-configure the structure of the lithosphere. One of the largest shear zones on the Earth is the Najd Fault System of the Arabian-Nubian Shield. Literature data record the main active phase of this shear zone during the last stages of the Pan-African Orogeny (ca. 630 - 540 Ma). The Najd Fault System is composed of several shear zone segments, one of them is the Ajjaj shear zone. Determination of the age of variably deformed intrusions is expected to give approximated age of deformation in Ajjaj shear zone. Six samples of intrusive rocks showing variable composition were used to illustrate the time progress and evolution of the Ajjaj shear zone. One sample is from a very coarse grained diorite lying within the Ajjaj shear zone. It has very weak deformation and produces an intercept U-Pb zircon age of 696 ± 6 Ma. Two samples are from granodiorite-tonalite intrusions to the tenant of the Ajjaj shear zones. They show conspicuous degree of deformation and define two U-Pb clusters of concordia ages at 747 ± 12 Ma - 668 ± 8 Ma and 742 ± 5 Ma - 702 ± 12 Ma. Three samples are granites from variable plutons along the Ajjaj shear zone. Two of them show mylonitic foliation of flattened quartz and platy minerals such as biotite parallel to the main deformation trend of the shear zone. They yield U-Pb ages of 601 ± 6 Ma - 584 ± 3 Ma. The third sample is undeformed and has a cross-cut contact relationship with the foliation of the Ajjaj shear zone. It yield concordia ages of 581 ± 4 Ma. These data confine the activity of the Ajjaj shear zone to a limited period between 605 Ma and 577 Ma. As the activity of the Ajjaj shear zone was responsible for the exhumation of the Hamadat metamorphic complex, we also constrained the vertical motions that occurred during the shear zone activity using mmetamorphic rocks. It is shown that peak metamorphism occurred around 505 - 700 ºC at two ranges of pressure 8 - 11

  4. Effect of climatic variability on malaria trends in Baringo County, Kenya.

    PubMed

    Kipruto, Edwin K; Ochieng, Alfred O; Anyona, Douglas N; Mbalanya, Macrae; Mutua, Edna N; Onguru, Daniel; Nyamongo, Isaac K; Estambale, Benson B A

    2017-05-25

    Malaria transmission in arid and semi-arid regions of Kenya such as Baringo County, is seasonal and often influenced by climatic factors. Unravelling the relationship between climate variables and malaria transmission dynamics is therefore instrumental in developing effective malaria control strategies. The main aim of this study was to describe the effects of variability of rainfall, maximum temperature and vegetation indices on seasonal trends of malaria in selected health facilities within Baringo County, Kenya. Climate variables sourced from the International Research Institute (IRI)/Lamont-Doherty Earth Observatory (LDEO) climate database and malaria cases reported in 10 health facilities spread across four ecological zones (riverine, lowland, mid-altitude and highland) between 2004 and 2014 were subjected to a time series analysis. A negative binomial regression model with lagged climate variables was used to model long-term monthly malaria cases. The seasonal Mann-Kendall trend test was then used to detect overall monotonic trends in malaria cases. Malaria cases increased significantly in the highland and midland zones over the study period. Changes in malaria prevalence corresponded to variations in rainfall and maximum temperature. Rainfall at a time lag of 2 months resulted in an increase in malaria transmission across the four zones while an increase in temperature at time lags of 0 and 1 month resulted in an increase in malaria cases in the riverine and highland zones, respectively. Given the existence of a time lag between climatic variables more so rainfall and peak malaria transmission, appropriate control measures can be initiated at the onset of short and after long rains seasons.

  5. Assessing the optimality of ASHRAE climate zones using high resolution meteorological data sets

    NASA Astrophysics Data System (ADS)

    Fils, P. D.; Kumar, J.; Collier, N.; Hoffman, F. M.; Xu, M.; Forbes, W.

    2017-12-01

    Energy consumed by built infrastructure constitutes a significant fraction of the nation's energy budget. According to 2015 US Energy Information Agency report, 41% of the energy used in the US was going to residential and commercial buildings. Additional research has shown that 32% of commercial building energy goes into heating and cooling the building. The American National Standards Institute and the American Society of Heating Refrigerating and Air-Conditioning Engineers Standard 90.1 provides climate zones for current state-of-practice since heating and cooling demands are strongly influenced by spatio-temporal weather variations. For this reason, we have been assessing the optimality of the climate zones using high resolution daily climate data from NASA's DAYMET database. We analyzed time series of meteorological data sets for all ASHRAE climate zones between 1980-2016 inclusively. We computed the mean, standard deviation, and other statistics for a set of meteorological variables (solar radiation, maximum and minimum temperature)within each zone. By plotting all the zonal statistics, we analyzed patterns and trends in those data over the past 36 years. We compared the means of each zone to its standard deviation to determine the range of spatial variability that exist within each zone. If the band around the mean is too large, it indicates that regions in the zone experience a wide range of weather conditions and perhaps a common set of building design guidelines would lead to a non-optimal energy consumption scenario. In this study we have observed a strong variation in the different climate zones. Some have shown consistent patterns in the past 36 years, indicating that the zone was well constructed, while others have greatly deviated from their mean indicating that the zone needs to be reconstructed. We also looked at redesigning the climate zones based on high resolution climate data. We are using building simulations models like EnergyPlus to develop

  6. Differences in quantitative assessment of myocardial scar and gray zone by LGE-CMR imaging using established gray zone protocols.

    PubMed

    Mesubi, Olurotimi; Ego-Osuala, Kelechi; Jeudy, Jean; Purtilo, James; Synowski, Stephen; Abutaleb, Ameer; Niekoop, Michelle; Abdulghani, Mohammed; Asoglu, Ramazan; See, Vincent; Saliaris, Anastasios; Shorofsky, Stephen; Dickfeld, Timm

    2015-02-01

    Late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) imaging is the gold standard for myocardial scar evaluation. Heterogeneous areas of scar ('gray zone'), may serve as arrhythmogenic substrate. Various gray zone protocols have been correlated to clinical outcomes and ventricular tachycardia channels. This study assessed the quantitative differences in gray zone and scar core sizes as defined by previously validated signal intensity (SI) threshold algorithms. High quality LGE-CMR images performed in 41 cardiomyopathy patients [ischemic (33) or non-ischemic (8)] were analyzed using previously validated SI threshold methods [Full Width at Half Maximum (FWHM), n-standard deviation (NSD) and modified-FWHM]. Myocardial scar was defined as scar core and gray zone using SI thresholds based on these methods. Scar core, gray zone and total scar sizes were then computed and compared among these models. The median gray zone mass was 2-3 times larger with FWHM (15 g, IQR: 8-26 g) compared to NSD or modified-FWHM (5 g, IQR: 3-9 g; and 8 g. IQR: 6-12 g respectively, p < 0.001). Conversely, infarct core mass was 2.3 times larger with NSD (30 g, IQR: 17-53 g) versus FWHM and modified-FWHM (13 g, IQR: 7-23 g, p < 0.001). The gray zone extent (percentage of total scar that was gray zone) also varied significantly among the three methods, 51 % (IQR: 42-61 %), 17 % (IQR: 11-21 %) versus 38 % (IQR: 33-43 %) for FWHM, NSD and modified-FWHM respectively (p < 0.001). Considerable variability exists among the current methods for MRI defined gray zone and scar core. Infarct core and total myocardial scar mass also differ using these methods. Further evaluation of the most accurate quantification method is needed.

  7. Local metrics admitting a principal Killing-Yano tensor with torsion

    NASA Astrophysics Data System (ADS)

    Houri, Tsuyoshi; Kubizňák, David; Warnick, Claude M.; Yasui, Yukinori

    2012-08-01

    In this paper we initiate a classification of local metrics admitting the principal Killing-Yano tensor with a skew-symmetric torsion. It is demonstrated that in such spacetimes rank-2 Killing tensors occur naturally and mutually commute. We reduce the classification problem to that of solving a set of partial differential equations, and we present some solutions to these PDEs. In even dimensions, three types of local metrics are obtained: one of them naturally generalizes the torsion-less case while the others occur only when the torsion is present. In odd dimensions, we obtain more varieties of local metrics. The explicit metrics constructed in this paper are not the most general possible admitting the required symmetry; nevertheless, it is demonstrated that they cover a wide variety of solutions of various supergravities, such as the Kerr-Sen black holes of (un-)gauged Abelian heterotic supergravity, the Chong-Cvetic-Lü-Pope black hole solution of five-dimensional minimal supergravity or the Kähler with torsion manifolds. The relation between generalized Killing-Yano tensors and various torsion Killing spinors is also discussed.

  8. Transparent multi-zone crystal growth furnace and method for controlling the same

    NASA Technical Reports Server (NTRS)

    Batur, Celal (Inventor); Bennett, Robert J. (Inventor); Duval, Walter (Inventor)

    2000-01-01

    A crystal growth system, comprising: a furnace; a plurality of heating elements coupled to said furnace, each said plurality of heating elements defining a heat zone, each said heating element set to a desired temperature value; a plurality of thermocouples associated with respective heat zones to detect a temperature value; a translation system for passing an ampoule containing crystal growth material through said furnace into said heat zones and providing a positional location of said ampoule and; a multi-variable self-tuning temperature controller connected to said plurality of heating elements, said plurality of thermocouples and said translation system, said controller monitoring each said zone temperature value and upon considering the thermal interaction of heating zones and the moving thermal inertia of the ampoule, adjusting voltage input to said heat zones to obtain optimal crystal growth within said ampoule.

  9. Transparent multi-zone crystal growth furnace and method for controlling the same

    NASA Technical Reports Server (NTRS)

    Batur, Celal (Inventor); Duval, Walter (Inventor); Bennett, Robert J. (Inventor)

    2001-01-01

    A crystal growth system, comprising: a furnace; a plurality of heating elements coupled to said furnace, each said plurality of heating elements defining a heat zone, each said heating element set to a desired temperature value; a plurality of thermocouples associated with respective heat zones to detect a temperature value; a translation system for passing an ampoule containing crystal growth material through said furnace into said heat zones and providing a positional location of said ampoule and; a multi-variable self-tuning temperature controller connected to said plurality of heating elements, said plurality of thermocouples and said translation system, said controller monitoring each said zone temperature value and upon considering the thermal interaction of heating zones and the moving thermal inertia of the ampoule, adjusting voltage input to said heat zones to obtain optimal crystal growth within said ampoule.

  10. A qualitative study of why general practitioners admit to community hospitals.

    PubMed

    Grant, James A; Dowell, Jon

    2002-08-01

    Intermediate care, which is provided by community hospitals, is increasingly seen as one way of reducing pressure on secondary care. However, despite evidence of wide variation, there is little literature describing how general practitioners (GPs) use these hospitals. Because of the control they have over decisions to admit, development of these units depends on the cooperation of GPs. To identify and understand the factors influencing the decision to admit to a community hospital. A qualitative interview study. Twenty-seven practitioners from ten practices supporting five community hospitals in one region of Tayside, Scotland Secondary support was identical for all sites. In-depth interviews were conducted with a purposive sample of GPs representing those who had the most and the least use of the five community hospitals. A qualitative anaysis was performed to determine thefactors that practitioners considered important when making decisions about admission. Results were presented to the study group for validation. All admissions required adequate capacity in the community hospital system. Primarily social admissions were straight forward requiring only adequate hospital nursing, and GP capacity. More typical admissions involving social and medical needs required consideration of the professional concerns and the personal influences on the doctor as well as the potential benefits to the patient. As medical complexity increased the doctor's comfort/discomfort became the deciding factor. Provided there was adequate capacity, the GPs perceived the level of comfort to be the prime determinant of which patients are admitted to community hospitals and which are referred to secondary care.

  11. A qualitative study of why general practitioners admit to community hospitals.

    PubMed Central

    Grant, James A; Dowell, Jon

    2002-01-01

    BACKGROUND: Intermediate care, which is provided by community hospitals, is increasingly seen as one way of reducing pressure on secondary care. However, despite evidence of wide variation, there is little literature describing how general practitioners (GPs) use these hospitals. Because of the control they have over decisions to admit, development of these units depends on the cooperation of GPs. AIM: To identify and understand the factors influencing the decision to admit to a community hospital. DESIGN OF STUDY: A qualitative interview study. SETTING: Twenty-seven practitioners from ten practices supporting five community hospitals in one region of Tayside, Scotland Secondary support was identical for all sites. METHOD: In-depth interviews were conducted with a purposive sample of GPs representing those who had the most and the least use of the five community hospitals. A qualitative anaysis was performed to determine thefactors that practitioners considered important when making decisions about admission. Results were presented to the study group for validation. RESULTS: All admissions required adequate capacity in the community hospital system. Primarily social admissions were straight forward requiring only adequate hospital nursing, and GP capacity. More typical admissions involving social and medical needs required consideration of the professional concerns and the personal influences on the doctor as well as the potential benefits to the patient. As medical complexity increased the doctor's comfort/discomfort became the deciding factor. CONCLUSION: Provided there was adequate capacity, the GPs perceived the level of comfort to be the prime determinant of which patients are admitted to community hospitals and which are referred to secondary care. PMID:12171220

  12. Regional simulation of interannual variability over South America

    NASA Astrophysics Data System (ADS)

    Misra, V.; Dirmeyer, P. A.; Kirtman, B. P.; Juang, H.-M. Henry; Kanamitsu, M.

    2002-08-01

    Three regional climate simulations covering the austral summer season during three contrasting phases of the El Niño-Southern Oscillation cycle were conducted with the Regional Spectral Model (RSM) developed at the National Centers for Environmental Prediction (NCEP). The simulated interannual variability of precipitation over the Amazon River Basin, the Intertropical Convergence Zone, the Pacific and Atlantic Ocean basins, and extratropical South America compare reasonably well with observations. The RSM optimally filters the peturbations about a time-varying base field, thereby enhancing the information content of the global NCEP reanalysis. The model is better than the reanalysis in reproducing the observed interannual variability of outgoing longwave radiation at both high frequencies (3-30 days) and intraseasonal (30-60 days) scales. The low-level jet shows a peak in its speed in 1998 and a minimum in the 1999 simulations. The lag correlation of the jet index with convection over various areas in continental South America indicates that the jet induces precipitation over the Pampas region downstream. A detailed moisture budget was conducted over various subregions. This budget reveals that moisture flux convergence determines most of the interannual variability of precipitation over the Amazon Basin, the Atlantic Intertropical Convergence Zone, and the Nordeste region of Brazil. However, both surface evaporation and surface moisture flux convergence were found to be critical in determining the interannual variability of precipitation over the southern Pampas, Gran Chaco area, and the South Atlantic Convergence Zone.

  13. Admitting At-Risk Students into a Principal Preparation Program: Predicting Success.

    ERIC Educational Resources Information Center

    Malone, Bobby G.; Nelson, Jacquelyn S.; Nelson, C. Van

    2001-01-01

    Study of graduation rates of at-risk students admitted to a master's degree program at a doctoral-degree-granting university found that the best predictor of degree completion was the product of the undergraduate GPA multiplied by the GRE Verbal score. (Contains 41 references.)

  14. Measurements of soil, surface water, and groundwater CO2 concentration variability within Earth's critical zone: low-cost, long-term, high-temporal resolution monitoring

    NASA Astrophysics Data System (ADS)

    Blackstock, J. M.; Covington, M. D.; Williams, S. G. W.; Myre, J. M.; Rodriguez, J.

    2017-12-01

    Variability in CO2 fluxes within Earth's Critical zone occurs over a wide range of timescales. Resolving this and its drivers requires high-temporal resolution monitoring of CO2 both in the soil and aquatic environments. High-cost (> 1,000 USD) gas analyzers and data loggers present cost-barriers for investigations with limited budgets, particularly if high spatial resolution is desired. To overcome high-costs, we developed an Arduino based CO2 measuring platform (i.e. gas analyzer and data logger). The platform was deployed at multiple sites within the Critical Zone overlying the Springfield Plateau aquifer in Northwest Arkansas, USA. The CO2 gas analyzer used in this study was a relatively low-cost SenseAir K30. The analyzer's optical housing was covered by a PTFE semi-permeable membrane allowing for gas exchange between the analyzer and environment. Total approximate cost of the monitoring platform was 200 USD (2% detection limit) to 300 USD (10% detection limit) depending on the K30 model used. For testing purposes, we deployed the Arduino based platform alongside a commercial monitoring platform. CO2 concentration time series were nearly identical. Notably, CO2 cycles at the surface water site, which operated from January to April 2017, displayed a systematic increase in daily CO2 amplitude. Preliminary interpretation suggests key observation of seasonally increasing stream metabolic function. Other interpretations of observed cyclical and event-based behavior are out of the scope of the study; however, the presented method describes an accurate near-hourly characterization of CO2 variability. The new platform has been shown to be operational for several months, and we infer reliable operation for much longer deployments (> 1 year) given adequate environmental protection and power supply. Considering cost-savings, this platform is an attractive option for continuous, accurate, low-power, and low-cost CO2 monitoring for remote locations, globally.

  15. Coupled semivariogram uncertainty of hydrogeological and geophysical data on capture zone uncertainty analysis

    USGS Publications Warehouse

    Rahman, A.; Tsai, F.T.-C.; White, C.D.; Willson, C.S.

    2008-01-01

    This study investigates capture zone uncertainty that relates to the coupled semivariogram uncertainty of hydrogeological and geophysical data. Semivariogram uncertainty is represented by the uncertainty in structural parameters (range, sill, and nugget). We used the beta distribution function to derive the prior distributions of structural parameters. The probability distributions of structural parameters were further updated through the Bayesian approach with the Gaussian likelihood functions. Cokriging of noncollocated pumping test data and electrical resistivity data was conducted to better estimate hydraulic conductivity through autosemivariograms and pseudo-cross-semivariogram. Sensitivities of capture zone variability with respect to the spatial variability of hydraulic conductivity, porosity and aquifer thickness were analyzed using ANOVA. The proposed methodology was applied to the analysis of capture zone uncertainty at the Chicot aquifer in Southwestern Louisiana, where a regional groundwater flow model was developed. MODFLOW-MODPATH was adopted to delineate the capture zone. The ANOVA results showed that both capture zone area and compactness were sensitive to hydraulic conductivity variation. We concluded that the capture zone uncertainty due to the semivariogram uncertainty is much higher than that due to the kriging uncertainty for given semivariograms. In other words, the sole use of conditional variances of kriging may greatly underestimate the flow response uncertainty. Semivariogram uncertainty should also be taken into account in the uncertainty analysis. ?? 2008 ASCE.

  16. Clinical characteristics of children with group A streptococcal toxic shock syndrome admitted to pediatric intensive care units.

    PubMed

    Rodríguez-Nuñez, Antonio; Dosil-Gallardo, Silvia; Jordan, Iolanda

    2011-05-01

    Streptococcal toxic shock syndrome (STSS) is a very rare and severe form of group A streptococcal infection whose clinical characteristics, therapy, morbidity, and mortality in children are not well known. Our objective was to describe the clinical characteristics of STSS in a series of children admitted to pediatric intensive care units (PICU). A multicenter, retrospective study of children with STSS admitted to 14 PICUs between January 1998 and December 2009 was conducted. Clinical information was obtained retrospectively by chart review. Data from 41 children were collected, 90% corresponding to the second half of the study period. Initial symptoms and signs were nonspecific. All patients developed shock and organ dysfunction, 78.0% developed coagulopathy, 70.7% neurologic dysfunction, and 68.3% respiratory failure. Rapid pharyngeal test for Streptococcus was positive in 78.0%. Initial leukocyte count was quite variable, with leukopenia present in 51.2% of patients and leukocytosis in 31.7%. Children were treated with antibiotics against group A Streptococcus (GAS), usually G penicillin or cephalosporin plus clindamycin. After a median PICU stay of 7 days (range 0-41), 65.8% of patients survived, 26.8% with sequelae. The cause of death of the 11 non-survivors was refractory shock and multi-organ failure. STSS is a very severe condition secondary to invasive GAS infection. It can occur at any age, but especially in young children. Due to the lack of specific symptoms and signs and its very rapid progression to shock and organ dysfunction, pediatricians and emergency physicians must be aware of this possibility and immediately initiate aggressive treatment when suspected.

  17. [Cohort study on incidence of ARDS in patients admitted to the ICU and prognostic factors of mortality].

    PubMed

    Roca, O; Sacanell, J; Laborda, C; Pérez, M; Sabater, J; Burgueño, M J; Domínguez, L; Masclans, J R

    2006-01-01

    Analyze acute respiratory distress syndrome (ARDS) in patients admitted to an Intensive Care Medicine Service (ICMS) and prognostic factors of mortality in these patients. Prospective study of all the patients admitted consecutively in the ICMS from January 1998 to February 2003. ICMS of a third level university site with 32 beds in its General Area and 10 beds in the Traumatology Area. Patients who met the ARDS criteria of the European-North American Consensus Conference at any time during admission in ICMS. ENDPOINTS OF INTEREST: Mortality at 28 days. One hundred and ninety-one patients (3.4 of all the admissions in ICMS) had ARDS criteria. The origin of ARDS was intrapulmonary in 63%. A total of 77% of the patients had multiorgan dysfunction and 26% respiratory superinfection. Median stay in the ICMS was 20 days. Mortality at 28 days was 48% and hospital mortality 58%. Multivariant analysis showed that the variables associated independently with an increase in mortality were the following: APACHE II > 22 (odds ratio [OR] 2.7; 95% CI: 1.3-5.8; p = 0.007), minimum PaO2/FIO2 during evolution of ARDS < 81 mmHg (odds ratio 5.5; 95% CI: 2.6-11.9; p < 0.0001), dysfunction > or = 3 organs (odds ratio 11.8; 95% CI: 2.5-55.4; p = 0.002). ARDS is an entity with elevated mortality whose prognosis is associated not only with the seriousness of pulmonary function deterioration but also of systemic function, on which some treatment could modulate its evolution.

  18. Learned helplessness among families and surrogate decision-makers of patients admitted to medical, surgical, and trauma ICUs.

    PubMed

    Sullivan, Donald R; Liu, Xinggang; Corwin, Douglas S; Verceles, Avelino C; McCurdy, Michael T; Pate, Drew A; Davis, Jennifer M; Netzer, Giora

    2012-12-01

    We sought to determine the prevalence of and clinical variables associated with learned helplessness, a psychologic state characterized by reduced motivation, difficulty in determining causality, and depression, in family members of patients admitted to ICUs. We conducted an observational survey study of a prospectively defined cohort of family members, spouses, and partners of patients admitted to surgical, medical, and trauma ICUs at a large academic medical center. Two validated instruments, the Learned Helplessness Scale and the Perceived Stress Scale, were used, and self-report of patient clinical characteristics and subject demographics were collected. Four hundred ninety-nine family members were assessed. Of these, 238 of 460 (51.7%) had responses consistent with a significant degree of learned helplessness. Among surrogate decision-makers, this proportion was 50% (92 of 184). Characteristics associated with significant learned helplessness included grade or high school education (OR, 3.27; 95% CI, 1.29-8.27; P = .01) and Perceived Stress Scale score > 18 (OR, 4.15; 95% CI, 2.65-6.50; P < .001). The presence of a patient advance directive or do not resuscitate (DNR) order was associated with reduced odds of significant learned helplessness (OR, 0.56; 95% CI, 0.32-0.98; P = .05). The majority of family members of patients in the ICU experience significant learned helplessness. Risk factors for learned helplessness include lower educational levels, absence of an advance directive or DNR order, and higher stress levels among family members. Significant learned helplessness in family members may have negative implications in the collaborative decision-making process.

  19. Learned Helplessness Among Families and Surrogate Decision-Makers of Patients Admitted to Medical, Surgical, and Trauma ICUs

    PubMed Central

    Sullivan, Donald R.; Liu, Xinggang; Corwin, Douglas S.; Verceles, Avelino C.; McCurdy, Michael T.; Pate, Drew A.; Davis, Jennifer M.

    2012-01-01

    Background: We sought to determine the prevalence of and clinical variables associated with learned helplessness, a psychologic state characterized by reduced motivation, difficulty in determining causality, and depression, in family members of patients admitted to ICUs. Methods: We conducted an observational survey study of a prospectively defined cohort of family members, spouses, and partners of patients admitted to surgical, medical, and trauma ICUs at a large academic medical center. Two validated instruments, the Learned Helplessness Scale and the Perceived Stress Scale, were used, and self-report of patient clinical characteristics and subject demographics were collected. Results: Four hundred ninety-nine family members were assessed. Of these, 238 of 460 (51.7%) had responses consistent with a significant degree of learned helplessness. Among surrogate decision-makers, this proportion was 50% (92 of 184). Characteristics associated with significant learned helplessness included grade or high school education (OR, 3.27; 95% CI, 1.29-8.27; P = .01) and Perceived Stress Scale score > 18 (OR, 4.15; 95% CI, 2.65-6.50; P < .001). The presence of a patient advance directive or do not resuscitate (DNR) order was associated with reduced odds of significant learned helplessness (OR, 0.56; 95% CI, 0.32-0.98; P = .05). Conclusions: The majority of family members of patients in the ICU experience significant learned helplessness. Risk factors for learned helplessness include lower educational levels, absence of an advance directive or DNR order, and higher stress levels among family members. Significant learned helplessness in family members may have negative implications in the collaborative decision-making process. PMID:22661454

  20. Personality preference distribution of dental students admitted to one dental school using different selection methods.

    PubMed

    von Bergmann, Hsingchi; Dalrymple, Kirsten R; Shuler, Charles F

    2014-04-01

    This study sought to determine whether using the Myers-Briggs Type Indicator (MBTI) would detect differences in personality preferences in first-year dental students admitted to the same dental school through different admission methods. First-year dental students admitted in 2000 and 2001 were given the MBTI instrument during orientation prior to the start of classes. In fall 2000, the Class of 2004 had 140 students, with 116 in the traditional track and twenty-four in the parallel problem-based learning (PBL) track. In fall 2001, the Class of 2005 had 144 students, all enrolled in the PBL curriculum. All students admitted to the PBL track had experienced a process that included evaluation of their participation in a small group. Students in the traditional track had individual interviews with faculty members. Both student groups were required to meet the same baseline grade point average and Dental Admission Test standards. In 2000, the PBL students showed personality preferences that were distinctly different from the personality preferences of traditional track students in the categories of Extroversion (89 percent PBL, 44 percent traditional) and Thinking (72 percent PBL, 39 percent traditional). In 2001, the all-PBL class retained the trend towards Extroversion (69 percent). This study suggests that admission method may effectively change the personality preference distribution exhibited by the students who are admitted to dental school.

  1. [Epidemiological characteristics and mortality risk factors in patients admitted in hospitals with soft tissue infections. A multicentric STIMG (Soft Tissue Infections Malacitan Group) study results].

    PubMed

    Salgado Ordóñez, F; Villar Jiménez, J; Hidalgo Conde, A; Villalobos Sánchez, A; de la Torre Lima, J; Aguilar García, J; da Rocha Costa, I; García Ordóñez, M A; Nuño Alvarez, E; Ramos Cantes, C; Martín Pérez, M

    2006-07-01

    To describe the characteristics of patients admitted in hospitals with soft tissue infections, and analyse the variables whose died, in order to define risk groups. retrospective analysis of medical reports of all patient admitted during 2002 year for soft tissue infections in public malacitans hospitals. We excluded the patient with soft tissue infections associated with burns, surgery, pressure ulcers, and orbit cellulitis. We analysed clinical, biochemical variables and indications for yields and imaging tests, so the empiric antibiotic treatment established and its correlations with practice guidelines. We analysed 391 admissions of 374 patients. Cellulitis was the most frequent diagnosis (69.3%). We did imaging tests in 51.6%. In 94.3% of cases were treated with empirics antibiotics. The most prescribed drug was amoxiciline plus clavulanate (39%). 27 patients died, 40.7% of them for septic cause. All deceased patients had chronic diseases. The only biochemical parameters associated with mortality were serum proteins and albumina (55 +/- 9 g/L vs. 63 +/- 8 g/L; p = 0.0231) and (22 +/- 7 g/L vs. 29 +/- 7 g/L; p = 0.0125) respectively. Cellullitis are the most frequent soft tissue infections that requires admissions in hospitals. We overuse imaging test and don t follow the practice guidelines recommendations in antibiotic therapy. Primary soft issue infection s mortality is low and it s restricted to people with chronic illness, deep infections and bad nutritional status.

  2. Fracture Patterns within the Shale Hills Critical Zone Observatory

    NASA Astrophysics Data System (ADS)

    Singha, K.; White, T.; Perron, J.; Chattopadhyay, P. B.; Duffy, C.

    2012-12-01

    Rock fractures are known to exist within the deep Critical Zone and are expected to influence groundwater flow, but there are limited data on their orientation and spatial arrangement and no general framework for systematically predicting their effects. Here, we explore fracture patterns within the Susquehanna-Shale Hills Critical Zone Observatory, and consider how they may be influenced by weathering, rock structure, and stress via field observations of variable fracture orientation within the site, with implications for the spatial variability of structural control on hydrologic processes. Based on field observations from 16-m deep boreholes and surface outcrop, we suggest that the appropriate structural model for the watershed is steeply dipping strata with meter- to decimeter-scale folds superimposed, including a superimposed fold at the mouth of the watershed that creates a short fold limb with gently dipping strata. These settings would produce an anisotropy in the hydraulic conductivity and perhaps also flow, especially within the context of the imposed stress field. Recently conducted 2-D numerical stress modeling indicates that the proxy for shear fracture declines more rapidly with depth beneath valleys than beneath ridgelines, which may produce or enhance the spatial variability in permeability. Even if topographic stresses do not cause new fractures, they could activate and cause displacement on old fractures, making the rocks easier to erode and increasing the permeability, and potentially driving a positive feedback that enhances the growth of valley relief. Calculated stress fields are consistent with field observations, which show a rapid decline in fracture abundance with increasing depth below the valley floor, and predict a more gradual trend beneath ridgetops, leading to a more consistent (and lower) hydraulic conductivity with depth on the ridgetops when compared to the valley, where values are higher but more variable with depth. Hydraulic

  3. Implementing speed reductions at specific interstate work zones from 65 mph to 35 mph : final report.

    DOT National Transportation Integrated Search

    2013-02-01

    Interstate preservation projects are commonly conducted at night and often require working in close proximity to ongoing traffic. Vehicle speed and speed variability in work zones is inextricably connected to the work zone design and the selected tra...

  4. Gravitational instantons admit hyper-Kähler structure

    NASA Astrophysics Data System (ADS)

    Aliev, A. N.; Nutku, Y.

    1999-01-01

    We construct the explicit form of three almost-complex structures that a Riemannian manifold with self-dual curvature admits and show that their Nijenhuis tensors vanish so that they are integrable. This proves that gravitational instantons with self-dual curvature admit hyper-Kähler structure. In order to arrive at the three vector-valued 1-forms defining almost-complex structure, we give a spinor description of real four-dimensional Riemannian manifolds with Euclidean signature in terms of two independent sets of two-component spinors. This is a version of the original Newman-Penrose formalism that is appropriate to the discussion of the mathematical, as well as physical properties of gravitational instantons. We shall build on the work of Goldblatt who first developed an NP formalism for gravitational instantons but we shall adopt it to differential forms in the NP basis to make the formalism much more compact. We shall show that the spin coefficients, connection 1-form, curvature 2-form, Ricci and Bianchi identities, as well as the Maxwell equations naturally split up into their self-dual and anti-self-dual parts corresponding to the two independent spin frames. We shall give the complex dyad as well as the spinor formulation of the almost-complex structures and show that they reappear under the guise of a triad basis for the Petrov classification of gravitational instantons. Completing the work of Salamon on hyper-Kähler structure, we show that the vanishing of the Nijenhuis tensor for all three almost-complex structures depends on the choice of a self-dual gauge for the connection which is guaranteed by virtue of the fact that the curvature 2-form is self-dual for gravitational instantons.

  5. Analytics For Distracted Driver Behavior Modeling in Dilemma Zone

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Li, Jan-Mou; Malikopoulos, Andreas; Thakur, Gautam

    2014-01-01

    In this paper, we present the results obtained and insights gained through the analysis of TRB contest data. We used exploratory analysis, regression, and clustering models for gaining insights into the driver behavior in a dilemma zone while driving under distraction. While simple exploratory analysis showed the distinguishing driver behavior patterns among different popu- lation groups in the dilemma zone, regression analysis showed statically signification relationships between groups of variables. In addition to analyzing the contest data, we have also looked into the possible impact of distracted driving on the fuel economy.

  6. Interhospital Transfers among Medicare Beneficiaries Admitted for Acute Myocardial Infarction at Non-Revascularization Hospitals

    PubMed Central

    Iwashyna, Theodore J.; Kahn, Jeremy M.; Hayward, Rodney A.; Nallamothu, Brahmajee K.

    2011-01-01

    Background Patients with acute myocardial infarctions (AMI) who are admitted to hospitals without coronary revascularization are frequently transferred to hospitals with this capability, yet we know little about the basis for how such revascularization hospitals are selected. Methods and Results We examined interhospital transfer patterns in 71,336 AMI patients admitted to hospitals without revascularization capabilities in the 2006 Medicare claims using network analysis and regression models. A total of 31,607 (44.3%) AMI patients were transferred from 1,684 non-revascularization hospitals to 1,104 revascularization hospitals. Median time to transfer was 2 days. Median transfer distance was 26.7 miles, with 96.1% within 100 miles. In 45.8% of cases, patients bypassed a closer hospital to go to farther hospital that had a better 30-day risk standardized mortality rates. However, in 36.8% of cases, another revascularization hospital with lower 30-day risk-standardized mortality was actually closer to the original admitting non-revascularization hospital than the observed transfer destination. Adjusted regression models demonstrated that shorter transfer distances were more common than transfers to the hospitals with lowest 30-day mortality rates. Simulations suggest that an optimized system that prioritized the transfer of AMI patients to a nearby hospital with the lowest 30-day mortality rate might produce clinically meaningful reduction in mortality. Conclusions Over 40% of AMI patients admitted to non-revascularization hospitals are transferred to revascularization hospitals. Many patients are not directed to nearby hospitals with the lowest 30-day risk-standardized mortality, and this may represent an opportunity for improvement. PMID:20682917

  7. An analysis of the predictors of mortality and morbidity in patients admitted after suicidal hanging to an Indian multidisciplinary Intensive Care Unit

    PubMed Central

    Renuka, MK; Kalaiselvan, MS; Arunkumar, AS

    2017-01-01

    Background and Aims: Hanging is a frequently used method to attempt suicide in India. There is a lack of data in the Indian population regarding clinical features and outcomes of suicidal hanging. The purpose of this study was to evaluate the factors affecting mortality and morbidity in patients admitted with suicidal hanging to the Intensive Care Unit (ICU). Methods: A 6-year retrospective study of adult patients admitted to the ICU with suicidal hanging was analysed for demographics, mode of hanging, lead time to emergency room (ER) admission, clinical presentation, Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores, admission Glasgow coma scale (GCS) and neurological outcomes. The primary outcome was in-hospital mortality rate. Secondary outcomes were hospital length of stay (LOS), ICU-LOS, time for neurological recovery, organ support and duration of mechanical ventilation. Statistical analysis was performed using the Student's t-test for continuous variables and Chi-square test for categorical variables. Results: We analysed data of 106 patients. The median age was 27 years [Interquartile Range (IQR) (22–34)]. The median lead time to ER admission was 1 h [IQR (0.5–1.4)] with median ICU stay of 3 days [IQR (2–4)]. Vasopressors were administered to 27.4% patients. GCS was ≤7 in 65% patients, and 84.9% patients received mechanical ventilation. Mortality rate was 10.3%. Survivors recovered with normal organ function. Conclusion: Suicidal hanging is associated with significant mortality. Admission GCS, APACHE II and 48 h SOFA score were predictors of poor outcome. PMID:28794524

  8. FRUIT AND VEGETABLE CONSUMPTION BY ECOLOGICAL ZONE AND SOCIOECONOMIC STATUS IN GHANA.

    PubMed

    Amo-Adjei, Joshua; Kumi-Kyereme, Akwasi

    2015-09-01

    The disease burden in both developed and developing countries is moving towards higher proportions of chronic diseases, and diseases such as cancers are now considered to be of public health concern. In sub-Saharan Africa, healthy behaviours such as fruit and vegetable consumption are recommended to reduce the chances of onset of chronic diseases. This paper examines the determinants of fruit and vegetable consumption in Ghana with particular emphasis on consumption by ecological zone. Data were from the 2008 Ghana Demographic and Health Survey (n=4916 females; n=4568 males). Univariate and multivariate analyses were performed using basic descriptive and Poisson regression. The main independent variable was ecological zone and the dependent variables were levels of fruit and vegetable consumption. The mean number of fruits and vegetables consumed in a week was higher among females (fruits: 7.5, 95% CI=7.3-7.7; vegetables: 8.1, 95% CI=7.8-8.3) than males (fruits: 6.2, 95% CI=6.0-6.4; vegetables: 7.9, 95% CI=7.7-8.2). There were significant differences in consumption by ecological zone. Respondents in the Savannah zone consumed less fruit than those in the Coastal and Forest zones, but the differences in fruit and vegetable consumption between the Coastal and Savannah zones were not consistent, especially for vegetable consumption. The findings suggest that one of the key interventions to improve fruit and vegetable consumption could lie in improving distribution systems since their consumption is significantly higher in the Forest zone, where the production of fruit and vegetables is more developed than in the Savannah and Coastal zones. The findings relating to household wealth challenge conventional knowledge on fruit and vegetable consumption, and rather argue for equal consideration of spatial differences in critical health outcomes.

  9. Surveillance for West Nile Virus in Clinic-admitted Raptors, Colorado

    PubMed Central

    Kratz, Gail; Edwards, Eric; Scherpelz, Judy; Bowen, Richard; Komar, Nicholas

    2007-01-01

    In 2005, 13.5% of clinic-admitted raptors in northern Colorado tested positive for West Nile virus (WNV). Clinic-admitted–raptor surveillance detected WNV activity nearly 14 weeks earlier than other surveillance systems. WNV surveillance using live raptor admissions to rehabilitation clinics may offer a novel surveillance method and should be considered along with other techniques already in use. PMID:17479898

  10. Iceland-Scotland Overflow Water transport variability through the Charlie-Gibbs Fracture Zone and the impact of the North Atlantic Current

    NASA Astrophysics Data System (ADS)

    Bower, Amy; Furey, Heather

    2017-09-01

    The Charlie-Gibbs Fracture Zone (CGFZ), a deep and wide gap in the Mid-Atlantic Ridge near 52°N, is a gateway between the eastern and western subpolar regions for the Atlantic Meridional Overturning Circulation (AMOC). In 2010-2012, an eight-mooring array of current meters and temperature/salinity sensors was installed across the CGFZ between 500 m and the sea floor to measure the mean transport of westward-flowing Iceland-Scotland Overflow Water (ISOW) and investigate the impact of the eastward-flowing North Atlantic Current (NAC) on ISOW transport variability. The 22 month record mean ISOW transport through the CGFZ, -1.7 ± 0.5 Sv (95% confidence interval), is 30% lower than the previously published estimate based on 13 months of current-only measurements, -2.4 ± 1.2 Sv. The latter mean estimate may have been biased high due to the lack of continuous salinity measurements, although the two estimates are not statistically different due to strong mesoscale variability in both data sets. Empirical Orthogonal Function analysis and maps of satellite-derived absolute dynamic topography show that weak westward ISOW transport events and eastward reversals are caused by northward meanders of the NAC, with its deep-reaching eastward velocities. These results add to growing evidence that a significant fraction of ISOW exits the Iceland Basin by routes other than the CGFZ.

  11. Zone model predictive control: a strategy to minimize hyper- and hypoglycemic events.

    PubMed

    Grosman, Benyamin; Dassau, Eyal; Zisser, Howard C; Jovanovic, Lois; Doyle, Francis J

    2010-07-01

    Development of an artificial pancreas based on an automatic closed-loop algorithm that uses a subcutaneous insulin pump and continuous glucose sensor is a goal for biomedical engineering research. However, closing the loop for the artificial pancreas still presents many challenges, including model identification and design of a control algorithm that will keep the type 1 diabetes mellitus subject in normoglycemia for the longest duration and under maximal safety considerations. An artificial pancreatic beta-cell based on zone model predictive control (zone-MPC) that is tuned automatically has been evaluated on the University of Virginia/University of Padova Food and Drug Administration-accepted metabolic simulator. Zone-MPC is applied when a fixed set point is not defined and the control variable objective can be expressed as a zone. Because euglycemia is usually defined as a range, zone-MPC is a natural control strategy for the artificial pancreatic beta-cell. Clinical data usually include discrete information about insulin delivery and meals, which can be used to generate personalized models. It is argued that mapping clinical insulin administration and meal history through two different second-order transfer functions improves the identification accuracy of these models. Moreover, using mapped insulin as an additional state in zone-MPC enriches information about past control moves, thereby reducing the probability of overdosing. In this study, zone-MPC is tested in three different modes using unannounced and announced meals at their nominal value and with 40% uncertainty. Ten adult in silico subjects were evaluated following a scenario of mixed meals with 75, 75, and 50 grams of carbohydrates (CHOs) consumed at 7 am, 1 pm, and 8 pm, respectively. Zone-MPC results are compared to those of the "optimal" open-loop preadjusted treatment. Zone-MPC succeeds in maintaining glycemic responses closer to euglycemia compared to the "optimal" open-loop treatment in te three

  12. How players exploit variability and regularity of game actions in female volleyball teams.

    PubMed

    Ramos, Ana; Coutinho, Patrícia; Silva, Pedro; Davids, Keith; Mesquita, Isabel

    2017-05-01

    Variability analysis has been used to understand how competitive constraints shape different behaviours in team sports. In this study, we analysed and compared variability of tactical performance indices in players within complex I at two different competitive levels in volleyball. We also examined whether variability was influenced by set type and period. Eight matches from the 2012 Olympics competition and from the Portuguese national league in the 2014-2015 season were analysed (1496 rallies). Variability of setting conditions, attack zone, attack tempo and block opposition was assessed using Shannon entropy measures. Magnitude-based inferences were used to analyse the practical significance of compared values of selected variables. Results showed differences between elite and national teams for all variables, which were co-adapted to the competitive constraints of set type and set periods. Elite teams exploited system stability in setting conditions and block opposition, but greater unpredictability in zone and tempo of attack. These findings suggest that uncertainty in attacking actions was a key factor that could only be achieved with greater performance stability in other game actions. Data suggested how coaches could help setters develop the capacity to play at faster tempos, diversifying attack zones, especially at critical moments in competition.

  13. Root Apex Transition Zone As Oscillatory Zone

    PubMed Central

    Baluška, František; Mancuso, Stefano

    2013-01-01

    Root apex of higher plants shows very high sensitivity to environmental stimuli. The root cap acts as the most prominent plant sensory organ; sensing diverse physical parameters such as gravity, light, humidity, oxygen, and critical inorganic nutrients. However, the motoric responses to these stimuli are accomplished in the elongation region. This spatial discrepancy was solved when we have discovered and characterized the transition zone which is interpolated between the apical meristem and the subapical elongation zone. Cells of this zone are very active in the cytoskeletal rearrangements, endocytosis and endocytic vesicle recycling, as well as in electric activities. Here we discuss the oscillatory nature of the transition zone which, together with several other features of this zone, suggest that it acts as some kind of command center. In accordance with the early proposal of Charles and Francis Darwin, cells of this root zone receive sensory information from the root cap and instruct the motoric responses of cells in the elongation zone. PMID:24106493

  14. Discharge disposition of adolescents admitted to medical hospitals after attempting suicide.

    PubMed

    Levine, Leonard J; Schwarz, Donald F; Argon, Jesse; Mandell, David S; Feudtner, Chris

    2005-09-01

    To test the hypothesis that discharge disposition for adolescents admitted to medical hospitals after attempting suicide varies as a function of hospital type and geographic region. Retrospective cohort analysis. The nationally representative Kids' Inpatient Database for 2000. Patients aged 10 to 19 years with a diagnosis of suicide attempt or self-inflicted injury.Main Outcome Measure Likelihood of transfer to another facility vs discharge to home. Care for 32 655 adolescents who attempted suicide was provided in adult hospitals (83% of hospitalizations), children's units in general hospitals (10%), and children's hospitals (4%). More than half (66%) of medical hospitalizations ended with discharge to home, 21% with transfer to a psychiatric, rehabilitation, or chronic care (P/R/C) facility, 10% with transfer to a skilled nursing facility, intermediate care facility, or short-term acute care hospital facility, and 2% with death or departure against medical advice. After adjustment for individual patient characteristics, children's units were 44% more likely than adult hospitals to transfer adolescent patients to a P/R/C facility (odds ratio [OR], 1.44; 95% confidence interval [CI], 1.07-1.94). Patients cared for outside the Northeast were significantly less likely to be transferred to a P/R/C facility (South: OR, 0.79; 95% CI, 0.65-0.97; Midwest: OR, 0.63; 95% CI, 0.49-0.80; West: OR, 0.29; 95% CI, 0.22-0.38). Most adolescents admitted to a medical hospital after a suicide attempt are discharged to home, and the likelihood of transfer to another facility appears to be influenced by the geographic location of the admitting hospital and whether it caters to children.

  15. Identifying fracture‐zone geometry using simulated annealing and hydraulic‐connection data

    USGS Publications Warehouse

    Day-Lewis, Frederick D.; Hsieh, Paul A.; Gorelick, Steven M.

    2000-01-01

    A new approach is presented to condition geostatistical simulation of high‐permeability zones in fractured rock to hydraulic‐connection data. A simulated‐annealing algorithm generates three‐dimensional (3‐D) realizations conditioned to borehole data, inferred hydraulic connections between packer‐isolated borehole intervals, and an indicator (fracture zone or background‐K bedrock) variogram model of spatial variability. We apply the method to data from the U.S. Geological Survey Mirror Lake Site in New Hampshire, where connected high‐permeability fracture zones exert a strong control on fluid flow at the hundred‐meter scale. Single‐well hydraulic‐packer tests indicate where permeable fracture zones intersect boreholes, and multiple‐well pumping tests indicate the degree of hydraulic connection between boreholes. Borehole intervals connected by a fracture zone exhibit similar hydraulic responses, whereas intervals not connected by a fracture zone exhibit different responses. Our approach yields valuable insights into the 3‐D geometry of fracture zones at Mirror Lake. Statistical analysis of the realizations yields maps of the probabilities of intersecting specific fracture zones with additional wells. Inverse flow modeling based on the assumption of equivalent porous media is used to estimate hydraulic conductivity and specific storage and to identify those fracture‐zone geometries that are consistent with hydraulic test data.

  16. Zone separator for multiple zone vessels

    DOEpatents

    Jones, John B.

    1983-02-01

    A solids-gas contact vessel, having two vertically disposed distinct reaction zones, includes a dynamic seal passing solids from an upper to a lower zone and maintaining a gas seal against the transfer of the separate treating gases from one zone to the other, and including a stream of sealing fluid at the seal.

  17. Zooplankton variability and larval striped bass foraging: Evaluating potential match/mismatch regulation

    USGS Publications Warehouse

    Chick, J.H.; Van Den Avyle, M.J.

    1999-01-01

    We quantified temporal and spatial variability of zooplankton in three potential nursery sites (river, transition zone, lake) for larval striped bass (Morone saxatilis) in Lake Marion, South Carolina, during April and May 1993-1995. In two of three years, microzooplankton (rotifers and copepod nauplii) density was significantly greater in the lake site than in the river or transition zone. Macrozooplankton (>200 ??m) composition varied among the three sites in all years with adult copepods and cladocerans dominant at the lake, and juvenile Corbicula fluminea dominant at the river and transition zone. Laboratory feeding experiments, simulating both among-site (site treatments) and within-site (density treatments) variability, were conducted in 1995 to quantify the effects of the observed zooplankton variability on foraging success of larval striped bass. A greater proportion of larvae fed in the lake than in the river or transition-zone treatments across all density treatments: mean (x), 10x and 100x. Larvae also ingested significantly more dry mass of prey in the lake treatment in both the mean and 10x density treatments. Field zooplankton and laboratory feeding data suggest that both spatial and temporal variability of zooplankton influence larval striped bass foraging. Prey density levels that supported successful foraging in our feeding experiments occurred in the lake during late April and May in 1994 and 1995 but were never observed in the river or transition zone. Because the rivers flowing into Lake Marion are regulated, it may be possible to devise flow management schemes that facilitate larval transport to the lake and thereby increase the proportion of larvae matched to suitable prey resources.

  18. Latitude of residence and position in time zone are predictors of cancer incidence, cancer mortality, and life expectancy at birth.

    PubMed

    Borisenkov, Mikhail F

    2011-03-01

    According to the hypothesis of circadian disruption, external factors that disturb the function of the circadian system can raise the risk of malignant neoplasm and reduce life span. Recent work has shown that the functionality of the circadian system is dependent not only on latitude of residence but also on the region's position in the time zone. The purpose of the present research was to examine the influence of latitude and time zone on cancer incidence, cancer mortality, and life expectancy at birth. A stepwise multiple regression analysis was carried out on residents of 59 regions of the European part of the Russian Federation (EPRF) using age-standardized parameters (per 100,000) of cancer incidence (CI), cancer mortality (CM), and life expectancy at birth (LE, yrs) as dependent variables. The geographical coordinates (latitude and position in the time zone) of the regions were used as independent variables, controlling for the level of economic development in the regions. The same analysis was carried out for LE in 31 regions in China. Latitude was the strongest predictor of LE in the EPRF population; it explained 48% and 45% of the variability in LE of women and men, respectively. Position within the time zone accounted for an additional 4% and 3% variability of LE in women and men, respectively. The highest values for LE were observed in the southeast of the EPRF. In China, latitude was not a predictor of LE, whereas position in the time zone explained 15% and 18% of the LE variability in women and men, respectively. The highest values of LE were observed in the eastern regions of China. Both latitude and position within the time zone were predictors for CI and CM of the EPRF population. Latitude was the best predictor of stomach CI and CM; this predictor explained 46% and 50% of the variability, respectively. Position within the time zone was the best predictor of female breast CM; it explained 15% of the variability. In most cases, CI and CM increased

  19. Influence of Variable Streamside Management Zone Configurations on Water Quality after Forest Harvest

    Treesearch

    Emma L. Witt; Christopher D. Barton; Jeffrey W. Stringer; Randy Kolka; Mac A. Cherry

    2016-01-01

    Streamside management zones (SMZs) are a common best management practice (BMP) used to reduce water quality impacts from logging. The objective of this research was to evaluate the impact of varying SMZ configurations on water quality. Treatments (T1, T2, and T3) that varied in SMZ width, canopy retention within the SMZ, and BMP utilization were applied at the...

  20. Characteristics of Youths with Hearing Loss Admitted to Substance Abuse Treatment

    ERIC Educational Resources Information Center

    Titus, Janet C.; Schiller, James A.; Guthmann, Debra

    2008-01-01

    The purpose of this study is to provide a profile of youths with hearing loss admitted to substance abuse treatment facilities. Intake data on 4,167 youths (28% female; 3% reporting a hearing loss) collected via the Global Appraisal of Individual Need-I assessment was used for the analyses. Information on demographics, environmental…

  1. First integrals and parametric solutions of third-order ODEs admitting {\\mathfrak{sl}(2, {R})}

    NASA Astrophysics Data System (ADS)

    Ruiz, A.; Muriel, C.

    2017-05-01

    A complete set of first integrals for any third-order ordinary differential equation admitting a Lie symmetry algebra isomorphic to sl(2, {R}) is explicitly computed. These first integrals are derived from two linearly independent solutions of a linear second-order ODE, without additional integration. The general solution in parametric form can be obtained by using the computed first integrals. The study includes a parallel analysis of the four inequivalent realizations of sl(2, {R}) , and it is applied to several particular examples. These include the generalized Chazy equation, as well as an example of an equation which admits the most complicated of the four inequivalent realizations.

  2. Linking carbon and hydrologic fluxes in the critical zone: Observations from high-frequency monitoring of a weathered bedrock vadose zone

    NASA Astrophysics Data System (ADS)

    Tune, A. K.; Druhan, J. L.; Wang, J.; Cargill, S.; Murphy, C.; Rempe, D. M.

    2017-12-01

    A principle challenge in quantifying feedbacks between continental weathering and atmospheric CO2 is to improve understanding of how biogeochemical processes in the critical zone influence the distribution and mobility of organic and inorganic carbon. In particular, in landscapes characterized by thin soils and heterogeneous weathered and fractured bedrock, little data exist to inform and constrain predictive models for carbon dynamics. Here, we present the results of an intensive water and gas sampling campaign across an 18 m thick, variably saturated argillite weathering profile in the Eel River CZO. We monitor water content in situ and regularly collect samples of freely-draining water, tightly-held water, and gas through wet and dry seasons using a novel Vadose-zone Monitoring System (VMS) consisting of sensors and samplers distributed across a 20 m long inclined borehole. This novel approach facilitates the interception of gas and water during transport across the entire variably saturated weathering profile. The data demonstrate that seasonal changes in saturation control the vertical distribution and mobility of carbon in the fractured critical zone. Concentrations of gaseous CO2, O2, and dissolved organic and inorganic carbon fluctuate significantly and repeatably with seasonal additions of water infiltrating the weathered bedrock. A persistent vertical structure in the concentrations of dissolved phases and gas concentrations broadly corresponds to depths associated with unsaturated, seasonally saturated, and chronically saturated zones. Associated variations in the vertical structure of mineralogy and elemental composition, including solid phase organic carbon content, are observed in core obtained during drilling. Together, our observations indicate significant respiration of organic carbon at depths greater than the base of the soil, and thus motivate further investigation of the role of heterogeneous weathered, bedrock environments, which are needed to

  3. Assessing the Effects of Climate on Global Fluvial Discharge Variability

    NASA Astrophysics Data System (ADS)

    Hansford, M. R.; Plink-Bjorklund, P.

    2017-12-01

    Plink-Bjorklund (2015) established the link between precipitation seasonality and river discharge variability in the monsoon domain and subtropical rivers (see also Leier et al, 2005; Fielding et al., 2009), resulting in distinct morphodynamic processes and a sedimentary record distinct from perennial precipitation zone in tropical rainforest zone and mid latitudes. This study further develops our understanding of discharge variability using a modern global river database created with data from the Global Runoff Data Centre (GRDC). The database consists of daily discharge for 595 river stations and examines them using a series of discharge variability indexes (DVI) on different temporal scales to examine how discharge variability occurs in river systems around the globe. These indexes examine discharge of individual days and monthly averages that allows for comparison of river systems against each other, regardless of size of the river. Comparing river discharge patterns in seven climate zones (arid, cold, humid subtropics, monsoonal, polar, rainforest, and temperate) based off the Koppen-Geiger climate classifications reveals a first order climatic control on discharge patterns and correspondingly sediment transport. Four groupings of discharge patterns emerge when coming climate zones and DVI: persistent, moderate, seasonal, and erratic. This dataset has incredible predictive power about the nature of discharge in fluvial systems around the world. These seasonal effects on surface water supply affects river morphodynamics and sedimentation on a wide timeframe, ranging from large single events to an inter-annual or even decadal timeframe. The resulting sedimentary deposits lead to differences in fluvial architecture on a range of depositional scales from sedimentary structures and bedforms to channel complex systems. These differences are important to accurately model for several reasons, ranging from stratigraphic and paleoenviromental reconstructions to more

  4. Effects of supplemental measles immunization on cases of measles admitted at the Wesley Guild Hospital, Ilesa, Nigeria.

    PubMed

    Peter, Kuti Bankole; Ademola, Adegoke Samuel; Oyeku, Oyelami Akibu

    2014-03-01

    Measles is a highly contagious vaccine-preventable infection which continues to be a significant cause of childhood morbidity and mortality in developing countries particularly those with poor routine immunisation coverage. Supplemental immunisation activities (SIAs) were thus introduced to improve vaccine coverage. This study was carried out to assess the impact of the supplemental measles vaccinations on the cases of measles admitted at a tertiary health facility in South west Nigeria. Weretrospectivelylooked at therecords of cases of measles in children admitted to the Wesley Guild Hospital, Ilesa over a ten year period (2001 - 2010); five years before and five years after the nationwide commencement of supplemental measles immunisation activities (SIAs) in the region in 2006. Measles cases were defined using the WHO case definition. Over the ten year study period, a total of 12,139 children were admitted andmanaged; out of which 302 (2.5%) were cases of complicated measles. There was no difference in the mean (SD) of children admitted in the years before and after the introduction of the SIAs {6040 (122.7) vs.6099 (120.2); t-test 0.02, p =0.988.} There was however a remarkable reduction in the proportion of the cases of measles admitted after the introduction of SIAs compared to the period before SIAs (4.3% vs. 0.6% x2=169.580; p < 0.001). SIAs have remarkably reduced morbidity and mortality associated with measles in the region. We advocate for sustenance of these efforts as well as improvement in routine immunisation coverage to avoid a backlash which can lead to devastating measles outbreak.

  5. Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in São Paulo, Brazil*

    PubMed Central

    Bertanha, Fernanda; Nelumba, Erica Judite Pimentel; Freiberg, Alyne Korukian; Samorano, Luciana Paula; Festa Neto, Cyro

    2016-01-01

    Background Knowledge of epidemiological data on skin diseases is important in planning preventive strategies in healthcare services. Objective To assess data from patients admitted to a triage dermatology clinic. Methods A retrospective study was performed of patients admitted over a one-year period to the Triage Dermatology Clinic at the Hospital das Clínicas of the University of São Paulo Medical School. Data were obtained from record books. The variables analyzed were: patient age, gender, dermatologic disease (initial diagnosis), origin (from where the patient was referred) and destination (where the patient was referred to). Results A total of 16,399 patients and 17,454 diseases were identified for analysis. The most frequent skin disorders were eczema (18%), cutaneous infections (13.1%), erythematous squamous diseases (6.8%) and malignant cutaneous neoplasms (6.1%). Atopic dermatitis was the most common disease in children. Acne was more common among children and adults, as were viral warts. Basal cell carcinoma and squamous cell carcinoma were more common in the elderly. Contact dermatitis and acne predominated in women. The most frequent origins were: the primary/secondary health system (26.6%), other outpatient specialties (25.5%), emergency care (14.9%); while the destinations were: discharged (27.5%), follow-up in our Dermatology Division (24.1%), return (14.1%) and the primary/secondary health system (20.7%). Conclusion Understanding the incidence of skin diseases is fundamental in making decisions regarding resource allocation for clinical care and research. Thus, we believe our findings can contribute to improving public health policies. PMID:27438199

  6. Visual interaction in recently admitted and chronic long-stay schizophrenic patients.

    PubMed

    Rutter, D R

    1976-09-01

    Several reports have suggested that schizophrenic patients engage in very little Looking and eye-contact. However, previous work, much of it methodologically unsatisfactory, has been based almost always on the clinical psychiatric interview, with the result that several important questions remain unanswered. In particular, we do not know how schizophrenic patients behave in free conversation, how their behaviour with another patient may differ from their behaviour with a psychiatrically normal partner, nor even whether they show individual consistency across encounters. The first study was designed to examine these questions, by observing recently admitted schizophrenic patients in two free dyadic conversations, one with a schizophrenic partner and one with a psychiatrically normal partner, and comparing them with three control groups: depressive patients; patients suffering from neurotic or personality disorders; and psychiatrically normal chest patients. The second study went on to test whether the early descriptions of gross abnormality may be more appropriate to chronic long-stay patients than to recently admitted patients, and the design consisted of a comparison between the two groups. The first study revealed a quite unexpected pattern of results. Consistently across their two encounters, schizophrenic subjects behaved similarly for the most part to all three control groups, normal and abnormal alike. Moreover, the few differences which did emerge conflicted sharply with previous findings, including the writer's, and were no more marked in patient-patient than patient-normal encounters. The second study revealed no differences between chronic long-stay and recently admitted schizophrenic patients. It is suggested that the differences in findings between the present two studies and previous reports are most likely to be attributable to differences in verbal content: schizophrenic patients show abnormalities of visual interaction when talking about personal

  7. Spatial variability of harmful algal blooms in Milford Lake, Kansas, July and August 2015

    USGS Publications Warehouse

    Foster, Guy M.; Graham, Jennifer L.; Stiles, Tom C.; Boyer, Marvin G.; King, Lindsey R.; Loftin, Keith A.

    2017-01-09

    Cyanobacterial harmful algal blooms (CyanoHABs) tend to be spatially variable vertically in the water column and horizontally across the lake surface because of in-lake and weather-driven processes and can vary by orders of magnitude in concentration across relatively short distances (meters or less). Extreme spatial variability in cyanobacteria and associated compounds poses unique challenges to collecting representative samples for scientific study and public-health protection. The objective of this study was to assess the spatial variability of cyanobacteria and microcystin in Milford Lake, Kansas, using data collected on July 27 and August 31, 2015. Spatially dense near-surface data were collected by the U.S. Geological Survey, nearshore data were collected by the Kansas Department of Health and Environment, and open-water data were collected by U.S. Army Corps of Engineers. CyanoHABs are known to be spatially variable, but that variability is rarely quantified. A better understanding of the spatial variability of cyanobacteria and microcystin will inform sampling and management strategies for Milford Lake and for other lakes with CyanoHAB issues throughout the Nation.The CyanoHABs in Milford Lake during July and August 2015 displayed the extreme spatial variability characteristic of cyanobacterial blooms. The phytoplankton community was almost exclusively cyanobacteria (greater than 90 percent) during July and August. Cyanobacteria (measured directly by cell counts and indirectly by regression-estimated chlorophyll) and microcystin (measured directly by enzyme-linked immunosorbent assay [ELISA] and indirectly by regression estimates) concentrations varied by orders of magnitude throughout the lake. During July and August 2015, cyanobacteria and microcystin concentrations decreased in the downlake (towards the outlet) direction.Nearshore and open-water surface grabs were collected and analyzed for microcystin as part of this study. Samples were collected in the

  8. Correlation analysis of air pollutant index levels and dengue cases across five different zones in Selangor, Malaysia.

    PubMed

    Thiruchelvam, Loshini; Dass, Sarat C; Zaki, Rafdzah; Yahya, Abqariyah; Asirvadam, Vijanth S

    2018-05-07

    This study investigated the potential relationship between dengue cases and air quality - as measured by the Air Pollution Index (API) for five zones in the state of Selangor, Malaysia. Dengue case patterns can be learned using prediction models based on feedback (lagged terms). However, the question whether air quality affects dengue cases is still not thoroughly investigated based on such feedback models. This work developed dengue prediction models using the autoregressive integrated moving average (ARIMA) and ARIMA with an exogeneous variable (ARIMAX) time series methodologies with API as the exogeneous variable. The Box Jenkins approach based on maximum likelihood was used for analysis as it gives effective model estimates and prediction. Three stages of model comparison were carried out for each zone: first with ARIMA models without API, then ARIMAX models with API data from the API station for that zone and finally, ARIMAX models with API data from the zone and spatially neighbouring zones. Bayesian Information Criterion (BIC) gives goodness-of-fit versus parsimony comparisons between all elicited models. Our study found that ARIMA models, with the lowest BIC value, outperformed the rest in all five zones. The BIC values for the zone of Kuala Selangor were -800.66, -796.22, and -790.5229, respectively, for ARIMA only, ARIMAX with single API component and ARIMAX with API components from its zone and spatially neighbouring zones. Therefore, we concluded that API levels, either temporally for each zone or spatio- temporally based on neighbouring zones, do not have a significant effect on dengue cases.

  9. [Clinical analysis of patients with tuberculosis admitted on an emergency cases].

    PubMed

    Okada, Toru; Shibuya, Yasuhiro; Saito, Hitoshi; Enomoto, Tatsuji; Nakamura, Seiichi

    2008-08-01

    A retrospective study was made of 75 patients with tuberculosis and tuberculous pleurisy who received medical care in our hospital from 2002 through 2006. Of the 75 patients, 9 were admitted as tertiary emergency cases, and 12 patients were admitted by ambulance as secondary emergency cases. We studied the reason for their emergency medical admission, and the process of diagnosing 21 patients as tuberculosis. In some cases, the reasons for emergency admission were cardiorespiratory arrest, loss of consciousness, and injury resulting from a traffic accident, not common symptoms of tuberculosis such as dyspnea, hemoptysis and bloody sputum. Chest radiographic findings of most patients showed tuberculosis, and other cases were likely to be diagnosed as tuberculosis from their medical history or back-ground such as being homeless, previous tuberculosis, and receiving for therapy of tuberculosis. It was not so difficult to diagnose our cases as tuberculosis, nevertheless we may have an unconscious patient with normal chest radiograph. These data suggest that any patients visiting the emergency room may possibly have tuberculosis even if they are without respiratory symptoms.

  10. Depression among newly admitted Australian nursing home residents.

    PubMed

    McSweeney, K; O'Connor, D W

    2008-08-01

    This research concerns the prevalence and course of depression in newly admitted nursing home residents. We attempted to recruit consecutive admissions into the study, irrespective of cognitive status, enabling a comparison of the prevalence and course of depression experienced by cognitively intact residents and those exhibiting all levels of cognitive impairment. Depression was assessed at one month, three months and six months post-admission. The assessment of mood in this study entailed the conduct of a semi-structured clinical interview, which encompassed DSM-IV criteria and Cornell Scale for Depression in Dementia (CSDD) items. Recruitment difficulties resulted in a sample of 51 newly admitted residents, drawn from six nursing homes located in Victoria, Australia. Of particular interest, throughout the duration of the study, only the cognitively impaired were diagnosed with major depression (MD). One month post-admission, 24% of the sample were diagnosed with MD, and a further 20% evidenced a non-major depressive disorder. At the second and third assessments, MD was observed in 14% and 15% of residents, respectively. For residents who completed all three assessments, there was no appreciable change in the proportion diagnosed with a depressive disorder, nor was there a change in the levels of depressive symptomatology. Although subject to limitations, the current study indicated that clinical depression in nursing home facilities most often occurs in residents who also exhibit pronounced cognitive impairment. These depressions are unlikely to remit spontaneously. Accordingly, care staff and general practitioners must be trained in the identification of depression in dementia, and any interventions implemented in these facilities should be tailored to meet the unique needs of this group.

  11. CURB-65 Performance Among Admitted and Discharged Emergency Department Patients With Community-acquired Pneumonia.

    PubMed

    Sharp, Adam L; Jones, Jason P; Wu, Ivan; Huynh, Dan; Kocher, Keith E; Shah, Nirav R; Gould, Michael K

    2016-04-01

    Pneumonia severity tools were primarily developed in cohorts of hospitalized patients, limiting their applicability to the emergency department (ED). We describe current community ED admission practices and examine the accuracy of the CURB-65 to predict 30-day mortality for patients, either discharged or admitted with community-acquired pneumonia (CAP). A retrospective, observational study of adult CAP encounters in 14 community EDs within an integrated healthcare system. We calculated CURB-65 scores for all encounters and described the use of hospitalization, stratified by each score (0-5). We then used each score as a cutoff to calculate sensitivity, specificity, positive predictive value, negative predictive value (NPV), positive likelihood ratios, and negative likelihood ratios for predicting 30-day mortality. The sample included 21,183 ED encounters for CAP (7,952 discharged and 13,231 admitted). The C-statistic describing the accuracy of CURB-65 for predicting 30-day mortality in the full sample was 0.761 (95% confidence interval [CI], 0.747-0.774). The C-statistic was 0.864 (95% CI, 0.821-0.906) among patients discharged from the ED compared with 0.689 (95% CI, 0.672-0.705) among patients who were admitted. Among all ED encounters a CURB-65 threshold of ≥1 was 92.8% sensitive and 38.0% specific for predicting mortality, with a 99.9% NPV. Among all encounters, 62.5% were admitted, including 36.2% of those at lowest risk (CURB-65 = 0). CURB-65 had very good accuracy for predicting 30-day mortality among patients discharged from the ED. This severity tool may help ED providers risk stratify patients to assist with disposition decisions and identify unwarranted variation in patient care. © 2016 by the Society for Academic Emergency Medicine.

  12. Influenza immunisation rate for 2005 and factors associated with receiving this vaccine in patients aged 65 years and over admitted to a general medical ward at Auckland City Hospital.

    PubMed

    Curry, Elizabeth; Kerr, Nathan; Yang, Joseph; Briggs, Simon

    2006-10-13

    To assess the influenza immunisation rate for 2005 in patients aged 65 years and over admitted to a general medical ward at Auckland City Hospital, New Zealand; to identify factors associated with receiving this vaccine; and to assess whether particular patient groups have a low influenza immunisation rate. Consecutive patients aged 65 years and over admitted to two medical wards were surveyed. Demographic data, how recently patients had last seen their general practitioner (GP), whether patients had received an influenza vaccine reminder from their GP, and whether patients had received the influenza vaccine in 2005 were recorded. Logistic regression analysis was performed to investigate which variables were associated with receiving the influenza vaccine. 148 of 200 (74%) patients who answered the questionnaire received the influenza vaccine. The variables found to be associated with receiving the influenza vaccine were whether patients had seen their GP in the last 6 months and whether patients had received an influenza vaccine reminder from their GP. Three-quarters of patients in this study received the influenza vaccine. We have not been able to identify patient groups that have a low influenza immunisation rate. Reminding patients of the benefits of the influenza vaccine or offering this at the time of discharge from hospital as autumn approaches each year may increase the influenza immunisation rate of those recently hospitalised.

  13. Socio-economic correlates of relapsed patients admitted in a Nigerian mental health institution.

    PubMed

    Gbiri, Caleb A; Badru, Fatai A; Ladapo, Harry T O; Gbiri, Adefolakemi A

    2011-03-01

    Relapse in psychiatric disorders is highly distressing, costly and engenders burn-out syndrome among mental-health workers. To study the socio-economic factors associated with relapse in individual admitted with psychiatric disorders and the pattern of socio-economic impact of relapse in those groups. A cross-sectional survey of all relapsed patients without cognitive deficit admitted into the federal Neuro-Psychiatric Hospital, Lagos, Nigeria between June and October 2007 was conducted using a self-validated Structured Interview Schedule (Relapse Socio-economic Impact Interview Schedule) and Key Informant Interview Guide. Secondary data were elicited from the patient folders, case notes, ward admission registers and nominal rolls. Data were summarised using mean, standard deviation, frequency and percentiles. Pearson's moment correlation coefficient was used to test the association among variables. The Mann-Whitney U-test was used to compare the pre-morbid and the post-morbid states. This study involved 102 respondents. Their mean age was 36.5 ± 9.8 years, mainly of male gender (72.5%) suffering from schizophrenic disorder (37.8%). Relapse and re-admission ranged between 2 and 12. Unemployment rate, marital separation and divorce increased more than 5-fold from pre-morbid to morbid states. Few (4.9%) could still settle their hospital/drug bills on their own, while most (95.1%) depended on family, philanthropist and government/waivers to pay for their bills. Their social relationships were negatively influenced with most of them expressing social isolation and low quality of life. There were significant relationships (P<0.05) between age, sex, number of relapses, number of admissions, pre-morbid marital status, morbid state marital status, pre-morbid state occupational status and morbid state occupational status. There was significant change (P= 0.00) in the quality of life, societal integration/acceptability, economic status, employment status and marital status

  14. Spatial and temporal variability of water salinity in an ephemeral, arid-zone river, central Australia

    NASA Astrophysics Data System (ADS)

    Costelloe, Justin F.; Grayson, Rodger B.; McMahon, Thomas A.; Argent, Robert M.

    2005-10-01

    This study describes the spatial and temporal variability of water salinity of the Neales-Peake, an ephemeral river system in the arid Lake Eyre basin of central Australia. Saline to hypersaline waterholes occur in the lower reaches of the Neales-Peake catchment and lie downstream of subcatchments containing artesian mound springs. Flood pulses are fresh in the upper reaches of the rivers (<200 mg l-1). In the salt-affected reaches, flood pulses become increasingly saline during their recession. It is hypothesized that leakage from the Great Artesian Basin deposits salt at the surface. This salt is then transported by infrequent runoff events into the main river system over long periods of time. The bank/floodplain store downstream of salt-affected catchments contains high salt concentrations, and this salt is mobilized during the flow recession when bank/floodplain storage discharges into the channel. The salinity of the recession increases as the percentage of flow derived from this storage increases. A simple conceptual model was developed for investigating the salt movement processes during flow events. The model structure for transport of water and salt in the Neales-Peake catchment generated similar spatial and temporal patterns of salt distribution in the floodplain/bank storage and water flow as observed during flow events in 2000-02. However, more field-data collection and modelling are required for improved calibration and description of salt transport and storage processes, particularly with regard to the number of stores required to represent the salt distribution in the upper zone of the soil profile.

  15. Vulnerabilities of children admitted to a pediatric inpatient care unit☆

    PubMed Central

    de Oliveira, Larissa Natacha; Breigeiron, Márcia Koja; Hallmann, Sofia; Witkowski, Maria Carolina

    2014-01-01

    OBJECTIVE: To identify the vulnerabilities of children admitted to a pediatric inpatient unit of a university hospital. METHODS: Cross-sectional, descriptive study from April to September 2013 with36 children aged 30 days to 12 years old, admitted to medical-surgical pediatric inpatient units of a university hospital and their caregivers. Data concerning sociocultural, socioeconomic and clinical context of children and their families were collected by interview with the child caregiver and from patients, records, and analyzed by descriptive statistics. RESULTS: Of the total sample, 97.1% (n=132) of children had at least one type of vulnerability, the majority related to the caregiver's level of education, followed by caregiver's financial situation, health history of the child, caregiver's family situation, use of alcohol, tobacco, and illicit drugs by the caregiver, family's living conditions, caregiver's schooling, and bonding between the caregiver and the child. Only 2.9% (n=4) of the children did not show any criteria to be classified in a category of vulnerability. CONCLUSIONS: Most children were classified has having a social vulnerability. It is imperative to create networks of support between the hospital and the primary healthcare service to promote healthcare practices directed to the needs of the child and family. PMID:25511001

  16. Characteristics of infants admitted with hypoglycemia to a neonatal unit.

    PubMed

    Van Haltren, Karen; Malhotra, Atul

    2013-01-01

    Neonatal hypoglycemia is a common symptom in early infant life. The currently available literature identifies the risk factors but not the degree to which each factor lends itself to the development or severity of an ensuing hypoglycemia. A retrospective electronic chart review of near-term and term infants (>35 weeks' gestation) admitted to a tertiary-level neonatal unit over 16 months was carried out from the initiation of electronic record keeping. Ninety-five infants admitted with hypoglycemia to the unit were identified with complete records available. Fifty-eight percent of the infants were males, and the median gestation was 38 weeks. Twenty-two percent of the infants were premature, whereas 18% were macrosomic. Maternal diabetes was present in 27% infants. Comorbidities were common in this cohort, with approximately two-thirds of infants having multiple morbidities. The majority of which were jaundice and infection, whereas the minor ones were respiratory distress, initial lactic acidosis, feeding issues, and temperature instability. Neonatal hypoglycemia continues to be a significant morbidity in near-term and term infants. The presence of multiple morbidities is common in the setting of hypoglycemia and is the main determinant of the length of stay in the neonatal unit in this study population.

  17. ELKS active zone proteins as multitasking scaffolds for secretion

    PubMed Central

    Held, Richard G.

    2018-01-01

    Synaptic vesicle exocytosis relies on the tethering of release ready vesicles close to voltage-gated Ca2+ channels and specific lipids at the future site of fusion. This enables rapid and efficient neurotransmitter secretion during presynaptic depolarization by an action potential. Extensive research has revealed that this tethering is mediated by an active zone, a protein dense structure that is attached to the presynaptic plasma membrane and opposed to postsynaptic receptors. Although roles of individual active zone proteins in exocytosis are in part understood, the molecular mechanisms that hold the protein scaffold at the active zone together and link it to the presynaptic plasma membrane have remained unknown. This is largely due to redundancy within and across scaffolding protein families at the active zone. Recent studies, however, have uncovered that ELKS proteins, also called ERC, Rab6IP2 or CAST, act as active zone scaffolds redundant with RIMs. This redundancy has led to diverse synaptic phenotypes in studies of ELKS knockout mice, perhaps because different synapses rely to a variable extent on scaffolding redundancy. In this review, we first evaluate the need for presynaptic scaffolding, and we then discuss how the diverse synaptic and non-synaptic functional roles of ELKS support the hypothesis that ELKS provides molecular scaffolding for organizing vesicle traffic at the presynaptic active zone and in other cellular compartments. PMID:29491150

  18. Outcome in Women with Traumatic Brain Injury Admitted to a Level 1 Trauma Center

    PubMed Central

    de Guise, Elaine; Tinawi, Simon; Marcoux, Judith; Maleki, Mohammed

    2014-01-01

    Background. The aim of this study was to compare acute outcome between men and women after sustaining a traumatic brain injury (TBI). Methods. A total of 5,642 patients admitted to the Traumatic Brain Injury Program of the McGill University Health Centre-Montreal General Hospital between 2000 and 2011 and diagnosed with a TBI were included in the study. The overall percentage of women with TBI was 30.6% (n = 1728). Outcome measures included the length of stay (LOS), the Extended Glasgow Outcome Scale (GOSE), the functional independence measure instrument (FIM), discharge destination, and mortality rate. Results. LOS, GOSE, the FIM ratings, and discharge destination did not show significant differences between genders once controlling for several confounding variables and running the appropriate diagnostic tests (P < 0.05). However, women had less chance of dying during their acute care hospitalization than men of the same age, with the same TBI severity and following the same mechanism of injury. Although gender was a statistically significant predictor, its contribution in explaining variation in mortality was small. Conclusion. More research is needed to better understand gender differences in mortality; as to date, the research findings remain inconclusive. PMID:27355011

  19. 9 CFR 96.9 - Casings admitted on disinfection; sealing; transfer and disinfection.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Casings admitted on disinfection; sealing; transfer and disinfection. 96.9 Section 96.9 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EXPORTATION AND IMPORTATION OF ANIMALS (INCLUDING POULTRY) AND...

  20. 9 CFR 96.9 - Casings admitted on disinfection; sealing; transfer and disinfection.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Casings admitted on disinfection; sealing; transfer and disinfection. 96.9 Section 96.9 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE EXPORTATION AND IMPORTATION OF ANIMALS (INCLUDING POULTRY) AND...

  1. Implementing speed reductions at specific interstate work zones from 65 mph to 35 mph : appendices to final report.

    DOT National Transportation Integrated Search

    2013-02-01

    Interstate preservation projects are commonly conducted at night and often require working in close proximity to ongoing traffic. Vehicle speed and speed variability in work zones is inextricably connected to the work zone design and the selected tra...

  2. In-hospital mortality and treatment patterns in acute myocardial infarction patients admitted during national cardiology meeting dates.

    PubMed

    Mizuno, Seiko; Kunisawa, Susumu; Sasaki, Noriko; Fushimi, Kiyohide; Imanaka, Yuichi

    2016-10-01

    Many hospitals experience a reduction in the number of available physicians on days when national scientific meetings are conducted. This study investigates the relationship between in-hospital mortality in acute myocardial infarction (AMI) patients and admission during national cardiology meeting dates. Using an administrative database, we analyzed patients with AMI admitted to acute care hospitals in Japan from 2011 to 2013. There were 3 major national cardiology meetings held each year. A hierarchical logistic regression model was used to compare in-hospital mortality and treatment patterns between patients admitted on meeting dates and those admitted on identical days during the week before and after the meeting dates. We identified 6,332 eligible patients, with 1,985 patients admitted during 26 meeting days and 4,347 patients admitted during 52 non-meeting days. No significant differences between meeting and non-meeting dates were observed for in-hospital mortality (7.4% vs. 8.5%, respectively; p=0.151, unadjusted odds ratio: 0.861, 95% confidence interval: 0.704-1.054) and the proportion of percutaneous coronary intervention (PCI) performed on the day of admission (75.9% vs. 76.2%, respectively; p=0.824). We also found that some low-staffed hospitals did not treat AMI patients during meeting dates. Little or no "national meeting effect" was observed on in-hospital mortality in AMI patients, and PCI rates were similar for both meeting and non-meeting dates. Our findings also indicated that during meeting dates, AMI patients may have been consolidated to high-performance and sufficiently staffed hospitals. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  3. Microstructural and rheological evolution of calcite mylonites during shear zone thinning: Constraints from the Mount Irene shear zone, Fiordland, New Zealand

    NASA Astrophysics Data System (ADS)

    Negrini, Marianne; Smith, Steven A. F.; Scott, James M.; Tarling, Matthew S.

    2018-01-01

    Layers of calc-mylonite in the Mount Irene shear zone, Fiordland, New Zealand, show substantial variations in thickness due to deflection of the shear zone boundaries around wall rock asperities. In relatively thick parts (c. 2.6 m) of the shear zone, calcite porphyroclasts are internally strained, contain abundant subgrain boundaries and have a strong shape preferred orientation (SPO) and crystallographic preferred orientation (CPO), suggesting that deformation occurred mainly by dislocation creep involving subgrain-rotation recrystallization. In relatively thin parts (c. 1.5 m) of the shear zone, aggregates of fine-grained recrystallized calcite surrounding flattened porphyroclasts have a weak SPO and CPO, and contain polygonal calcite grains with low degrees of internal misorientation. The recrystallized aggregates also contain microstructures (e.g. grain quadruple junctions, randomized misorientation axes) similar to those reported for neighbor-switching processes during grain-boundary sliding. Comparison of subgrain sizes in the porphyroclasts to published grain-size differential-stress relationships indicates that stresses and strain rates were substantially higher in relatively thin parts of the shear zone. The primary microstructural response to higher stresses and strain rates was an increase in the amount of recrystallization to produce aggregates that deformed by grain-boundary sliding. However, even after the development of interconnected networks of recrystallized grains, dislocation creep by subgrain-rotation recrystallization continued to occur within porphyroclasts. This behavior suggests that the bulk rheology of shear zones undergoing thinning and thickening can be controlled by concomitant grain-size insensitive and grain-size sensitive mechanisms. Overall, our observations show that shear zone thickness variations at constant P-T can result in highly variable stresses and strain rates, which in turn modifies microstructure, deformation mechanism

  4. Radio-loud AGN Variability from Propagating Relativistic Jets

    NASA Astrophysics Data System (ADS)

    Li, Yutong; Schuh, Terance; Wiita, Paul J.

    2018-06-01

    The great majority of variable emission in radio-loud AGNs is understood to arise from the relativistic flows of plasma along two oppositely directed jets. We study this process using the Athena hydrodynamics code to simulate propagating three-dimensional relativistic jets for a wide range of input jet velocities and jet-to-ambient matter density ratios. We then focus on those simulations that remain essentially stable for extended distances (60-120 times the jet radius). Adopting results for the densities, pressures and velocities from these propagating simulations we estimate emissivities from each cell. The observed emissivity from each cell is strongly dependent upon its variable Doppler boosting factor, which depends upon the changing bulk velocities in those zones with respect to our viewing angle to the jet. We then sum the approximations to the fluxes from a large number of zones upstream of the primary reconfinement shock. The light curves so produced are similar to those of blazars, although turbulence on sub-grid scales is likely to be important for the variability on the shortest timescales.

  5. Admitting international graduate nursing students: what faculty need to know.

    PubMed

    Genovese, S Kim; Schmidt, Nola A; Brown, Janet M

    2015-01-01

    The number of international applicants to US nursing graduate programs is increasing. Modifying standard admission criteria, such as RN licensure, graduate record examination, validation of BSN degree, criminal background check, letters of recommendation, and personal statements, is necessary because of unique complexities. Addressing admission requirements unique to international students, such as English proficiency, visas, and proof of financial resources, is critical. Managing complexities of admitting international students is necessary to facilitate their success.

  6. How CAGE, RAPS4-QF, and AUDIT Can Help Practitioners for Patients Admitted with Acute Alcohol Intoxication in Emergency Departments?

    PubMed

    Brousse, Georges; Arnaud, Benjamin; Geneste, Julie; Pereira, Bruno; De Chazeron, Ingrid; Teissedre, Frederique; Perrier, Christophe; Schwan, Raymund; Malet, Laurent; Schmidt, Jeannot; Llorca, Pierre Michel; Cherpitel, Cheryl J

    2014-01-01

    To help clinicians to identify the severity of alcohol use disorders (AUDs) from optimal thresholds found for recommended scales. Especially, taking account of the high prevalence of alcohol dependence among patients admitted to the emergency department (ED) for acute alcohol intoxication (AAI), we propose to define thresholds of severity of dependence based on the AUDIT score. All patients admitted to the ED with AAI (blood alcohol level >0.8 g/L), in a 2-month period, were assessed using the CAGE, RAPS-QF, and AUDIT, with the alcohol dependence/abuse section of the mini international neuropsychiatric interview (MINI) used as the gold standard. To explore the relation between the AUDIT and the MINI the sum of the positive items on the MINI (dependence) as a quantitative variable and as an ordinal parameter were analyzed. From the threshold score found for each scale we proposed intervals of severity of AUDs. The mean age of the sample (122 males, 42 females) was 46 years. Approximately 12% of the patients were identified with alcohol abuse and 78% with dependence (DSM-IV). Cut points were determined for the AUDIT in order to distinguish mild and moderate dependence from severe dependence. A strategy of intervention based on levels of severity of AUD was proposed. Different thresholds proposed for the CAGE, RAPS4-QF, and AUDIT could be used to guide the choice of intervention for a patient: brief intervention, brief negotiation interviewing, or longer more intensive motivational intervention.

  7. Regional agricultural susceptibility to climate variability: A district level analysis of Maharashtra, India

    NASA Astrophysics Data System (ADS)

    Swami, D.; Parthasarathy, D.; Dave, P.

    2016-12-01

    Climate variability (CV) has adverse impact on crop production and inadequate research carried out to assess the impact of CV on crop production has aggravated the ability of farmers to adapt (Jones et al., 2000). A better understanding of CV is required to reduce the vulnerability of farmers towards existing and future CV. Further, a wide variation in policies related to climate change exists at global level and considering the state/nation as a single unit for policy formulations may lead to under-representation of regional problems. Hence, the present work chooses to focus on CVassessment at the regional/district level of Maharashtra state in India. Here, interannual variability of wet and dry spells from year 1951-2013, are used as a measure of CV. Statistical declining trend of wet spells for (12/34) districts was observed across all the districts of Maharashtra. Districts showing highest change in wet spell pre and post 1976/77 are Beed, Latur and Osmanabad belong to Central Maharashtra Plateau zone and Western Maharashtra scarcity zone. Dry spells for (8/34) districts were found to statistically increase across all the districts of Maharashtra. Washim, Yavatmal of Vidarbha zone; and Latur, Parbhani of Amravati division belonging to Central Maharashtra Plateau zone and Central Vidarbha zone are found to reflect the large variation in their behavior pre and post 1976/77. Findings reveal that districts from the same agro-climate zones respond differently to CV, indicating significant spatial heterogeneity within the region. Trend in monsoon variability was found to be prominent after 1976/77, suggesting an enhanced role of climate change on climate variability after 1977. It necessitates separate policy formulation related to CV and agriculture for each district to bring out the solution for regional issues (socio-political, farmers, agriculturalists, economical) more clearly. Further we have attempted to link agriculture vulnerability and crop sensitivity to

  8. How resilient are ecosystems in adapting to climate variability

    NASA Astrophysics Data System (ADS)

    Savenije, Hubert H. G.

    2015-04-01

    The conclusion often drawn in the media is that ecosystems may perish as a result of climate change. Although climatic trends may indeed lead to shifts in ecosystem composition, the challenge to adjust to climatic variability - even if there is no trend - is larger, particularly in semi-arid or topical climates where climatic variability is large compared to temperate climates. How do ecosystems buffer for climatic variability? The most powerful mechanism is to invest in root zone storage capacity, so as to guarantee access to water and nutrients during period of drought. This investment comes at a cost of having less energy available to invest in growth or formation of fruits. Ecosystems are expected to create sufficient buffer to overcome critical periods of drought, but not more than is necessary to survive or reproduce. Based on this concept, a methodology has been developed to estimate ecosystem root zone storage capacity at local, regional and global scale. These estimates correspond well with estimates made by combining soil and ecosystem information, but are more accurate and more detailed. The methodology shows that ecosystems have intrinsic capacity to adjust to climatic variability and hence have a high resilience to both climatic variability and climatic trends.

  9. The variable Jung as a predictor of mortality in patients with pulmonary edema.

    PubMed

    Jung, Robert; Ivanović, Vladimir; Potić, Zoran; Panić, Gordana; Petrović, Milovan; Pavlović, Katica; Cemerlić-Adjić, Nada; Baskot, Branislav

    2013-09-01

    In our Intensive Coronary Care Unit (CCU) a specific scoring system named the AMIS_NS was developed both for prediction of mortality in patients with acute myocardial infarction and for evaluation of the quality of work. One of the most important variables of the AMIS_NS system is the variable Jung which stands for the interrelationship unified mortality predictors. The variable includes all the values of systolic blood pressure, heart rate and age, without limiting values for any of these. The cutoff value is 2.08. The patients with the lower variable value account for a significantly higher mortality. Data on the actual infarction are not necessitated now for this variable. The aim of this study was to assess the significance of the variable Jung in non-infarction patients with acute pulmonary edema. In a 24-month period out of 2,223 patients there were 1,087 and 1,136 patients with and without acute myocardial infarction, respectively. There was the subgroup without myocardial infarction of 312 (84.1%) patients admitted with the diagnosis of pulmonary edema. The subgroup with myocardial infarction consisted of 59 (15.9%) patients who were admitted for acute myocardial infarction and pulmonary edema which developed immediately after admission or during hospitalization in the CCU. For all the patients a uniform questionnaire was fulfilled on admission. Data were put into the personal computer. The variable "Jung" was used: (systolic bloog pressure/heart rate x age) x 100. RESULTS. Regarding sex, there was no difference in mortality, so that males and females were regarded as a whole. Previous myocardial infarction was equally registered in both groups. The investigated persons had less percent of mortality and a significantly higher systemic pressure as well as higher value of the variable Jung. There was no statistically significant difference in the heart rate between the two groups. In both groups of deceased patients the variable Jung (1.5 vs 1.6) was

  10. Declining trend in the use of repeat computed tomography for trauma patients admitted to a level I trauma center for traffic-related injuries.

    PubMed

    Psoter, Kevin J; Roudsari, Bahman S; Graves, Janessa M; Mack, Christopher; Jarvik, Jeffrey G

    2013-06-01

    To evaluate the trend in utilization of repeat (i.e. ≥2) computed tomography (CT) and to compare utilization patterns across body regions for trauma patients admitted to a level I trauma center for traffic-related injuries (TRI). We linked the Harborview Medical Center trauma registry (1996-2010) to the billing department data. We extracted the following variables: type and frequency of CTs performed, age, gender, race/ethnicity, insurance status, injury mechanism and severity, length of hospitalization, intensive care unit (ICU) admission and final disposition. TRIs were defined as motor vehicle collisions, motorcycle, bicycle and pedestrian-related injuries. Logistic regression was used to evaluate the association between utilization of different body region repeat (i.e. ≥2) CTs and year of admission, adjusting for patient and injury-related characteristics that could influence utilization patterns. A total of 28,431 patients were admitted for TRIs over the study period and 9499 (33%) received repeat CTs. From 1996 to 2010, the proportion of patients receiving repeat CTs decreased by 33%. Relative to 2000 and adjusting for other covariates, patients with TRIs admitted in 2010 had significantly lower odds of undergoing repeat head (OR=0.61; 95% CI: 0.49-0.76), pelvis (OR=0.37; 95% CI: 0.27-0.52), cervical spine (OR=0.23; 95% CI: 0.12-0.43), and maxillofacial CTs (OR=0.24; 95% CI: 0.10-0.57). However, they had higher odds of receiving repeat thoracic CTs (OR=1.86; 95% CI: 1.02-3.38). A significant decrease in the utilization of repeat CTs was observed in trauma patients presenting with traffic-related injuries over a 15-year period. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  11. Human-water interactions in Myanmar's Dry Zone under climate change

    NASA Astrophysics Data System (ADS)

    Taft, Linda; Evers, Mariele

    2016-04-01

    Understanding human-water interactions is particularly essential in countries where the economy and the people's well-being and income strongly depend on the availability and quality of sufficient water resources. Such a strong dependency on water is existent in Myanmar's Dry Zone located in the central Ayeyarwady River basin. In this area, rainfall is associated with high heterogeneity across space and time. Precipitation amounts in the Dry Zone (500-1000 mm annually) are generally less compared to other regions in Myanmar (up to 4000-6000 mm). Following the Global Climate Risk Index, Myanmar is one of the countries which were most affected by extreme weather events between 1994 and 2013. Severe drought periods e.g in the years 1997-1998, 2010 and 2014 led to crop failures and water shortage in the Dry Zone, where more than 14 mio people predominantly practice agriculture. Due to the high variability of rainfalls, farming is only possible with irrigation, mainly conducted by canal systems from the rivers and groundwater withdrawal. Myanmar is recently facing big challenges which result from comprehensive political and economic reforms since 2011. These may also include increasing water use by new industrial zones and urbanization. However, not only policy and economy modify the need for water. Variability of river runoff and changes in seasonality are expected as a result of climate change. The overarching goal of the study is to understand and increase the knowledge on human-water-climate interactions and to elaborate possible future scenarios for Myanmar's Dry Zone. It is not well studied yet how current and future climate change and increasing human impact will influence the country's abundant water resources including groundwater. Therefore, the first step of this study is to identify the major drivers within the central Ayeyarwady River basin. We are in the process of collecting and analyzing data sets and information including hydrologic and eco

  12. Theoretical model of the helium zone plate microscope

    NASA Astrophysics Data System (ADS)

    Salvador Palau, Adrià; Bracco, Gianangelo; Holst, Bodil

    2017-01-01

    Neutral helium microscopy is a new technique currently under development. Its advantages are the low energy, charge neutrality, and inertness of the helium atoms, a potential large depth of field, and the fact that at thermal energies the helium atoms do not penetrate into any solid material. This opens the possibility, among others, for the creation of an instrument that can measure surface topology on the nanoscale, even on surfaces with high aspect ratios. One of the most promising designs for helium microscopy is the zone plate microscope. It consists of a supersonic expansion helium beam collimated by an aperture (skimmer) focused by a Fresnel zone plate onto a sample. The resolution is determined by the focal spot size, which depends on the size of the skimmer, the optics of the system, and the velocity spread of the beam through the chromatic aberrations of the zone plate. An important factor for the optics of the zone plate is the width of the outermost zone, corresponding to the smallest opening in the zone plate. The width of the outermost zone is fabrication limited to around 10 nm with present-day state-of-the-art technology. Due to the high ionization potential of neutral helium atoms, it is difficult to build efficient helium detectors. Therefore, it is crucial to optimize the microscope design to maximize the intensity for a given resolution and width of the outermost zone. Here we present an optimization model for the helium zone plate microscope. Assuming constant resolution and width of the outermost zone, we are able to reduce the problem to a two-variable problem (zone plate radius and object distance) and we show that for a given beam temperature and pressure, there is always a single intensity maximum. We compare our model with the highest-resolution zone plate focusing images published and show that the intensity can be increased seven times. Reducing the width of the outermost zone to 10 nm leads to an increase in intensity of more than 8000

  13. Stressors in the relatives of patients admitted to an intensive care unit.

    PubMed

    Barth, Angélica Adam; Weigel, Bruna Dorfey; Dummer, Claus Dieter; Machado, Kelly Campara; Tisott, Taís Montagner

    2016-09-01

    To identify and stratify the main stressors for the relatives of patients admitted to the adult intensive care unit of a teaching hospital. Cross-sectional descriptive study conducted with relatives of patients admitted to an intensive care unit from April to October 2014. The following materials were used: a questionnaire containing identification information and demographic data of the relatives, clinical data of the patients, and 25 stressors adapted from the Intensive Care Unit Environmental Stressor Scale. The degree of stress caused by each factor was determined on a scale of values from 1 to 4. The stressors were ranked based on the average score obtained. The main cause of admission to the intensive care unit was clinical in 36 (52.2%) cases. The main stressors were the patient being in a state of coma (3.15 ± 1.23), the patient being unable to speak (3.15 ± 1.20), and the reason for admission (3.00 ± 1.27). After removing the 27 (39.1%) coma patients from the analysis, the main stressors for the relatives were the reason for admission (2.75 ± 1.354), seeing the patient in the intensive care unit (2.51 ± 1.227), and the patient being unable to speak (2.50 ± 1.269). Difficulties in communication and in the relationship with the patient admitted to the intensive care unit were identified as the main stressors by their relatives, with the state of coma being predominant. By contrast, the environment, work routines, and relationship between the relatives and intensive care unit team had the least impact as stressors.

  14. Stressors in the relatives of patients admitted to an intensive care unit

    PubMed Central

    Barth, Angélica Adam; Weigel, Bruna Dorfey; Dummer, Claus Dieter; Machado, Kelly Campara; Tisott, Taís Montagner

    2016-01-01

    Objective To identify and stratify the main stressors for the relatives of patients admitted to the adult intensive care unit of a teaching hospital. Methods Cross-sectional descriptive study conducted with relatives of patients admitted to an intensive care unit from April to October 2014. The following materials were used: a questionnaire containing identification information and demographic data of the relatives, clinical data of the patients, and 25 stressors adapted from the Intensive Care Unit Environmental Stressor Scale. The degree of stress caused by each factor was determined on a scale of values from 1 to 4. The stressors were ranked based on the average score obtained. Results The main cause of admission to the intensive care unit was clinical in 36 (52.2%) cases. The main stressors were the patient being in a state of coma (3.15 ± 1.23), the patient being unable to speak (3.15 ± 1.20), and the reason for admission (3.00 ± 1.27). After removing the 27 (39.1%) coma patients from the analysis, the main stressors for the relatives were the reason for admission (2.75 ± 1.354), seeing the patient in the intensive care unit (2.51 ± 1.227), and the patient being unable to speak (2.50 ± 1.269). Conclusion Difficulties in communication and in the relationship with the patient admitted to the intensive care unit were identified as the main stressors by their relatives, with the state of coma being predominant. By contrast, the environment, work routines, and relationship between the relatives and intensive care unit team had the least impact as stressors. PMID:27737424

  15. Severity scores in trauma patients admitted to ICU. Physiological and anatomic models.

    PubMed

    Serviá, L; Badia, M; Montserrat, N; Trujillano, J

    2018-02-02

    The goals of this project were to compare both the anatomic and physiologic severity scores in trauma patients admitted to intensive care unit (ICU), and to elaborate mixed statistical models to improve the precision of the scores. A prospective study of cohorts. The combined medical/surgical ICU in a secondary university hospital. Seven hundred and eighty trauma patients admitted to ICU older than 16 years of age. Anatomic models (ISS and NISS) were compared and combined with physiological models (T-RTS, APACHE II [APII], and MPM II). The probability of death was calculated following the TRISS method. The discrimination was assessed using ROC curves (ABC [CI 95%]), and the calibration using the Hosmer-Lemeshoẃs H test. The mixed models were elaborated with the tree classification method type Chi Square Automatic Interaction Detection. A 14% global mortality was recorded. The physiological models presented the best discrimination values (APII of 0.87 [0.84-0.90]). All models were affected by bad calibration (P<.01). The best mixed model resulted from the combination of APII and ISS (0.88 [0.83-0.90]). This model was able to differentiate between a 7.5% mortality for elderly patients with pathological antecedents and a 25% mortality in patients presenting traumatic brain injury, from a pool of patients with APII values ranging from 10 to 17 and an ISS threshold of 22. The physiological models perform better than the anatomical models in traumatic patients admitted to the ICU. Patients with low scores in the physiological models require an anatomic analysis of the injuries to determine their severity. Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  16. Reliability of intensive care unit admitting and comorbid diagnoses, race, elements of Acute Physiology and Chronic Health Evaluation II score, and predicted probability of mortality in an electronic intensive care unit database.

    PubMed

    Wenner, Joshua B; Norena, Monica; Khan, Nadia; Palepu, Anita; Ayas, Najib T; Wong, Hubert; Dodek, Peter M

    2009-09-01

    Although reliability of severity of illness and predicted probability of hospital mortality have been assessed, interrater reliability of the abstraction of primary and other intensive care unit (ICU) admitting diagnoses and underlying comorbidities has not been studied. Patient data from one ICU were originally abstracted and entered into an electronic database by an ICU nurse. A research assistant reabstracted patient demographics, ICU admitting diagnoses and underlying comorbidities, and elements of Acute Physiology and Chronic Health Evaluation II (APACHE II) score from 100 random patients of 474 admitted during 2005 using an identical electronic database. Chamberlain's percent positive agreement was used to compare diagnoses and comorbidities between the 2 data abstractors. A kappa statistic was calculated for demographic variables, Glasgow Coma Score, APACHE II chronic health points, and HIV status. Intraclass correlation was calculated for acute physiology points and predicted probability of hospital mortality. Percent positive agreement for ICU primary and other admitting diagnoses ranged from 0% (primary brain injury) to 71% (sepsis), and for underlying comorbidities, from 40% (coronary artery bypass graft) to 100% (HIV). Agreement as measured by kappa statistic was strong for race (0.81) and age points (0.95), moderate for chronic health points (0.50) and HIV (0.66), and poor for Glasgow Coma Score (0.36). Intraclass correlation showed a moderate-high agreement for acute physiology points (0.88) and predicted probability of hospital mortality (0.71). Reliability for ICU diagnoses and elements of the APACHE II score is related to the objectivity of primary data in the medical charts.

  17. Defining fire environment zones in the boreal forests of northeastern China.

    PubMed

    Wu, Zhiwei; He, Hong S; Yang, Jian; Liang, Yu

    2015-06-15

    Fire activity in boreal forests will substantially increase with prolonged growing seasons under a warming climate. This trend poses challenges to managing fires in boreal forest landscapes. A fire environment zone map offers a basis for evaluating these fire-related problems and designing more effective fire management plans to improve the allocation of management resources across a landscape. Toward that goal, we identified three fire environment zones across boreal forest landscapes in northeastern China using analytical methods to identify spatial clustering of the environmental variables of climate, vegetation, topography, and human activity. The three fire environment zones were found to be in strong agreement with the spatial distributions of the historical fire data (occurrence, size, and frequency) for 1966-2005. This paper discusses how the resulting fire environment zone map can be used to guide forest fire management and fire regime prediction. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Seasonal forecasts in the Sahel region: the use of rainfall-based predictive variables

    NASA Astrophysics Data System (ADS)

    Lodoun, Tiganadaba; Sanon, Moussa; Giannini, Alessandra; Traoré, Pierre Sibiry; Somé, Léopold; Rasolodimby, Jeanne Millogo

    2014-08-01

    In the Sahel region, seasonal predictions are crucial to alleviate the impacts of climate variability on populations' livelihoods. Agricultural planning (e.g., decisions about sowing date, fertilizer application date, and choice of crop or cultivar) is based on empirical predictive indices whose accuracy to date has not been scientifically proven. This paper attempts to statistically test whether the pattern of rainfall distribution over the May-July period contributes to predicting the real onset date and the nature (wet or dry) of the rainy season, as farmers believe. To that end, we considered historical records of daily rainfall from 51 stations spanning the period 1920-2008 and the different agro-climatic zones in Burkina Faso. We performed (1) principal component analysis to identify climatic zones, based on the patterns of intra-seasonal rainfall, (2) and linear discriminant analysis to find the best rainfall-based variables to distinguish between real and false onset dates of the rainy season, and between wet and dry seasons in each climatic zone. A total of nine climatic zones were identified in each of which, based on rainfall records from May to July, we derived linear discriminant functions to correctly predict the nature of a potential onset date of the rainy season (real or false) and that of the rainy season (dry or wet) in at least three cases out of five. These functions should contribute to alleviating the negative impacts of climate variability in the different climatic zones of Burkina Faso.

  19. Vadose zone microbiology

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kieft, Thomas L.; Brockman, Fred J.

    2001-01-17

    The vadose zone is defined as the portion of the terrestrial subsurface that extends from the land surface downward to the water table. As such, it comprises the surface soil (the rooting zone), the underlying subsoil, and the capillary fringe that directly overlies the water table. The unsaturated zone between the rooting zone and the capillary fringe is termed the "intermediate zone" (Chapelle, 1993). The vadose zone has also been defined as the unsaturated zone, since the sediment pores and/or rock fractures are generally not completely water filled, but instead contain both water and air. The latter characteristic results inmore » the term "zone of aeration" to describe the vadose zone. The terms "vadose zone," "unsaturated zone", and "zone of aeration" are nearly synonymous, except that the vadose zone may contain regions of perched water that are actually saturated. The term "subsoil" has also been used for studies of shallow areas of the subsurface immediately below the rooting zone. This review focuses almost exclusively on the unsaturated region beneath the soil layer since there is already an extensive body of literature on surface soil microbial communities and process, e.g., Paul and Clark (1989), Metting (1993), Richter and Markowitz, (1995), and Sylvia et al. (1998); whereas the deeper strata of the unsaturated zone have only recently come under scrutiny for their microbiological properties.« less

  20. Self-Admitted Pretensions of Mac Users on a Predominantly PC University Campus

    ERIC Educational Resources Information Center

    Firmin, Michael W.; Wood, Whitney L. Muhlenkamp; Firmin, Ruth L.; Wood, Jordan C.

    2010-01-01

    The present qualitative research study addressed the overall research question of college students' pretention dynamics in the context of a university setting. Thirty-five Mac users were interviewed on a university campus that exclusively supports PC machines. Mac users shared four self-admitted pretensions related to using Macintosh computers.…

  1. Does drinking water influence hospital-admitted sialolithiasis on an epidemiological level in Denmark?

    PubMed Central

    Schrøder, Stine; Homøe, Preben; Wagner, Niels; Vataire, Anne-Lise; Lundager Madsen, Hans Erik; Bardow, Allan

    2015-01-01

    Objectives Sialolithiasis, or salivary stones, is not a rare disease of the major salivary glands. However, the aetiology and incidence remain largely unknown. Since sialoliths are comprised mainly of calcium phosphate salts, we hypothesise that drinking water calcium levels and other elements in drinking water could play a role in sialolithiasis. Owing to substantial intermunicipality differences in drinking water composition, Denmark constitutes a unique environment for testing such relations. Design An epidemiological study based on patient data extracted from the National Patient Registry and drinking water data from the Geological Survey of Denmark and Greenland retrieved as weighted data on all major drinking water constituents for each of the 3364 waterworks in Denmark. All patient cases with International Statistical Classification of Diseases 10th Revision (ICD-10) codes for sialolithiasis registered between the years 2000 and 2010 were included in the study (n=3014) and related to the drinking water composition on a municipality level (n=98). Primary and secondary outcome measures Multiple regression analysis using iterative search and testing among all demographic and drinking water variables with sialolithiasis incidence as the outcome in search of possible relations among the variables tested. Results The nationwide incidence of hospital-admitted sialolithiasis was 5.5 cases per 100 000 citizens per year in Denmark. Strong relations were found between the incidence of sialolithiasis and the drinking water concentration of calcium, magnesium and hydrogen carbonate, however, in separate models (p<0.001). Analyses also confirmed correlations between drinking water calcium and magnesium and their concentration in saliva whereas this was not the case for hydrogen carbonate. Conclusions Differences in drinking water calcium and magnesium may play a role in the incidence of sialolithiasis. These findings are of interest because many countries have started

  2. Motivation factors for suicidal behavior and their clinical relevance in admitted psychiatric patients.

    PubMed

    Hayashi, Naoki; Igarashi, Miyabi; Imai, Atsushi; Yoshizawa, Yuka; Asamura, Kaori; Ishikawa, Yoichi; Tokunaga, Taro; Ishimoto, Kayo; Tatebayashi, Yoshitaka; Harima, Hirohiko; Kumagai, Naoki; Ishii, Hidetoki; Okazaki, Yuji

    2017-01-01

    Suicidal behavior (SB) is a major, worldwide health concern. To date there is limited understanding of the associated motivational aspects which accompany this self-initiated conduct. To develop a method for identifying motivational features associated with SB by studying admitted psychiatric patients, and to examine their clinical relevance. By performing a factor analytic study using data obtained from a patient sample exhibiting high suicidality and a variety of SB methods, Motivations for SB Scale (MSBS) was constructed to measure the features. Data included assessments of DSM-IV psychiatric and personality disorders, suicide intent, depressive symptomatology, overt aggression, recent life events (RLEs) and methods of SB, collated from structured interviews. Association of identified features with clinical variables was examined by correlation analyses and MANCOVA. Factor analyses elicited a 4-factor solution composed of Interpersonal-testing (IT), Interpersonal-change (IC), Self-renunciation (SR) and Self-sustenance (SS). These factors were classified according to two distinctions, namely interpersonal vs. intra-personal directedness, and the level of assumed influence by SB or the relationship to prevailing emotions. Analyses revealed meaningful links between patient features and clinical variables. Interpersonal-motivations (IT and IC) were associated with overt aggression, low suicidality and RLE discord or conflict, while SR was associated with depression, high suicidality and RLE separation or death. Borderline personality disorder showed association with IC and SS. When self-strangulation was set as a reference SB method, self-cutting and overdose-taking were linked to IT and SS, respectively. The factors extracted in this study largely corresponded to factors from previous studies, implying that they may be useful in a wider clinical context. The association of these features with SB-related factors suggests that they constitute an integral part of the

  3. Migration of contaminants through the unsaturated zone overlying the Hesbaye chalky aquifer in Belgium: a field investigation.

    PubMed

    Brouyère, Serge; Dassargues, Alain; Hallet, Vincent

    2004-08-01

    This paper presents the results of a detailed field investigation that was performed for studying groundwater recharge processes and solute downward migration mechanisms prevailing in the unsaturated zone overlying a chalk aquifer in Belgium. Various laboratory measurements were performed on core samples collected during the drilling of boreholes in the experimental site. In the field, experiments consisted of well logging, infiltration tests in the unsaturated zone, pumping tests in the saturated zone and tracer tests in both the saturated and unsaturated zones. Results show that gravitational flows govern groundwater recharge and solute migration mechanisms in the unsaturated zone. In the variably saturated chalk, the migration and retardation of solutes is strongly influenced by recharge conditions. Under intense injection conditions, solutes migrate at high speed along the partially saturated fissures, downward to the saturated zone. At the same time, they are temporarily retarded in the almost immobile water located in the chalk matrix. Under normal recharge conditions, fissures are inactive and solutes migrate slowly through the chalk matrix. Results also show that concentration dynamics in the saturated zone are related to fluctuations of groundwater levels in the aquifer. A conceptual model is proposed to explain the hydrodispersive behaviour of the variably saturated chalk. Finally, the vulnerability of the chalk to contamination issues occurring at the land surface is discussed.

  4. Imaging groundwater infiltration dynamics in the karst vadose zone with long-term ERT monitoring

    NASA Astrophysics Data System (ADS)

    Watlet, Arnaud; Kaufmann, Olivier; Triantafyllou, Antoine; Poulain, Amaël; Chambers, Jonathan E.; Meldrum, Philip I.; Wilkinson, Paul B.; Hallet, Vincent; Quinif, Yves; Van Ruymbeke, Michel; Van Camp, Michel

    2018-03-01

    Water infiltration and recharge processes in karst systems are complex and difficult to measure with conventional hydrological methods. In particular, temporarily saturated groundwater reservoirs hosted in the vadose zone can play a buffering role in water infiltration. This results from the pronounced porosity and permeability contrasts created by local karstification processes of carbonate rocks. Analyses of time-lapse 2-D geoelectrical imaging over a period of 3 years at the Rochefort Cave Laboratory (RCL) site in south Belgium highlight variable hydrodynamics in a karst vadose zone. This represents the first long-term and permanently installed electrical resistivity tomography (ERT) monitoring in a karst landscape. The collected data were compared to conventional hydrological measurements (drip discharge monitoring, soil moisture and water conductivity data sets) and a detailed structural analysis of the local geological structures providing a thorough understanding of the groundwater infiltration. Seasonal changes affect all the imaged areas leading to increases in resistivity in spring and summer attributed to enhanced evapotranspiration, whereas winter is characterised by a general decrease in resistivity associated with a groundwater recharge of the vadose zone. Three types of hydrological dynamics, corresponding to areas with distinct lithological and structural features, could be identified via changes in resistivity: (D1) upper conductive layers, associated with clay-rich soil and epikarst, showing the highest variability related to weather conditions; (D2) deeper and more resistive limestone areas, characterised by variable degrees of porosity and clay contents, hence showing more diffuse seasonal variations; and (D3) a conductive fractured zone associated with damped seasonal dynamics, while showing a great variability similar to that of the upper layers in response to rainfall events. This study provides detailed images of the sources of drip

  5. Prognosis of cirrhotic patients admitted to intensive care unit: a meta-analysis.

    PubMed

    Weil, Delphine; Levesque, Eric; McPhail, Marc; Cavallazzi, Rodrigo; Theocharidou, Eleni; Cholongitas, Evangelos; Galbois, Arnaud; Pan, Heng Chih; Karvellas, Constantine J; Sauneuf, Bertrand; Robert, René; Fichet, Jérome; Piton, Gaël; Thevenot, Thierry; Capellier, Gilles; Di Martino, Vincent

    2017-12-01

    The best predictors of short- and medium-term mortality of cirrhotic patients receiving intensive care support are unknown. We conducted meta-analyses from 13 studies (2523 cirrhotics) after selection of original articles and response to a standardized questionnaire by the corresponding authors. End-points were in-ICU, in-hospital, and 6-month mortality in ICU survivors. A total of 301 pooled analyses, including 95 analyses restricted to 6-month mortality among ICU survivors, were conducted considering 249 variables (including reason for admission, organ replacement therapy, and composite prognostic scores). In-ICU, in-hospital, and 6-month mortality was 42.7, 54.1, and 75.1%, respectively. Forty-eight patients (3.8%) underwent liver transplantation during follow-up. In-ICU mortality was lower in patients admitted for variceal bleeding (OR 0.46; 95% CI 0.36-0.59; p < 0.001) and higher in patients with SOFA > 19 at baseline (OR 8.54; 95% CI 2.09-34.91; p < 0.001; PPV = 0.93). High SOFA no longer predicted mortality at 6 months in ICU survivors. Twelve variables related to infection were predictors of in-ICU mortality, including SIRS (OR 2.44; 95% CI 1.64-3.65; p < 0.001; PPV = 0.57), pneumonia (OR 2.18; 95% CI 1.47-3.22; p < 0.001; PPV = 0.69), sepsis-associated refractory oliguria (OR 10.61; 95% CI 4.07-27.63; p < 0.001; PPV = 0.76), and fungal infection (OR 4.38; 95% CI 1.11-17.24; p < 0.001; PPV = 0.85). Among therapeutics, only dopamine (OR 5.57; 95% CI 3.02-10.27; p < 0.001; PPV = 0.68), dobutamine (OR 8.92; 95% CI 3.32-23.96; p < 0.001; PPV = 0.86), epinephrine (OR 5.03; 95% CI 2.68-9.42; p < 0.001; PPV = 0.77), and MARS (OR 2.07; 95% CI 1.22-3.53; p = 0.007; PPV = 0.58) were associated with in-ICU mortality without heterogeneity. In ICU survivors, eight markers of liver and renal failure predicted 6-month mortality, including Child-Pugh stage C (OR 2.43; 95% CI 1.44-4.10; p < 0.001; PPV = 0.57), baseline MELD

  6. Satellite-Derived Management Zones

    NASA Technical Reports Server (NTRS)

    Lepoutre, Damien; Layrol, Laurent

    2005-01-01

    The term "satellite-derived management zones" (SAMZ) denotes agricultural management zones that are subdivisions of large fields and that are derived from images of the fields acquired by instruments aboard Earth-orbiting satellites during approximately the past 15 years. "SAMZ" also denotes the methodology and the software that implements the methodology for creating such zones. The SAMZ approach is one of several products of continuing efforts to realize a concept of precision agriculture, which involves optimal variations in seeding, in application of chemicals, and in irrigation, plus decisions to farm or not to farm certain portions of fields, all in an effort to maximize profitability in view of spatial and temporal variations in the growth and health of crops, and in the chemical and physical conditions of soils. As used here, "management zone" signifies, more precisely, a subdivision of a field within which the crop-production behavior is regarded as homogeneous. From the perspective of precision agriculture, management zones are the smallest subdivisions between which the seeding, application of chemicals, and other management parameters are to be varied. In the SAMZ approach, the main sources of data are the archives of satellite imagery that have been collected over the years for diverse purposes. One of the main advantages afforded by the SAMZ approach is that the data in these archives can be reused for purposes of precision agriculture at low cost. De facto, these archives contain information on all sources of variability within a field, including weather, crop types, crop management, soil types, and water drainage patterns. The SAMZ methodology involves the establishment of a Web-based interface based on an algorithm that generates management zones automatically and quickly from archival satellite image data in response to requests from farmers. A farmer can make a request by either uploading data describing a field boundary to the Web site or else

  7. Application of sepsis definitions to pediatric patients admitted with suspected infections in Uganda

    PubMed Central

    Wiens, Matthew O.; Larson, Charles P.; Kumbakumba, Elias; Kissoon, Niranjan; Ansermino, J. Mark; Singer, Joel; Wong, Hubert; Ndamira, Andrew; Kabakyenga, Jerome; Moschovis, Peter; Kiwanuka, Julius

    2017-01-01

    Objectives Acute infectious diseases are the most common cause of under-5 mortality. However, the hospital burden of non-neonatal pediatric sepsis has not previously been described in the resource poor setting. The objective of this study was to determine the prevalence of sepsis among children 6 months to 5 years of age admitted with proven or suspected infection and to evaluate the presence of sepsis as a predictive tool for mortality during admission. Design In this Prospective cohort study we used the pediatric International Consensus Conference definition of sepsis to determine the prevalence of sepsis among children admitted to the pediatric ward with a proven or suspected infection. The diagnosis of sepsis, as well as each individual component of the sepsis definition, were evaluated for capturing in-hospital mortality. Setting The pediatric ward of two hospitals in Mbarara, Uganda Patients Admitted children between 6 months and 5 years with a confirmed or suspected infection. Interventions None Measurements and Main Results One thousand three hundred and seven (1307) subjects with a confirmed or suspected infection were enrolled and 65 children died (5.0%) during their admission. One thousand one hundred and twenty-one (85.9%) met the systemic inflammatory response syndrome criteria, and therefore were defined as having sepsis. The sepsis criteria captured 61 deaths, demonstrating a sensitivity and specificity of 95% (95% CI 90% – 100%) and 15% (95% CI 13% – 17%), respectively. The most discriminatory individual component of the SIRS criteria was the leukocyte count which alone had a sensitivity of 72% and a specificity of 56% for the identification of mortality in hospital. Conclusions This study is among the first to quantify the burden of non-neonatal pediatric sepsis in children with suspected infection, using the international consensus sepsis definition, in a typical resource constrained setting in Africa. This definition was found to be highly

  8. Application of Sepsis Definitions to Pediatric Patients Admitted With Suspected Infections in Uganda.

    PubMed

    Wiens, Matthew O; Larson, Charles P; Kumbakumba, Elias; Kissoon, Niranjan; Ansermino, J Mark; Singer, Joel; Wong, Hubert; Ndamira, Andrew; Kabakyenga, Jerome; Moschovis, Peter; Kiwanuka, Julius

    2016-05-01

    Acute infectious diseases are the most common cause of under-5 mortality. However, the hospital burden of nonneonatal pediatric sepsis has not previously been described in the resource poor setting. The objective of this study was to determine the prevalence of sepsis among children 6 months to 5 years old admitted with proven or suspected infection and to evaluate the presence of sepsis as a predictive tool for mortality during admission. In this prospective cohort study, we used the pediatric International Consensus Conference definition of sepsis to determine the prevalence of sepsis among children admitted to the pediatric ward with a proven or suspected infection. The diagnosis of sepsis, as well as each individual component of the sepsis definition, was evaluated for capturing in-hospital mortality. The pediatric ward of two hospitals in Mbarara, Uganda. Admitted children between 6 months and 5 years with a confirmed or suspected infection. None. One thousand three hundred seven (1,307) subjects with a confirmed or suspected infection were enrolled, and 65 children died (5.0%) during their admission. One thousand one hundred twenty-one (85.9%) met the systemic inflammatory response syndrome criteria, and therefore, they were defined as having sepsis. The sepsis criteria captured 61 deaths, demonstrating a sensitivity and a specificity of 95% (95% CI, 90-100%) and 15% (95% CI, 13-17%), respectively. The most discriminatory individual component of the systemic inflammatory response syndrome criteria was the leukocyte count, which alone had a sensitivity of 72% and a specificity of 56% for the identification of mortality in hospital. This study is among the first to quantify the burden of nonneonatal pediatric sepsis in children with suspected infection, using the international consensus sepsis definition, in a typical resource-constrained setting in Africa. This definition was found to be highly sensitive in identifying those who died but had very low

  9. Autonomy and social functioning of recently admitted nursing home residents.

    PubMed

    Paque, Kristel; Goossens, Katrien; Elseviers, Monique; Van Bogaert, Peter; Dilles, Tinne

    2017-09-01

    This paper examines recently admitted nursing home residents' practical autonomy, their remaining social environment and their social functioning. In a cross-sectional design, 391 newly admitted residents of 67 nursing homes participated. All respondents were ≥65 years old, had mini-mental state examination ≥18 and were living in the nursing home for at least 1 month. Data were collected using a structured questionnaire and validated measuring tools. The mean age was 84, 64% were female, 23% had a partner, 80% children, 75% grandchildren and 59% siblings. The mean social functioning score was 3/9 (or 33%) and the autonomy and importance of autonomy score 6/9 (or 67%). More autonomy was observed when residents could perform activities of daily living more independently, and cognitive functioning, quality of life and social functioning were high. Residents with depressive feelings scored lower on autonomy and social functioning compared to those without depressive feelings. Having siblings and the frequency of visits positively correlated with social functioning. In turn, social functioning correlated positively with quality of life. Moreover, a higher score on social functioning lowered the probability of depression. Autonomy or self-determination and maintaining remaining social relationships were considered to be important by the new residents. The remaining social environment, social functioning, quality of life, autonomy and depressive feelings influenced each other, but the cause--effect relation was not clear.

  10. Global root zone storage capacity from satellite-based evaporation

    NASA Astrophysics Data System (ADS)

    Wang-Erlandsson, Lan; Bastiaanssen, Wim G. M.; Gao, Hongkai; Jägermeyr, Jonas; Senay, Gabriel B.; van Dijk, Albert I. J. M.; Guerschman, Juan P.; Keys, Patrick W.; Gordon, Line J.; Savenije, Hubert H. G.

    2016-04-01

    This study presents an "Earth observation-based" method for estimating root zone storage capacity - a critical, yet uncertain parameter in hydrological and land surface modelling. By assuming that vegetation optimises its root zone storage capacity to bridge critical dry periods, we were able to use state-of-the-art satellite-based evaporation data computed with independent energy balance equations to derive gridded root zone storage capacity at global scale. This approach does not require soil or vegetation information, is model independent, and is in principle scale independent. In contrast to a traditional look-up table approach, our method captures the variability in root zone storage capacity within land cover types, including in rainforests where direct measurements of root depths otherwise are scarce. Implementing the estimated root zone storage capacity in the global hydrological model STEAM (Simple Terrestrial Evaporation to Atmosphere Model) improved evaporation simulation overall, and in particular during the least evaporating months in sub-humid to humid regions with moderate to high seasonality. Our results suggest that several forest types are able to create a large storage to buffer for severe droughts (with a very long return period), in contrast to, for example, savannahs and woody savannahs (medium length return period), as well as grasslands, shrublands, and croplands (very short return period). The presented method to estimate root zone storage capacity eliminates the need for poor resolution soil and rooting depth data that form a limitation for achieving progress in the global land surface modelling community.

  11. Health Related Quality of Life and its Predictors among Bengali Thalassemic Children Admitted to a Tertiary Care Hospital.

    PubMed

    Saha, Rajib; Misra, Raghunath; Saha, Indranil

    2015-10-01

    To assess the quality of life among thalassemic children and to find out association of quality of life (QOL) with the socio-demographic factors, and clinico-therapeutic profile. This cross sectional descriptive epidemiological study was conducted from July 2011 through June 2012 on 365 admitted thalassemic patients of 5 to 12 y of age in the Burdwan Medical College and Hospital. Parents of the children were interviewed using Paediatric Quality of Life Inventory 4.0 Generic Core Scale. Statistically significant variables in bivariate analysis were considered for correlation matrix where independent variables were found inter related. So, partial correlation was done and statistically significant variables in partial correlation were considered for linear regression. The mean age of 365 thalassemic children was 8.3 ± 2.4 y. Multiple linear regressions predicted that only 70.5 % variation of total summary score depended on duration since splenectomy (31.2 % variation), last pre transfusion Hb level (20.7 %), family history of thalassemia (17.3 %) and frequency of blood transfusions (1.3 %). After splenectomy, thalassemic children could lead a better quality of life upto 5 y only. The betterment of the quality of life needs maintaining pre transfusion Hb level above 7 g/dl. Previous experience of the disease among the family members enriches the awareness among them and helps them to take correct decisions timely about the child and that leads to better QOL. More awareness regarding the maintenance of pre transfusion Hb level should be built up among parents and families where such disease has occurred for the first time.

  12. Remote Sensing Characterization of Two-dimensional Wave Forcing in the Surf Zone

    NASA Astrophysics Data System (ADS)

    Carini, R. J.; Chickadel, C. C.; Jessup, A. T.

    2016-02-01

    In the surf zone, breaking waves drive longshore currents, transport sediment, shape bathymetry, and enhance air-sea gas and particle exchange. Furthermore, wave group forcing influences the generation and duration of rip currents. Wave breaking exhibits large gradients in space and time, making it challenging to measure in situ. Remote sensing technologies, specifically thermal infrared (IR) imagery, can provide detailed spatial and temporal measurements of wave breaking at the water surface. We construct two-dimensional maps of active wave breaking from IR imagery collected during the Surf Zone Optics Experiment in September 2010 at the US Army Corps of Engineers' Field Research Facility in Duck, NC. For each breaker identified in the camera's field of view, the crest-perpendicular length of the aerated breaking region (roller length) and wave direction are estimated and used to compute the wave energy dissipation rate. The resultant dissipation rate maps are analyzed over different time scales: peak wave period, infragravity wave period, and tidal wave period. For each time scale, spatial maps of wave breaking are used to characterize wave forcing in the surf zone for a variety of wave conditions. The following phenomena are examined: (1) wave dissipation rates over the bar (location of most intense breaking) have increased variance in infragravity wave frequencies, which are different from the peak frequency of the incoming wave field and different from the wave forcing variability at the shoreline, and (2) wave forcing has a wider spatial distribution during low tide than during high tide due to depth-limited breaking over the barred bathymetry. Future work will investigate the response of the variability in wave setup, longshore currents and rip currents, to the variability in wave forcing in the surf zone.

  13. Safety Zones

    EPA Pesticide Factsheets

    These are established primarily to reduce the accidental spread of hazardous substances by workers or equipment from contaminated areas to clean areas. They include the exclusion (hot) zone, contamination reduction (warm) zone, and support (cold) zone.

  14. Prognostic indicators associated with early mortality of wild raptors admitted to a wildlife rehabilitation centre in Spain.

    PubMed

    Molina-López, Rafael A; Casal, Jordi; Darwich, Laila

    2015-03-01

    Assessment of the prognostic indicators of wildlife casualties is critical in wildlife rehabilitation practice, to optimize the use of economical resources, and to protect animal welfare. Few studies have been conducted in this field. To identify the prognostic indicators associated with raptor mortality during the first week of hospitalization. Complete medical records of 1722 wild raptor cases admitted to a wildlife rehabilitation centre from 1995 to 2007 were used. Regression models were created to determine mortality-related factors for different variables (order, sex, body condition (BC), clinical signs, and available haematological and biochemical parameters). In the bivariate analysis, the presence of nervous (OR = 11.9, 95%CI:5.1-27.6) or musculoskeletal (OR = 12.1, 95%CI:5.8-25.3) signs, a poor BC (OR = 32.9, 95%CI:19-81.2), and low values of packed cell volume (PCV), haemoglobin or total solids (TS), were all associated with early mortality. After adjusting variables in the multivariate model, BC was excluded due to co-linearity with other variables, and alteration of the nervous system was the only significant risk factor (OR = 4.0; 95%CI:1.9-8.8). In species specific analysis, poor prognosis was related to neurological signs in Athene noctua, poor BC in Strix aluco, trauma in Acciptiter nisus and Tyto alba, low PCV in Buteo buteo and Falco tinnunculus and low TS in Falco tinnunculus. Raptors with a poor BC, low values of PCV and those presenting with neurological signs, had the highest risk of dying in the first days of admittance. Thus, either medical care or humane euthanasia for poor prognosis should be performed to address animal welfare.

  15. The pattern of pediatric respiratory illnesses admitted in ebonyi state university teaching hospital South-East Nigeria.

    PubMed

    Ezeonu, Ct; Uneke, Cj; Ojukwu, Jo; Anyanwu, Ou; Okike, Co; Ezeanosike, Ob; Agumadu, Hu

    2015-01-01

    Reports from the developed nations reveal respiratory tract infections as the leading cause of childhood hospital admissions. Children may be admitted for a variety of respiratory illnesses. Data on the spectrum of pediatric respiratory illnesses admitted in the hospital is scarce. To determine the pattern of pediatrics respiratory illness admissions, seasonal frequency, underlying risk factors and outcome. A retrospective assessment of respiratory cases admitted in the pediatric ward from 2005 to 2010 was conducted using case notes. Parameters considered included month of presentation, age, sex, immunization and nutritional status, tools of diagnosis and patient outcome. Results were analyzed using the Statistical Package for the Social Sciences with the level of significance P ≤ 0.05. Of the 239 cases admitted, there were more males than females (1.4:1). The commonest case was Bronchopneumonia, 71.6% (171/239 out of which 161 were uncomplicated, 5 had effusions and 6 were associated with measles). Other cases were Pulmonary Tuberculosis, 10.9% (26/239), Lobar pneumonia 8.8% (21/239), Bronchiolitis, 5% (12/239), Aspiration pneumonitis 2.1% (5/239) and Bronchial asthma, 0.8% (2/239). Mortality was 7.5% (18/239) mostly from Bronchopneumonia amongst the 1-5 years old. Mortality was significantly associated with malnutrition (P < 0.001) and poor immunization status (P < 0.01). Bronchopneumonia was found to be the commonest illness with significant mortality and peak occurrence in the rainy season. More emphasis must be laid on anticipatory guidance and prevention by encouraging the immunization, good nutrition and increased attention on children even after 1 year of age.

  16. Prognostic scores in cirrhotic patients admitted to a gastroenterology intensive care unit.

    PubMed

    Freire, Paulo; Romãozinho, José M; Amaro, Pedro; Ferreira, Manuela; Sofia, Carlos

    2011-04-01

    prognostic scores have been validated in cirrhotic patients admitted to general Intensive Care Units. No assessment of these scores was performed in cirrhotics admitted to specialized Gastroenterology Intensive Care Units (GICUs). to assess the prognostic accuracy of Acute Physiology and Chronic Health Evaluation (APACHE) II, Simplified Acute Physiology Score (SAPS) II, Sequential Organ Failure Assessment (SOFA), Model for End-stage Liver Disease (MELD) and Child-Pugh-Turcotte (CPT) in predicting GICU mortality in cirrhotic patients. the study involved 124 consecutive cirrhotic admissions to a GICU. Clinical data, prognostic scores and mortality were recorded. Discrimination was evaluated with area under receiver operating characteristic curves (AUC). Calibration was assessed with Hosmer-Lemeshow goodness-of-fit test. GICU mortality was 9.7%. Mean APACHE II, SAPS II, SOFA, MELD and CPT scores for survivors (13.6, 25.4, 3.5,18.0 and 8.6, respectively) were found to be significantly lower than those of non-survivors (22.0, 47.5, 10.1, 30.7 and 12.5,respectively) (p < 0.001). All the prognostic systems showed good discrimination, with AUC = 0.860, 0.911, 0.868, 0.897 and 0.914 for APACHE II, SAPS II, SOFA, MELD and CPT, respectively. Similarly, APACHE II, SAPS II, SOFA, MELD and CPT scores achieved good calibration, with p = 0.146, 0.120, 0.686,0.267 and 0.120, respectively. The overall correctness of prediction was 81.9%, 86.1%, 93.3%, 90.7% and 87.7% for the APA-CHE II, SAPS II, SOFA, MELD and CPT scores, respectively. in cirrhotics admitted to a GICU, all the tested scores have good prognostic accuracy, with SOFA and MELD showing the greatest overall correctness of prediction.

  17. Intrinsically variable stars

    NASA Technical Reports Server (NTRS)

    Bohm-Vitense, Erika; Querci, Monique

    1987-01-01

    The characteristics of intrinsically variable stars are examined, reviewing the results of observations obtained with the IUE satellite since its launch in 1978. Selected data on both medium-spectral-class pulsating stars (Delta Cep stars, W Vir stars, and related groups) and late-type variables (M, S, and C giants and supergiants) are presented in spectra, graphs, and tables and described in detail. Topics addressed include the calibration of the the period-luminosity relation, Cepheid distance determination, checking stellar evolution theory by the giant companions of Cepheids, Cepheid masses, the importance of the hydrogen convection zone in Cepheids, temperature and abundance estimates for Population II pulsating stars, mass loss in Population II Cepheids, SWP and LWP images of cold giants and supergiants, temporal variations in the UV lines of cold stars, C-rich cold stars, and cold stars with highly ionized emission lines.

  18. Rivers of the Andes and the Amazon Basin: Deciphering global change from the hydroclimatic variability in the critical zone

    NASA Astrophysics Data System (ADS)

    Moreira-Turcq, Patricia; Carlo Espinoza, Jhan; Filizola, Naziano; Martinez, Jean-Michel

    2018-01-01

    The Critical Zone has been defined as the thin layer of the continental surfaces extending from fresh bedrock and the bottom of groundwater up to vegetation canopy, where soil, rock, water, air, and living organisms interact (Banwart et al., 2012; Lin et al., 2011). Despite the Critical Zone's importance to terrestrial life, it remains poorly understood. In this context, understanding the complex interactions between physical, chemical, and biological processes of the Critical Zone requires long-term observations (Anderson et al., 2012; Brantley et al., 2017), not only because different mechanisms have varying time frames, but also because it is necessary to monitor its natural and anthropogenic evolution in response to global climate and environmental changes.

  19. Towards a definition of the "practical" epileptogenic zone: a case of epilepsy with dual pathology.

    PubMed

    Chassagnon, Serge; Valenti, Maria Paola; Sabourdy, Cécile; Esposito, Philippe; Kehrli, Pierre; Arzimanoglou, Alexis; Ryvlin, Philippe; Kahane, Philippe; Hirsch, Edouard

    2006-08-01

    Presurgical evaluation for patients with drug-resistant epilepsy requires the definition of various zones that have a variable spatial relationship with the epileptogenic zone. All the available methods to directly measure the actual seizure-onset zone and to define "the minimum amount of cortical tissue that must be resected to produce seizure-freedom" have significant limitations. We report on the case of a patient with dual pathology (hippocampal sclerosis and a post-traumatic scar) and discuss the contribution of the various presurgical investigations that led to surgery and seizure-freedom.

  20. Entrainment Zone Characteristics and Entrainment Rates in Cloud-Topped Boundary Layers from DYCOMS-II

    DTIC Science & Technology

    2012-03-01

    water and ozone across the EIL. The scalar variables from this flight (not shown) suggest significant horizontal variation in the free- troposphere ...near the cloud top where mixing occurs between dry free- troposphere air and moist turbulent air. Although the concept of the entrainment zone is...mixing occurs between dry free- troposphere air and moist turbulent air. Although the concept of the entrainment zone is clear, defining the top and

  1. Global root zone storage capacity from satellite-based evaporation data

    NASA Astrophysics Data System (ADS)

    Wang-Erlandsson, Lan; Bastiaanssen, Wim; Gao, Hongkai; Jägermeyr, Jonas; Senay, Gabriel; van Dijk, Albert; Guerschman, Juan; Keys, Patrick; Gordon, Line; Savenije, Hubert

    2016-04-01

    We present an "earth observation-based" method for estimating root zone storage capacity - a critical, yet uncertain parameter in hydrological and land surface modelling. By assuming that vegetation optimises its root zone storage capacity to bridge critical dry periods, we were able to use state-of-the-art satellite-based evaporation data computed with independent energy balance equations to derive gridded root zone storage capacity at global scale. This approach does not require soil or vegetation information, is model independent, and is in principle scale-independent. In contrast to traditional look-up table approaches, our method captures the variability in root zone storage capacity within land cover type, including in rainforests where direct measurements of root depth otherwise are scarce. Implementing the estimated root zone storage capacity in the global hydrological model STEAM improved evaporation simulation overall, and in particular during the least evaporating months in sub-humid to humid regions with moderate to high seasonality. We find that evergreen forests are able to create a large storage to buffer for extreme droughts (with a return period of up to 60 years), in contrast to short vegetation and crops (which seem to adapt to a drought return period of about 2 years). The presented method to estimate root zone storage capacity eliminates the need for soils and rooting depth information, which could be a game-changer in global land surface modelling.

  2. [Adolescent mothers admitted with their children in a highly complex hospital: differences between early-middle and late adolescence].

    PubMed

    Bulgach, Valeria; Zunana, Cecilia; Califano, Paula; Rodríguez, M Susana; Mato, Roberto

    2018-04-01

    Teenage pregnancy is highly prevalent. To describe several features of a group of adolescent mothers admitted along with their children in a high complexity pediatric hospital and to explore the difference between those in early-mid and late adolescence. Observational, transversal study, through a survey including socio-demographic variables, information about their pregnancy, delivery and their newborns. We included 227 mothers, 100 were aged < 17 years old and 127 were aged from 17 to 19 years and 11 months. Thirty percent of patients younger than 17 and 33% of the other group had preterm children; 12% and 2% respectively had very low weight newborns. Seventy-six (76%) and 77 (61%) mothers respectively were, in turn, daughters of teenage mothers. Prematurity was high in both groups. Younger mothers had higher rates of low weight newborns. Repeated intergenerational history of adolescence motherhood was found in two thirds of cases in both groups. Sociedad Argentina de Pediatría.

  3. Metamodeling and mapping of nitrate flux in the unsaturated zone and groundwater, Wisconsin, USA

    NASA Astrophysics Data System (ADS)

    Nolan, Bernard T.; Green, Christopher T.; Juckem, Paul F.; Liao, Lixia; Reddy, James E.

    2018-04-01

    Nitrate contamination of groundwater in agricultural areas poses a major challenge to the sustainability of water resources. Aquifer vulnerability models are useful tools that can help resource managers identify areas of concern, but quantifying nitrogen (N) inputs in such models is challenging, especially at large spatial scales. We sought to improve regional nitrate (NO3-) input functions by characterizing unsaturated zone NO3- transport to groundwater through use of surrogate, machine-learning metamodels of a process-based N flux model. The metamodels used boosted regression trees (BRTs) to relate mappable landscape variables to parameters and outputs of a previous "vertical flux method" (VFM) applied at sampled wells in the Fox, Wolf, and Peshtigo (FWP) river basins in northeastern Wisconsin. In this context, the metamodels upscaled the VFM results throughout the region, and the VFM parameters and outputs are the metamodel response variables. The study area encompassed the domain of a detailed numerical model that provided additional predictor variables, including groundwater recharge, to the metamodels. We used a statistical learning framework to test a range of model complexities to identify suitable hyperparameters of the six BRT metamodels corresponding to each response variable of interest: NO3- source concentration factor (which determines the local NO3- input concentration); unsaturated zone travel time; NO3- concentration at the water table in 1980, 2000, and 2020 (three separate metamodels); and NO3- "extinction depth", the eventual steady state depth of the NO3- front. The final metamodels were trained to 129 wells within the active numerical flow model area, and considered 58 mappable predictor variables compiled in a geographic information system (GIS). These metamodels had training and cross-validation testing R2 values of 0.52 - 0.86 and 0.22 - 0.38, respectively, and predictions were compiled as maps of the above response variables. Testing

  4. A review of burns patients admitted to the Burns Unit of Hospital Universiti Kebangsaan Malaysia.

    PubMed

    Chan, K Y; Hairol, O; Imtiaz, H; Zailani, M; Kumar, S; Somasundaram, S; Nasir-Zahari, M

    2002-12-01

    This is a retrospective review of 110 patients admitted to the Burns Units between October 1999 and November 2001. The aim was to determine the burns pattern of patients admitted to hospital UKM. There was an increasing trend for patients admitted. Female to male ratio was 1:2. Children consisted 34% of the total admission. Children had significant higher number of scald burns as compare to adult (p < 0.01). Domestic burns were consist of 75% overall admission. Mean percentage of TBSA (total body surface area) burns was 19%. Thirty percent of patients sustained more than 20% of TBSA. Sixty percent of patients had scald burns. Ninety percents of patients with second degree burns that were treated with biologic membrane dressing or split skin graft. Mean duration of hospital stay was 10 days. Over 70% of patients were discharged within 15 days. Overall mortality rate was 6.3%. The patients who died had significantly larger area of burns of more than 20% TBSA (p < 0.05) and a higher incidence of inhalation injury (p < 0.02). Hence, this study suggests a need for better preventive measures by the authority to prevent burns related accident and the expansion of the service provided by the Burns Unit.

  5. Fuel conditioning facility zone-to-zone transfer administrative controls.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Pope, C. L.

    2000-06-21

    The administrative controls associated with transferring containers from one criticality hazard control zone to another in the Argonne National Laboratory (ANL) Fuel Conditioning Facility (FCF) are described. FCF, located at the ANL-West site near Idaho Falls, Idaho, is used to remotely process spent sodium bonded metallic fuel for disposition. The process involves nearly forty widely varying material forms and types, over fifty specific use container types, and over thirty distinct zones where work activities occur. During 1999, over five thousand transfers from one zone to another were conducted. Limits are placed on mass, material form and type, and container typesmore » for each zone. Ml material and containers are tracked using the Mass Tracking System (MTG). The MTG uses an Oracle database and numerous applications to manage the database. The database stores information specific to the process, including material composition and mass, container identification number and mass, transfer history, and the operators involved in each transfer. The process is controlled using written procedures which specify the zone, containers, and material involved in a task. Transferring a container from one zone to another is called a zone-to-zone transfer (ZZT). ZZTs consist of four distinct phases, select, request, identify, and completion.« less

  6. Novel calcium recognition constructions in proteins: Calcium blade and EF-hand zone

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Denesyuk, Alexander I., E-mail: adenesyu@abo.fi; Institute for Biological Instrumentation of the Russian Academy of Sciences, Pushchino 142290; Permyakov, Sergei E.

    Metal ions can regulate various cell processes being first, second or third messengers, and some of them, especially transition metal ions, take part in catalysis in many enzymes. As an intracellular ion, Ca{sup 2+} is involved in many cellular functions from fertilization and contraction, cell differentiation and proliferation, to apoptosis and cancer. Here, we have identified and described two novel calcium recognition environments in proteins: the calcium blade zone and the EF-hand zone, common to 12 and 8 different protein families, respectively. Each of the two environments contains three distinct structural elements: (a) the well-known characteristic Dx[DN]xDG motif; (b) anmore » adjacent structurally identical segment, which binds metal ion in the same way between the calcium blade zone and the EF-hand zone; and (c) the following structurally variable segment, which distinguishes the calcium blade zone from the EF-hand zone. Both zones have sequence insertions between the last residue of the zone and calcium-binding residues in positions V or VI. The long insertion often connects the active and the calcium-binding sites in proteins. Using the structurally identical segments as an anchor, we were able to construct the classical calmodulin type EF-hand calcium-binding site out of two different calcium-binding motifs from two unrelated proteins.« less

  7. Vadose zone controls on damping of climate-induced transient recharge fluxes in U.S. agroecosystems

    NASA Astrophysics Data System (ADS)

    Gurdak, Jason

    2017-04-01

    Understanding the physical processes in the vadose zone that link climate variability with transient recharge fluxes has particular relevance for the sustainability of groundwater-supported irrigated agriculture and other groundwater-dependent ecosystems. Natural climate variability on interannual to multidecadal timescales has well-documented influence on precipitation, evapotranspiration, soil moisture, infiltration flux, and can augment or diminish human stresses on water resources. Here the behavior and damping depth of climate-induced transient water flux in the vadose zone is explored. The damping depth is the depth in the vadose zone that the flux variation damps to 5% of the land surface variation. Steady-state recharge occurs when the damping depth is above the water table, and transient recharge occurs when the damping depth is below the water table. Findings are presented from major agroecosystems of the United States (U.S.), including the High Plains, Central Valley, California Coastal Basin, and Mississippi Embayment aquifer systems. Singular spectrum analysis (SSA) is used to identify quasi-periodic signals in precipitation and groundwater time series that are coincident with the Arctic Oscillation (AO) (6-12 mo cycle), Pacific/North American oscillation (PNA) (<1-4 yr cycle), El Niño/Southern Oscillation (ENSO) (2-7 yr cycle), North Atlantic Oscillation (NAO) (3-6 yr cycle), Pacific Decadal Oscillation (PDO) (15-30 yr cycle), and Atlantic Multidecadal Oscillation (AMO) (50-70 yr cycle). SSA results indicate that nearly all of the quasi-periodic signals in the precipitation and groundwater levels have a statistically significant lag correlation (95% confidence interval) with the AO, PNA, ENSO, NAO, PDO, and AMO indices. Results from HYDRUS-1D simulations indicate that transient water flux through the vadose zone are controlled by highly nonlinear interactions between mean infiltration flux and infiltration period related to the modes of climate

  8. Does Zoning Winter Recreationists Reduce Recreation Conflict?

    PubMed

    Miller, Aubrey D; Vaske, Jerry J; Squires, John R; Olson, Lucretia E; Roberts, Elizabeth K

    2017-01-01

    Parks and protected area managers use zoning to decrease interpersonal conflict between recreationists. Zoning, or segregation, of recreation-often by non-motorized and motorized activity-is designed to limit physical interaction while providing recreation opportunities to both groups. This article investigated the effectiveness of zoning to reduce recreation conflict in the Vail Pass Winter Recreation Area in Colorado, USA. Despite a zoning management system, established groomed travel routes were used by both non-motorized recreationists (backcountry skiers, snowboarders, snowshoers) and motorized recreationists (snowmobilers). We hypothesized that persistent recreation conflict reported by non-motorized recreationists was the result of recreation occurring in areas of mixed non-motorized and motorized use, mostly along groomed routes. We performed a geospatial analysis of recreation [from Global Positioning System (GPS) points, n = 1,233,449] in the Vail Pass Winter Recreation Area to identify areas of mixed non-motorized and motorized use. We then surveyed non-motorized recreationists (n = 199) to test whether reported conflict is higher for respondents who traveled in areas of mixed-use, compared with respondents traveling outside areas of mixed-use. Results from the geospatial analysis showed that only 0.7 % of the Vail Pass Winter Recreation Area contained recreation from both groups, however that area contained 14.8 % of all non-motorized recreation and 49.1 % of all motorized recreation. Survey analysis results showed higher interpersonal conflict for all five standard conflict variables among non-motorized respondents who traveled in areas of mixed-use, compared with those traveling outside mixed-use areas. Management implications and recommendations for increasing the effectiveness of zoning are provided.

  9. Does Zoning Winter Recreationists Reduce Recreation Conflict?

    NASA Astrophysics Data System (ADS)

    Miller, Aubrey D.; Vaske, Jerry J.; Squires, John R.; Olson, Lucretia E.; Roberts, Elizabeth K.

    2017-01-01

    Parks and protected area managers use zoning to decrease interpersonal conflict between recreationists. Zoning, or segregation, of recreation—often by non-motorized and motorized activity—is designed to limit physical interaction while providing recreation opportunities to both groups. This article investigated the effectiveness of zoning to reduce recreation conflict in the Vail Pass Winter Recreation Area in Colorado, USA. Despite a zoning management system, established groomed travel routes were used by both non-motorized recreationists (backcountry skiers, snowboarders, snowshoers) and motorized recreationists (snowmobilers). We hypothesized that persistent recreation conflict reported by non-motorized recreationists was the result of recreation occurring in areas of mixed non-motorized and motorized use, mostly along groomed routes. We performed a geospatial analysis of recreation [from Global Positioning System (GPS) points, n = 1,233,449] in the Vail Pass Winter Recreation Area to identify areas of mixed non-motorized and motorized use. We then surveyed non-motorized recreationists ( n = 199) to test whether reported conflict is higher for respondents who traveled in areas of mixed-use, compared with respondents traveling outside areas of mixed-use. Results from the geospatial analysis showed that only 0.7 % of the Vail Pass Winter Recreation Area contained recreation from both groups, however that area contained 14.8 % of all non-motorized recreation and 49.1 % of all motorized recreation. Survey analysis results showed higher interpersonal conflict for all five standard conflict variables among non-motorized respondents who traveled in areas of mixed-use, compared with those traveling outside mixed-use areas. Management implications and recommendations for increasing the effectiveness of zoning are provided.

  10. How CAGE, RAPS4-QF, and AUDIT Can Help Practitioners for Patients Admitted with Acute Alcohol Intoxication in Emergency Departments?

    PubMed Central

    Brousse, Georges; Arnaud, Benjamin; Geneste, Julie; Pereira, Bruno; De Chazeron, Ingrid; Teissedre, Frederique; Perrier, Christophe; Schwan, Raymund; Malet, Laurent; Schmidt, Jeannot; Llorca, Pierre Michel; Cherpitel, Cheryl J.

    2014-01-01

    Aims: To help clinicians to identify the severity of alcohol use disorders (AUDs) from optimal thresholds found for recommended scales. Especially, taking account of the high prevalence of alcohol dependence among patients admitted to the emergency department (ED) for acute alcohol intoxication (AAI), we propose to define thresholds of severity of dependence based on the AUDIT score. Methods: All patients admitted to the ED with AAI (blood alcohol level >0.8 g/L), in a 2-month period, were assessed using the CAGE, RAPS-QF, and AUDIT, with the alcohol dependence/abuse section of the mini international neuropsychiatric interview (MINI) used as the gold standard. To explore the relation between the AUDIT and the MINI the sum of the positive items on the MINI (dependence) as a quantitative variable and as an ordinal parameter were analyzed. From the threshold score found for each scale we proposed intervals of severity of AUDs. Results: The mean age of the sample (122 males, 42 females) was 46 years. Approximately 12% of the patients were identified with alcohol abuse and 78% with dependence (DSM-IV). Cut points were determined for the AUDIT in order to distinguish mild and moderate dependence from severe dependence. A strategy of intervention based on levels of severity of AUD was proposed. Conclusion: Different thresholds proposed for the CAGE, RAPS4-QF, and AUDIT could be used to guide the choice of intervention for a patient: brief intervention, brief negotiation interviewing, or longer more intensive motivational intervention. PMID:25009509

  11. A seismic hazard uncertainty analysis for the New Madrid seismic zone

    USGS Publications Warehouse

    Cramer, C.H.

    2001-01-01

    A review of the scientific issues relevant to characterizing earthquake sources in the New Madrid seismic zone has led to the development of a logic tree of possible alternative parameters. A variability analysis, using Monte Carlo sampling of this consensus logic tree, is presented and discussed. The analysis shows that for 2%-exceedence-in-50-year hazard, the best-estimate seismic hazard map is similar to previously published seismic hazard maps for the area. For peak ground acceleration (PGA) and spectral acceleration at 0.2 and 1.0 s (0.2 and 1.0 s Sa), the coefficient of variation (COV) representing the knowledge-based uncertainty in seismic hazard can exceed 0.6 over the New Madrid seismic zone and diminishes to about 0.1 away from areas of seismic activity. Sensitivity analyses show that the largest contributor to PGA, 0.2 and 1.0 s Sa seismic hazard variability is the uncertainty in the location of future 1811-1812 New Madrid sized earthquakes. This is followed by the variability due to the choice of ground motion attenuation relation, the magnitude for the 1811-1812 New Madrid earthquakes, and the recurrence interval for M>6.5 events. Seismic hazard is not very sensitive to the variability in seismogenic width and length. Published by Elsevier Science B.V.

  12. Impact of radionuclide spatial variability on groundwater quality downstream from a shallow waste burial in the Chernobyl Exclusion Zone

    NASA Astrophysics Data System (ADS)

    Nguyen, H. L.; de Fouquet, C.; Courbet, C.; Simonucci, C. A.

    2016-12-01

    The effects of spatial variability of hydraulic parameters and initial groundwater plume localization on the possible extent of groundwater pollution plumes have already been broadly studied. However, only a few studies, such as Kjeldsen et al. (1995), take into account the effect of source term spatial variability. We explore this question with the 90Sr migration modeling from a shallow waste burial located in the Chernobyl Exclusion Zone to the underlying sand aquifer. Our work is based upon groundwater sampled once or twice a year since 1995 until 2015 from about 60 piezometers and more than 3,000 137Cs soil activity measurements. These measurements were taken in 1999 from one of the trenches dug after the explosion of the Chernobyl nuclear power plant, the so-called "T22 Trench", where radioactive waste was buried in 1987. The geostatistical analysis of 137Cs activity data in soils from Bugai et al. (2005) is first reconsidered to delimit the trench borders using georadar data as a covariable and to perform geostatistical simulations in order to evaluate the uncertainties of this inventory. 90Sr activity in soils is derived from 137Cs/154Eu and 90Sr/154Eu activity ratios in Chernobyl hot fuel particles (Bugai et al., 2003). Meanwhile, a coupled 1D non saturated/3D saturated transient transport model is constructed under the MELODIE software (IRSN, 2009). The previous 90Sr transport model developed by Bugai et al. (2012) did not take into account the effect of water table fluctuations highlighted by Van Meir et al. (2007) which may cause some discrepancies between model predictions and field observations. They are thus reproduced on a 1D vertical non saturated model. The equiprobable radionuclide localization maps produced by the geostatistical simulations are selected to illustrate different heterogeneities in the radionuclide inventory and are implemented in the 1D model. The obtained activity fluxes from all the 1D vertical models are then injected in a 3D

  13. Three-dimensional structure and seismicity beneath the Central Vanuatu subduction zone

    NASA Astrophysics Data System (ADS)

    Foix, O.; Crawford, W. C.; Koulakov, I.; Regnier, M. M.; Pelletier, B.; Garaebiti, E.

    2017-12-01

    The 1 400 km long Vanuatu subduction zone marks the subduction of the oceanic Australia plate beneath the North-Fijian microplate. Seismic and volcanic activity is high, and several morphologic features enter into subduction, affecting seismicity and probably plate coupling. The Northern d'Entrecasteaux Ridge, West-Torres plateau, and Bougainville seamount currently enter into subduction below the forearc islands of Santo and Malekula. This subduction/collision coincides with a strongly decreased local convergence velocity rate at the trench (35 mm/yr compared to 120-160 mm/yr to the north and south) and significant uplift on the overriding plate. Two large forearc islands located 20-30 km from the subduction front Santo and Malekula to the trench allow excellent coverage of the megathrust seismogenic zone for a seismological study. We use data from the 10 months, 30-station amphibious ARC-VANUATU seismology network to construct a 3D velocity model and locate 11 617 earthquakes. The 3D model reveals low P and S velocities in the uppermost tens of kilometers in front of the Northern d'Entrecasteaux Ridge and the Bougainville Guyot. These anomalies may be due to heavy faulting of related subducted features, possibly including important water infiltration. We also identify a possible seamount entered into subduction beneath a smaller uplifted island between the two main islands. The spatial distribution of earthquakes is highly variable, as is the depth limit of the seismogenic zone, suggests a complex interaction of faults and stress zones related to high and highly variable stress that may be associated with the subducted features.

  14. 33 CFR 165.169 - Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone. 165.169 Section 165.169 Navigation and... Areas First Coast Guard District § 165.169 Safety and Security Zones: New York Marine Inspection Zone...

  15. 33 CFR 165.169 - Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone. 165.169 Section 165.169 Navigation and... Areas First Coast Guard District § 165.169 Safety and Security Zones: New York Marine Inspection Zone...

  16. 33 CFR 165.169 - Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone. 165.169 Section 165.169 Navigation and... Areas First Coast Guard District § 165.169 Safety and Security Zones: New York Marine Inspection Zone...

  17. 33 CFR 165.169 - Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone. 165.169 Section 165.169 Navigation and... Areas First Coast Guard District § 165.169 Safety and Security Zones: New York Marine Inspection Zone...

  18. 33 CFR 165.169 - Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Safety and Security Zones: New York Marine Inspection Zone and Captain of the Port Zone. 165.169 Section 165.169 Navigation and... Areas First Coast Guard District § 165.169 Safety and Security Zones: New York Marine Inspection Zone...

  19. Work zone variable speed limit systems: Effectiveness and system design issues.

    DOT National Transportation Integrated Search

    2010-03-01

    Variable speed limit (VSL) systems have been used in a number of countries, particularly in Europe, as a method to improve flow and increase safety. VSLs use detectors to collect data on current traffic and/or weather conditions. Posted speed limits ...

  20. Work zone variable speed limit systems : effectiveness and system design issues.

    DOT National Transportation Integrated Search

    2010-03-01

    Variable speed limit (VSL) systems have been used in a number of countries, particularly in Europe, as a method to improve flow and increase safety. VSLs use detectors to collect data on current traffic and/or weather conditions. Posted speed limits ...

  1. 17 CFR 240.12f-4 - Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... admitted to unlisted trading privileges from sections 13, 14 and 16. 240.12f-4 Section 240.12f-4 Commodity... Trading § 240.12f-4 Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16. (a) Any security for which unlisted trading privileges on any national securities exchange...

  2. 17 CFR 240.12f-4 - Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... admitted to unlisted trading privileges from sections 13, 14 and 16. 240.12f-4 Section 240.12f-4 Commodity... Trading § 240.12f-4 Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16. (a) Any security for which unlisted trading privileges on any national securities exchange...

  3. 17 CFR 240.12f-4 - Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... admitted to unlisted trading privileges from sections 13, 14 and 16. 240.12f-4 Section 240.12f-4 Commodity... Trading § 240.12f-4 Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16. (a) Any security for which unlisted trading privileges on any national securities exchange...

  4. 17 CFR 240.12f-4 - Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... admitted to unlisted trading privileges from sections 13, 14 and 16. 240.12f-4 Section 240.12f-4 Commodity... Trading § 240.12f-4 Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16. (a) Any security for which unlisted trading privileges on any national securities exchange...

  5. Risk profile of young people admitted to hospital for suicidal behaviour in Melbourne, Australia.

    PubMed

    Borschmann, Rohan; Stark, Patrick; Prakash, Chidambaram; Sawyer, Susan M

    2018-05-20

    Self-harm and suicidal behaviour is most prevalent during adolescence, but little is known about the risk profile of adolescents admitted to hospital for suicidal behaviour. Young people who self-harm are at an increased risk of mortality compared to those who do not self-harm; adolescents admitted to hospital for suicidal behaviour are particularly at risk. The aim of this study was to generate a risk profile of adolescents admitted to hospital with suicidal behaviour. We conducted a 12-month retrospective audit of adolescent admissions to the mental health inpatient unit at a tertiary children's hospital in Melbourne, Australia. Routinely collected data were used to generate a risk profile. We found that 212 of 271 (78.2%) admissions were due to suicidal behaviour. Of these, 107 (51%) adolescents were diagnosed with one or more mental disorders at discharge, most commonly major depressive disorder. Beyond known distal determinants of health risk, the proximal risk profile of these adolescents included factors relating to gender, substance use, prior mental health diagnoses and prior admission to hospital. Poor sleep was also a risk factor, with 159 (75%) reporting a recent history of sleeping problems. The very high proportion of admissions to the mental health inpatient unit due to suicidal behaviour reinforces the importance of finding effective methods of identification of the risk processes underpinning suicidal behaviours to reduce the unnecessary waste of young lives by suicide. © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  6. Evaluation of Total Daily Dose and Glycemic Control for Patients on U-500 Insulin Admitted to the Hospital

    DTIC Science & Technology

    2016-05-20

    regular insulin has significantly increased in recent years. These patients are severely insulin resistant requiring high doses of insulin to achieve...on U-500 Insulin Admitted to the Hospital presented at SURF Conference, San Antonio, TX 20 May 201 6 with MDWI 41-108, and has been assigned local...59th CSPG/SGVU) C.201 4 . I 52d PROTOCOL TITLE Evaluation of Total Dai ly Dose and Glycemic Control for Patients on U-500 Insulin Admitted to the

  7. Continuous determination of blood glucose in children admitted with malaria in a rural hospital in Mozambique.

    PubMed

    Madrid, Lola; Sitoe, Antonio; Varo, Rosauro; Nhampossa, Tacilta; Lanaspa, Miguel; Nhama, Abel; Acácio, Sozinho; Riaño, Isolina; Casellas, Aina; Bassat, Quique

    2017-05-02

    Hypoglycaemia is a frequent complication among admitted children, particularly in malaria-endemic areas. This study aimed to estimate the occurrence of hypoglycaemia not only upon admission but throughout the first 72 h of hospitalization in children admitted with malaria. A simple pilot study to continuously monitor glycaemia in children aged 0-10 years, admitted with malaria in a rural hospital was conducted in Southern Mozambique by inserting continuous glucose monitors (CGMs) in subcutaneous tissue of the abdominal area, producing glycaemia readings every 5 min. Glucose was continuously monitored during a mean of 48 h, in 74 children. Continuous measurements of blood glucose were available for 72/74 children (97.3%). Sixty-five of them were admitted with density-specific malaria diagnosis criteria (17 severe, 48 uncomplicated). Five children (7.7%) had hypoglycaemia (<54 mg/dL) on admission as detected by routine capillary determination. Analysing the data collected by the CGMs, hypoglycaemia episodes (<54 mg/dL) were detected in 10/65 (15.4%) of the children, of which 7 (10.8%) could be classified as severe (≤45 mg/dL). No risk factors were independently associated with the presence of at least one episode of hypoglycaemia (<54 mg/dL) during hospitalization. Only one death occurred among a normoglycaemic child. All episodes of hypoglycaemia detected by CGMs were subclinical episodes or not perceived by caregivers or clinical staff. Hypoglycaemia beyond admission in children with malaria appears to be much more frequent than what had been previously described. The clinical relevance of these episodes of hypoglycaemia in the medium or long term remains to be determined.

  8. Monitoring well utility in a heterogeneous DNAPL source zone area: Insights from proximal multilevel sampler wells and sampling capture-zone modelling

    NASA Astrophysics Data System (ADS)

    McMillan, Lindsay A.; Rivett, Michael O.; Wealthall, Gary P.; Zeeb, Peter; Dumble, Peter

    2018-03-01

    Groundwater-quality assessment at contaminated sites often involves the use of short-screen (1.5 to 3 m) monitoring wells. However, even over these intervals considerable variation may occur in contaminant concentrations in groundwater adjacent to the well screen. This is especially true in heterogeneous dense non-aqueous phase liquid (DNAPL) source zones, where cm-scale contamination variability may call into question the effectiveness of monitoring wells to deliver representative data. The utility of monitoring wells in such settings is evaluated by reference to high-resolution multilevel sampler (MLS) wells located proximally to short-screen wells, together with sampling capture-zone modelling to explore controls upon well sample provenance and sensitivity to monitoring protocols. Field data are analysed from the highly instrumented SABRE research site that contained an old trichloroethene source zone within a shallow alluvial aquifer at a UK industrial facility. With increased purging, monitoring-well samples tend to a flow-weighted average concentration but may exhibit sensitivity to the implemented protocol and degree of purging. Formation heterogeneity adjacent to the well-screen particularly, alongside pump-intake position and water level, influence this sensitivity. Purging of low volumes is vulnerable to poor reproducibility arising from concentration variability predicted over the initial 1 to 2 screen volumes purged. Marked heterogeneity may also result in limited long-term sample concentration stabilization. Development of bespoke monitoring protocols, that consider screen volumes purged, alongside water-quality indicator parameter stabilization, is recommended to validate and reduce uncertainty when interpreting monitoring-well data within source zone areas. Generalised recommendations on monitoring well based protocols are also developed. A key monitoring well utility is their proportionately greater sample draw from permeable horizons constituting a

  9. Monitoring well utility in a heterogeneous DNAPL source zone area: Insights from proximal multilevel sampler wells and sampling capture-zone modelling.

    PubMed

    McMillan, Lindsay A; Rivett, Michael O; Wealthall, Gary P; Zeeb, Peter; Dumble, Peter

    2018-03-01

    Groundwater-quality assessment at contaminated sites often involves the use of short-screen (1.5 to 3 m) monitoring wells. However, even over these intervals considerable variation may occur in contaminant concentrations in groundwater adjacent to the well screen. This is especially true in heterogeneous dense non-aqueous phase liquid (DNAPL) source zones, where cm-scale contamination variability may call into question the effectiveness of monitoring wells to deliver representative data. The utility of monitoring wells in such settings is evaluated by reference to high-resolution multilevel sampler (MLS) wells located proximally to short-screen wells, together with sampling capture-zone modelling to explore controls upon well sample provenance and sensitivity to monitoring protocols. Field data are analysed from the highly instrumented SABRE research site that contained an old trichloroethene source zone within a shallow alluvial aquifer at a UK industrial facility. With increased purging, monitoring-well samples tend to a flow-weighted average concentration but may exhibit sensitivity to the implemented protocol and degree of purging. Formation heterogeneity adjacent to the well-screen particularly, alongside pump-intake position and water level, influence this sensitivity. Purging of low volumes is vulnerable to poor reproducibility arising from concentration variability predicted over the initial 1 to 2 screen volumes purged. Marked heterogeneity may also result in limited long-term sample concentration stabilization. Development of bespoke monitoring protocols, that consider screen volumes purged, alongside water-quality indicator parameter stabilization, is recommended to validate and reduce uncertainty when interpreting monitoring-well data within source zone areas. Generalised recommendations on monitoring well based protocols are also developed. A key monitoring well utility is their proportionately greater sample draw from permeable horizons constituting

  10. Comparison of Transferred Versus Nontransferred Pediatric Patients Admitted for Sepsis.

    PubMed

    Hsu, Benson S; Schimelpfenig, Michelle; Lakhani, Saquib

    2016-01-01

    Little is known about the characteristics of pediatric patients transferred for medical care. Thus, we aimed to compare pediatric patients admitted for sepsis as transfers versus those who were not admitted as transfers. Retrospective study using The Agency for Healthcare Research and Quality 2009 Kids' Inpatient Database. Inclusion diagnosis of sepsis based on an All Patient Refined Diagnosis-Related Group of 720: Septicemia & Disseminated Infections resulted in 16,894 patients. Transfer status was based on admission codes. Weighted statistical analysis was conducted using STATA 12.1 (Stata Corporation, College Station, TX). Institutional review board approval was obtained. Weighted analysis found significant differences between transferred versus nontransferred patients in the following areas: highest severity of illness subclass (45.1% vs. 18.7%, P < .001), number of chronic conditions (2.0 vs. 1.5, P < .001), teaching hospital status (85.9% vs. 54.8%, P < .001), length of stay (10.8 vs. 6.5, p<.001), number of procedures (2.9 vs. 1.4, P < .001), mortality (8.4% vs. 3.2%, P < .001), total costs ($30,626 vs. $13,677, P < .001), and daily costs ($2,901 vs. $1,887, P < .001). Our study found that patients diagnosed with sepsis and transferred are more severely ill with a higher number of chronic conditions, longer lengths of stay, more procedures performed, higher mortality, and higher total and daily costs. Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  11. Are Publicly Insured Children Less Likely to be Admitted to Hospital than the Privately Insured (and Does it Matter)?*

    PubMed Central

    Alexander, Diane; Currie, Janet

    2017-01-01

    There is continuing controversy about the extent to which publicly insured children are treated differently than privately insured children, and whether differences in treatment matter. We show that on average, hospitals are less likely to admit publicly insured children than privately insured children who present at the ER and the gap grows during high flu weeks, when hospital beds are in high demand. This pattern is present even after controlling for detailed diagnostic categories and hospital fixed effects, but does not appear to have any effect on measurable health outcomes such as repeat ER visits and future hospitalizations. Hence, our results raise the possibility that instead of too few publicly insured children being admitted during high flu weeks, there are too many publicly and privately insured children being admitted most of the time. PMID:28063679

  12. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or screenings...

  13. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or screenings...

  14. Relating rheology to geometry in large-scale natural shear zones

    NASA Astrophysics Data System (ADS)

    Platt, John

    2016-04-01

    The geometry and width of the ductile roots of plate boundary scale faults are very poorly understood. Some field and geophysical data suggests widths of tens of km in the lower crust, possibly more in the upper mantle. Other observations suggest they are much narrower. Dip slip shear zones may flatten out and merge into zones of subhorizontal lower crustal or asthenospheric flow. The width of a ductile shear zone is simply related to relative velocity and strain rate. Strain rate is related to stress through the constitutive relationship. Can we constrain the stress, and do we understand the rheology of materials in ductile shear zones? A lot depends on how shear zones are initiated. If they are localized by pre-existing structures, width and/or rheology may be inherited, and we have too many variables. If shear zones are localized primarily by shear heating, initial shear stress has to be very high (> 1 GPa) to overcome conductive heat loss, and very large feedbacks (both positive and negative) make the system highly unstable. Microstructural weakening requires a minimum level of stress to cause deformation and damage in surrounding rock, thereby buffering the stress. Microstructural weakening leads to grain-size sensitive creep, for which we have constitutive laws, but these are complicated by phase mixing in polyphase materials, by viscous anisotropy, by hydration, and by changes in mineral assemblage. Here are some questions that need to be addressed. (1) If grain-size reduction by dynamic recrystallization results in a switch to grain-size sensitive creep (GSSC) in a stress-buffered shear zone, does dynamic recrystallization stop? Does grain growth set in? If grain-size is still controlled by dislocation processes, then the effective stress exponent for GSSC is 4-5, even though the dominant mechanism may be diffusion and/or grain-boundary sliding (GBS). (2) Is phase mixing in ultramylonites primarily a result of GBS + neighbour switching, creep cavitation and

  15. Improved predictions of saturated and unsaturated zone drawdowns in a heterogeneous unconfined aquifer via transient hydraulic tomography: Laboratory sandbox experiments

    NASA Astrophysics Data System (ADS)

    Berg, Steven J.; Illman, Walter A.

    2012-11-01

    SummaryInterpretation of pumping tests in unconfined aquifers has largely been based on analytical solutions that disregard aquifer heterogeneity. In this study, we investigate whether the prediction of drawdown responses in a heterogeneous unconfined aquifer and the unsaturated zone above it with a variably saturated groundwater flow model can be improved by including information on hydraulic conductivity (K) and specific storage (Ss) from transient hydraulic tomography (THT). We also investigate whether these predictions are affected by the use of unsaturated flow parameters estimated through laboratory hanging column experiments or calibration of in situ drainage curves. To investigate these issues, we designed and conducted laboratory sandbox experiments to characterize the saturated and unsaturated properties of a heterogeneous unconfined aquifer. Specifically, we conducted pumping tests under fully saturated conditions and interpreted the drawdown responses by treating the medium to be either homogeneous or heterogeneous. We then conducted another pumping test and allowed the water table to drop, similar to a pumping test in an unconfined aquifer. Simulations conducted using a variably saturated flow model revealed: (1) homogeneous parameters in the saturated and unsaturated zones have a difficult time predicting the responses of the heterogeneous unconfined aquifer; (2) heterogeneous saturated hydraulic parameter distributions obtained via THT yielded significantly improved drawdown predictions in the saturated zone of the unconfined aquifer; and (3) considering heterogeneity of unsaturated zone parameters produced a minor improvement in predictions in the unsaturated zone, but not the saturated zone. These results seem to support the finding by Mao et al. (2011) that spatial variability in the unsaturated zone plays a minor role in the formation of the S-shape drawdown-time curve observed during pumping in an unconfined aquifer.

  16. Disease patterns and clinical outcomes of patients admitted in intensive care units of tertiary referral hospitals of Tanzania.

    PubMed

    Sawe, Hendry R; Mfinanga, Juma A; Lidenge, Salum J; Mpondo, Boniventura C T; Msangi, Silas; Lugazia, Edwin; Mwafongo, Victor; Runyon, Michael S; Reynolds, Teri A

    2014-09-23

    In sub-Saharan Africa the availability of intensive care unit (ICU) services is limited by a variety of factors, including lack of financial resources, lack of available technology and well-trained staff. Tanzania has four main referral hospitals, located in zones so as to serve as tertiary level referral centers. All the referral hospitals have some ICU services, operating at varying levels of equipment and qualified staff. We analyzed and describe the disease patterns and clinical outcomes of patients admitted in ICUs of the tertiary referral hospitals of Tanzania. This was a retrospective analysis of ICU patient records, for three years (2009 to 2011) from all tertiary referral hospitals of Tanzania, namely Muhimbili National Hospital (MNH), Kilimanjaro Christian Medical Centre (KCMC), Mbeya Referral Hospital (MRH) and Bugando Medical Centre (BMC). MNH is the largest of the four referral hospitals with 1300 beds, and MRH is the smallest with 480 beds. The ratio of hospital beds to ICU beds is 217:1 at MNH, 54:1 at BMC, 39:1 at KCMC, and 80:1 at MRH. KCMC had no infusion pumps. None of the ICUs had a point-of-care (POC) arterial blood gas (ABG) analyzer. None of the ICUs had an Intensive Care specialist or a nutritionist. A masters-trained critical care nurse was available only at MNH. From 2009-2011, the total number of patients admitted to the four ICUs was 5627, male to female ratio 1.4:1, median age of 34 years. Overall, Trauma (22.2%) was the main disease category followed by infectious disease (19.7%). Intracranial injury (12.5%) was the leading diagnosis in all age groups, while pneumonia (11.7%) was the leading diagnosis in pediatric patients (<18 years). Patients with tetanus (2.4%) had the longest median length ICU stay: 8 (5,13) days. The overall in-ICU mortality rate was 41.4%. The ICUs in tertiary referral hospitals of Tanzania are severely limited in infrastructure, personnel, and resources, making it difficult or impossible to provide optimum care

  17. Review of unsaturated-zone transport and attenuation of volatile organic compound (VOC) plumes leached from shallow source zones

    NASA Astrophysics Data System (ADS)

    Rivett, Michael O.; Wealthall, Gary P.; Dearden, Rachel A.; McAlary, Todd A.

    2011-04-01

    Reliable prediction of the unsaturated zone transport and attenuation of dissolved-phase VOC (volatile organic compound) plumes leached from shallow source zones is a complex, multi-process, environmental problem. It is an important problem as sources, which include solid-waste landfills, aqueous-phase liquid discharge lagoons and NAPL releases partially penetrating the unsaturated zone, may persist for decades. Natural attenuation processes operating in the unsaturated zone that, uniquely for VOCs includes volatilisation, may, however, serve to protect underlying groundwater and potentially reduce the need for expensive remedial actions. Review of the literature indicates that only a few studies have focused upon the overall leached VOC source and plume scenario as a whole. These are mostly modelling studies that often involve high strength, non-aqueous phase liquid (NAPL) sources for which density-induced and diffusive vapour transport is significant. Occasional dissolved-phase aromatic hydrocarbon controlled infiltration field studies also exist. Despite this lack of focus on the overall problem, a wide range of process-based unsaturated zone — VOC research has been conducted that may be collated to build good conceptual model understanding of the scenario, particularly for the much studied aromatic hydrocarbons and chlorinated aliphatic hydrocarbons (CAHs). In general, the former group is likely to be attenuated in the unsaturated zone due to their ready aerobic biodegradation, albeit with rate variability across the literature, whereas the fate of the latter is far less likely to be dominated by a single mechanism and dependent upon the relative importance of the various attenuation processes within individual site — VOC scenarios. Analytical and numerical modelling tools permit effective process representation of the whole scenario, albeit with potential for inclusion of additional processes — e.g., multi-mechanistic sorption phase partitioning, and

  18. Nutritional status of cancer patients admitted for chemotherapy at the National Kidney and Transplant Institute.

    PubMed

    Montoya, J E; Domingo, F; Luna, C A; Berroya, R M; Catli, C A; Ginete, J K; Sanchez, O S; Juat, N J; Tiangco, B J; Jamias, J D

    2010-11-01

    Malnutrition is common among cancer patients. This study aimed to determine the overall prevalence of malnutrition among patients undergoing chemotherapy and to determine the predictors of malnutrition among cancer patients. A cross-sectional study was conducted on 88 cancer patients admitted for chemotherapy at the National Kidney and Transplant Institute, Philippines, from October to November 2009. Subjective Global Assessment (SGA), anthropometric data and demographic variables were obtained. Descriptive statistics, ANOVA and logistic regression analysis were performed between the outcome and variables. A total of 88 cancer patients were included in the study. The mean age of the patients was 55.7 +/- 14.8 years. The mean duration of illness was 9.7 +/- 8.7 months and the mean body mass index (BMI) was 22.9 kg/m2. The mean Karnofsky performance status was 79.3. 29.55 percent of the patients had breast cancer as the aetiology of their illness. 38 patients (43.2 percent) had SGA B and four (4.5 percent) had SGA C, giving a total malnutrition prevalence of 47.7 percent. The patients were statistically different with regard to their cancer stage (p is less than 0.001), weight (p is 0.01), BMI (p is 0.004), haemoglobin level (p is 0.001) and performance status by Karnofsky score (p is less than 0.001), as evaluated by ANOVA. Logistic regression analysis showed that cancer stage and Karnofsky performance score were predictors of malnutrition. About 47.7 percent of cancer patients suffer from malnutrition, as classified by SGA. Only cancer stage and Karnofsky performance status scoring were predictive of malnutrition in this select group of patients.

  19. Predicting km-scale shear zone formation

    NASA Astrophysics Data System (ADS)

    Gerbi, Christopher; Culshaw, Nicholas; Shulman, Deborah; Foley, Maura; Marsh, Jeffrey

    2015-04-01

    Because km-scale shear zones play a first-order role in lithospheric kinematics, accurate conceptual and numerical models of orogenic development require predicting when and where they form. Although a strain-based algorithm in the upper crust for weakening due to faulting appears to succeed (e.g., Koons et al., 2010, doi:10.1029/2009TC002463), a comparable general rule for the viscous crust remains unestablished. Here we consider two aspects of the geological argument for a similar algorithm in the viscous regime, namely (1) whether predicting km-scale shear zone development based on a single parameter (such as strain or shear heating) is reasonable; and (2) whether lithologic variability inherent in most orogenic systems precludes a simple predictive rule. A review of tectonically significant shear zones worldwide and more detailed investigations in the Central Gneiss belt of the Ontario segment of the Grenville Province reveals that most km-scale shear zones occur at lithological boundaries and involve mass transfer, but have fairly little else in common. As examples, the relatively flat-lying Twelve Mile Bay shear zone in the western Central Gneiss belt bounds the Parry Sound domain and is likely the product of both localized anatexis and later retrograde hydration with attendant metamorphism. Moderately dipping shear zones in granitoids of the Grenville Front Tectonic Zone apparently resulted from cooperation among several complementary microstructural processes, such as grain size reduction, enhanced diffusion, and a small degree of metamorphic reaction. Localization into shear zones requires the operation of some spatially restricted processes such as stress concentration, metamorphism/fluid access, textural evolution, and thermal perturbation. All of these could be due in part to strain, but not necessarily linearly related to strain. Stress concentrations, such as those that form at rheological boundaries, may be sufficient to nucleate high strain

  20. WorkZoneQ user guide for two-lane freeway work zones.

    DOT National Transportation Integrated Search

    2013-06-01

    WorkZoneQ was developed in Visual Basic for Applications (VBA) to implement the results of the previous study, : Queue and Users Costs in Highway Work Zones. This report contains the WorkZoneQ user guide. WorkZoneQ : consists of eight Excel ...

  1. Molecular differences in transition zone and peripheral zone prostate tumors

    PubMed Central

    Sinnott, Jennifer A.; Rider, Jennifer R.; Carlsson, Jessica; Gerke, Travis; Tyekucheva, Svitlana; Penney, Kathryn L.; Sesso, Howard D.; Loda, Massimo; Fall, Katja; Stampfer, Meir J.; Mucci, Lorelei A.; Pawitan, Yudi; Andersson, Sven-Olof; Andrén, Ove

    2015-01-01

    Prostate tumors arise primarily in the peripheral zone (PZ) of the prostate, but 20–30% arise in the transition zone (TZ). Zone of origin may have prognostic value or reflect distinct molecular subtypes; however, it can be difficult to determine in practice. Using whole-genome gene expression, we built a signature of zone using normal tissue from five individuals and found that it successfully classified nine tumors of known zone. Hypothesizing that this signature captures tumor zone of origin, we assessed its relationship with clinical factors among 369 tumors of unknown zone from radical prostatectomies (RPs) and found that tumors that molecularly resembled TZ tumors showed lower mortality (P = 0.09) that was explained by lower Gleason scores (P = 0.009). We further applied the signature to an earlier study of 88 RP and 333 transurethral resection of the prostate (TURP) tumor samples, also of unknown zone, with gene expression on ~6000 genes. We had observed previously substantial expression differences between RP and TURP specimens, and hypothesized that this might be because RPs capture primarily PZ tumors, whereas TURPs capture more TZ tumors. Our signature distinguished these two groups, with an area under the receiver operating characteristic curve of 87% (P < 0.0001). Our findings that zonal differences in normal tissue persist in tumor tissue and that these differences are associated with Gleason score and sample type suggest that subtypes potentially resulting from different etiologic pathways might arise in these zones. Zone of origin may be important to consider in prostate tumor biomarker research. PMID:25870172

  2. Effects of neuromuscular electrostimulation in patients with heart failure admitted to ward.

    PubMed

    de Araújo, Carlos José Soares; Gonçalves, Fernanda Souza; Bittencourt, Hugo Souza; dos Santos, Noélia Gonçalves; Mecca Junior, Sérgio Vitor; Neves, Júlio Leal Bandeira; Fernandes, André Maurício Souza; Aras Junior, Roque; dos Reis, Francisco José Farias Borges; Guimarães, Armênio Costa; Rodrigues Junior, Erenaldo de Souza; Carvalho, Vitor Oliveira

    2012-11-15

    Neuromuscular electrostimulation has become a promising issue in cardiovascular rehabilitation. However there are few articles published in the literature regarding neuromuscular electrostimulation in patients with heart failure during hospital stay. This is a randomized controlled pilot trial that aimed to investigate the effect of neuromuscular electrostimulation in the walked distance by the six-minute walking test in 30 patients admitted to ward for heart failure treatment in a tertiary cardiology hospital. Patients in the intervention group performed a conventional rehabilitation and neuromuscular electrostimulation. Patients underwent 60 minutes of electrostimulation (wave frequency was 20 Hz, pulse duration of 20 us) two times a day for consecutive days until hospital discharge. The walked distance in the six-minute walking test improved 75% in the electrostimulation group (from 379.7 ± 43.5 to 372.9 ± 46.9 meters to controls and from 372.9 ± 62.4 to 500 ± 68 meters to electrostimulation, p<0.001). On the other hand, the walked distance in the control group did not change. The neuromuscular electrostimulation group showed greater improvement in the walked distance in the six-minute walking test in patients admitted to ward for compensation of heart failure.

  3. Variable residence time vortex combustor

    DOEpatents

    Melconian, Jerry O.

    1987-01-01

    A variable residence time vortex combustor including a primary combustion chamber for containing a combustion vortex, and a plurality of louvres peripherally disposed about the primary combustion chamber and longitudinally distributed along its primary axis. The louvres are inclined to impel air about the primary combustion chamber to cool its interior surfaces and to impel air inwardly to assist in driving the combustion vortex in a first rotational direction and to feed combustion in the primary combustion chamber. The vortex combustor also includes a second combustion chamber having a secondary zone and a narrowed waist region in the primary combustion chamber interconnecting the output of the primary combustion chamber with the secondary zone for passing only lower density particles and trapping higher density particles in the combustion vortex in the primary combustion chamber for substantial combustion.

  4. Super-integrable Calogero-type systems admit maximal number of Poisson structures

    NASA Astrophysics Data System (ADS)

    Gonera, C.; Nutku, Y.

    2001-07-01

    We present a general scheme for constructing the Poisson structure of super-integrable dynamical systems of which the rational Calogero-Moser system is the most interesting one. This dynamical system is 2 N-dimensional with 2 N-1 first integrals and our construction yields 2 N-1 degenerate Poisson tensors that each admit 2( N-1) Casimirs. Our results are quite generally applicable to all super-integrable systems and form an alternative to the traditional bi-Hamiltonian approach.

  5. Current Climate Variability & Change

    NASA Astrophysics Data System (ADS)

    Diem, J.; Criswell, B.; Elliott, W. C.

    2013-12-01

    climate change. The next section guides students through the exploration of temporal changes in global temperature from the surface to the lower stratosphere. Students discover that there has been global warming over the past several decades, and the subsequent section allows them to consider solar radiation and greenhouse gases as possible causes of this warming. Students then zoom in on different latitudinal zones to examine changes in temperature for each zone and hypothesize about why one zone may have warmed more than others. The final section, prior to the answering of the essential questions, is an examination of the following effects of the current change in temperatures: loss of sea ice; rise of sea level; loss of permafrost loss; and moistening of the atmosphere. The lab addresses 14 climate-literacy concepts and all seven climate-literacy principles through data and images that are mainly NASA products. It focuses on the satellite era of climate data; therefore, 1979 is the typical starting year for most datasets used by students. Additionally, all time-series analysis end with the latest year with full-year data availability; thus, the climate variability and trends truly are 'current.'

  6. Persistence and Graduation of UC Davis Undergraduates Admitted by Special Action: 1975-1985.

    ERIC Educational Resources Information Center

    Hunziker, Celeste M.

    Persistence and graduation rates of University of California, Davis, special action students admitted in any fall quarter from 1975 to 1985 were studied. Special action students show academic potential but do not meet admission requirements of completed course work and academic achievement. The number of special action students during this 10-year…

  7. Infrasound propagation in tropospheric ducts and acoustic shadow zones.

    PubMed

    de Groot-Hedlin, Catherine D

    2017-10-01

    Numerical computations of the Navier-Stokes equations governing acoustic propagation are performed to investigate infrasound propagation in the troposphere and into acoustic shadow zones. An existing nonlinear finite-difference, time-domain (FDTD) solver that constrains input sound speed models to be axisymmetric is expanded to allow for advection and rigid, stair-step topography. The FDTD solver permits realistic computations along a given azimuth. It is applied to several environmental models to examine the effects of nonlinearity, topography, advection, and two-dimensional (2D) variations in wind and sound speeds on the penetration of infrasound into shadow zones. Synthesized waveforms are compared to a recording of a rocket motor fuel elimination event at the Utah Test and Training Range. Results show good agreement in the amplitude, duration, and spectra of synthesized and recorded waveforms for propagation through 2D atmospheric models whether or not topography, advection, or nonlinearity is explicitly included. However, infrasound propagation through a one-dimensional, range-averaged, atmospheric model yields waveforms with lower amplitudes and frequencies, suggesting that small-scale atmospheric variability causes significant scatter within the troposphere, leading to enhanced infrasound penetration into shadow zones. Thus, unresolved fine-scale atmospheric dynamics are not required to explain infrasound propagation into shadow zones.

  8. 76 FR 63202 - Security Zones; Captain of the Port Lake Michigan Zone

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ...-AA87 Security Zones; Captain of the Port Lake Michigan Zone AGENCY: Coast Guard, DHS. ACTION: Final rule. SUMMARY: Based on a review of safety and security zones around critical infrastructure in the... Chicago Harbor & Burnham Park Harbor--Safety and Security Zone regulation and the Security Zones; Captain...

  9. Substance Use and Self-Harm: Case Studies From Patients Admitted to an Urban Hospital Following Medically Serious Self-Harm.

    PubMed

    Breet, Elsie; Bantjes, Jason

    2017-12-01

    Few qualitative studies have explored the relationship between substance use and self-harm. We employed a multiple-case study research design to analyze data from 80 patients who were admitted to a hospital in South Africa following self-harm. Our analysis revealed, from the perspective of patients, a number of distinct ways in which substance use is implicated in self-harm. Some patients reported that substance intoxication resulted in poor decision making and impulsivity, which led to self-harm. Others said substance use facilitated their self-harm. Some participants detailed how in the past their chronic substance use had served an adaptive function helping them to cope with distress, but more recently, this coping mechanism had failed which precipitated their self-harm. Some participants reported that substance use by someone else triggered their self-harm. Findings suggest that there are multiple pathways and a host of variables which mediate the relationship between substance use and self-harm.

  10. Hydrology of the unsaturated zone, Yucca Mountain, Nevada

    USGS Publications Warehouse

    Lecain, Gary D.; Stuckless, John S.

    2012-01-01

    Hills bedded tuff. Thermal gradients in the unsaturated zone vary with location, and range from ~2.0 °C to 6.0 °C per 100 m; the variability appears to be associated with topography. Large-scale heater testing identified a heat-pipe signature at ~97 °C, and identified thermally induced and excavation-induced changes in the stress field. Elevated gas-phase CO2 concentrations and a decrease in the pH of water from the condensation zone also were identified. Conceptual and numerical flow and transport models of Yucca Mountain indicate that infiltration is highly variable, both spatially and temporally. Flow in the unsaturated zone is predominately through fractures in the welded units of the Tiva Canyon and Topopah Spring Tuffs and predominately through the matrix in the Paintbrush Tuff nonwelded units and Calico Hills Formation. Isolated, transient, fast-flow paths, such as faults, do exist but probably carry only a small portion of the total liquid-water flux at Yucca Mountain. The Paintbrush Tuff nonwelded units act as a storage buffer for transient infiltration pulses. Faults may act as flow boundaries and/or fast pathways. Below the proposed repository horizon, low-permeability lithostratigraphic units of the Topopah Spring Tuff and/or the Calico Hills Formation may divert flow laterally to faults that act as conduits to the water table. Advective transport pathways are consistent with flow pathways. Matrix diffusion is the major mechanism for mass transfer between fractures and the matrix and may contribute to retardation of radionuclide transport when fracture flow is dominant. Sorption may retard the movement of radionuclides in the unsaturated zone; however, sorption on mobile colloids may enhance radionuclide transport. Dispersion is not expected to be a major transport mechanism in the unsaturated zone at Yucca Mountain. Natural analogue studies support the concepts that percolating water may be diverted around underground openings and that the percentage of

  11. Implementation of Solute Transport in the Vadose Zone into the `HYDRUS Package for MODFLOW'

    NASA Astrophysics Data System (ADS)

    Simunek, J.; Beegum, S.; Szymkiewicz, A.; Sudheer, K. P.

    2017-12-01

    The 'HYDRUS package for MODFLOW' was developed by Seo et al. (2007) and Twarakavi et al. (2008) to simultaneously evaluate transient water flow in both unsaturated and saturated zones. The package, which is based on the HYDRUS-1D model (Šimůnek et al., 2016) simulating unsaturated water flow in the vadose zone, was incorporated into MODFLOW (Harbaugh et al., 2000) simulating saturated groundwater flow. The HYDRUS package in the coupled model can be used to represent the effects of various unsaturated zone processes, including infiltration, evaporation, root water uptake, capillary rise, and recharge in homogeneous or layered soil profiles. The coupled model is effective in addressing spatially-variable saturated-unsaturated hydrological processes at the regional scale, allowing for complex layering in the unsaturated zone, spatially and temporarily variable water fluxes at the soil surface and in the root zone, and with alternating recharge and discharge fluxes (Twarakavi et al., 2008). One of the major limitations of the coupled model was that it could not be used to simulate at the same time solute transport. However, solute transport is highly dependent on water table fluctuations due to temporal and spatial variations in groundwater recharge. This is an important concern when the coupled model is used for analyzing groundwater contamination due to transport through the unsaturated zone. The objective of this study is to integrate the solute transport model (the solute transport part of HYDRUS-1D for the unsaturated zone and MT3DMS (Zheng and Wang, 1999; Zheng, 2009) for the saturated zone) into an existing coupled water flow model. The unsaturated zone component of the coupled model can consider solute transport involving many biogeochemical processes and reactions, including first-order degradation, volatilization, linear or nonlinear sorption, one-site kinetic sorption, two-site sorption, and two-kinetic sites sorption (Šimůnek and van Genuchten, 2008

  12. 33 CFR 165.911 - Security Zones; Captain of the Port Buffalo Zone.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Security Zones; Captain of the Port Buffalo Zone. 165.911 Section 165.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Security Zones; Captain of the Port Buffalo Zone. (a) Location. The following are security zones: (1) Nine...

  13. 33 CFR 165.911 - Security Zones; Captain of the Port Buffalo Zone.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Security Zones; Captain of the Port Buffalo Zone. 165.911 Section 165.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Security Zones; Captain of the Port Buffalo Zone. (a) Location. The following are security zones: (1) Nine...

  14. 33 CFR 165.911 - Security Zones; Captain of the Port Buffalo Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Security Zones; Captain of the Port Buffalo Zone. 165.911 Section 165.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Security Zones; Captain of the Port Buffalo Zone. (a) Location. The following are security zones: (1) Nine...

  15. 33 CFR 165.911 - Security Zones; Captain of the Port Buffalo Zone.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Security Zones; Captain of the Port Buffalo Zone. 165.911 Section 165.911 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Security Zones; Captain of the Port Buffalo Zone. (a) Location. The following are security zones: (1) Nine...

  16. Metamodeling and mapping of nitrate flux in the unsaturated zone and groundwater, Wisconsin, USA

    USGS Publications Warehouse

    Nolan, Bernard T.; Green, Christopher T.; Juckem, Paul F.; Liao, Lixia; Reddy, James E.

    2018-01-01

    Nitrate contamination of groundwater in agricultural areas poses a major challenge to the sustainability of water resources. Aquifer vulnerability models are useful tools that can help resource managers identify areas of concern, but quantifying nitrogen (N) inputs in such models is challenging, especially at large spatial scales. We sought to improve regional nitrate (NO3−) input functions by characterizing unsaturated zone NO3− transport to groundwater through use of surrogate, machine-learning metamodels of a process-based N flux model. The metamodels used boosted regression trees (BRTs) to relate mappable landscape variables to parameters and outputs of a previous “vertical flux method” (VFM) applied at sampled wells in the Fox, Wolf, and Peshtigo (FWP) river basins in northeastern Wisconsin. In this context, the metamodels upscaled the VFM results throughout the region, and the VFM parameters and outputs are the metamodel response variables. The study area encompassed the domain of a detailed numerical model that provided additional predictor variables, including groundwater recharge, to the metamodels. We used a statistical learning framework to test a range of model complexities to identify suitable hyperparameters of the six BRT metamodels corresponding to each response variable of interest: NO3− source concentration factor (which determines the local NO3− input concentration); unsaturated zone travel time; NO3− concentration at the water table in 1980, 2000, and 2020 (three separate metamodels); and NO3− “extinction depth”, the eventual steady state depth of the NO3−front. The final metamodels were trained to 129 wells within the active numerical flow model area, and considered 58 mappable predictor variables compiled in a geographic information system (GIS). These metamodels had training and cross-validation testing R2 values of 0.52 – 0.86 and 0.22 – 0.38, respectively, and predictions were compiled as maps of the above

  17. Variability in Antibiotic Use Across PICUs.

    PubMed

    Brogan, Thomas V; Thurm, Cary; Hersh, Adam L; Gerber, Jeffrey S; Smith, Michael J; Shah, Samir S; Courter, Joshua D; Patel, Sameer J; Parker, Sarah K; Kronman, Matthew P; Lee, Brian R; Newland, Jason G

    2018-06-01

    To characterize and compare antibiotic prescribing across PICUs to evaluate the degree of variability. Retrospective analysis from 2010 through 2014 of the Pediatric Health Information System. Forty-one freestanding children's hospital. Children aged 30 days to 18 years admitted to a PICU in children's hospitals contributing data to Pediatric Health Information System. To normalize for potential differences in disease severity and case mix across centers, a subanalysis was performed of children admitted with one of the 20 All Patient Refined-Diagnosis Related Groups and the seven All Patient Refined-Diagnosis Related Groups shared by all PICUs with the highest antibiotic use. The study included 3,101,201 hospital discharges from 41 institutions with 386,914 PICU patients. All antibiotic use declined during the study period. The median-adjusted antibiotic use among PICU patients was 1,043 days of therapy/1,000 patient-days (interquartile range, 977-1,147 days of therapy/1,000 patient-days) compared with 893 among non-ICU children (interquartile range, 805-968 days of therapy/1,000 patient-days). For PICU patients, the median adjusted use of broad-spectrum antibiotics was 176 days of therapy/1,000 patient-days (interquartile range, 152-217 days of therapy/1,000 patient-days) and was 302 days of therapy/1,000 patient-days (interquartile range, 220-351 days of therapy/1,000 patient-days) for antimethicillin-resistant Staphylococcus aureus agents, compared with 153 days of therapy/1,000 patient-days (interquartile range, 130-182 days of therapy/1,000 patient-days) and 244 days of therapy/1,000 patient-days (interquartile range, 203-270 days of therapy/1,000 patient-days) for non-ICU children. After adjusting for potential confounders, significant institutional variability existed in antibiotic use in PICU patients, in the 20 All Patient Refined-Diagnosis Related Groups with the highest antibiotic usage and in the seven All Patient Refined-Diagnosis Related Groups shared

  18. SAMZ: Satellite-Derived Management Zones

    NASA Technical Reports Server (NTRS)

    2004-01-01

    The term "satellite-derived management zones" (SAMZ) denotes agricultural management zones that are subdivisions of large fields and that are derived from images of the fields acquired by instruments aboard Earth orbiting satellites during approximately the past 15 years. "SAMZ" also denotes the methodology and the software that implements the methodology for creating such zones. The SAMZ approach is one of several products of continuing efforts to realize a concept of precision agriculture, which involves optimal variations in seeding, in application of chemicals, and in irrigation, plus decisions to farm or not to farm certain portions of fields, all in an effort to maximize profitability in view of spatial and temporal variations in the growth and health of crops and in the chemical and physical conditions of soils. As used here, "management zone" signifies, more precisely, a subdivision of a field within which the crop production behavior is regarded as homogeneous. From the perspective of precision agriculture, management zones are the smallest subdivisions between which the seeding, application of chemicals, and other management parameters are to be varied. In the SAMZ approach, the main sources of data are the archives of satellite imagery that have been collected over the years for diverse purposes. One of the main advantages afforded by the SAMZ approach is that the data in these archives can be reused for purposes of precision agriculture at low cost. De facto, these archives contain information on all sources of variability within a field, including weather, crop types, crop management, soil types, and water drainage patterns. The SAMZ methodology involves the establishment of a Web-based interface based on an algorithm that generates management zones automatically and quickly from archival satellite image data in response to requests from farmers. A farmer can make a request by either uploading data describing a field boundary to the Web site or else

  19. Admitting At-Risk Students into Principal Preparation Programs: Is It Worth the Risk?

    ERIC Educational Resources Information Center

    Malone, Bobby G.; Nelson, Jacquelyn S.; Nelson, C. Van

    This study investigated the situations of at-risk students considered for becoming principals, examining whether it was worth the risk of admitting them into principal preparation programs. Students had undergraduate grade point averages (UGPAs) of at least 2.85 over the last 2 years of the undergraduate program. If they did not meet GPA…

  20. 77 FR 50929 - Security Zones; 2012 RNC Bridge Security Zones, Captain of the Port St. Petersburg Zone, Tampa, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-23

    ...-AA87 Security Zones; 2012 RNC Bridge Security Zones, Captain of the Port St. Petersburg Zone, Tampa, FL... temporary security zones around certain bridges on the waters of Pinellas County and Tampa Bay, Florida..., or mooring on waters within 50 yards of the designated bridges during the times that the security...

  1. Variable-amplitude oscillatory shear response of amorphous materials.

    PubMed

    Perchikov, Nathan; Bouchbinder, Eran

    2014-06-01

    Variable-amplitude oscillatory shear tests are emerging as powerful tools to investigate and quantify the nonlinear rheology of amorphous solids, complex fluids, and biological materials. Quite a few recent experimental and atomistic simulation studies demonstrated that at low shear amplitudes, an amorphous solid settles into an amplitude- and initial-conditions-dependent dissipative limit cycle, in which back-and-forth localized particle rearrangements periodically bring the system to the same state. At sufficiently large shear amplitudes, the amorphous system loses memory of the initial conditions, exhibits chaotic particle motions accompanied by diffusive behavior, and settles into a stochastic steady state. The two regimes are separated by a transition amplitude, possibly characterized by some critical-like features. Here we argue that these observations support some of the physical assumptions embodied in the nonequilibrium thermodynamic, internal-variables based, shear-transformation-zone model of amorphous viscoplasticity; most notably that "flow defects" in amorphous solids are characterized by internal states between which they can make transitions, and that structural evolution is driven by dissipation associated with plastic deformation. We present a rather extensive theoretical analysis of the thermodynamic shear-transformation-zone model for a variable-amplitude oscillatory shear protocol, highlighting its success in accounting for various experimental and simulational observations, as well as its limitations. Our results offer a continuum-level theoretical framework for interpreting the variable-amplitude oscillatory shear response of amorphous solids and may promote additional developments.

  2. Slip Zone versus Damage Zone Micromechanics, Arima-Takasuki Tectonic Line, Japan

    NASA Astrophysics Data System (ADS)

    White, J. C.; Lin, A.

    2017-12-01

    The Arima-Takasuki Tectonic Line (ATTL) of southern Honshu, Japan is defined by historically active faults and multiple splays producing M7 earthquakes. The damage zone of the ATTL comprises a broad zone of crushed, comminuted and pulverized granite/rhyolite1,2containing cm-scale slip zones and highly comminuted injection veins. In this presentation, prior work on the ATTL fault rocks is extending to include microstructural characterization by transmission electron microscopy (TEM) from recent trenching of the primary slip zone, as well as secondary slip zones. This is necessary to adequately characterize the extremely fine-grained material (typically less than 1mm) in both damage and core zones. Damage zone material exhibits generally random textures3 whereas slip zones are macroscopically foliated, and compositionally layered, notwithstanding a fairly homogeneous protolith. The latter reflects fluid-rock interaction during both coseismic and interseismic periods. The slip zones are microstructurally heterogeneous at all scales, comprising not only cataclasites and phyllosilicate (clay)-rich gouge zones, but Fe/Mn pellets or clasts that are contained within gouge. These structures appear to have rolled and would suggest rapid recrystallization and/or growth. A central question related to earthquake recurrence along existing faults is the nature of the gouge. In both near-surface exposures and ongoing drilling at depth, "plastic" or "viscous" gouge zones comprise ultra-fine-grained clay-siliciclastic particles that would not necessarily respond in a simple frictional manner. Depending on whether the plastic nature of these slip zones develops during or after slip, subsequent focusing of slip within them could be complicated. 1 Mitchell, T.A., Ben-Zion, Y., Shimamoto, T., 2011. Ear. Planet. Sci. Lett. 308, 284-297. 2 Lin, A., Yamashita, K, Tanaka, M. J., 2013. Struc. Geol. 48, 3-13. 3 White, J.C., Lin, A. 2016. Proc. AGU Fall Mtg., T42-02 San Francisco.

  3. Nocturnal and daytime stomatal conductance respond to root-zone temperature in 'Shiraz' grapevines.

    PubMed

    Rogiers, Suzy Y; Clarke, Simon J

    2013-03-01

    Daytime root-zone temperature may be a significant factor regulating water flux through plants. Water flux can also occur during the night but nocturnal stomatal response to environmental drivers such as root-zone temperature remains largely unknown. Here nocturnal and daytime leaf gas exchange was quantified in 'Shiraz' grapevines (Vitis vinifera) exposed to three root-zone temperatures from budburst to fruit-set, for a total of 8 weeks in spring. Despite lower stomatal density, night-time stomatal conductance and transpiration rates were greater for plants grown in warm root-zones. Elevated root-zone temperature resulted in higher daytime stomatal conductance, transpiration and net assimilation rates across a range of leaf-to-air vapour pressure deficits, air temperatures and light levels. Intrinsic water-use efficiency was, however, lowest in those plants with warm root-zones. CO(2) response curves of foliar gas exchange indicated that the maximum rate of electron transport and the maximum rate of Rubisco activity did not differ between the root-zone treatments, and therefore it was likely that the lower photosynthesis in cool root-zones was predominantly the result of a stomatal limitation. One week after discontinuation of the temperature treatments, gas exchange was similar between the plants, indicating a reversible physiological response to soil temperature. In this anisohydric grapevine variety both night-time and daytime stomatal conductance were responsive to root-zone temperature. Because nocturnal transpiration has implications for overall plant water status, predictive climate change models using stomatal conductance will need to factor in this root-zone variable.

  4. Long-term stellar variability

    NASA Astrophysics Data System (ADS)

    Pagano, Isabella

    2010-02-01

    Stars with significant subsurface convection zones develop magnetic loop structures that, arising from the surface upward to the external atmospheres, cause flux variability detectable throughout the whole electromagnetic spectrum. In fact, diagnostics of magnetic activity are in radio wavelengths, where gyrosincrotron radiation arises from the quiescent and flaring corona; in the optical region, where important signatures are the Balmer lines, the Ca ii IRT and H&K lines; in the UV and X ray domains, the latter mainly due to coronal thermal plasma. The zoo of different magnetic features observed for the Sun - spots, faculae, flares, CMEs - are characterized by different temporal evolution and energetics, both in quantity and quality. As a consequence, the time scale of variability, the amount of involved energy and the quality of the involved photons are used as fingerprints in interpreting the observed stellar variability in the framework of the solar-stellar analogy. Here I review main results from long-term multiwavelength observations of cool star atmospheres, with emphasis to similarities and differences with the solar case.

  5. Foresters' perceptions of windthrow dynamics in northern Minnesota riparian management zones

    Treesearch

    Jeremy C. Steil; Charles R. Blinn; Randy Kolka

    2009-01-01

    A survey was mailed to foresters in northern Minnesota to identify their perceptions of what conditions result in higher incidence of windthrow in riparian management zones (RMZ) where the upland has been clearcut. Results indicate that foresters think many variables impact windthrow, often interacting in complex ways. Foresters considered topographic exposure, species...

  6. Temporal Variation and Scaling of Hydrological Variables in a Typical Watershed

    NASA Astrophysics Data System (ADS)

    Yang, C.; Zhang, Y. K.; Liang, X.; Liu, J.

    2016-12-01

    Temporal variations of the main hydrological variables over 16 years were systematically investigated based on the results from an integrated hydrological modeling at the Sagehen Creek Watershed in northern Sierra Nevada. Temporal scaling of these variables and damping effects of the hydrological system as well as its subsystems, i.e., the land surface, unsaturated zone, and saturated zone, were analyzed with spectral analyses. It was found that the hydrological system may act as a cascade of hierarchical fractal filters which sequentially transfer a non-fractal or less correlated fractal hydrological signal to a more correlated fractal signal. Temporal scaling of infiltration (I), actual evapotraspiration (ET), recharge (R), baseflow (BF), streamflow (SF) exist and the temporal autocorrelation of these variables increase as water moves through the system. The degree of the damping effect of the subsystems is different and is strongest in the unsaturated zone compared with that of the land surface and saturated zone. The temporal scaling of the groundwater levels (h) also exists and is strongly affected by the river: the temporal autocorrelation of h near the river is similar to that of the river stage fluctuations and increases away from the river. There is a break in the temporal scaling of h near the river at low frequencies due to the effect of the river. Temporal variations of the soil moisture (θ) is more complicated: the value of the scaling exponent (β) for θ increases with depth as water moves downwards and its high-frequency fluctuations are damped by the unsaturated zone. The temporal fluctuations of precipitation (P) and I are fractional Gauss noise (fGn), those of ET, R, BF, and SF are fractional Brownian motion (fBm), and those of h away from the river are 2nd-order fBm based on the values of β obtained in this study. Keywords: Temporal variations, Scaling, Damping effect, Hydrological system.

  7. Evaluation of Ohio work zone speed zones process.

    DOT National Transportation Integrated Search

    2014-06-01

    This report describes the methodology and results of analyses performed to determine the effectiveness of Ohio Department of Transportation processes for establishing work zone speed zones. Researchers observed motorists speed choice upstream of a...

  8. [Pediatric victims of traffic accidents admitted to a university hospital: epidemiological and clinical aspects].

    PubMed

    Feitas, Juliana Pontes Pinto; Ribeiro, Lindioneza Adriano; Jorge, Miguel Tanús

    2007-12-01

    This study analyzes epidemiological and clinic characteristics of victims of traffic accidents. Data were obtained from medical records of children under 15 years of age (n = 1,123) admitted to a university hospital in Uberlândia, Minas Gerais State, Brazil, from 1999 to 2003. Mean age was eight years, 65.7% were boys, 76.6% were cyclists or pedestrians, 45.9% suffered head injuries, and 9% remained in hospital for more than two weeks. Fourteen (1.2%) died, 78.6% of these within 48 hours of hospitalization, and 85.7% with brain injuries. Among the passengers of motorcycles and larger vehicles, 58.8% were not using security devices properly at the time of the accident. Among the cyclists, 61% suffered isolated limb injuries. Meanwhile, pedestrians tended to suffer multiple lesions (57.5%) and be admitted to intensive care (7.1%), and represented 66.7% of the deaths. Epidemiological data on pediatric traffic victims can be useful for accident prevention programs.

  9. Characteristics of elderly patients admitted to an urban tertiary care hospital with osteoporotic fractures: correlations with risk factors, fracture type, gender and ethnicity.

    PubMed

    Becker, Carolyn; Crow, Scott; Toman, Jared; Lipton, Carter; McMahon, Don J; Macaulay, William; Siris, Ethel

    2006-01-01

    Osteoporosis is a major public health problem in the United States of America and around the world, largely due to the morbidity and mortality associated with osteoporotic fractures. In the past decade, large epidemiologic studies have contributed greatly to our understanding of patients who fracture. However, most studies are limited to postmenopausal white women. In this retrospective review, we analyze data from 185 men and women with acute fragility fractures who received osteoporosis consultations during admission to a single urban hospital between 2001 and 2003. Men and women differed in terms of risk factors for falls and osteoporosis but had areal bone mineral density (BMD) measurements remarkably similar, except at the total hip. Black and Hispanic subjects with fractures were significantly younger than whites yet were much more likely to have serious co-morbidities, such as diabetes mellitus and hypertension. In spite of significantly higher BMD measurements, black patients had the highest rates of vitamin D deficiency and secondary hyperparathyroidism. Patients admitted with hip fractures differed from those with non-hip fractures on a number of important variables. Based on these data, we conclude that elderly subjects admitted to an urban hospital with osteoporotic fractures are a heterogeneous group, with features that vary according to fracture type, gender and ethnicity. Future studies of patients with clinical fragility fractures should include ample numbers of men and ethnic minorities, since differences in underlying risk factors may suggest alternative strategies for fracture prevention.

  10. Prognostic Impact of BNP Variations in Patients Admitted for Acute Decompensated Heart Failure with In-Hospital Worsening Renal Function.

    PubMed

    Stolfo, D; Stenner, E; Merlo, M; Porto, A G; Moras, C; Barbati, G; Aleksova, A; Buiatti, A; Sinagra, G

    2017-03-01

    The significance of worsening renal function (WRF) in patients admitted for acute decompensated heart failure (ADHF) is still controversial. We hypothesised that changes in brain natriuretic peptide (BNP) might identify patients with optimal diuretic responsiveness resulting in transient WRF, not negatively affecting the prognosis. Our aim was to verify if in-hospital trends of BNP might be helpful in the stratification of patients with WRF after treatment for ADHF. 122 consecutive patients admitted for ADHF were enrolled. Brain natriuretic peptide and eGFR were evaluated at admission and discharge. A 20% relative decrease in eGFR defined WRF, whereas a BNP reduction ≥40% was considered significant. The primary combined endpoint was death/urgent heart transplantation and re-hospitalisation for ADHF. Worsening renal function occurred in 23% of patients without differences in outcome between patients with and without WRF (43% vs. 45%, p=0.597). A significant reduction in BNP levels over the hospitalisation occurred in 59% of the overall population and in 71% of patients with WRF. At a median follow-up of 13.0 (IQR 6-36) months, WRF patients with ≥40% BNP reduction had a lower rate of death/urgent heart transplantation/re-hospitalisation compared to WRF patients without BNP reduction (30% and 75%, respectively; p=0.007). Favourable BNP trend was the strongest variable in predicting the outcome in WRF patients (HR 0.222, 95% CI 0.066-0.753, p=0.016). Worsening renal function does not affect the prognosis of ADHF and, when associated with a significant BNP reduction, identifies patients with adequate decongestion at discharge and favourable outcome. Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

  11. Surf zone fauna of Ecuadorian sandy beaches: Spatial and temporal patterns

    NASA Astrophysics Data System (ADS)

    Marin Jarrin, J. R.; Vanaverbeke, J.; Fockedey, N.; de Grunauer, M. del P. Cornejo R.; Dominguez-Granda, L.

    2017-02-01

    Sandy beaches and their surf zones are the most common open shoreline habitat; however, surf zone fauna in the tropics is one of the least studied communities in the world. In the current study, we tested the hypothesis that Ecuadorian surf zone hyperbenthos (invertebrates and vertebrates 1-5 mm in length) and epibenthos (fish and macrocrustaceans > 5 mm in length) vary among beaches and seasons. Therefore, the fauna was described and related to environmental variables. In addition, indicator taxa were identified. The hyperbenthos was divided into holo- and mero-hyperbenthos depending on whether taxa were present during their entire life or only early life stages, respectively. Samples were collected at eight different beaches during the wet, dry and intermediate or transitional season during the low spring tide, from 1999 to 2000, using a hyperbenthic sledge and epibenthic trawl. A total of 447 hyperbenthic and 30 epibenthic taxa were collected, most of which were crustaceans and fish, respectively (52 and 60% of taxa). The mysid, Metamysidopsis sp., was the most abundant member of the hyperbenthos (average ± SD: 14,425 ± 40,039 ind. 100 m- 2, present in 92% of samples collected), and the swimming blue crab, Areneus mexicanus, was the most encountered species among the epibenthos (1 ± 1 ind. 100 m- 2, 97% of samples collected). All faunal groups varied among beaches, while the holo-hyperbenthos and less strongly the epibenthos varied among seasons. Variability in the three faunas among beaches, distance from the continental slope and the Guayas estuarine system, and beach water physical characteristics were all strongly correlated suggesting adjacent habitats can influence surf zone biological communities and water physical characteristics. Seasonal effects were related to changes in water physical characteristics among seasons potentially reflecting changes in oceanic currents. These results suggest that, similarly to other beaches around the world, Ecuadorian

  12. Strength of the Subduction Plate Interface beneath the Seismogenic Zone: A Microstructural Investigation of Deformation Mechanisms within a Phyllosilicate- and Amphibole-rich Shear Zone

    NASA Astrophysics Data System (ADS)

    Seyler, C.; Kirkpatrick, J. D.; Šilerová, D.

    2017-12-01

    Localization of strain at plate boundaries requires rheological weakening of the lithosphere. The rheology of the subduction plate interface is dictated by the dominant grain-scale deformation mechanisms. However, little is known about the deformation mechanisms within phases commonly found in subduction zones, such as phyllosilicates and amphiboles. We investigate the Leech River Shear Zone on Vancouver Island, British Columbia to explore deformation processes downdip of the seismogenic zone and evaluate the bulk rheology of the plate interface. This shear zone juxtaposes a metamorphosed accretionary prism against a metabasaltic oceanic plateau, representing a paleo-plate interface from the ancient Cascadia subduction zone. Preliminary geothermometry results record a prograde deformation temperature of 573.6±11.2 ˚C in the overriding accretionary wedge, and the hornblende-chlorite-epidote-plagioclase mineral assemblage suggests upper greenschist to lower amphibolite facies metamorphism of the downgoing oceanic crust. Detailed mapping of the plate interface documents a 200 m wide mylonitic shear zone developed across the lithologic contact. Asymmetric shear fabrics, isoclinal folding, boudinage, and a steeply plunging, penetrative stretching lineation are consistent with sinistral-oblique subduction. Numerous discordant quartz veins are variably sheared into sigmoidal shapes as well as isoclinally folded and boudinaged, indicating cyclical synkinematic fracture and vein formation. At the grain-scale, interconnected, anastomosing layers of muscovite, chlorite, and graphite in the accretionary prism rocks likely deformed through kinking and dislocation glide. Framework minerals such as quartz and feldspar deformed by dislocation creep. In the metabasalt, hornblende and chlorite form a continuous S—C fabric in which asymmetric hornblende porphyroclasts deformed by rigid grain rotation and dissolution-precipitation creep. The strength of the subduction plate

  13. Multiband variability studies and novel broadband SED modeling of Mrk 501 in 2009

    NASA Astrophysics Data System (ADS)

    Ahnen, M. L.; Ansoldi, S.; Antonelli, L. A.; Antoranz, P.; Babic, A.; Banerjee, B.; Bangale, P.; Barres de Almeida, U.; Barrio, J. A.; Becerra González, J.; Bednarek, W.; Bernardini, E.; Berti, A.; Biasuzzi, B.; Biland, A.; Blanch, O.; Bonnefoy, S.; Bonnoli, G.; Borracci, F.; Bretz, T.; Buson, S.; Carosi, A.; Chatterjee, A.; Clavero, R.; Colin, P.; Colombo, E.; Contreras, J. L.; Cortina, J.; Covino, S.; Da Vela, P.; Dazzi, F.; De Angelis, A.; De Lotto, B.; de Oña Wilhelmi, E.; Di Pierro, F.; Doert, M.; Domínguez, A.; Dominis Prester, D.; Dorner, D.; Doro, M.; Einecke, S.; Eisenacher Glawion, D.; Elsaesser, D.; Engelkemeier, M.; Fallah Ramazani, V.; Fernández-Barral, A.; Fidalgo, D.; Fonseca, M. V.; Font, L.; Frantzen, K.; Fruck, C.; Galindo, D.; García López, R. J.; Garczarczyk, M.; Garrido Terrats, D.; Gaug, M.; Giammaria, P.; Godinović, N.; González Muñoz, A.; Gora, D.; Guberman, D.; Hadasch, D.; Hahn, A.; Hanabata, Y.; Hayashida, M.; Herrera, J.; Hose, J.; Hrupec, D.; Hughes, G.; Idec, W.; Kodani, K.; Konno, Y.; Kubo, H.; Kushida, J.; La Barbera, A.; Lelas, D.; Lindfors, E.; Lombardi, S.; Longo, F.; López, M.; López-Coto, R.; Majumdar, P.; Makariev, M.; Mallot, K.; Maneva, G.; Manganaro, M.; Mannheim, K.; Maraschi, L.; Marcote, B.; Mariotti, M.; Martínez, M.; Mazin, D.; Menzel, U.; Miranda, J. M.; Mirzoyan, R.; Moralejo, A.; Moretti, E.; Nakajima, D.; Neustroev, V.; Niedzwiecki, A.; Nievas Rosillo, M.; Nilsson, K.; Nishijima, K.; Noda, K.; Nogués, L.; Overkemping, A.; Paiano, S.; Palacio, J.; Palatiello, M.; Paneque, D.; Paoletti, R.; Paredes, J. M.; Paredes-Fortuny, X.; Pedaletti, G.; Peresano, M.; Perri, L.; Persic, M.; Poutanen, J.; Prada Moroni, P. G.; Prandini, E.; Puljak, I.; Reichardt, I.; Rhode, W.; Ribó, M.; Rico, J.; Rodriguez Garcia, J.; Saito, T.; Satalecka, K.; Schröder, S.; Schultz, C.; Schweizer, T.; Shore, S. N.; Sillanpää, A.; Sitarek, J.; Snidaric, I.; Sobczynska, D.; Stamerra, A.; Steinbring, T.; Strzys, M.; Surić, T.; Takalo, L.; Tavecchio, F.; Temnikov, P.; Terzić, T.; Tescaro, D.; Teshima, M.; Thaele, J.; Torres, D. F.; Toyama, T.; Treves, A.; Vanzo, G.; Verguilov, V.; Vovk, I.; Ward, J. E.; Will, M.; Wu, M. H.; Zanin, R.; Abeysekara, A. U.; Archambault, S.; Archer, A.; Benbow, W.; Bird, R.; Buchovecky, M.; Buckley, J. H.; Bugaev, V.; Connolly, M. P.; Cui, W.; Dickinson, H. J.; Falcone, A.; Feng, Q.; Finley, J. P.; Fleischhack, H.; Flinders, A.; Fortson, L.; Gillanders, G. H.; Griffin, S.; Grube, J.; Hütten, M.; Hanna, D.; Holder, J.; Humensky, T. B.; Kaaret, P.; Kar, P.; Kelley-Hoskins, N.; Kertzman, M.; Kieda, D.; Krause, M.; Krennrich, F.; Lang, M. J.; Maier, G.; McCann, A.; Moriarty, P.; Mukherjee, R.; Nieto, D.; O'Brien, S.; Ong, R. A.; Otte, N.; Park, N.; Perkins, J.; Pichel, A.; Pohl, M.; Popkow, A.; Pueschel, E.; Quinn, J.; Ragan, K.; Reynolds, P. T.; Richards, G. T.; Roache, E.; Rovero, A. C.; Rulten, C.; Sadeh, I.; Santander, M.; Sembroski, G. H.; Shahinyan, K.; Telezhinsky, I.; Tucci, J. V.; Tyler, J.; Wakely, S. P.; Weinstein, A.; Wilcox, P.; Wilhelm, A.; Williams, D. A.; Zitzer, B.; Razzaque, S.; Villata, M.; Raiteri, C. M.; Aller, H. D.; Aller, M. F.; Larionov, V. M.; Arkharov, A. A.; Blinov, D. A.; Efimova, N. V.; Grishina, T. S.; Hagen-Thorn, V. A.; Kopatskaya, E. N.; Larionova, L. V.; Larionova, E. G.; Morozova, D. A.; Troitsky, I. S.; Ligustri, R.; Calcidese, P.; Berdyugin, A.; Kurtanidze, O. M.; Nikolashvili, M. G.; Kimeridze, G. N.; Sigua, L. A.; Kurtanidze, S. O.; Chigladze, R. A.; Chen, W. P.; Koptelova, E.; Sakamoto, T.; Sadun, A. C.; Moody, J. W.; Pace, C.; Pearson, R.; Yatsu, Y.; Mori, Y.; Carraminyana, A.; Carrasco, L.; de la Fuente, E.; Norris, J. P.; Smith, P. S.; Wehrle, A.; Gurwell, M. A.; Zook, A.; Pagani, C.; Perri, M.; Capalbi, M.; Cesarini, A.; Krimm, H. A.; Kovalev, Y. Y.; Kovalev, Yu. A.; Ros, E.; Pushkarev, A. B.; Lister, M. L.; Sokolovsky, K. V.; Kadler, M.; Piner, G.; Lähteenmäki, A.; Tornikoski, M.; Angelakis, E.; Krichbaum, T. P.; Nestoras, I.; Fuhrmann, L.; Zensus, J. A.; Cassaro, P.; Orlati, A.; Maccaferri, G.; Leto, P.; Giroletti, M.; Richards, J. L.; Max-Moerbeck, W.; Readhead, A. C. S.

    2017-07-01

    Context. We present an extensive study of the BL Lac object Mrk 501 based on a data set collected during the multi-instrument campaign spanning from 2009 March 15 to 2009 August 1, which includes, among other instruments, MAGIC, VERITAS, Whipple 10 m, and Fermi-LAT to cover the γ-ray range from 0.1 GeV to 20 TeV; RXTE and Swift to cover wavelengths from UV tohard X-rays; and GASP-WEBT, which provides coverage of radio and optical wavelengths. Optical polarization measurements were provided for a fraction of the campaign by the Steward and St. Petersburg observatories. We evaluate the variability of the source and interband correlations, the γ-ray flaring activity occurring in May 2009, and interpret the results within two synchrotron self-Compton (SSC) scenarios. Aims: The multiband variability observed during the full campaign is addressed in terms of the fractional variability, and the possible correlations are studied by calculating the discrete correlation function for each pair of energy bands where the significance was evaluated with dedicated Monte Carlo simulations. The space of SSC model parameters is probed following a dedicated grid-scan strategy, allowing for a wide range of models to be tested and offering a study of the degeneracy of model-to-data agreement in the individual model parameters, hence providing a less biased interpretation than the "single-curve SSC model adjustment" typically reported in the literature. Methods: We find an increase in the fractional variability with energy, while no significant interband correlations of flux changes are found on the basis of the acquired data set. The SSC model grid-scan shows that the flaring activity around May 22 cannot be modeled adequately with a one-zone SSC scenario (using an electron energy distribution with two breaks), while it can be suitably described within a two (independent) zone SSC scenario. Here, one zone is responsible for the quiescent emission from the averaged 4.5-month observing

  14. Measurement of inter- and intra-annual variability of landscape fire activity at a continental scale: the Australian case

    NASA Astrophysics Data System (ADS)

    Williamson, Grant J.; Prior, Lynda D.; Jolly, W. Matt; Cochrane, Mark A.; Murphy, Brett P.; Bowman, David M. J. S.

    2016-03-01

    Climate dynamics at diurnal, seasonal and inter-annual scales shape global fire activity, although difficulties of assembling reliable fire and meteorological data with sufficient spatio-temporal resolution have frustrated quantification of this variability. Using Australia as a case study, we combine data from 4760 meteorological stations with 12 years of satellite-derived active fire detections to determine day and night time fire activity, fire season start and end dates, and inter-annual variability, across 61 objectively defined climate regions in three climate zones (monsoon tropics, arid and temperate). We show that geographic patterns of landscape burning (onset and duration) are related to fire weather, resulting in a latitudinal gradient from the monsoon tropics in winter, through the arid zone in all seasons except winter, and then to the temperate zone in summer and autumn. Peak fire activity precedes maximum lightning activity by several months in all regions, signalling the importance of human ignitions in shaping fire seasons. We determined median daily McArthur forest fire danger index (FFDI50) for days and nights when fires were detected: FFDI50 varied substantially between climate zones, reflecting effects of fire management in the temperate zone, fuel limitation in the arid zone and abundance of flammable grasses in the monsoon tropical zone. We found correlations between the proportion of days when FFDI exceeds FFDI50 and the Southern Oscillation index across the arid zone during spring and summer, and Indian Ocean dipole mode index across south-eastern Australia during summer. Our study demonstrates that Australia has a long fire weather season with high inter-annual variability relative to all other continents, making it difficult to detect long term trends. It also provides a way of establishing robust baselines to track changes to fire seasons, and supports a previous conceptual model highlighting multi-temporal scale effects of climate in

  15. BONA FIDE, STRONG-VARIABLE GALACTIC LUMINOUS BLUE VARIABLE STARS ARE FAST ROTATORS: DETECTION OF A HIGH ROTATIONAL VELOCITY IN HR CARINAE

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Groh, J. H.; Damineli, A.; Moises, A. P.

    2009-11-01

    We report optical observations of the luminous blue variable (LBV) HR Carinae which show that the star has reached a visual minimum phase in 2009. More importantly, we detected absorptions due to Si IV lambdalambda4088-4116. To match their observed line profiles from 2009 May, a high rotational velocity of v{sub rot} approx = 150 +- 20 km s{sup -1} is needed (assuming an inclination angle of 30 deg.), implying that HR Car rotates at approx =0.88 +- 0.2 of its critical velocity for breakup (v{sub crit}). Our results suggest that fast rotation is typical in all strong-variable, bona fide galacticmore » LBVs, which present S-Dor-type variability. Strong-variable LBVs are located in a well-defined region of the HR diagram during visual minimum (the 'LBV minimum instability strip'). We suggest this region corresponds to where v{sub crit} is reached. To the left of this strip, a forbidden zone with v{sub rot}/v{sub crit}>1 is present, explaining why no LBVs are detected in this zone. Since dormant/ex LBVs like P Cygni and HD 168625 have low v{sub rot}, we propose that LBVs can be separated into two groups: fast-rotating, strong-variable stars showing S-Dor cycles (such as AG Car and HR Car) and slow-rotating stars with much less variability (such as P Cygni and HD 168625). We speculate that supernova (SN) progenitors which had S-Dor cycles before exploding (such as in SN 2001ig, SN 2003bg, and SN 2005gj) could have been fast rotators. We suggest that the potential difficulty of fast-rotating Galactic LBVs to lose angular momentum is additional evidence that such stars could explode during the LBV phase.« less

  16. Outcome and periprocedural time management in referred versus directly admitted stroke patients treated with thrombectomy.

    PubMed

    Weber, Ralph; Reimann, Gernot; Weimar, Christian; Winkler, Angela; Berger, Klaus; Nordmeyer, Hannes; Hadisurya, Jeffrie; Brassel, Friedhelm; Kitzrow, Martin; Krogias, Christos; Weber, Werner; Busch, Elmar W; Eyding, Jens

    2016-03-01

    After thrombectomy has shown to be effective in acute stroke patients with large vessel occlusion, the potential benefit of secondary referral for such an intervention needs to be validated. We aimed to compare consecutive stoke patients directly admitted and treated with thrombectomy at a neurointerventional centre with patients secondarily referred for such a procedure from hospitals with a stroke unit. Periprocedure times and mortality in 300 patients primarily treated in eight neurointerventional centres were compared with 343 patients referred from nine other hospitals in a prospective multicentre study of a German neurovascular network. Data on functional outcome at 3 months was available in 430 (76.4%) patients. In-hospital mortality (14.8% versus 11.7%, p = 0.26) and 3 months mortality (21.9% versus 24.1%, p = 0.53) were not statistically different in both patient groups despite a significant shorter symptom to groin puncture time in directly admitted patients, which was mainly caused by a longer interfacility transfer time. We found a nonsignificant trend for better functional outcome at 3 months in directly admitted patients (modified Rankin Scale 0-2, 44.0% versus 35.7%, p = 0.08). Our results show that a drip-and-ship thrombectomy concept can be effectively organized in a metropolitan stroke network. Every effort should be made to speed up the emergency interfacility transfer to a neurointerventional centre in stroke patients eligible for thrombectomy after initial brain imaging.

  17. SMAP Level 4 Surface and Root Zone Soil Moisture

    NASA Technical Reports Server (NTRS)

    Reichle, R.; De Lannoy, G.; Liu, Q.; Ardizzone, J.; Kimball, J.; Koster, R.

    2017-01-01

    The SMAP Level 4 soil moisture (L4_SM) product provides global estimates of surface and root zone soil moisture, along with other land surface variables and their error estimates. These estimates are obtained through assimilation of SMAP brightness temperature observations into the Goddard Earth Observing System (GEOS-5) land surface model. The L4_SM product is provided at 9 km spatial and 3-hourly temporal resolution and with about 2.5 day latency. The soil moisture and temperature estimates in the L4_SM product are validated against in situ observations. The L4_SM product meets the required target uncertainty of 0.04 m(exp. 3)m(exp. -3), measured in terms of unbiased root-mean-square-error, for both surface and root zone soil moisture.

  18. High-Resolution P'P' Precursor Imaging of Nazca-South America Plate Boundary Zones and Inferences for Transition Zone Temperature and Composition

    NASA Astrophysics Data System (ADS)

    Gu, Y. J.; Schultz, R.

    2013-12-01

    Knowledge of upper mantle transition zone stratification and composition is highly dependent on our ability to efficiently extract and properly interpret small seismic arrivals. A promising high-frequency seismic phase group particularly suitable for a global analysis is P'P' precursors, which are capable of resolving mantle structures at vertical and lateral resolution of approximately 5 and 200 km, respectively, owing to their shallow incidence angle and small, quasi-symmetric Fresnel zones. This study presents a simultaneous analysis of SS and P'P' precursors based on deconvolution, Radon transform and depth migration. Our multi-resolution survey of the mantle near Nazca-South America subduction zone reveals both olivine and garnet related transitions at depth below 400 km. We attribute a depressed 660 to thermal variations, whereas compositional variations atop the upper-mantle transition zone are needed to explain the diminished or highly complex reflected/scattered signals from the 410 km discontinuity. We also observe prominent P'P' reflections within the transition zone, especially near the plate boundary zone where anomalously high reflection amplitudes result from a sharp (~10 km thick) mineral phase change resonant with the dominant frequency of the P'P' precursors. Near the base of the upper mantle, the migration of SS precursors shows no evidence of split reflections near the 660-km discontinuity, but potential majorite-ilmenite (590-640 km) and ilmenite-perovskite transitions (740-750 km) are identified based on similarly processed high-frequency P'P' precursors. At nominal mantle temperatures these two phase changes may be seismically indistinguishable, but colder mantle conditions from the descending Nazca plate, the presence of water and variable Fe contents may cause sufficient separation for a reliable analysis. In addition, our preliminary results provide compelling evidence for multiple shallow lower-mantle reflections (at ~800 km) along the

  19. An index-based method to assess risks of climate-related hazards in coastal zones: The case of Tetouan

    NASA Astrophysics Data System (ADS)

    Satta, Alessio; Snoussi, Maria; Puddu, Manuela; Flayou, Latifa; Hout, Radouane

    2016-06-01

    The regional risk assessment carried out within the ClimVar & ICZM Project identified the coastal zone of Tetouan as a hotspot of the Mediterranean Moroccan coast and so it was chosen for the application of the Multi-Scale Coastal Risk Index for Local Scale (CRI-LS). The local scale approach provides a useful tool for local coastal planning and management by exploring the effects and the extensions of the hazards and combining hazard, vulnerability and exposure variables in order to identify areas where the risk is relatively high. The coast of Tetouan is one of the coastal areas that have been most rapidly and densely urbanized in Morocco and it is characterized by an erosive shoreline. Local authorities are facing the complex task of balancing development and managing coastal risks, especially coastal erosion and flooding, and then be prepared to the unavoidable impacts of climate change. The first phase of the application of the CRI-LS methodology to Tetouan consisted of defining the coastal hazard zone, which results from the overlaying of the erosion hazard zone and the flooding hazard zone. Nineteen variables were chosen to describe the Hazards, Vulnerability and Exposure factors. The scores corresponding to each variable were calculated and the weights assigned through an expert judgement elicitation. The resulting values are hosted in a geographic information system (GIS) platform that enables the individual variables and aggregated risk scores to be color-coded and mapped across the coastal hazard zone. The results indicated that 10% and 27% of investigated littoral fall under respectively very high and high vulnerability because of combination of high erosion rates with high capital land use. The risk map showed that some areas, especially the flood plains of Restinga, Smir and Martil-Alila, with distances over 5 km from the coast, are characterized by high levels of risk due to the low topography of the flood plains and to the high values of exposure

  20. Spatial and temporal variability in surf zone fish assemblages on the coast of northern New Jersey

    NASA Astrophysics Data System (ADS)

    Wilber, D. H.; Clarke, D. G.; Burlas, M. H.; Ruben, H.; Will, R. J.

    2003-02-01

    The surf zone fish community along 15 km of northern New Jersey shoreline was sampled every 2 weeks by beach seine in the late summers and early falls of 1995-1999 in conjunction with monitoring of a beach nourishment project. Fifty-seven species representing 30 families were collected during the course of the study. Over 90% of each sampling period's catch was composed of five taxa or less. These taxa included Atlantic and rough silversides, Menidia menidia and Membras martinica, bluefish, Pomatomus saltatrix, and bay and striped anchovies, Anchoa mitchilli and Anchoa hepsetus, with the relative contributions of these taxa varying among years. Both bluefish and anchovy abundances varied by an order of magnitude among years. Size-frequency distributions indicate summer-spawned bluefish recruit to the surf zone habitat as two cohorts in August and October, respectively. Fish abundance and richness were greater at substations closest to rock groins. Taxonomic richness declined along with decreasing water temperature in the fall, but was not correlated with turbidity or tide stage (measured as minutes before or after low tide). The extensive sampling effort undertaken in this study, 2190 seine hauls that captured 295 868 fish, was examined in relation to the number and relative proportions of taxa collected. Species accumulation curves and percent similarity calculations were used to investigate the adequacy of a reduced sampling protocol in characterizing the taxonomic composition of the surf zone fish community. Calculations from eight complete sampling periods (84 seine hauls each) indicate that a reduction in sampling effort by one-half would have yielded on average 75% of the total number of species captured with approximately 85% similarity in relative species composition.

  1. Nevada Monitoring System to Assess Climate Variability and Change

    NASA Astrophysics Data System (ADS)

    Devitt, D. A.; Arnone, J.; Biondi, F.; Fenstermaker, L. F.; Saito, L.; Young, M.; Riddle, B.; Strachan, S. D.; Bird, B.; McCurdy, G.; Lyles, B. F.

    2010-12-01

    The Nevada System of Higher Education (University of Nevada Las Vegas, University of Nevada Reno and the Desert Research Institute) was awarded a multiyear NSF EPSCoR grant to support infrastructure associated with regional climate change research. The overall project is comprised of 5 components: education, cyberinfrastructure, policy, climate modeling and water/ecology. The water and ecology components are using their infrastructure funding for the assessment of climate variability and change on ecosystem function and hydrologic services. A series of 10 m tall towers are under construction and are being equipped with a wide array of sensors to monitor atmospheric, soil and plant parameters over time. The towers are located within the Mojave and Great Basin Deserts in two transects; the Mojave Desert transect is located in the southern Nevada Sheep Mountain Range and the Great Basin transect is located in the east central Nevada Snake Mountain Range. The towers are centrally positioned in well-defined vegetation zones. In southern Nevada these zones are represented by the following plant species: Creosote/Bursage (Creosotebush scrub zone); Blackbrush/Joshua Tree (Blackbrush zone); Pinyon/ Juniper (pygmy conifer zone), Ponderosa Pine (montane zone) and Bristlecone Pine (subalpine zone). The Snake Mountain transect incorporates the eastern and western valleys on both sides of the mountain range. The vegetation zones are represented by: Greasewood and mixed shrub (salt desert zone); Big Sage (sagebrush zone); Pinyon/Juniper (pygmy conifer zone); White/Douglas Fir, Ponderosa Pine and Aspen (montane zone); and Bristlecone/Limber Pine and Engelmann Spruce (subalpine zone). We are currently in the third year of funding with a goal of having the majority of towers fully operational by winter 2010. In close collaboration with our cyberinfrastructure component team, all data acquired from the transect monitoring stations will be made available to other researchers and the

  2. Adjustment in University Students Admitted by High School Recommendations as Compared with Their Classmates

    ERIC Educational Resources Information Center

    Cheung, Chau-Kiu; Lok, David Ping-Pui; Chan, David Kin-keung

    2005-01-01

    Adjustment in university students admitted based on their high school counselors' or advisors' recommendation is an issue for revealing the appropriateness and fairness of the nontraditional admissions procedure. The newly-issued admissions procedure in Hong Kong has not been subject to empirical investigation. To evaluate the procedure, the…

  3. Revisiting the physical characterisitics of the subduction interplate seismogenic zones

    NASA Astrophysics Data System (ADS)

    Heuret, Arnauld; Lallemand, Serge; Funiciello, Francesca; Piromallo, Claudia

    2010-05-01

    statistical analysis reveals that: 1- vs, the subduction velocity is the first order controlling parameter of seismogenic zone variability, both in term of geometry and seismic behaviour; 2- steep dip, large vertical extent and narrow horizontal extent of the seismogenic zone are associated to fast subductions, and cold slabs, the opposite holding for slow subductions and warm slabs; the seismogenic zone usually ends in the fore-arc mantle rather than at the upper plate Moho depth; 3- seismic rate () variability is coherent with the geometry of the seismogenic zone:  increases with the dip and with the vertical extent of the seismogenic zone, and it fits with vs and with the subducting plate thermal state; 4- mega-events occurrence determines the level of seismic energy released along the subduction interface, whatever  is; 5- to some extent, the potential size of earthquakes fits with vs and with the seismogenic zone geometry, but second order controlling parameters are more difficult to detect; 6- the plate coupling, measured through Upper Plate Strain, is one possible second order parameter: mega-events are preferentially associated to neutral subductions, i.e. moderate compressive stresses along the plate interface; high plate coupling (compressive UPS) is thought to inhibit mega-events genesis by enhancing the locking of the plate interface and preventing the rupture to extend laterally. This research was supported as part of the Eurohorcs/ESF — European Young Investigators Awards Scheme (resp. F.F.), by funds from the National Research Council of Italy and other National Funding Agencies participating in the 3rd Memorandum of Understanding, as well as from the EC Sixth Framework Programme.

  4. Soil Moisture Flow and Nitrate Movement Simulation through Deep and Heterogeneous Vadose Zone using Dual-porosity Approach

    NASA Astrophysics Data System (ADS)

    Yadav, B. K.; Tomar, J.; Harter, T.

    2014-12-01

    We investigate nitrate movement from non-point sources in deep, heterogeneous vadose zones, using multi-dimensional variably saturated flow and transport simulations. We hypothesize that porous media heterogeneity causes saturation variability that leads to preferential flow systems such that a significant portion of the vadose zone does not significantly contribute to flow. We solve Richards' equation and the advection-dispersion equation to simulate soil moisture and nitrate transport regimes in plot-scale experiments conducted in the San Joaquin Valley, California. We compare equilibrium against non-equilibrium (dual-porosity) approaches. In the equilibrium approach we consider each soil layer to have unique hydraulic properties as a whole, while in the dual-porosity approach we assume that large fractions of the porous flow domain are immobile. However we consider exchange of water and solute between mobile and immobile zone using the appropriate mass transfer terms. The results indicate that flow and transport in a nearly 16 m deep stratified vadose zone comprised of eight layers of unconsolidated alluvium experiences highly non-uniform, localized preferential flow and transport patterns leading to accelerated nitrate transfer. The equilibrium approach largely under-predicted the leaching of nitrate to groundwater while the dual-porosity approach showed higher rates of nitrate leaching, consistent with field observations. The dual-porosity approach slightly over-predicted nitrogen storage in the vadose zone, which may be the result of limited matrix flow or denitrification not accounted for in the model. Results of this study may be helpful to better predict fertilizer and pesticide retention times in deep vadose zone, prior to recharge into the groundwater flow system. Keywords: Nitrate, Preferential flow, Heterogeneous vadose zone, Dual-porosity approach

  5. Zoning the territory of the Republic of Kazakhstan as to the risk of rabies among various categories of animals.

    PubMed

    Abdrakhmanov, Sarsenbay K; Sultanov, Akhmetzhan A; Beisembayev, Kanatzhan K; Korennoy, Fedor I; Кushubaev, Dosym B; Каdyrov, Ablaikhan S

    2016-05-31

    This paper presents the zoning of the territory of the Republic of Kazakhstan with respect to the risk of rabies outbreaks in domestic and wild animals considering environmental and climatic conditions. The national database of rabies outbreaks in Kazakhstan in the period 2003-2014 has been accessed in order to find which zones are consistently most exposed to the risk of rabies in animals. The database contains information on the cases in demes of farm livestock, domestic animals and wild animals. To identify the areas with the highest risk of outbreaks, we applied the maximum entropy modelling method. Designated outbreaks were used as input presence data, while the bioclim set of ecological and climatic variables, together with some geographic factors, were used as explanatory variables. The model demonstrated a high predictive ability. The area under the curve for farm livestock was 0.782, for domestic animals -0.859 and for wild animals - 0.809. Based on the model, the map of integral risk was designed by following four categories: negligible risk (disease-free or favourable zone), low risk (surveillance zone), medium risk (vaccination zone), and high risk (unfavourable zone). The map was produced to allow developing a set of preventive measures and is expected to contribute to a better distribution of supervisory efforts from the veterinary service of the country.

  6. Induced abortion and associated factors in health facilities of Guraghe zone, southern Ethiopia.

    PubMed

    Tesfaye, Gezahegn; Hambisa, Mitiku Teshome; Semahegn, Agumasie

    2014-01-01

    Unsafe abortion is one of the major medical and public health problems in developing countries including Ethiopia. However, there is a lack of up-to-date and reliable information on induced abortion distribution and its determinant factors in the country. This study was intended to assess induced abortion and associated factors in health facilities of Guraghe zone, Southern Ethiopia. Institution based cross-sectional study was conducted in eight health facilities in Guraghe zone. Client exit interview was conducted on 400 patients using a structured questionnaire. Bivariate and multivariate logistic regression analysis was performed to identify factors associated with induced abortion. Out of 400 women, 75.5% responded that the current pregnancy that ended in abortion is unwanted. However, only 12.3% of the respondents have admitted interference to the current pregnancy. Having more than four pregnancies (AOR = 4.28, CI: (1.24-14.71)), age of 30-34 years (AOR = 0.15, CI: (0.04-0.55)), primary education (AOR = 0.26, CI: (0.13-0.88)), and wanted pregnancy (AOR = 0.44, CI: (0.14-0.65)) were found to have association with induced abortion. The study revealed high level of induced abortion which is underpinned by high magnitude of unwanted pregnancy. There is requirement for widespread expansion of increased access to high quality family planning service and post-abortion care.

  7. Infant breathing rate counter based on variable resistor for pneumonia

    NASA Astrophysics Data System (ADS)

    Sakti, Novi Angga; Hardiyanto, Ardy Dwi; La Febry Andira R., C.; Camelya, Kesa; Widiyanti, Prihartini

    2016-03-01

    Pneumonia is one of the leading causes of death in new born baby in Indonesia. According to WHO in 2002, breathing rate is very important index to be the symptom of pneumonia. In the Community Health Center, the nurses count with a stopwatch for exactly one minute. Miscalculation in Community Health Center occurs because of long time concentration and focus on two object at once. This calculation errors can cause the baby who should be admitted to the hospital only be attended at home. Therefore, an accurate breathing rate counter at Community Health Center level is necessary. In this work, resistance change of variable resistor is made to be breathing rate counter. Resistance change in voltage divider can produce voltage change. If the variable resistance moves periodically, the voltage will change periodically too. The voltage change counted by software in the microcontroller. For the every mm shift at the variable resistor produce average 0.96 voltage change. The software can count the number of wave generated by shifting resistor.

  8. Arrays of ferromagnetic nanorings with variable thickness fabricated by capillary force lithography.

    PubMed

    Lee, Su Yeon; Jeong, Jong-Ryul; Kim, Shin-Hyun; Kim, Sarah; Yang, Seung-Man

    2009-11-03

    A new promising strategy is reported for the fabrication of ferromagnetic nanoring arrays with novel geometrical features through the use of capillary force lithography and subsequent reactive ion etching. In particular, we fabricated two different types of elliptic rings with variable width and height: one with pinching zones near the major axes and the other with pinching zones near the minor axes. We used PDMS stamps with either elliptic hole or antihole arrays for creating these elliptic rings with variable thickness by virtue of the uneven capillary rise, which was induced by the distributed Laplace pressure around the walls of elliptic holes or antiholes with nonuniform local curvatures. We transferred the polymer ring patterns to array of elliptical NiFe rings by Ar ion milling and characterized magnetic properties in terms of nonuniform ring width using magnetic force microscopy measurements. Our results demonstrated that the magnetic domain wall can be positioned in a controlled manner by using these novel elliptical ferromagnetic rings with local pinching zones and that the proposed CFL method can be utilized as a simple and effective fabrication tool.

  9. Growth gains from selective breeding in a spruce hybrid zone do not compromise local adaptation to climate.

    PubMed

    MacLachlan, Ian R; Yeaman, Sam; Aitken, Sally N

    2018-02-01

    Hybrid zones contain extensive standing genetic variation that facilitates rapid responses to selection. The Picea glauca  ×  Picea engelmannii hybrid zone in western Canada is the focus of tree breeding programs that annually produce ~90 million reforestation seedlings. Understanding the direct and indirect effects of selective breeding on adaptive variation is necessary to implement assisted gene flow (AGF) polices in Alberta and British Columbia that match these seedlings with future climates. We decomposed relationships among hybrid ancestry, adaptive traits, and climate to understand the implications of selective breeding for climate adaptations and AGF strategies. The effects of selection on associations among hybrid index estimated from ~6,500 SNPs, adaptive traits, and provenance climates were assessed for ~2,400 common garden seedlings. Hybrid index differences between natural and selected seedlings within breeding zones were small in Alberta (average +2%), but larger and more variable in BC (average -7%, range -24% to +1%), slightly favoring P. glauca ancestry. The average height growth gain of selected seedlings over natural seedlings within breeding zones was 36% (range 12%-86%). Clines in growth with temperature-related variables were strong, but differed little between selected and natural populations. Seedling hybrid index and growth trait associations with evapotranspiration-related climate variables were stronger in selected than in natural seedlings, indicating possible preadaptation to drier future climates. Associations among cold hardiness, hybrid ancestry, and cold-related climate variables dominated signals of local adaptation and were preserved in breeding populations. Strong hybrid ancestry-phenotype-climate associations suggest that AGF will be necessary to match interior spruce breeding populations with shifting future climates. The absence of antagonistic selection responses among traits and maintenance of cold adaptation in

  10. 33 CFR 165.154 - Safety and Security Zones; Captain of the Port Long Island Sound Zone Safety and Security Zones.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...; Captain of the Port Long Island Sound Zone Safety and Security Zones. 165.154 Section 165.154 Navigation... Long Island Sound Zone Safety and Security Zones. The following areas are designated safety and... navigable waters of Long Island Sound, from surface to bottom, North and Northeast of a line running from...

  11. 33 CFR 165.154 - Safety and Security Zones: Long Island Sound Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Island Sound Marine Inspection Zone and Captain of the Port Zone. 165.154 Section 165.154 Navigation and... Areas First Coast Guard District § 165.154 Safety and Security Zones: Long Island Sound Marine... this zone is prohibited unless authorized by the Captain of the Port Long, Island Sound. (3) All...

  12. Time Variability of the Dust Sublimation Zones in Pre-Main Sequence Disk Systems

    NASA Technical Reports Server (NTRS)

    Sitko, Michael L.; Carpenter, W. J.; Grady, C. A.; Russel, R. W.; Lynch, D. K.; Rudy, R. J.; Mazuk, S. M.; Venturini, C. C.; Kimes, R. L.; Beerman, L. C.; hide

    2007-01-01

    The dust sublimation zone (DSZ) is the region of pre-main sequence (PMS) disks where dust grains most easily anneal, sublime, and condense out of the gas. Because of this, it is a location where crystalline material may be enhanced and redistributed throughout the rest of the disk. A decade-long program to monitor the thermal emission of the grains located in this region demonstrates that large changes in emitted flux occur in many systems. Changes in the thermal emission between 3 and 13.5 microns were observed in HD 31648 (MWC 480), HD 163296 (MWC 275), and DG Tau. This emission is consistent with it being produced at the DSZ, where the transition from a disk of gas to one of gas+dust occurs. In the case of DG Tau, the outbursts were accompanied by increased emission on the 10 micron silicate band on one occasion, while on another occasion it went into absorption. This requires lofting of the material above the disk into the line of sight. Such changes will affect the determination of the inner disk structure obtained through interferometry measurements, and this has been confirmed in the case of HD 163296. Cyclic variations in the heating of the DSZ will lead to the annealing of large grains, the sublimation of smaller grains, possibly followed by re-condensation as the zone enters a cooling phase. Lofting of dust above the disk plane, and outward acceleration by stellar winds and radiation pressure, can re-distribute the processed material to cooler regions of the disk, where cometesimals form. This processing is consistent with the detection of the preferential concentration of large crystalline grains in the inner few AU of PMS disks using interferometric spectroscopy with the VLTI.

  13. Separation of variables in Maxwell equations in Plebański-Demiański spacetime

    NASA Astrophysics Data System (ADS)

    Frolov, Valeri P.; Krtouš, Pavel; KubizÅák, David

    2018-05-01

    A new method for separating variables in the Maxwell equations in four- and higher-dimensional Kerr-(A)dS spacetimes proposed recently by Lunin is generalized to any off-shell metric that admits a principal Killing-Yano tensor. The key observation is that Lunin's ansatz for the vector potential can be formulated in a covariant form—in terms of the principal tensor. In particular, focusing on the four-dimensional case we demonstrate separability of Maxwell's equations in the Kerr-NUT-(A)dS and the Plebański-Demiański family of spacetimes. The new method of separation of variables is quite different from the standard approach based on the Newman-Penrose formalism.

  14. 76 FR 60602 - Proposed Collection of Information: Annual Letters-Certificates of Authority (A) and Admitted...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ...--Certificates of Authority (A) and Admitted Reinsurer (B) AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service, as part of... notice, the Financial Management Service solicits comments concerning the ``Annual Letters-- Certificates...

  15. Estimating Unsaturated Zone N Fluxes and Travel Times to Groundwater at Watershed Scales

    NASA Astrophysics Data System (ADS)

    Liao, L.; Green, C. T.; Harter, T.; Nolan, B. T.; Juckem, P. F.; Shope, C. L.

    2016-12-01

    Nitrate concentrations in groundwater vary at spatial and temporal scales. Local variability depends on soil properties, unsaturated zone properties, hydrology, reactivity, and other factors. For example, the travel time in the unsaturated zone can cause contaminant responses in aquifers to lag behind changes in N inputs at the land surface, and variable leaching-fractions of applied N fertilizer to groundwater can elevate (or reduce) concentrations in groundwater. In this study, we apply the vertical flux model (VFM) (Liao et al., 2012) to address the importance of travel time of N in the unsaturated zone and its fraction leached from the unsaturated zone to groundwater. The Fox-Wolf-Peshtigo basins, including 34 out of 72 counties in Wisconsin, were selected as the study area. Simulated concentrations of NO3-, N2 from denitrification, O2, and environmental tracers of groundwater age were matched to observations by adjusting parameters for recharge rate, unsaturated zone travel time, fractions of N inputs leached to groundwater, O2 reduction rate, O2 threshold for denitrification, denitrification rate, and dispersivity. Correlations between calibrated parameters and GIS parameters (land use, drainage class and soil properties etc.) were evaluated. Model results revealed a median of recharge rate of 0.11 m/yr, which is comparable with results from three independent estimates of recharge rates in the study area. The unsaturated travel times ranged from 0.2 yr to 25 yr with median of 6.8 yr. The correlation analysis revealed that relationships between VFM parameters and landscape characteristics (GIS parameters) were consistent with expected relationships. Fraction N leached was lower in the vicinity of wetlands and greater in the vicinity of crop lands. Faster unsaturated zone transport in forested areas was consistent with results of studies showing rapid vertical transport in forested soils. Reaction rate coefficients correlated with chemical indicators such as Fe

  16. An Extended Multi-Zone Model for the MCG-6-30-15 Warm Absorber

    NASA Technical Reports Server (NTRS)

    Morales, R.; Fabian, A. C.; Reynolds, C. S.

    2000-01-01

    The variable warm absorber seen with ASCA in the X-ray spectrum of MCG 6-30-15 shows complex time behaviour in which the optical depth of O VIII anticorrelates with the flux whereas that of O VII is unchanging. The explanation in terms of a two zone absorber has since been challenged by BeppoSAX observations. These present a more complicated behaviour for the O VII edge. The explanation we offer for both ASCA and BeppoSAX observations requires a very simple photoionization model together with the presence of a third, intermediate, zone and a period of very low luminosity. In practice warm absorbers are likely to be extended, multi-zone regions of which only part causes directly observable absorption edges at any given time depending on the value of the luminosity.

  17. Model Parameter Variability for Enhanced Anaerobic Bioremediation of DNAPL Source Zones

    NASA Astrophysics Data System (ADS)

    Mao, X.; Gerhard, J. I.; Barry, D. A.

    2005-12-01

    The objective of the Source Area Bioremediation (SABRE) project, an international collaboration of twelve companies, two government agencies and three research institutions, is to evaluate the performance of enhanced anaerobic bioremediation for the treatment of chlorinated ethene source areas containing dense, non-aqueous phase liquids (DNAPL). This 4-year, 5.7 million dollars research effort focuses on a pilot-scale demonstration of enhanced bioremediation at a trichloroethene (TCE) DNAPL field site in the United Kingdom, and includes a significant program of laboratory and modelling studies. Prior to field implementation, a large-scale, multi-laboratory microcosm study was performed to determine the optimal system properties to support dehalogenation of TCE in site soil and groundwater. This statistically-based suite of experiments measured the influence of key variables (electron donor, nutrient addition, bioaugmentation, TCE concentration and sulphate concentration) in promoting the reductive dechlorination of TCE to ethene. As well, a comprehensive biogeochemical numerical model was developed for simulating the anaerobic dehalogenation of chlorinated ethenes. An appropriate (reduced) version of this model was combined with a parameter estimation method based on fitting of the experimental results. Each of over 150 individual microcosm calibrations involved matching predicted and observed time-varying concentrations of all chlorinated compounds. This study focuses on an analysis of this suite of fitted model parameter values. This includes determining the statistical correlation between parameters typically employed in standard Michaelis-Menten type rate descriptions (e.g., maximum dechlorination rates, half-saturation constants) and the key experimental variables. The analysis provides insight into the degree to which aqueous phase TCE and cis-DCE inhibit dechlorination of less-chlorinated compounds. Overall, this work provides a database of the numerical

  18. Molecular epidemiology of coagulase-negative Staphylococcus carriage in neonates admitted to an intensive care unit in Brazil

    PubMed Central

    2013-01-01

    Background Nasal colonization with coagulase-negative Staphylococcus (CoNS) has been described as a risk factor for subsequent systemic infection. In this study, we evaluated the genetic profile of CoNS isolates colonizing the nares of children admitted to a neonatal intensive care unit (NICU). Methods We assessed CoNS carriage at admittance and discharge among newborns admitted to a NICU from July 2007 through May 2008 in one of the major municipalities of Brazil. Isolates were screened on mannitol salt agar and tryptic soy broth and tested for susceptibility to antimicrobials using the disc diffusion method. Polymerase chain reaction (PCR) was used to determine the species, the presence of the mecA gene, and to perform SCCmec typing. S. epidermidis and S. haemolyticus isolated from the same child at both admission and discharge were characterized by PFGE. Results Among 429 neonates admitted to the NICU, 392 (91.4%) had nasal swabs collected at both admission and discharge. The incidence of CoNS during the hospitalization period was 55.9% (95% confidence interval [CI]: 50.9-60.7). The most frequently isolated species were S. haemolyticus (38.3%) and S.epidermidis (38.0%). Multidrug resistance (MDR) was detected in 2.2% and 29.9% of the CoNS isolates, respectively at admittance and discharge (p = 0.053). The mecA gene was more prevalent among strains isolated at discharge (83.6%) than those isolated at admission (60%); overall, SCCmec type I was isolated most frequently. The length of hospitalization was associated with colonization by MDR isolates (p < 0.005). Great genetic diversity was observed among S. epidermidis and S. haemolyticus. Conclusions NICU represents an environment of risk for colonization by MDR CoNS. Neonates admitted to the NICU can become a reservoir of CoNS strains with the potential to spread MDR strains into the community. PMID:24308773

  19. Definition of management zones for enhancing cultivated land conservation using combined spatial data.

    PubMed

    Li, Yan; Shi, Zhou; Wu, Hao-Xiang; Li, Feng; Li, Hong-Yi

    2013-10-01

    The loss of cultivated land has increasingly become an issue of regional and national concern in China. Definition of management zones is an important measure to protect limited cultivated land resource. In this study, combined spatial data were applied to define management zones in Fuyang city, China. The yield of cultivated land was first calculated and evaluated and the spatial distribution pattern mapped; the limiting factors affecting the yield were then explored; and their maps of the spatial variability were presented using geostatistics analysis. Data were jointly analyzed for management zone definition using a combination of principal component analysis with a fuzzy clustering method, two cluster validity functions were used to determine the optimal number of cluster. Finally one-way variance analysis was performed on 3,620 soil sampling points to assess how well the defined management zones reflected the soil properties and productivity level. It was shown that there existed great potential for increasing grain production, and the amount of cultivated land played a key role in maintaining security in grain production. Organic matter, total nitrogen, available phosphorus, elevation, thickness of the plow layer, and probability of irrigation guarantee were the main limiting factors affecting the yield. The optimal number of management zones was three, and there existed significantly statistical differences between the crop yield and field parameters in each defined management zone. Management zone I presented the highest potential crop yield, fertility level, and best agricultural production condition, whereas management zone III lowest. The study showed that the procedures used may be effective in automatically defining management zones; by the development of different management zones, different strategies of cultivated land management and practice in each zone could be determined, which is of great importance to enhance cultivated land conservation

  20. The prevalence of and variables associated with smoking in children and adolescents.

    PubMed

    Silva, Maria Alayde M da; Rivera, Ivan R; Carvalho, Antonio Carlos C; Guerra, Armando de H; Moreira, Tereza Cristina de A

    2006-01-01

    To identify the prevalence of smoking and the presence of variables associated with the habit in children and adolescents of both sexes, aged 7 to 17 years, resident in the city of Maceió. A cross-sectional epidemiological study of the student population of the both private and public education systems at elementary and high school level. Sample size was calculated based on the minimum predicted prevalence of a large number of variables, including smoking itself. Cluster sampling was employed. A questionnaire on smoking habits was completed during individual interviews with each student. Children who admitted having smoked on 1 or more day during the previous 30 were defined as current smokers. The variables analyzed were related to: the students (age, sex, previous experimentation with cigarettes and paid employment), their educational status (public/private school, daytime/evening lessons, grade and repeated years) and their families (economic status, smoking parents and separated parents). A total of 1,253 students were analyzed (547 were male, mean age was 12.4+/-2.9 years). Observed smoking prevalence was 2.4%. Multivariate statistical analysis demonstrated significant associations between smoking and: increased age (odds ratio: 1.31); previous experimentation with cigarettes (odds ratio: 33.96); studying during the evening (odds ratio: 5.43). It was observed that 286 students (22.8%) admitted having experimented with cigarettes (9% from 7 to 9 years; 21% from 10 to 14 years; 36% from 15 to 17 years). The prevalence of smoking among children and adolescents in the Maceió educational system is 2.4%, being most common among students aged 15 to 17 years, studying in the evening. Students who had experimented with cigarettes exhibited a 34 times greater chance of becoming smokers.

  1. Nonvariceal upper gastrointestinal bleeding: differences in outcome for patients admitted to internal medicine and gastroenterological services.

    PubMed

    Sandel, M H; Kolkman, J J; Kuipers, E J; Cuesta, M A; Meuwissen, S G

    2000-09-01

    It has been suggested that admission to a gastroenterology service (GAS) is associated with a better prognosis and lower cost for treatment of gastrointestinal (GI) diseases, such as upper GI bleeding (UGB). However, a large potential bias by higher comorbidity on internal medicine services (MED) could not be excluded from these studies. We therefore compared patients with upper GI bleeding admitted to a gastroenterology or internal medicine department, with special emphasis on prognostic factors, such as comorbidity, and outcome. Between 1991 and 1995, 322 patients were admitted to our hospital for UGB. Forty-five patients had variceal and 277 patients had nonvariceal upper GI bleeding (NUGB). Of 232 patients with primary NUGB, 125 were admitted to GAS and 93 to MED. The charts of these patients were revised, comorbidity was carefully recorded, and the Rockall risk score was calculated. All deaths were individually classified as unavoidable, mostly due to severe underlying illness, or potentially avoidable. No differences in delay for endoscopy or treatment were observed between GAS and MED. The rebleeding, surgery, and mortality rates in GAS and MED patients were 11.6% versus 11.5% (NS), 7.8% versus 7.3% (NS), and 2.4% versus 10.8% (p = 0.02), respectively. Rockall scores differed between GAS and MED patients (3.1 +/- 1.8 vs 3.7 +/- 1.7, p = 0.02). The mortality rate stratified by Rockall score was lower for the GAS patients. However, individual analysis revealed that only three of 13 deaths were potentially avoidable: two of 10 at the MED and one of three at the GAS. The lower mortality among nonvariceal upper GI bleeding patients admitted to a gastroenterological service compared to an internal medicine service was mainly due to lesser comorbidity. This effect was not detected by stratification according to Rockall, but shown with analysis of individual patient charts only. The latter underscores the potential pitfalls when comparing outcome or cost of

  2. Changes of the transitional climate zone in East Asia: past and future

    NASA Astrophysics Data System (ADS)

    Wang, Lin; Chen, Wen; Huang, Gang; Zeng, Gang

    2017-08-01

    The transitional climate zone (TCZ) between humid and arid regions in East Asia is characterized by sharp climate and biome gradients, interaction between the East Asian summer monsoon and the mid-latitude westerly winds and mixed agriculture-pasture activities. Consequently, it is highly vulnerable to natural disturbances and particularly human-driven global change. This study aims to illuminate the spatial and temporal variation of TCZ across both the retrospective and the prospective periods. In the historical period, both the front and rear edges of TCZ exhibit wide year-to-year excursions and have experienced coastward migration with increasing aridity throughout TCZ. Furthermore, precipitation fluctuation mainly contributes to interannual variability of TCZ whereas potential evaporation behavior dominates the long-term trends of TCZ. Models are capable of largely reproducing the shape and orientation of TCZ, although northwestward bias is apparent. In global warming scenario period, there will be continuing southeastward displacement for the front edge but the opposite northwestward movement is projected for the rear one, as a consequence of significant drying trends in the humid zone together with regime shifts towards humid conditions in the arid zone. Despite expanded TCZ sector, however, the available water resources inside it suffer little magnitude changes without preferential tendency towards either drier or wetter conditions, implying neither deleterious nor beneficial effects on the TCZ environment. Moreover, interannual variability of TCZ is expected to become stronger, resulting in more frequent occurrences of extreme swings. Finally, it is noted that uncertainty arising from climate models dominates in the TCZ than dispersed emission scenarios, in contrast to the situation in humid and arid zones.

  3. 76 FR 22033 - Safety Zone; Red River Safety Zone, Red River, MN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-20

    ...-AAOO Safety Zone; Red River Safety Zone, Red River, MN AGENCY: Coast Guard, DHS. ACTION: Temporary... a temporary safety zone on the Red River, MN. This safety zone is being established to ensure the... Red River in the State of Minnesota north of a line drawn across latitude 46[deg]20'00'' N, including...

  4. Nocturnal and daytime stomatal conductance respond to root-zone temperature in ‘Shiraz’ grapevines

    PubMed Central

    Rogiers, Suzy Y.; Clarke, Simon J.

    2013-01-01

    Background and Aims Daytime root-zone temperature may be a significant factor regulating water flux through plants. Water flux can also occur during the night but nocturnal stomatal response to environmental drivers such as root-zone temperature remains largely unknown. Methods Here nocturnal and daytime leaf gas exchange was quantified in ‘Shiraz’ grapevines (Vitis vinifera) exposed to three root-zone temperatures from budburst to fruit-set, for a total of 8 weeks in spring. Key Results Despite lower stomatal density, night-time stomatal conductance and transpiration rates were greater for plants grown in warm root-zones. Elevated root-zone temperature resulted in higher daytime stomatal conductance, transpiration and net assimilation rates across a range of leaf-to-air vapour pressure deficits, air temperatures and light levels. Intrinsic water-use efficiency was, however, lowest in those plants with warm root-zones. CO2 response curves of foliar gas exchange indicated that the maximum rate of electron transport and the maximum rate of Rubisco activity did not differ between the root-zone treatments, and therefore it was likely that the lower photosynthesis in cool root-zones was predominantly the result of a stomatal limitation. One week after discontinuation of the temperature treatments, gas exchange was similar between the plants, indicating a reversible physiological response to soil temperature. Conclusions In this anisohydric grapevine variety both night-time and daytime stomatal conductance were responsive to root-zone temperature. Because nocturnal transpiration has implications for overall plant water status, predictive climate change models using stomatal conductance will need to factor in this root-zone variable. PMID:23293018

  5. Zone lines

    Treesearch

    Kevin T. Smith

    2001-01-01

    Zone lines are narrow, usually dark markings formed in decaying wood. Zone lines are found most frequently in advanced white rot of hardwoods, although they occasionally are associated both with brown rot and with softwoods.

  6. Supporting Conditionally-Admitted Students: A Case Study of Assessing Persistence in a Learning Community

    ERIC Educational Resources Information Center

    Heaney, April; Fisher, Rick

    2011-01-01

    Using Astin's I-E-O model as a framework, this article explores the effects of a variety of factors on first-year persistence for conditionally-admitted students participating in a learning community at a public land-grant university. Since the learning community began in 2002, program administrators have collected survey, interview, and academic…

  7. Withholding or withdrawing of life-sustaining therapy in older adults (≥ 80 years) admitted to the intensive care unit.

    PubMed

    Guidet, Bertrand; Flaatten, Hans; Boumendil, Ariane; Morandi, Alessandro; Andersen, Finn H; Artigas, Antonio; Bertolini, Guido; Cecconi, Maurizio; Christensen, Steffen; Faraldi, Loredana; Fjølner, Jesper; Jung, Christian; Marsh, Brian; Moreno, Rui; Oeyen, Sandra; Öhman, Christina Agwald; Pinto, Bernardo Bollen; Soliman, Ivo W; Szczeklik, Wojciech; Valentin, Andreas; Watson, Ximena; Zafeiridis, Tilemachos; De Lange, Dylan W

    2018-05-17

    To document and analyse the decision to withhold or withdraw life-sustaining treatment (LST) in a population of very old patients admitted to the ICU. This prospective study included intensive care patients aged ≥ 80 years in 309 ICUs from 21 European countries with 30-day mortality follow-up. LST limitation was identified in 1356/5021 (27.2%) of patients: 15% had a withholding decision and 12.2% a withdrawal decision (including those with a previous withholding decision). Patients with LST limitation were older, more frail, more severely ill and less frequently electively admitted. Patients with withdrawal of LST were more frequently male and had a longer ICU length of stay. The ICU and 30-day mortality were, respectively, 29.1 and 53.1% in the withholding group and 82.2% and 93.1% in the withdrawal group. LST was less frequently limited in eastern and southern European countries than in northern Europe. The patient-independent factors associated with LST limitation were: acute ICU admission (OR 5.77, 95% CI 4.32-7.7), Clinical Frailty Scale (CFS) score (OR 2.08, 95% CI 1.78-2.42), increased age (each 5 years of increase in age had a OR of 1.22 (95% CI 1.12-1.34) and SOFA score [OR of 1.07 (95% CI 1.05-1.09 per point)]. The frequency of LST limitation was higher in countries with high GDP and was lower in religious countries. The most important patient variables associated with the instigation of LST limitation were acute admission, frailty, age, admission SOFA score and country. ClinicalTrials.gov (ID: NTC03134807).

  8. [A PhD completed 1. Immediate dental implant placement in the aesthetic zone].

    PubMed

    Slagter, K W

    2016-05-01

    When aesthetics play a role in an extraction, the tendency is to place an implant in the extraction socket immediately, preferably in combination with a temporary crown. This tendency is probably related to evolving social factors: demanding patients who want an instant and attactive result. In 2 randomised clinical trials (total 80 patients) the results of clinical treatment involving immediate implants in the aesthetic zone are investigated. Depending on the size of the bone defect (< 5 or ≥ 5 mm) the number of surgical interventions was reduced from 2 to 1 or from 3 to 2. The treatment result was measured by the following outcome variables: survival rate, changes in hard and soft -peri-implant tissues, aesthetic indecees and patient-satisfaction. The most important conclusion is that immediate placements of implants in the aesthetic zone, results in -outstanding short-term (1-year) results with respect to the outcome variables. If this also leads to good long-term results has yet to be investigated.

  9. Indices of climate change in the Artic zone derived from radiosondes

    NASA Astrophysics Data System (ADS)

    Añel, J. A.; Gimeno, L.; de La Torre, L.; Nieto, R.; Tesouro, M.; Ribera, P.; García, R.; Hernández, E.

    2003-04-01

    The use of indices has been traditionally one of the main tools to identify climatic change. Here we present a study of the interannual variability of parameters derived from radiosonde data to study climate change in the artic zone. Trends, oscillations and the relationship with the principal climate variability mode for this region ( Northern Annular Mode) have been studied. We calculate the indices from the Upper Air Digital Files of the National Climatic Data Center (CARDS). We chose for our work the radiosonde data of stations over the studied region, with a temporal coverage of 27 years (1973-1998).

  10. Holocene deceleration of the San Andreas fault zone in San Bernardino and implications for the eastern California shear zone rate debate

    NASA Astrophysics Data System (ADS)

    Bennett, R. A.; Lavier, L.; Anderson, M. L.; Matti, J.; Powell, R. E.

    2005-05-01

    New geodetic inferences for the rate of strain accumulation on the San Andreas fault associated with tectonic loading are ~20 mm/yr slower than observed Holocene surface displacement rates in the San Bernardino area, south of the fault's intersection with the San Jacinto fault zone, and north of its intersection with the eastern California shear zone (ECSZ). This displacement rate "anomaly" is significantly larger than can be easily explained by locking depth errors or earthquake cycle effects not accounted for in geodesy-constrained models for elastic loading rate. Using available time-averaged fault displacement-rates for the San Andreas and San Jacinto fault zones, we estimate instantaneous time-variable displacement rates on the San Andreas-San Jacinto-ECSZ fault zones, assuming that these fault zones form a closed system in the latitude band along which the fault zones overlap with one another and share in the accommodation of steady Pacific-North America relative plate motion. We find that the Holocene decrease in San Andreas loading rate can be compensated by a rapid increase in loading/displacement rate within the ECSZ over the past ~5 kyrs, independent of, but consistent with geodetic and geologic constraints derived from the ECSZ itself. Based on this model, we suggest that reported differences between fast contemporary strain rates observed on faults of the ECSZ using geodesy and slow rates inferred from Quaternary geology and Holocene paleoseismology (i.e., the ECSZ rate debate) may be explained by rapid changes in the pattern and rates of strain accumulation associated with fault loading largely unrelated to postseismic stress relaxation. If so, displacement rate data sets from Holocene geology and present-day geodesy could potentially provide important new constraints on the rheology of the lower crust and upper mantle representing lithospheric behavior on time-scales of thousands of years. Moreover, the results underscore that disagreement between

  11. Heterogeneous hyporheic zone dechlorination of a TCE groundwater plume discharging to an urban river reach.

    PubMed

    Freitas, Juliana G; Rivett, Michael O; Roche, Rachel S; Durrant Neé Cleverly, Megan; Walker, Caroline; Tellam, John H

    2015-02-01

    The typically elevated natural attenuation capacity of riverbed-hyporheic zones is expected to decrease chlorinated hydrocarbon (CHC) groundwater plume discharges to river receptors through dechlorination reactions. The aim of this study was to assess physico-chemical processes controlling field-scale variation in riverbed-hyporheic zone dechlorination of a TCE groundwater plume discharge to an urban river reach. The 50-m long pool-riffle-glide reach of the River Tame in Birmingham (UK) studied is a heterogeneous high energy river environment. The shallow riverbed was instrumented with a detailed network of multilevel samplers. Freeze coring revealed a geologically heterogeneous and poorly sorted riverbed. A chlorine number reduction approach provided a quantitative indicator of CHC dechlorination. Three sub-reaches of contrasting behaviour were identified. Greatest dechlorination occurred in the riffle sub-reach that was characterised by hyporheic zone flows, moderate sulphate concentrations and pH, anaerobic conditions, low iron, but elevated manganese concentrations with evidence of sulphate reduction. Transient hyporheic zone flows allowing input to varying riverbed depths of organic matter are anticipated to be a key control. The glide sub-reach displayed negligible dechlorination attributed to the predominant groundwater baseflow discharge condition, absence of hyporheic zone, transition to more oxic conditions and elevated sulphate concentrations expected to locally inhibit dechlorination. The tail-of-pool-riffle sub-reach exhibited patchy dechlorination that was attributed to sub-reach complexities including significant flow bypass of a low permeability, high organic matter, silty unit of high dechlorination potential. A process-based conceptual model of reach-scale dechlorination variability was developed. Key findings of practitioner relevance were: riverbed-hyporheic zone CHC dechlorination may provide only a partial, somewhat patchy barrier to CHC

  12. From an ocean floor wrench zone origin to transpressional tectonic emplacement of the Sithonia ophiolite, eastern Vardar Suture Zone, northern Greece

    NASA Astrophysics Data System (ADS)

    Bonev, Nikolay; Filipov, Petyo

    2017-12-01

    In the Hellenides of northern Greece, the Sithonia back-arc ophiolite constitute an element of the Vardar suture zone against the Chortiatis island arc magmatic suite, the Melissochori Formation and the Serbo-Macedonian Massif further north at the Mesozoic continental margin of Eurasia. A granodiorite from the Chortiatis island arc magmatic suite crystallized at 160 Ma as derived from new U-Pb zircon geochronology and confirms the end of arc magmatic activity that started at around 173 Ma. Located southerly of the Chortiatis island arc magmatic suite, the Sithonia ophiolite had igneous life from 159 to 149 Ma, and the ophiolite interfinger with clastic-carbonate Kimmeridgian sediments. Magmatic structures (i.e., sheeted dykes) in the ophiolite witness for NE-trending rift axis, while the transform faults and fracture zones sketch NW-SE transcurrent transtension-like propagation of the rift-spreading center at Sithonia that is consistent with a dextral wrench corridor already proposed for the ophiolite origin in the eastern Vardar zone. The tectonic emplacement of the Sithonia ophiolite involved dextral ENE to SE strike-slip sense of shear and SW and NE reverse thrust sense of shear on mostly steep foliation S1, subhorizontal lineation L1 and associated variably inclined F1 fold axes. This structural grain and kinematics are shared by adjacent Chortiatis island arc magmatic suite and the Melissochori Formation. The coexistence of strike-parallel and thrust components of displacement along discrete dextral strike-slip shear zones and internal deformation of the mentioned units is interpreted to result from a bulk dextral transpressive deformation regime developed in greenschist-facies metamorphic conditions. The back-arc ocean floor previous structural architecture with faults and fracture zones where Kimmeridgian sediments deposited in troughs was used by discrete strike-slip shear zones in which these sediments involved, and the shear zones become the sites for

  13. Occupational therapy for stroke patients not admitted to hospital: a randomised controlled trial.

    PubMed

    Walker, M F; Gladman, J R; Lincoln, N B; Siemonsma, P; Whiteley, T

    1999-07-24

    Patients who have a stroke are not always admitted to hospital, and 22-60% remain in the community, frequently without coordinated rehabilitation. We aimed to assess the efficacy of an occupational therapy intervention for patients with stroke who were not admitted to hospital. In this single-blind randomised controlled trial, consecutive stroke patients on a UK community register in Nottingham and Derbyshire were allocated randomly to up to 5 months of occupational therapy at home or to no intervention (control group) 1 month after their stroke. The aim of the occupational therapy was to encourage independence in personal and instrumental activities of daily living. Patients were assessed on outcome measures at baseline (before randomisation) and at 6 months. The primary outcome measure was the score on the extended activities of daily living (EADL) scale at 6 months. Other outcome measures included the Barthel index, the general health questionnaire 28, the carer strain index, and the London handicap scale. All assessments were done by an independent assessor who was unaware of treatment allocation. The analysis included only data from completed questionnaires. 185 patients were included: 94 in the occupational therapy group and 91 in the control group. 22 patients were not assessed at 6 months. At follow-up, patients who had occupational therapy had significantly higher median scores than the controls on: the EADL scale (16 vs 12, p<0.01, estimated difference 3 [95% CI 1 to 4]); the Barthel index (20 vs 18, p<0.01, difference 1, [0-1]); the carer strain index (1 vs 3, p<0.05, difference 1 [0 to 2]); and the London handicap scale (76 vs 65, p<0.05, difference 7, [0.3 to 13.5]). There were no significant differences on the general health questionnaire between the patient or carer. Occupational therapy significantly reduced disability and handicap in patients with stroke who were not admitted to hospital.

  14. Providing plastic zone extrusion

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Manchiraju, Venkata Kiran; Feng, Zhili; David, Stan A.

    Plastic zone extrusion may be provided. First, a compressor may generate frictional heat in stock to place the stock in a plastic zone of the stock. Then, a conveyer may receive the stock in its plastic zone from the compressor and transport the stock in its plastic zone from the compressor. Next, a die may receive the stock in its plastic zone from the conveyer and extrude the stock to form a wire.

  15. Characterization of soil spatial variability for site-specific management using soil electrical conductivity and other remotely sensed data

    NASA Astrophysics Data System (ADS)

    Bang, Jisu

    Field-scale characterization of soil spatial variability using remote sensing technology has potential for achieving the successful implementation of site-specific management (SSM). The objectives of this study were to: (i) examine the spatial relationships between apparent soil electrical conductivity (EC a) and soil chemical and physical properties to determine if EC a could be useful to characterize soil properties related to crop productivity in the Coastal Plain and Piedmont of North Carolina; (ii) evaluate the effects of in-situ soil moisture variation on ECa mapping as a basis for characterization of soil spatial variability and as a data layer in cluster analysis as a means of delineating sampling zones; (iii) evaluate clustering approaches using different variable sets for management zone delineation to characterize spatial variability in soil nutrient levels and crop yields. Studies were conducted in two fields in the Piedmont and three fields in the Coastal Plain of North Carolina. Spatial measurements of ECa via electromagnetic induction (EMI) were compared with soil chemical parameters (extractable P, K, and micronutrients; pH, cation exchange capacity [CEC], humic matter or soil organic matter; and physical parameters (percentage sand, silt, and clay; and plant-available water [PAW] content; bulk density; cone index; saturated hydraulic conductivity [Ksat] in one of the coastal plain fields) using correlation analysis across fields. We also collected ECa measurements in one coastal plain field on four days with significantly different naturally occurring soil moisture conditions measured in five increments to 0.75 m using profiling time-domain reflectometry probes to evaluate the temporal variability of ECa associated with changes in in-situ soil moisture content. Nonhierarchical k-means cluster analysis using sensor-based field attributes including vertical ECa, near-infrared (NIR) radiance of bare-soil from an aerial color infrared (CIR) image

  16. [Relationship between status of physical and mental function and quality of life among the elderly people admitted from long-term care insurance].

    PubMed

    Kim, Hyeong Seon; Bae, Nam Kyou; Kwon, In Sun; Cho, Young Chae

    2010-07-01

    This study was performed to determine the levels of quality of life (QOL) according to the grade of long-term care service for the elderly people who were admitted from long-term care insurance, and to reveal its association with the physical and mental functioning such as the Activity of Daily Living (ADL), the Instrumental Activity of Daily Living (IADL), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Mini-Mental State Examination-Korean version (MMSE-K). The interviews were performed during the period from March 1 to May 31, 2009, for 958 elderly people in urban and rural areas. The questionnaire items included various indices such as the ADL, IADL, CES-D, and MMSE-K, as independent variables and the index of QOL, as the dependent ones. For statistical analysis, t-tests were used for the mean scores of QOL according to gender and the grade of long-term care services, and Spearman's correlation was used for each variable. The effects of physical and mental functioning for QOL were assessed by covariance structure analysis. The statistical significance was set at p<0.05. The mean scores of QOL among all the subjects was 55.4 ± 15.62 (Grade I: 49.7 ± 14.17, Grade II: 56.8 ± 14.62, Grade III: 59.4 ± 16.36), and it was lower according to the higher grade of long-term care insurance. In terms of the correlation matrix of the QOL and the physical and mental function factors, the QOL showed positive correlation with the ADL, IADL and MMSE-K, while it had negative correlation with depression. On the analysis of covariance, mental functioning (depression and the MMSE-K) had a greater influence on the level of QOL than the physical functioning (ADL and IADL). The level of the QOL in the elderly people who were admitted from long-term care insurance was lower according to higher the grade of long-term care insurance. Also, the mental functioning (depression and MMSE-K) was more influential on the level of the QOL than the physical functioning

  17. Analysis of the frequency and severity of rear-end crashes in work zones.

    PubMed

    Qi, Yi; Srinivasan, Raghavan; Teng, Hualiang; Baker, Robert

    2013-01-01

    The objective of this study was to identify the factors that influence the frequency and severity of rear-end crashes in work zones because rear-end crashes represent a significant proportion of crashes that occur in work zones. Truncated count data models were developed to identify influencing factors on the frequency of read-end crashes in work zones and ordered probit models were developed to evaluate influencing factors on the severity of rear-end crashes in work zones. Most of the variables identified in this study for these 2 models were significant at the 95 percent level. The statistics for models indicate that the 2 developed models are appropriate compared to alternative models. Major findings related to the frequency of rear-end crashes include the following: (1) work zones for capacity and pavement improvements have the highest frequency compared to other types of work zones; (2) work zones controlled by flaggers are associated with more rear-end crashes compared to those controlled by arrow boards; and (3) work zones with alternating one-way traffic tended to have more rear-end crashes compared to those with lane shifts. Major findings related to the severity of the rear-end crashes include the following: (1) rear-end crashes associated with alcohol, night, pedestrians, and roadway defects are more severe, and those associated with careless backing, stalled vehicles, slippery roadways, and misunderstanding flagging signals are less severe; (2) truck involvement and a large number of vehicles in a crash are both associated with increased severity, and (3) rear-end crashes that happened in work zones for bridge, capacity, and pavement are likely to be more severe than others.

  18. Uncertainty analysis of accident notification time and emergency medical service response time in work zone traffic accidents.

    PubMed

    Meng, Qiang; Weng, Jinxian

    2013-01-01

    Taking into account the uncertainty caused by exogenous factors, the accident notification time (ANT) and emergency medical service (EMS) response time were modeled as 2 random variables following the lognormal distribution. Their mean values and standard deviations were respectively formulated as the functions of environmental variables including crash time, road type, weekend, holiday, light condition, weather, and work zone type. Work zone traffic accident data from the Fatality Analysis Report System between 2002 and 2009 were utilized to determine the distributions of the ANT and the EMS arrival time in the United States. A mixed logistic regression model, taking into account the uncertainty associated with the ANT and the EMS response time, was developed to estimate the risk of death. The results showed that the uncertainty of the ANT was primarily influenced by crash time and road type, whereas the uncertainty of EMS response time is greatly affected by road type, weather, and light conditions. In addition, work zone accidents occurring during a holiday and in poor light conditions were found to be statistically associated with a longer mean ANT and longer EMS response time. The results also show that shortening the ANT was a more effective approach in reducing the risk of death than the EMS response time in work zones. To shorten the ANT and the EMS response time, work zone activities are suggested to be undertaken during non-holidays, during the daytime, and in good weather and light conditions.

  19. Fault zone hydrogeology

    NASA Astrophysics Data System (ADS)

    Bense, V. F.; Gleeson, T.; Loveless, S. E.; Bour, O.; Scibek, J.

    2013-12-01

    Deformation along faults in the shallow crust (< 1 km) introduces permeability heterogeneity and anisotropy, which has an important impact on processes such as regional groundwater flow, hydrocarbon migration, and hydrothermal fluid circulation. Fault zones have the capacity to be hydraulic conduits connecting shallow and deep geological environments, but simultaneously the fault cores of many faults often form effective barriers to flow. The direct evaluation of the impact of faults to fluid flow patterns remains a challenge and requires a multidisciplinary research effort of structural geologists and hydrogeologists. However, we find that these disciplines often use different methods with little interaction between them. In this review, we document the current multi-disciplinary understanding of fault zone hydrogeology. We discuss surface- and subsurface observations from diverse rock types from unlithified and lithified clastic sediments through to carbonate, crystalline, and volcanic rocks. For each rock type, we evaluate geological deformation mechanisms, hydrogeologic observations and conceptual models of fault zone hydrogeology. Outcrop observations indicate that fault zones commonly have a permeability structure suggesting they should act as complex conduit-barrier systems in which along-fault flow is encouraged and across-fault flow is impeded. Hydrogeological observations of fault zones reported in the literature show a broad qualitative agreement with outcrop-based conceptual models of fault zone hydrogeology. Nevertheless, the specific impact of a particular fault permeability structure on fault zone hydrogeology can only be assessed when the hydrogeological context of the fault zone is considered and not from outcrop observations alone. To gain a more integrated, comprehensive understanding of fault zone hydrogeology, we foresee numerous synergistic opportunities and challenges for the discipline of structural geology and hydrogeology to co-evolve and

  20. Diffusion of Zonal Variables Using Node-Centered Diffusion Solver

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yang, T B

    2007-08-06

    Tom Kaiser [1] has done some preliminary work to use the node-centered diffusion solver (originally developed by T. Palmer [2]) in Kull for diffusion of zonal variables such as electron temperature. To avoid numerical diffusion, Tom used a scheme developed by Shestakov et al. [3] and found their scheme could, in the vicinity of steep gradients, decouple nearest-neighbor zonal sub-meshes leading to 'alternating-zone' (red-black mode) errors. Tom extended their scheme to couple the sub-meshes with appropriate chosen artificial diffusion and thereby solved the 'alternating-zone' problem. Because the choice of the artificial diffusion coefficient could be very delicate, it is desirablemore » to use a scheme that does not require the artificial diffusion but still able to avoid both numerical diffusion and the 'alternating-zone' problem. In this document we present such a scheme.« less

  1. Admission Rhetoric and Academic Self-Efficacy: The Importance of First Communications for Conditionally Admitted Students

    ERIC Educational Resources Information Center

    Stewart, Joyce; Heaney, April

    2013-01-01

    This article advocates for increased attention on the college admission letter to strengthen conditionally admitted students' academic self-efficacy as they begin the college experience. Although first communications are often considered perfunctory, the language of admission materials has strong potential to help at-risk students begin college…

  2. Pattern Of Leukaemia Patients Admitted In Ayub Teaching Hospital Abbottabad.

    PubMed

    Khan, Tariq Mehmood

    2016-01-01

    Any tissue of the body can give rise to cancer. However, those tissues which multiply rapidly are at high risk of developing cancer and haematopoietic system is one of them. Neoplasms of this system are known as leukaemia and lymphoma, according to the types of white cells involved. Study of cancer patterns in different societies, however can contribute a substantial knowledge about the aetiology of cancer. The present Study was designed and aimed to estimate the frequency of different types of leukaemia in patients admitted in Ayub Teaching hospital Abbottabad. Data from the patients admitted at oncology Department of Ayub Teaching Hospital Abbottabad from 2010 to 2015 was collected and analysed to calculate cumulative and year-wise frequency of leukaemia and its major types. Frequency distribution with reference to gender and age was also calculated. In our analysis about 16% patients had acute myelocytic leukaemia and 32% patients had acute lymphocytic leukaemia; while chronic myeloid leukaemia outnumbered chronic lymphocytic leukaemia (11% and 3%); Hodgkin lymphoma was seen in 18% cases while Non Hodgkin lymphoma (NHL) was present in 20% cases. Out of the total, 150 cases (75%) belonged to mountainous areas of Hazara, i.e., 40 cases belonged to Kohistan, another 40 cases were residents of Battagram, 45 cases belonged to hilly areas of Mansehra and 25 cases to Kaghan valley, while only 50 (25%) cases were from the plain areas of Abbottabad and Haripur districts, i.e., 20 and 30 cases respectively. Leukaemia is more common in hilly areas of Hazara, since majority of the cases belonged to well-known mountainous regions of Kohistan, Battagram, Kaghan or Mansehra and only few cases belonged to the plain areas of Abbottabad and Haripur districts.

  3. Decreasing prevalence and seasonal variation of gunshot trauma in raptors admitted to the wildlife center of Virginia: 1993-2002.

    PubMed

    Richards, Jean; Lickey, Adrienne; Sleeman, Jonathan M

    2005-09-01

    A retrospective study was conducted to identify the epidemiologic factors associated with gunshot injuries in raptors presented to the Wildlife Center of Virginia from 1993 to 2002. Of the 3,156 raptors admitted, 118 raptors (3.7%), representing 15 species, were admitted with gunshot trauma as the primary cause of morbidity and mortality. The majority of cases consisted of four species: red-tailed hawk (Buteo jamaicensis; 47%), red-shouldered hawk (Buteo lineatus; 14%), turkey vulture (Cathartes aura; 10%), and bald eagle (Haliaeetus leucocephalus; 8%). For species with greater than 40 admissions during the study period, the proportion of gunshot trauma of all causes of morbidity and mortality ranged from <1% to 11%. Greater numbers of raptors with gunshot trauma were admitted during the fall and winter months (75%) compared with the spring and summer (25%). A significant decrease in the absolute number of gunshot cases per year was observed over the time period studied. The population-level effect of gunshot trauma is unknown for these species; however, it appears to be minor compared with other causes of morbidity and mortality.

  4. Remote sensing in the mixing zone. [water pollution in Wisconsin

    NASA Technical Reports Server (NTRS)

    Villemonte, J. R.; Hoopes, J. A.; Wu, D. S.; Lillesand, T. M.

    1973-01-01

    Characteristics of dispersion and diffusion as the mechanisms by which pollutants are transported in natural river courses were studied with the view of providing additional data for the establishment of water quality guidelines and effluent outfall design protocols. Work has been divided into four basic categories which are directed at the basic goal of developing relationships which will permit the estimation of the nature and extent of the mixing zone as a function of those variables which characterize the outfall structure, the effluent, and the river, as well as climatological conditions. The four basic categories of effort are: (1) the development of mathematical models; (2) laboratory studies of physical models; (3) field surveys involving ground and aerial sensing; and (4) correlation between aerial photographic imagery and mixing zone characteristics.

  5. Microbial community compositions in different functional zones of Carrousel oxidation ditch system for domestic wastewater treatment.

    PubMed

    Xu, Dong; Liu, Sitong; Chen, Qian; Ni, Jinren

    2017-12-01

    The microbial community diversity in anaerobic-, anoxic- and oxic-biological zones of a conventional Carrousel oxidation ditch system for domestic wastewater treatment was systematically investigated. The monitored results of the activated sludge sampled from six full-scale WWTPs indicated that Proteobacteria, Chloroflexi, Bacteroidetes, Actinobacteria, Verrucomicrobia, Acidobacteria and Nitrospirae were dominant phyla, and Nitrospira was the most abundant and ubiquitous genus across the three biological zones. The anaerobic-, anoxic- and oxic-zones shared approximately similar percentages across the 50 most abundant genera, and three genera (i.e. uncultured bacterium PeM15, Methanosaeta and Bellilinea) presented statistically significantly differential abundance in the anoxic-zone. Illumina high-throughput sequences related to ammonium oxidizer organisms and denitrifiers with top50 abundance in all samples were Nitrospira, uncultured Nitrosomonadaceae, Dechloromonas, Thauera, Denitratisoma, Rhodocyclaceae (norank) and Comamonadaceae (norank). Moreover, environmental variables such as water temperature, water volume, influent ammonium nitrogen, influent chemical oxygen demand (COD) and effluent COD exhibited significant correlation to the microbial community according to the Monte Carlo permutation test analysis (p < 0.05). The abundance of Nitrospira, uncultured Nitrosomonadaceae and Denitratisoma presented strong positive correlations with the influent/effluent concentration of COD and ammonium nitrogen, while Dechloromonas, Thauera, Rhodocyclaceae (norank) and Comamonadaceae (norank) showed positive correlations with water volume and temperature. The established relationship between microbial community and environmental variables in different biologically functional zones of the six representative WWTPs at different geographical locations made the present work of potential use for evaluation of practical wastewater treatment processes.

  6. Prevalence of Burnout Syndrome in patients admitted with acute coronary syndrome.

    PubMed

    Prosdócimo, Ana Cláudia Giaxa; Lucina, Luciane Boreki; Marcia, Olandoski; Jobs, Priscila Megda João; Schio, Nicolle Amboni; Baldanzi, Fernanda Fachin; Costantini, Costantino Ortiz; Benevides-Pereira, Ana Maria Teresa; Guarita-Souza, Luiz Cesar; Faria-Neto, José Rocha

    2015-03-01

    Burnout Syndrome is the extreme emotional response to chronic occupational stress, manifesting as physical and mental exhaustion. Although associated with higher prevalence of cardiovascular risk factors, no study so far has evaluated whether the Burnout Syndrome could be a prevalent factor in non-elderly individuals active in the labor market, admitted for acute coronary syndrome (ACS). To evaluate the prevalence of the Burnout Syndrome in non-elderly, economically active patients, hospitalized with ACS. Cross-sectional study conducted in a tertiary and private cardiology center, with economically active patients aged <65 years, hospitalized with diagnosis of ACS. The Burnout Syndrome was evaluated with the Burnout Syndrome Inventory (BSI), which assesses workplace conditions and four dimensions that characterize the syndrome: emotional exhaustion (EE), emotional distancing (EmD), dehumanization (De) and professional fulfillment (PF). The Lipp's Stress Symptoms Inventory for Adults (LSSI) was applied to evaluate global stress. Of 830 patients evaluated with suspected ACS, 170 met the study criteria, 90% of which were men, overall average age was 52 years, and 40.5% had an average income above 11 minimum wages. The prevalence of the Burnout Syndrome was 4.1%. When we evaluated each dimension individually, we found high EE in 34.7%, high De in 52.4%, high EDi in 30.6%, and low PF in 5.9%. The overall prevalence of stress was 87.5%. We found a low prevalence of Burnout Syndrome in an economically active, non-elderly population among patients admitted for ACS in a tertiary and private hospital.

  7. Prevalence of Burnout Syndrome in Patients Admitted with Acute Coronary Syndrome

    PubMed Central

    Prosdócimo, Ana Cláudia Giaxa; Lucina, Luciane Boreki; Marcia, Olandoski; Jobs, Priscila Megda João; Schio, Nicolle Amboni; Baldanzi, Fernanda Fachin; Costantini, Costantino Ortiz; Benevides-Pereira, Ana Maria Teresa; Guarita-Souza, Luiz Cesar; Faria-Neto, José Rocha

    2015-01-01

    Background Burnout Syndrome is the extreme emotional response to chronic occupational stress, manifesting as physical and mental exhaustion. Although associated with higher prevalence of cardiovascular risk factors, no study so far has evaluated whether the Burnout Syndrome could be a prevalent factor in non-elderly individuals active in the labor market, admitted for acute coronary syndrome (ACS). Objective To evaluate the prevalence of the Burnout Syndrome in non-elderly, economically active patients, hospitalized with ACS. Methods Cross-sectional study conducted in a tertiary and private cardiology center, with economically active patients aged <65 years, hospitalized with diagnosis of ACS. The Burnout Syndrome was evaluated with the Burnout Syndrome Inventory (BSI), which assesses workplace conditions and four dimensions that characterize the syndrome: emotional exhaustion (EE), emotional distancing (EmD), dehumanization (De) and professional fulfillment (PF). The Lipp’s Stress Symptoms Inventory for Adults (LSSI) was applied to evaluate global stress. Results Of 830 patients evaluated with suspected ACS, 170 met the study criteria, 90% of which were men, overall average age was 52 years, and 40.5% had an average income above 11 minimum wages. The prevalence of the Burnout Syndrome was 4.1%. When we evaluated each dimension individually, we found high EE in 34.7%, high De in 52.4%, high EDi in 30.6%, and low PF in 5.9%. The overall prevalence of stress was 87.5%. Conclusion We found a low prevalence of Burnout Syndrome in an economically active, non-elderly population among patients admitted for ACS in a tertiary and private hospital. PMID:25517388

  8. Biofilter design for effective nitrogen removal from stormwater - influence of plant species, inflow hydrology and use of a saturated zone.

    PubMed

    Payne, Emily G I; Pham, Tracey; Cook, Perran L M; Fletcher, Tim D; Hatt, Belinda E; Deletic, Ana

    2014-01-01

    The use of biofilters to remove nitrogen and other pollutants from urban stormwater runoff has demonstrated varied success across laboratory and field studies. Design variables including plant species and use of a saturated zone have large impacts upon performance. A laboratory column study of 22 plant species and designs with varied outlet configuration was conducted across a 1.5-year period to further investigate the mechanisms and influences driving biofilter nitrogen processing. This paper presents outflow concentrations of total nitrogen from two sampling events across both 'wet' and 'dry' frequency dosing, and from sampling across two points in the outflow hydrograph. All plant species were effective under conditions of frequent dosing, but extended drying increased variation between species and highlighted the importance of a saturated zone in maintaining biofilter function. The saturated zone also effectively treated the volume of stormwater stored between inflow events, but this extended detention provided no additional benefit alongside the rapid processing of the highest performing species. Hence, the saturated zone reduced performance differences between plant species, and potentially acts as an 'insurance policy' against poor sub-optimal plant selection. The study shows the importance of biodiversity and inclusion of a saturated zone in protecting against climate variability.

  9. Seed zones and breeding zones for sugar pine in southwestern Oregon.

    Treesearch

    Robert K. Campbell; Albert I. Sugano

    1987-01-01

    Provisional seed zones and breeding zones were developed for sugar pine (Pinus lambertiana Dougl.) in southwestern Oregon. Zones are based on a map of genetic variation patterns obtained by evaluating genotypes of trees from 142 locations in the region. Genotypes controlling growth vigor and growth rhythm were assessed in a common garden. Within...

  10. Progress in Australian dendroclimatology: Identifying growth limiting factors in four climate zones.

    PubMed

    Haines, Heather A; Olley, Jon M; Kemp, Justine; English, Nathan B

    2016-12-01

    Dendroclimatology can be used to better understand past climate in regions such as Australia where instrumental and historical climate records are sparse and rarely extend beyond 100years. Here we review 36 Australian dendroclimatic studies which cover the four major climate zones of Australia; temperate, arid, subtropical and tropical. We show that all of these zones contain tree and shrub species which have the potential to provide high quality records of past climate. Despite this potential only four dendroclimatic reconstructions have been published for Australia, one from each of the climate zones: A 3592year temperature record for the SE-temperate zone, a 350year rainfall record for the Western arid zone, a 140year rainfall record for the northern tropics and a 146year rainfall record for SE-subtropics. We report on the spatial distribution of tree-ring studies, the environmental variables identified as limiting tree growth in each study, and identify the key challenges in using tree-ring records for climate reconstruction in Australia. We show that many Australian species have yet to be tested for dendroclimatological potential, and that the application of newer techniques including isotopic analysis, carbon dating, wood density measurements, and anatomical analysis, combined with traditional ring-width measurements should enable more species in each of the climate zones to be used, and long-term climate records to be developed across the entire continent. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. A two-dimensional time domain near zone to far zone transformation

    NASA Technical Reports Server (NTRS)

    Luebbers, Raymond J.; Ryan, Deirdre; Beggs, John H.; Kunz, Karl S.

    1991-01-01

    A time domain transformation useful for extrapolating three dimensional near zone finite difference time domain (FDTD) results to the far zone was presented. Here, the corresponding two dimensional transform is outlined. While the three dimensional transformation produced a physically observable far zone time domain field, this is not convenient to do directly in two dimensions, since a convolution would be required. However, a representative two dimensional far zone time domain result can be obtained directly. This result can then be transformed to the frequency domain using a Fast Fourier Transform, corrected with a simple multiplicative factor, and used, for example, to calculate the complex wideband scattering width of a target. If an actual time domain far zone result is required, it can be obtained by inverse Fourier transform of the final frequency domain result.

  12. Distribution and variability of redox zones controlling spatial variability of arsenic in the Mississippi River Valley alluvial aquifer, southeastern Arkansas

    USGS Publications Warehouse

    Sharif, M.U.; Davis, R.K.; Steele, K.F.; Kim, B.; Hays, P.D.; Kresse, T.M.; Fazio, J.A.

    2008-01-01

    historic flushing of As and Fe from hydrous ferric oxides (HFO) by microbially-mediated reductive dissolution and aging of HFO to crystalline phases. Hydrogeochemical data suggests that the groundwater in the area falls in the mildly reducing (suboxic) to relatively highly reducing (anoxic) zone, and points to reductive dissolution of HFO as the dominant As release mechanism. Spatial variability of gypsum solubility and simultaneous SO42- reduction with co-precipitation of As and sulfide is an important limiting process controlling the concentration of As in groundwater in the area. ?? 2008 Elsevier B.V. All rights reserved.

  13. Genecology and seed zones for tapertip onion in the US Great Basin

    Treesearch

    R. C. Johnson; Barbara C. Hellier; Ken W. Vance-Borland

    2013-01-01

    The choice of germplasm is critical for sustainable restoration, yet seed transfer guidelines are lacking for all but a few herbaceous species. Seed transfer zones based on genetic variability and climate were developed using tapertip onion (Allium acuminatum Hook.) collected in the Great Basin and surrounding areas in the United States. Bulbs from 53 locations were...

  14. The hydrothermal system associated with the Kilauea East Rift Zone, Hawaii

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Thomas, D.M.; Conrad, M.E.

    1997-12-31

    During the last twenty years drilling and fluid production on the Kilauea East Rift Zone (KERZ) has shown that an active hydrothermal system is associated with much of the rift. Well logging and fluid geochemistry indicate that reservoir temperatures exceed 360 C but are highly variable. Although neither well testing nor pressure decline data have clearly demonstrated the lateral limits of the reservoir, divergent fluid compositions over short distances suggest that the larger hydrothermal system is strongly compartmentalized across the rift zone. The chemical compositions of production fluids indicate that recharge is derived from ocean water and meteoric recharge andmore » isotopic data suggest that the latter may be derived from subsurface inflow from the flanks of Mauna Loa.« less

  15. Proliferation zones in the axolotl brain and regeneration of the telencephalon.

    PubMed

    Maden, Malcolm; Manwell, Laurie A; Ormerod, Brandi K

    2013-01-17

    Although the brains of lower vertebrates are known to exhibit somewhat limited regeneration after incisional or stab wounds, the Urodele brain exhibits extensive regeneration after massive tissue removal. Discovering whether and how neural progenitor cells that reside in the ventricular zones of Urodeles proliferate to mediate tissue repair in response to injury may produce novel leads for regenerative strategies. Here we show that endogenous neural progenitor cells resident to the ventricular zone of Urodeles spontaneously proliferate, producing progeny that migrate throughout the telencephalon before terminally differentiating into neurons. These progenitor cells appear to be responsible for telencephalon regeneration after tissue removal and their activity may be up-regulated by injury through an olfactory cue. There is extensive proliferation of endogenous neural progenitor cells throughout the ventricular zone of the adult axolotl brain. The highest levels are observed in the telencephalon, especially the dorsolateral aspect, and cerebellum. Lower levels are observed in the mesencephalon and rhombencephalon. New cells produced in the ventricular zone migrate laterally, dorsally and ventrally into the surrounding neuronal layer. After migrating from the ventricular zone, the new cells primarily express markers of neuronal differentiative fates. Large-scale telencephalic tissue removal stimulates progenitor cell proliferation in the ventricular zone of the damaged region, followed by proliferation in the tissue that surrounds the healing edges of the wound until the telencephalon has completed regeneration. The proliferative stimulus appears to reside in the olfactory system, because telencephalic regeneration does not occur in the brains of olfactory bulbectomized animals in which the damaged neural tissue simply heals over. There is a continual generation of neuronal cells from neural progenitor cells located within the ventricular zone of the axolotl brain

  16. Spatial and temporal variability of interhemispheric transport times

    NASA Astrophysics Data System (ADS)

    Wu, Xiaokang; Yang, Huang; Waugh, Darryn W.; Orbe, Clara; Tilmes, Simone; Lamarque, Jean-Francois

    2018-05-01

    The seasonal and interannual variability of transport times from the northern midlatitude surface into the Southern Hemisphere is examined using simulations of three idealized age tracers: an ideal age tracer that yields the mean transit time from northern midlatitudes and two tracers with uniform 50- and 5-day decay. For all tracers the largest seasonal and interannual variability occurs near the surface within the tropics and is generally closely coupled to movement of the Intertropical Convergence Zone (ITCZ). There are, however, notable differences in variability between the different tracers. The largest seasonal and interannual variability in the mean age is generally confined to latitudes spanning the ITCZ, with very weak variability in the southern extratropics. In contrast, for tracers subject to spatially uniform exponential loss the peak variability tends to be south of the ITCZ, and there is a smaller contrast between tropical and extratropical variability. These differences in variability occur because the distribution of transit times from northern midlatitudes is very broad and tracers with more rapid loss are more sensitive to changes in fast transit times than the mean age tracer. These simulations suggest that the seasonal-interannual variability in the southern extratropics of trace gases with predominantly NH midlatitude sources may differ depending on the gases' chemical lifetimes.

  17. Functional homogeneous zones (fHZs) in viticultural zoning procedure: an Italian case study on Aglianico vine

    NASA Astrophysics Data System (ADS)

    Bonfante, A.; Agrillo, A.; Albrizio, R.; Basile, A.; Buonomo, R.; De Mascellis, R.; Gambuti, A.; Giorio, P.; Guida, G.; Langella, G.; Manna, P.; Minieri, L.; Moio, L.; Siani, T.; Terribile, F.

    2015-06-01

    This paper aims to test a new physically oriented approach to viticulture zoning at farm scale that is strongly rooted in hydropedology and aims to achieve a better use of environmental features with respect to plant requirements and wine production. The physics of our approach are defined by the use of soil-plant-atmosphere simulation models, applying physically based equations to describe the soil hydrological processes and solve soil-plant water status. This study (part of the ZOVISA project) was conducted on a farm devoted to production of high-quality wines (Aglianico DOC), located in southern Italy (Campania region, Mirabella Eclano, AV). The soil spatial distribution was obtained after standard soil survey informed by geophysical survey. Two homogeneous zones (HZs) were identified; in each one a physically based model was applied to solve the soil water balance and estimate the soil functional behaviour (crop water stress index, CWSI) defining the functional homogeneous zones (fHZs). For the second process, experimental plots were established and monitored for investigating soil-plant water status, crop development (biometric and physiological parameters) and daily climate variables (temperature, solar radiation, rainfall, wind). The effects of crop water status on crop response over must and wine quality were then evaluated in the fHZs. This was performed by comparing crop water stress with (i) crop physiological measurement (leaf gas exchange, chlorophyll a fluorescence, leaf water potential, chlorophyll content, leaf area index (LAI) measurement), (ii) grape bunches measurements (berry weight, sugar content, titratable acidity, etc.) and (iii) wine quality (aromatic response). This experiment proved the usefulness of the physically based approach, also in the case of mapping viticulture microzoning.

  18. The Sorong Fault Zone, Indonesia: Mapping a Fault Zone Offshore

    NASA Astrophysics Data System (ADS)

    Melia, S.; Hall, R.

    2017-12-01

    The Sorong Fault Zone is a left-lateral strike-slip fault zone in eastern Indonesia, extending westwards from the Bird's Head peninsula of West Papua towards Sulawesi. It is the result of interactions between the Pacific, Caroline, Philippine Sea, and Australian Plates and much of it is offshore. Previous research on the fault zone has been limited by the low resolution of available data offshore, leading to debates over the extent, location, and timing of movements, and the tectonic evolution of eastern Indonesia. Different studies have shown it north of the Sula Islands, truncated south of Halmahera, continuing to Sulawesi, or splaying into a horsetail fan of smaller faults. Recently acquired high resolution multibeam bathymetry of the seafloor (with a resolution of 15-25 meters), and 2D seismic lines, provide the opportunity to trace the fault offshore. The position of different strands can be identified. On land, SRTM topography shows that in the northern Bird's Head the fault zone is characterised by closely spaced E-W trending faults. NW of the Bird's Head offshore there is a fold and thrust belt which terminates some strands. To the west of the Bird's Head offshore the fault zone diverges into multiple strands trending ENE-WSW. Regions of Riedel shearing are evident west of the Bird's Head, indicating sinistral strike-slip motion. Further west, the ENE-WSW trending faults turn to an E-W trend and there are at least three fault zones situated immediately south of Halmahera, north of the Sula Islands, and between the islands of Sanana and Mangole where the fault system terminates in horsetail strands. South of the Sula islands some former normal faults at the continent-ocean boundary with the North Banda Sea are being reactivated as strike-slip faults. The fault zone does not currently reach Sulawesi. The new fault map differs from previous interpretations concerning the location, age and significance of different parts of the Sorong Fault Zone. Kinematic

  19. [Application and evalauation of care plan for patients admitted to Intensive Care Units].

    PubMed

    Cuzco Cabellos, C; Guasch Pomés, N

    2015-01-01

    Assess whether the use of the nursing care plans improves outcomes of nursing care to patients admitted to the intensive care unit (ICU). The study was conducted in a University Hospital of Barcelona in Spain, using a pre- and post-study design. A total of 61 patient records were analysed in the pre-intervention group. A care plan was applied to 55 patients in the post-intervention group. Specific quality indicators in a medical intensive care unit to assess the clinical practice of nursing were used. Fisher's exact test was used to compare the degree of association between quality indicators in the two groups. A total of 116 records of 121 patients were evaluated: 61 pre-intervention and 55 post-intervention. Fisher test: The filling of nursing records, p=.0003. Checking cardiorespiratory arrest equipment, p <.001. Central vascular catheter related bacteraemia (B-CVC) p=.622. Ventilator associated pneumonia (VAP) p=.1000. Elevation of the head of the bed more than 30° p=.049, and the pain management in non-sedated patients p=.082. The implementation of nursing care plans in patients admitted to the intensive care area may contribute to improvement in the outcomes of nursing care. Copyright © 2015 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  20. Sleep Disturbances in Patients Admitted to a Step-Down Unit After ICU Discharge: the Role of Mechanical Ventilation

    PubMed Central

    Fanfulla, Francesco; Ceriana, Piero; D'Artavilla Lupo, Nadia; Trentin, Rossella; Frigerio, Francesco; Nava, Stefano

    2011-01-01

    Background: Severe sleep disruption is a well-documented problem in mechanically ventilated, critically ill patients during their time in the intensive care unit (ICU), but little attention has been paid to the period when these patients become clinically stable and are transferred to a step-down unit (SDU). We monitored the 24-h sleep pattern in 2 groups of patients, one on mechanical ventilation and the other breathing spontaneously, admitted to our SDU to assess the presence of sleep abnormalities and their association with mechanical ventilation. Methods: Twenty-two patients admitted to an SDU underwent 24-h polysomnography with monitoring of noise and light. Results: One patient did not complete the study. At night, 10 patients showed reduced sleep efficiency, 6 had reduced percentage of REM sleep, and 3 had reduced percentage of slow wave sleep (SWS). Sleep amount and quality did not differ between patients breathing spontaneously and those on mechanical ventilation. Clinical severity (SAPSII score) was significantly correlated with daytime total sleep time and efficiency (r = 0.51 and 0.5, P < 0.05, respectively); higher pH was correlated with reduced sleep quantity and quality; and higher PaO2 was correlated with increased SWS (r = 0.49; P = 0.02). Conclusions: Patients admitted to an SDU after discharge from an ICU still have a wide range of sleep abnormalities. These abnormalities are mainly associated with a high severity score and alkalosis. Mechanical ventilation does not appear to be a primary cause of sleep impairment. Citation: Fanfulla F; Ceriana P; Lupo ND; Trentin R; Frigerio F; Nava S. Sleep disturbances in patients admitted to a step-down unit after ICU discharge: the role of mechanical ventilation. SLEEP 2011;34(3):355-362. PMID:21358853

  1. Characteristics, clinical course, and outcomes of homeless and non-homeless patients admitted to ICU: A retrospective cohort study

    PubMed Central

    Kaur, Maninder; Ashraf, Said

    2017-01-01

    Background Little is known about homeless patients in intensive care units (ICUs). Objectives To compare clinical characteristics, treatments, and outcomes of homeless to non-homeless patients admitted to four ICUs in a large inner-city academic hospital. Methods 63 randomly-selected homeless compared to 63 age-, sex-, and admitting-ICU-matched non-homeless patients. Results Compared to matched non-homeless, homeless patients (average age 48±12 years, 90% male, 87% admitted by ambulance, 56% mechanically ventilated, average APACHE II 17) had similar comorbidities and illness severity except for increased alcohol (70% vs 17%,p<0.001) and illicit drug(46% vs 8%,p<0.001) use and less documented hypertension (16% vs 40%,p = 0.005) or prescription medications (48% vs 67%,p<0.05). Intensity of ICU interventions was similar except for higher thiamine (71% vs 21%,p<0.0001) and nicotine (38% vs 14%,p = 0.004) prescriptions. Homeless patients exhibited significantly lower Glasgow Coma Scores and significantly more bacterial respiratory cultures. Longer durations of antibiotics, vasopressors/inotropes, ventilation, ICU and hospital lengths of stay were not statistically different, but homeless patients had higher hospital mortality (29% vs 8%,p = 0.005). Review of all deaths disclosed that withdrawal of life-sustaining therapy occurred in similar clinical circumstances and proportions in both groups, regardless of family involvement. Using multivariable logistic regression, homelessness did not appear to be an independent predictor of hospital mortality. Conclusions Homeless patients, admitted to ICU matched to non-homeless patients by age and sex (characteristics most commonly used by clinicians), have higher hospital mortality despite similar comorbidities and illness severity. Trends to longer durations of life supports may have contributed to the higher mortality. Additional research is required to validate this higher mortality and develop strategies to improve outcomes

  2. Changes in Nutritional and Functional Status in Longer Stay Patients Admitted to a Geriatric Evaluation and Management Unit.

    PubMed

    Whitley, A; Skliros, E; Graven, C; McIntosh, R; Lasry, C; Newsome, C; Bowie, A

    2017-01-01

    Malnutrition and functional decline are common in older inpatients admitted to subacute care settings. However the association between changes in nutritional status and relevant functional outcomes remains under-researched. This study examined changes in nutritional status, function and mobility in patients admitted to a Geriatric Evaluation and Management (GEM) unit who had a length of stay (LOS) longer than 21 days. A prospective, observational study. Two GEM units at St Vincent's Hospital Melbourne, Australia. Patients admitted to the GEM units who stayed longer than 21 days were included in the study. Patients were assessed on admission and prior to discharge using the Subjective Global Assessment (SGA), Functional Independence Measure (FIM) motor domain and the Modified Elderly Mobility Scale (MEMS). Fifty-nine patients (Mean age 84.0 ± 7 years) met the required length of stay and were included in the study. Fifty-four per cent (n=32) were malnourished on admission (SGA B/C) and 44% (n=26) were malnourished on discharge. Twenty-two per cent (n=13) improved SGA category, 75% remained stable (n=44) and 3% deteriorated (n=2) from admission to discharge. Total Motor FIM scores significantly increased from admission to discharge in both the improved (p<0.001) and stable or deteriorated (p<0.001) nutritional status groups. Subjects who improved in nutritional status had a significantly higher MEMS score at discharge (p<0.001). On admission to the GEM unit, just over half the included patients were rated as malnourished defined by SGA category. Nearly one quarter of the sample had improved their nutritional status at the time of discharge. Improvement in nutritional status was associated with greater improvement in mobility scores. Further studies are required to investigate the effectiveness of nutrition interventions, which will inform models of care aiming to optimise nutritional, functional, and associated clinical outcomes in patients admitted to GEM units.

  3. A two-dimensional time domain near zone to far zone transformation

    NASA Technical Reports Server (NTRS)

    Luebbers, Raymond J.; Ryan, Deirdre; Beggs, John H.; Kunz, Karl S.

    1991-01-01

    In a previous paper, a time domain transformation useful for extrapolating 3-D near zone finite difference time domain (FDTD) results to the far zone was presented. In this paper, the corresponding 2-D transform is outlined. While the 3-D transformation produced a physically observable far zone time domain field, this is not convenient to do directly in 2-D, since a convolution would be required. However, a representative 2-D far zone time domain result can be obtained directly. This result can then be transformed to the frequency domain using a Fast Fourier Transform, corrected with a simple multiplicative factor, and used, for example, to calculate the complex wideband scattering width of a target. If an actual time domain far zone result is required it can be obtained by inverse Fourier transform of the final frequency domain result.

  4. Spontaneous and evoked release are independently regulated at individual active zones.

    PubMed

    Melom, Jan E; Akbergenova, Yulia; Gavornik, Jeffrey P; Littleton, J Troy

    2013-10-30

    Neurotransmitter release from synaptic vesicle fusion is the fundamental mechanism for neuronal communication at synapses. Evoked release following an action potential has been well characterized for its function in activating the postsynaptic cell, but the significance of spontaneous release is less clear. Using transgenic tools to image single synaptic vesicle fusion events at individual release sites (active zones) in Drosophila, we characterized the spatial and temporal dynamics of exocytotic events that occur spontaneously or in response to an action potential. We also analyzed the relationship between these two modes of fusion at single release sites. A majority of active zones participate in both modes of fusion, although release probability is not correlated between the two modes of release and is highly variable across the population. A subset of active zones is specifically dedicated to spontaneous release, indicating a population of postsynaptic receptors is uniquely activated by this mode of vesicle fusion. Imaging synaptic transmission at individual release sites also revealed general rules for spontaneous and evoked release, and indicate that active zones with similar release probability can cluster spatially within individual synaptic boutons. These findings suggest neuronal connections contain two information channels that can be spatially segregated and independently regulated to transmit evoked or spontaneous fusion signals.

  5. 77 FR 6007 - Quarterly Listings; Safety Zones, Security Zones, Special Local Regulations, Drawbridge Operation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ...] Quarterly Listings; Safety Zones, Security Zones, Special Local Regulations, Drawbridge Operation... they could be published in the Federal Register. This notice lists temporary safety zones, security zones, special local regulations, drawbridge operation regulations and regulated navigation areas, all...

  6. Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

    ERIC Educational Resources Information Center

    Ghahramanlou-Holloway, Marjan; Cox, Daniel W.; Greene, Farrah N.

    2012-01-01

    To date, no empirically based inpatient intervention for individuals who have attempted suicide exists. We present an overview of a novel psychotherapeutic approach, Post-Admission Cognitive Therapy (PACT), currently under development and empirical testing for inpatients who have been admitted for a recent suicide attempt. PACT is adapted from an…

  7. Cortisol Predicts Behavioral Dysregulation and Length of Stay among Children Admitted for Psychiatric Inpatient Treatment

    ERIC Educational Resources Information Center

    Luebbe, Aaron M.; Elledge, L. Christian; Kiel, Elizabeth J.; Stoppelbein, Laura

    2012-01-01

    Individual differences in behavioral regulation system (BRS) and stress response system (SRS) functioning may reflect greater biological sensitivity to context. The current study tested whether children's cortisol, a measure of the SRS, was related to observed dysregulated behavior, an indicator of the BRS, in a sample of children admitted for…

  8. Orogenic plateau magmatism of the Arabia-Eurasia collision zone

    NASA Astrophysics Data System (ADS)

    Allen, M. B.; Neill, I.; Kheirkhah, M.; van Hunen, J.; Davidson, J. P.; Meliksetian, Kh.; Emami, M. H.

    2012-04-01

    Magmatism is a common feature of high plateaux created during continental collision, but the causes remain enigmatic. Here we study Pliocene-Quaternary volcanics from the active Arabia-Eurasia collision zone, to determine the chemistry of these rocks and their relations to faulting and deeper lithospheric structure. The great majority of the centres lie within the overriding Eurasian plate in Iran, eastern Turkey and Armenia , implying that mantle fertilised by pre-collision subduction processes plays a significant role in magma generation. The composition of the Pliocene-Quaternary centres is extremely variable, ranging from OIB-like alkali basalts, to intermediate types resembling mature continental arc lavas, to potassic and even ultrapotassic lavas. These centres are erupted across a mosaic of pre-Cenozoic suture zones and heterogeneous lithospheric blocks. The chemical diversity implies a range of partial melting conditions operating on lithospheric and perhaps sub-lithospheric sources. Published data show a thick (>200 km) lithospheric keel beneath the Arabia-Eurasia suture, thinning to near normal thicknesses (~120 km) across much of central and northern Iran. Thin mantle lithosphere under eastern Turkey (max. ~30 km) may relate to the region's juvenile, accretionary lithosphere. These variable thicknesses are constraints on the cause of the melting in each area, and the degree of variation suggests that no one mechanism applies across the plateau. Various melting models have been suggested. Break-off of the subducted Neo-Tethyan oceanic slab is supported by tomographic data, which may have permitted melting related to adiabatic ascent of hot asthenosphere under areas where the lithosphere is thin. This seems a less plausible mechanism where the lithosphere is at normal or greater than normal thickness. The same problem applies to postulated lower lithosphere delamination. Isolated pull-aparts may account for the location of some centres, but are not

  9. Radiant zone heated particulate filter

    DOEpatents

    Gonze, Eugene V [Pinckney, MI

    2011-12-27

    A system includes a particulate matter (PM) filter including an upstream end for receiving exhaust gas and a downstream end. A radiant zoned heater includes N zones, where N is an integer greater than one, wherein each of the N zones includes M sub-zones, where M is an integer greater than or equal to one. A control module selectively activates at least a selected one of the N zones to initiate regeneration in downstream portions of the PM filter from the one of the N zones, restricts exhaust gas flow in a portion of the PM filter that corresponds to the selected one of the N zones, and deactivates non-selected ones of the N zones.

  10. Induced Abortion and Associated Factors in Health Facilities of Guraghe Zone, Southern Ethiopia

    PubMed Central

    Hambisa, Mitiku Teshome; Semahegn, Agumasie

    2014-01-01

    Unsafe abortion is one of the major medical and public health problems in developing countries including Ethiopia. However, there is a lack of up-to-date and reliable information on induced abortion distribution and its determinant factors in the country. This study was intended to assess induced abortion and associated factors in health facilities of Guraghe zone, Southern Ethiopia. Institution based cross-sectional study was conducted in eight health facilities in Guraghe zone. Client exit interview was conducted on 400 patients using a structured questionnaire. Bivariate and multivariate logistic regression analysis was performed to identify factors associated with induced abortion. Out of 400 women, 75.5% responded that the current pregnancy that ended in abortion is unwanted. However, only 12.3% of the respondents have admitted interference to the current pregnancy. Having more than four pregnancies (AOR = 4.28, CI: (1.24–14.71)), age of 30–34 years (AOR = 0.15, CI: (0.04–0.55)), primary education (AOR = 0.26, CI: (0.13–0.88)), and wanted pregnancy (AOR = 0.44, CI: (0.14–0.65)) were found to have association with induced abortion. The study revealed high level of induced abortion which is underpinned by high magnitude of unwanted pregnancy. There is requirement for widespread expansion of increased access to high quality family planning service and post-abortion care. PMID:24800079

  11. Malnutrition in patients admitted to the medical wards of the Douala General Hospital: a cross-sectional study.

    PubMed

    Luma, Henry Namme; Eloumou, Servais Albert Fiacre Bagnaka; Mboligong, Franklin Ngu; Temfack, Elvis; Donfack, Olivier-Tresor; Doualla, Marie-Solange

    2017-07-03

    Malnutrition is common in acutely ill patients occurring in 30-50% of hospitalized patients. Awareness and screening for malnutrition is lacking in most health institutions in sub-Saharan Africa. This study aimed at screening for malnutrition using anthropometric and laboratory indices in patients admitted to the internal medicine wards. A cross-sectional study. We screened for malnutrition in 251 consecutive patients admitted from January to March 2013 in the internal medicine wards. Malnutrition defined as body mass index (BMI) less than 18.5 kg/m 2 and/or mid upper arm circumference (MUAC) less than 22 cm in women and 23 cm in men. Weight loss greater than 10% in the last 6 months prior to admission, relevant laboratory data, diagnosis at discharge and length of hospital stay (LOS) were also recorded. Mean age was 47 (SD 16) years. 52.6% were male. Mean BMI was 24.44 (SD 5.79) kg/m 2 and MUAC was 27.8 (SD 5.0) cm. Median LOS was 7 (IQR 5-12) days. 42.4% of patients reported weight loss greater than 10% in the 6 months before hospitalization. MUAC and BMI correlated significantly (r = 0.78; p < 0.0001) and malnutrition by the two methods showed moderate agreement (κ = 0.56; p < 0.0001). Using the two methods in combination, the prevalence of malnutrition was 19.34% (35/251). Blood albumin and hemoglobin were significantly lower in malnourished patients. Malnourished patients had a significantly longer LOS (p = 0.019) when compared to those with no malnutrition. Malnutrition was most common amongst patients with malignancy. Malnutrition is common in patients admitted to the medical wards of the Douala General Hospital. Nutritional screening and assessment should be integrated in the care package of all admitted patients.

  12. Habitable Zone Evolution

    NASA Astrophysics Data System (ADS)

    Waltham, D.; Lota, J.

    2012-12-01

    The location of the habitable zone around a star depends upon stellar luminosity and upon the properties of a potentially habitable planet such as its mass and near-surface volatile inventory. Stellar luminosity generally increases as a star ages whilst planetary properties change through time as a consequence of biological and geological evolution. Hence, the location of the habitable zone changes through time as a result of both stellar evolution and planetary evolution. Using the Earth's Phanerozoic temperature history as a constraint, it is shown that changes in our own habitable zone over the last 540 My have been dominated by planetary evolution rather than solar evolution. Furthermore, sparse data from earlier times suggests that planetary evolution may have dominated habitable zone development throughout our biosphere's history. Hence, the existence of a continuously habitable zone depends upon accidents of complex bio-geochemical evolution more than it does upon relatively simple stellar-evolution. Evolution of the inner margin of the habitable zone through time using three different estimates for climate sensitivity. The dashed line shows a typical predicted evolution assuming this was driven simply by a steady increase in solar luminosity. Solar evolution does not account for the observations. Evolution of the outer margin of the habitable zone through time using three different estimates for climate sensitivity. The dashed line shows a typical predicted evolution assuming this was driven simply by a steady increase in solar luminosity. Solar evolution does not account for the observations.

  13. Emission response from extended length, variable geometry gas turbine combustor

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Troth, D.L.; Verdouw, A.J.; Tomlinson, J.G.

    1974-01-01

    A program to analyze, select, and experimentally evaluate low emission combustors for aircraft gas turbine engines is conducted to demonstrate a final combustor concept having a 50 percent reduction in total mass emissions (carbon monoxide, unburnt hydrocarbons, oxides of nitrogen, and exhaust smoke) without an increase in any specific pollutant. Research conducted under an Army Contract established design concepts demonstrating significant reductions in CO and UHC emissions. Two of these concepts were an extended length intermediate zone to consume CO and UHC and variable geometry to control the primary zone fuel air ratio over varying power conditions. Emission reduction featuresmore » were identified by analytical methods employing both reaction kinetics and empirical correlations. Experimental results were obtained on a T63 component combustor rig operating at conditions simulating the engine over the complete power operating range with JP-4 fuel. A combustor incorporating both extended length and variable geometry was evaluated and the performance and emission results are reported. These results are compared on the basis of a helicopter duty cycle and the EPA 1979 turboprop regulation landing take off cycle. The 1979 EPA emission regulations for P2 class engines can be met with the extended length variable geometry combustor on the T63 turboprop engine.« less

  14. Fibonacci-like zone plate

    NASA Astrophysics Data System (ADS)

    Cheng, Shubo; Liu, Mengsi; Xia, Tian; Tao, Shaohua

    2018-06-01

    We present a new family of diffractive lenses, Fibonacci-like zone plates, generated with a modified Fibonacci sequence. The focusing properties and the evolution of transverse diffraction pattern for the Fibonacci-like zone plates have been analytically investigated both theoretically and experimentally and compared with the corresponding Fresnel zone plates of the same resolution. The results demonstrate that the Fibonacci-like zone plates possess the self-similar property and the multifocal behavior. Furthermore, the Fibonacci-like zone plate beams are found to possess the self-reconstruction property, and would be promising for 3D optical tweezers, laser machining, and optical imaging.

  15. Higher mortality rates amongst emergency patients admitted to hospital at weekends reflect a lower probability of admission.

    PubMed

    Meacock, Rachel; Anselmi, Laura; Kristensen, Søren Rud; Doran, Tim; Sutton, Matt

    2017-01-01

    Objective Patients admitted as emergencies to hospitals at the weekend have higher death rates than patients admitted on weekdays. This may be because the restricted service availability at weekends leads to selection of patients with greater average severity of illness. We examined volumes and rates of hospital admissions and deaths across the week for patients presenting to emergency services through two routes: (a) hospital Accident and Emergency departments, which are open throughout the week; and (b) services in the community, for which availability is more restricted at weekends. Method Retrospective observational study of all 140 non-specialist acute hospital Trusts in England analyzing 12,670,788 Accident and Emergency attendances and 4,656,586 emergency admissions (940,859 direct admissions from primary care and 3,715,727 admissions through Accident and Emergency) between April 2013 and February 2014.Emergency attendances and admissions to hospital and deaths in any hospital within 30 days of attendance or admission were compared for weekdays and weekends. Results Similar numbers of patients attended Accident and Emergency on weekends and weekdays. There were similar numbers of deaths amongst patients attending Accident and Emergency on weekend days compared with weekdays (378.0 vs. 388.3). Attending Accident and Emergency at the weekend was not associated with a significantly higher probability of death (risk-adjusted OR: 1.010). Proportionately fewer patients who attended Accident and Emergency at weekend were admitted to hospital (27.5% vs. 30.0%) and it is only amongst the subset of patients attending Accident and Emergency who were selected for admission to hospital that the probability of dying was significantly higher at the weekend (risk-adjusted OR: 1.054). The average volume of direct admissions from services in the community was 61% lower on weekend days compared to weekdays (1317 vs. 3404). There were fewer deaths following direct admission on

  16. 76 FR 70342 - Quarterly Listings; Safety Zones, Security Zones, Special Local Regulations, Drawbridge Operation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ...] Quarterly Listings; Safety Zones, Security Zones, Special Local Regulations, Drawbridge Operation... published in the Federal Register. This notice lists temporary safety zones, security zones, special local..., telephone (202) 372-3862. For questions on viewing, or on submitting material to the docket, contact Ms...

  17. Centre-related variability in hospital admissions of patients with spondyloarthritis.

    PubMed

    Andrés, Mariano; Sivera, Francisca; Pérez-Vicente, Sabina; Carmona, Loreto; Vela, Paloma

    2016-09-01

    The aim of this study was to explore the variability in hospital admissions of patients with spondyloarthritis (SpA) in Spain, and the centre factors that may influence that variability. Descriptive cross-sectional study, part of the emAR II study, performed in Spain (2009-2010). Health records of patients with a diagnosis of SpA and at least one visit to the rheumatology units within the previous 2 years were reviewed. Variables related to hospital admissions, to the SpA, and to the patient and centre were collected. A multilevel logistic regression analysis of random intercept with non-random slopes was performed to assess variability between centres. From 45 centres, 1168 patients' health records were reviewed. Main SpA forms were ankylosing spondylitis (55.2 %) and psoriatic arthritis (22.2 %). A total of 248 admissions were registered for 196 patients (19.2 %, n = 1020). An adjusted variability of 17.6 % in hospitalizations between centres was noted. The following hospital-related factors showed a significant association with admissions: the total number of admissions of the centre, the existence of electronic admission, and the availability of ultrasound in rheumatology. However, these factors only explained 42.9 % of the inter-centre variability. The risk of a patient with SpA of being admitted could double (median OR 2.09), depending on the hospital where the patient was being managed. Hospital admissions of patients with SpA varied between hospitals due to centre characteristics. Further studies are needed to ascertain which specific factors may be causing the variation, as studied variables explained less than half of the variability.

  18. Lower Respiration in the Littoral Zone of a Subtropical Shallow Lake

    PubMed Central

    They, Ng Haig; da Motta Marques, David; Souza, Rafael Siqueira

    2013-01-01

    Macrophytes are important sources of dissolved organic carbon (DOC) to littoral zones of lakes, but this DOC is believed to be mostly refractory to bacteria, leading to the hypothesis that bacterial metabolism is different in littoral and pelagic zones of a large subtropical shallow lake. We tested this hypothesis by three approaches: (I) dissolved inorganic carbon (DIC) accumulation in littoral and pelagic water; (II) O2 consumption estimate for a cloud of points (n = 47) covering the entire lake; (III) measurement of O2 consumption and CO2 accumulation in dark bottles, pCO2 in the water, lake-atmosphere fluxes of CO2 (fCO2) and a large set of limnological variables at 19 sampling points (littoral and pelagic zones) during seven extensive campaigns. For the first two approaches, DIC and O2 consumption were consistently lower in the littoral zone, and O2 consumption increased marginally with the distance to the nearest shore. For the third approach, we found in the littoral zone consistently lower DOC, total phosphorus (TP), and chlorophyll a, and a higher proportion of low-molecular-weight substances. Regression trees confirmed that high respiration (O2 consumption and CO2 production) was associated to lower concentration of low-molecular-weight substances, while pCO2 was associated to DOC and TP, confirming that CO2 supersaturation occurs in an attempt to balance phosphorus deficiency of macrophyte substrates. Littoral zone fCO2 showed a tendency to be a CO2 sink, whereas the pelagic zone showed a tendency to act as CO2 source to the atmosphere. The high proportion of low-molecular-weight, unreactive substances, together with lower DOC and TP may impose lower rates of respiration in littoral zones. This effect of perennial stands of macrophytes may therefore have important, but not yet quantified implications for the global carbon metabolism of these lakes, but other issues still need to be carefully addressed before rejecting the general belief that

  19. Root-zone temperature and nitrogen affect the yield and secondary metabolite concentration of fall- and spring-grown, high-density leaf lettuce.

    PubMed

    Bumgarner, Natalie R; Scheerens, Joseph C; Mullen, Robert W; Bennett, Mark A; Ling, Peter P; Kleinhenz, Matthew D

    2012-01-15

    Understanding the effects of temperature and nitrogen levels on key variables, particularly under field conditions during cool seasons of temperate climates, is important. Here, we document the impact of root-zone heating and nitrogen (N) fertility on the accumulation and composition of fall- and spring-grown lettuce biomass. A novel, scalable field system was employed. Direct-seeded plots containing a uniform, semi-solid, and nearly stable rooting medium were established outdoors in 2009 and 2010; each contained one of eight combinations of root-zone heating (-/+) and N fertility (0, 72, 144, and 576 mg day(-1)). Root-zone heating increased but withholding N decreased biomass accumulation in both years. Low N supplies were also associated with greater anthocyanin and total antioxidant power but lower N and phosphorus levels. Tissue chlorophyll a and vitamin C levels tracked root-zone temperature and N fertility more closely in 2009 and 2010, respectively. Experimentally imposed root-zone temperature and N levels influenced the amount and properties of fall- and spring-grown lettuce tissue. Ambient conditions, however, dictated which of these factors exerted the greatest effect on the variables measured. Collectively, the results point to the potential for gains in system sustainability and productivity, including with respect to supplying human nutritional units. Copyright © 2011 Society of Chemical Industry.

  20. Cascadia Subduction Zone

    USGS Publications Warehouse

    Frankel, Arthur D.; Petersen, Mark D.

    2008-01-01

    The geometry and recurrence times of large earthquakes associated with the Cascadia Subduction Zone (CSZ) were discussed and debated at a March 28-29, 2006 Pacific Northwest workshop for the USGS National Seismic Hazard Maps. The CSZ is modeled from Cape Mendocino in California to Vancouver Island in British Columbia. We include the same geometry and weighting scheme as was used in the 2002 model (Frankel and others, 2002) based on thermal constraints (Fig. 1; Fluck and others, 1997 and a reexamination by Wang et al., 2003, Fig. 11, eastern edge of intermediate shading). This scheme includes four possibilities for the lower (eastern) limit of seismic rupture: the base of elastic zone (weight 0.1), the base of transition zone (weight 0.2), the midpoint of the transition zone (weight 0.2), and a model with a long north-south segment at 123.8? W in the southern and central portions of the CSZ, with a dogleg to the northwest in the northern portion of the zone (weight 0.5). The latter model was derived from the approximate average longitude of the contour of the 30 km depth of the CSZ as modeled by Fluck et al. (1997). A global study of the maximum depth of thrust earthquakes on subduction zones by Tichelaar and Ruff (1993) indicated maximum depths of about 40 km for most of the subduction zones studied, although the Mexican subduction zone had a maximum depth of about 25 km (R. LaForge, pers. comm., 2006). The recent inversion of GPS data by McCaffrey et al. (2007) shows a significant amount of coupling (a coupling factor of 0.2-0.3) as far east as 123.8? West in some portions of the CSZ. Both of these lines of evidence lend support to the model with a north-south segment at 123.8? W.

  1. [Assessment of patients with pressure sores admitted in a tertiary care center].

    PubMed

    Moro, Adriana; Maurici, Alice; do Valle, Juliana Barros; Zaclikevis, Viviane Renata; Kleinubing, Harry

    2007-01-01

    To determine the prevalence and analyze the profile of patients with pressure sores, focusing on risk factors, the patients' clinical characteristics at a tertiary care center, as well as stage and location of the lesions on the body. This was a cross sectional not controlled observational study, all patients admitted from April to June of 2005 were observed daily to identify all cases of pressure sores. The affected patients were evaluated by a standard questionnaire and the Scale of Braden was applied to define the risk of developing ulcers. Of the 690 patients admitted during the referred period, a prevalence of 5.9% of patients with lesions was observed, equivalent to 41 patients 63.9% of which were elderly and the average length of stay was 18 days. In the sample studied 41.5% of patients were found in the internal medicine section and the intensive care unit, ICU. The most common location for sores was the sacral area, corresponding to 73.1% of the patients, and stage II was the most frequent, observed in 58.5% of those patients. According to the Braden scale, most patients, 80.4%, had a high risk of developing pressure ulcers, compared to 9.7% of patients with moderate risk and 7.4% with low risk. The affected patients were at high risk of developing pressure sores. Prevalence of these lesions and the clinical and demographic profile of the affected patients are in accordance with the data in literature.

  2. The lived experience of parents of children admitted to the pediatric intensive care unit in Lebanon.

    PubMed

    Majdalani, Marianne N; Doumit, Myrna A A; Rahi, Amal C

    2014-02-01

    Family caregivers have a significant responsibility in the care of their child in the Pediatric Intensive Care Unit (PICU). Parents staying with their child in the PICU have particular needs that should be acknowledged and responded to by clinicians. Several studies have been conducted in the USA and Europe to try to understand the experience of family caregivers of children admitted to the Pediatric Intensive Care Unit. There are no such studies in Lebanon or the Middle East where the culture and support systems differ from other countries. To understand the lived experience of Lebanese parents of children admitted to the PICU in a tertiary hospital in Beirut. Phenomenological study. The study followed purposeful sampling in which 10 parents (mother or father) of children admitted to PICU were interviewed. Data were analyzed following the hermeneutical process as described by Diekelmann and Ironside (1998). A constitutive pattern "Journey into the unknown" which constitutes an overarching theme and four major themes with subthemes emerged from the data. These were: We are human beings with dignity "; "looking for a healthier environment"; Dependence on God and "The need to be in the loop" reveal the parents' journey into the unknown. This qualitative study adds to the knowledge that would help health care workers understand the experience of Lebanese parents with a child in PICU and to highlight the significance of this experience to them. The findings could be used to inform the development of a PICU parental satisfaction instrument for the sample group. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Examining the predictors of academic outcomes for indigenous Māori, Pacific and rural students admitted into medicine via two equity pathways: a retrospective observational study at the University of Auckland, Aotearoa New Zealand

    PubMed Central

    Curtis, Elana; Wikaire, Erena; Jiang, Yannan; McMillan, Louise; Loto, Robert; Poole, Phillippa; Barrow, Mark; Bagg, Warwick; Reid, Papaarangi

    2017-01-01

    Objective To determine associations between admission markers of socioeconomic status, transitioning, bridging programme attendance and prior academic preparation on academic outcomes for indigenous Māori, Pacific and rural students admitted into medicine under access pathways designed to widen participation. Findings were compared with students admitted via the general (usual) admission pathway. Design Retrospective observational study using secondary data. Setting  6-year medical programme (MBChB), University of Auckland, Aotearoa New Zealand. Students are selected and admitted into Year 2 following a first year (undergraduate) or prior degree (graduate). Participants 1676 domestic students admitted into Year 2 between 2002 and 2012 via three pathways: GENERAL admission (1167), Māori and Pacific Admission Scheme—MAPAS (317) or Rural Origin Medical Preferential Entry—ROMPE (192). Of these, 1082 students completed the programme in the study period. Main outcome measures Graduated from medical programme (yes/no), academic scores in Years 2–3 (Grade Point Average (GPA), scored 0–9). Results 735/778 (95%) of GENERAL, 111/121 (92%) of ROMPE and 146/183 (80%) of MAPAS students graduated from intended programme. The graduation rate was significantly lower in the MAPAS students (p<0.0001). The average Year 2–3 GPA was 6.35 (SD 1.52) for GENERAL, which was higher than 5.82 (SD 1.65, p=0.0013) for ROMPE and 4.33 (SD 1.56, p<0.0001) for MAPAS. Multiple regression analyses identified three key predictors of better academic outcomes: bridging programme attendance, admission as an undergraduate and admission GPA/Grade Point Equivalent (GPE). Attending local urban schools and higher school deciles were also associated with a greater likelihood of graduation. All regression models have controlled for predefined baseline confounders (gender, age and year of admission). Conclusions There were varied associations between admission variables and academic outcomes

  4. Fish functional traits correlated with environmental variables in a temperate biodiversity hotspot.

    PubMed

    Keck, Benjamin P; Marion, Zachary H; Martin, Derek J; Kaufman, Jason C; Harden, Carol P; Schwartz, John S; Strange, Richard J

    2014-01-01

    The global biodiversity crisis has invigorated the search for generalized patterns in most disciplines within the natural sciences. Studies based on organismal functional traits attempt to broaden implications of results by identifying the response of functional traits, instead of taxonomic units, to environmental variables. Determining the functional trait responses enables more direct comparisons with, or predictions for, communities of different taxonomic composition. The North American freshwater fish fauna is both diverse and increasingly imperiled through human mediated disturbances, including climate change. The Tennessee River, USA, contains one of the most diverse assemblages of freshwater fish in North America and has more imperiled species than other rivers, but there has been no trait-based study of community structure in the system. We identified 211 localities in the upper Tennessee River that were sampled by the Tennessee Valley Authority between 2009 and 2011 and compiled fish functional traits for the observed species and environmental variables for each locality. Using fourth corner analysis, we identified significant correlations between many fish functional traits and environmental variables. Functional traits associated with an opportunistic life history strategy were correlated with localities subject to greater land use disturbance and less flow regulation, while functional traits associated with a periodic life history strategy were correlated with localities subject to regular disturbance and regulated flow. These are patterns observed at the continental scale, highlighting the generalizability of trait-based methods. Contrary to studies that found no community structure differences when considering riparian buffer zones, we found that fish functional traits were correlated with different environmental variables between analyses with buffer zones vs. entire catchment area land cover proportions. Using existing databases and fourth corner

  5. Fish Functional Traits Correlated with Environmental Variables in a Temperate Biodiversity Hotspot

    PubMed Central

    Keck, Benjamin P.; Marion, Zachary H.; Martin, Derek J.; Kaufman, Jason C.; Harden, Carol P.; Schwartz, John S.; Strange, Richard J.

    2014-01-01

    The global biodiversity crisis has invigorated the search for generalized patterns in most disciplines within the natural sciences. Studies based on organismal functional traits attempt to broaden implications of results by identifying the response of functional traits, instead of taxonomic units, to environmental variables. Determining the functional trait responses enables more direct comparisons with, or predictions for, communities of different taxonomic composition. The North American freshwater fish fauna is both diverse and increasingly imperiled through human mediated disturbances, including climate change. The Tennessee River, USA, contains one of the most diverse assemblages of freshwater fish in North America and has more imperiled species than other rivers, but there has been no trait-based study of community structure in the system. We identified 211 localities in the upper Tennessee River that were sampled by the Tennessee Valley Authority between 2009 and 2011 and compiled fish functional traits for the observed species and environmental variables for each locality. Using fourth corner analysis, we identified significant correlations between many fish functional traits and environmental variables. Functional traits associated with an opportunistic life history strategy were correlated with localities subject to greater land use disturbance and less flow regulation, while functional traits associated with a periodic life history strategy were correlated with localities subject to regular disturbance and regulated flow. These are patterns observed at the continental scale, highlighting the generalizability of trait-based methods. Contrary to studies that found no community structure differences when considering riparian buffer zones, we found that fish functional traits were correlated with different environmental variables between analyses with buffer zones vs. entire catchment area land cover proportions. Using existing databases and fourth corner

  6. Assessing geotechnical centrifuge modelling in addressing variably saturated flow in soil and fractured rock.

    PubMed

    Jones, Brendon R; Brouwers, Luke B; Van Tonder, Warren D; Dippenaar, Matthys A

    2017-05-01

    The vadose zone typically comprises soil underlain by fractured rock. Often, surface water and groundwater parameters are readily available, but variably saturated flow through soil and rock are oversimplified or estimated as input for hydrological models. In this paper, a series of geotechnical centrifuge experiments are conducted to contribute to the knowledge gaps in: (i) variably saturated flow and dispersion in soil and (ii) variably saturated flow in discrete vertical and horizontal fractures. Findings from the research show that the hydraulic gradient, and not the hydraulic conductivity, is scaled for seepage flow in the geotechnical centrifuge. Furthermore, geotechnical centrifuge modelling has been proven as a viable experimental tool for the modelling of hydrodynamic dispersion as well as the replication of similar flow mechanisms for unsaturated fracture flow, as previously observed in literature. Despite the imminent challenges of modelling variable saturation in the vadose zone, the geotechnical centrifuge offers a powerful experimental tool to physically model and observe variably saturated flow. This can be used to give valuable insight into mechanisms associated with solid-fluid interaction problems under these conditions. Findings from future research can be used to validate current numerical modelling techniques and address the subsequent influence on aquifer recharge and vulnerability, contaminant transport, waste disposal, dam construction, slope stability and seepage into subsurface excavations.

  7. 76 FR 38297 - Safety Zone; Marine Events Requiring Safety Zones in the Captain of the Port Sault Sainte Marie Zone

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ...'' W [DATUM: NAD 83]. (ii) Enforcement Period. This safety zone will be enforced on July 4, 2011 from 9...'' N, 086[deg]39'08.52'' W [DATUM: NAD 83]. (ii) Enforcement Period. This safety zone will be enforced...: NAD 83], with the West Bay shoreline forming the South and West boundaries of the zone. (ii...

  8. Microbial distributions detected by an oligonucleotide microarray across geochemical zones associated with methane in marine sediments from the Ulleung Basin

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Briggs, Brandon R; Graw, Michael; Brodie, Eoin L

    2013-11-01

    The biogeochemical processes that occur in marine sediments on continental margins are complex; however, from one perspective they can be considered with respect to three geochemical zones based on the presence and form of methane: sulfate–methane transition (SMTZ), gas hydrate stability zone (GHSZ), and free gas zone (FGZ). These geochemical zones may harbor distinct microbial communities that are important in biogeochemical carbon cycles. The objective of this study was to describe the microbial communities in sediments from the SMTZ, GHSZ, and FGZ using molecular ecology methods (i.e. PhyloChip microarray analysis and terminal restriction fragment length polymorphism (T-RFLP)) and examining themore » results in the context of non-biological parameters in the sediments. Non-metric multidimensional scaling and multi-response permutation procedures were used to determine whether microbial community compositions were significantly different in the three geochemical zones and to correlate samples with abiotic characteristics of the sediments. This analysis indicated that microbial communities from all three zones were distinct from one another and that variables such as sulfate concentration, hydrate saturation of the nearest gas hydrate layer, and depth (or unmeasured variables associated with depth e.g. temperature, pressure) were correlated to differences between the three zones. The archaeal anaerobic methanotrophs typically attributed to performing anaerobic oxidation of methane were not detected in the SMTZ; however, the marine benthic group-B, which is often found in SMTZ, was detected. Within the GHSZ, samples that were typically closer to layers that contained higher hydrate saturation had indicator sequences related to Vibrio-type taxa. These results suggest that the biogeographic patterns of microbial communities in marine sediments are distinct based on geochemical zones defined by methane.« less

  9. Seasonal Variability Study of the Tropospheric Zenithal Delay in the South America using regional Numerical Weather Prediction model

    NASA Astrophysics Data System (ADS)

    Sapucci, L. F.; Monico, J. G.; Machado, L. T.

    2007-05-01

    events like: the penetration the cold front from Antarctic pole into the continent and occurrence of humidity convergence zones. In South America there are two main convergence zones that has strong influence in the troposphere variability, the ITCZ (Inter Tropical Convergence Zone) and the SACZ (South Atlantic Convergence Zone) zones. These convergence zones are characterized by an extensive precipitation band and high nebulosity almost stationary. The physical processes associated with these convergence zones present strong impacts in the variability of ZWD values. This work aims to contribute with ZTD modeling over South America continent using NWP to identify where and when the ZTD values present lower predictability in this region, and consequently, minimizing the error in the GNSS positioning that apply this technique.

  10. Phenotypic Variability in the Coccolithophore Emiliania huxleyi.

    PubMed

    Blanco-Ameijeiras, Sonia; Lebrato, Mario; Stoll, Heather M; Iglesias-Rodriguez, Debora; Müller, Marius N; Méndez-Vicente, Ana; Oschlies, Andreas

    2016-01-01

    Coccolithophores are a vital part of oceanic phytoplankton assemblages that produce organic matter and calcium carbonate (CaCO3) containing traces of other elements (i.e. Sr and Mg). Their associated carbon export from the euphotic zone to the oceans' interior plays a crucial role in CO2 feedback mechanisms and biogeochemical cycles. The coccolithophore Emiliania huxleyi has been widely studied as a model organism to understand physiological, biogeochemical, and ecological processes in marine sciences. Here, we show the inter-strain variability in physiological and biogeochemical traits in 13 strains of E. huxleyi from various biogeographical provinces obtained from culture collections commonly used in the literature. Our results demonstrate that inter-strain genetic variability has greater potential to induce larger phenotypic differences than the phenotypic plasticity of single strains cultured under a broad range of variable environmental conditions. The range of variation found in physiological parameters and calcite Sr:Ca highlights the need to reconsider phenotypic variability in paleoproxy calibrations and model parameterizations to adequately translate findings from single strain laboratory experiments to the real ocean.

  11. Phenotypic Variability in the Coccolithophore Emiliania huxleyi

    PubMed Central

    Lebrato, Mario; Stoll, Heather M.; Iglesias-Rodriguez, Debora; Müller, Marius N.; Méndez-Vicente, Ana; Oschlies, Andreas

    2016-01-01

    Coccolithophores are a vital part of oceanic phytoplankton assemblages that produce organic matter and calcium carbonate (CaCO3) containing traces of other elements (i.e. Sr and Mg). Their associated carbon export from the euphotic zone to the oceans' interior plays a crucial role in CO2 feedback mechanisms and biogeochemical cycles. The coccolithophore Emiliania huxleyi has been widely studied as a model organism to understand physiological, biogeochemical, and ecological processes in marine sciences. Here, we show the inter-strain variability in physiological and biogeochemical traits in 13 strains of E. huxleyi from various biogeographical provinces obtained from culture collections commonly used in the literature. Our results demonstrate that inter-strain genetic variability has greater potential to induce larger phenotypic differences than the phenotypic plasticity of single strains cultured under a broad range of variable environmental conditions. The range of variation found in physiological parameters and calcite Sr:Ca highlights the need to reconsider phenotypic variability in paleoproxy calibrations and model parameterizations to adequately translate findings from single strain laboratory experiments to the real ocean. PMID:27348427

  12. Parents' experiences and the effect on the family two years after their child was admitted to a PICU-An interview study.

    PubMed

    Terp, Karina; Sjöström-Strand, Annica

    2017-12-01

    For parents, having a child admitted to a paediatric intensive care unit (PICU) is a very stressful experience filled with anxiety. Parents are often scared and traumatised. This stress can lead to PTSD. The aim was to describe parents' experiences and the effect on the family two years after their child was admitted to a paediatric intensive care unit. Ten parents were interviewed according to a semi-structured interview guide. An inductive approach was applied for the study and qualitative content analysis was used to analyse the data. The parents carried vivid memories and they were still strongly affected by the experience of having their child admitted to a paediatric intensive care unit. They could clearly recall the environment, feelings that affected them and how they felt powerless. The relationship between the parents had been strengthened. Parents, siblings and the ill child could all show symptoms of anxiety, stress and sleeping disorders. The parents valued life differently. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Prospective evaluation of the prognostic scores for cirrhotic patients admitted to an intensive care unit.

    PubMed

    Levesque, Eric; Hoti, Emir; Azoulay, Daniel; Ichaï, Philippe; Habouchi, Houssam; Castaing, Denis; Samuel, Didier; Saliba, Faouzi

    2012-01-01

    Cirrhotic patients admitted to an Intensive Care Unit (ICU) have a poor prognosis. Identifying patients in whom ICU care will be useful can be challenging. The aim of this study was to assess the predictive value of prognostic scores with respect to mortality and to identify mortality risk factors. Three hundred and seventy-seven cirrhotic patients admitted to a Liver ICU between May 2005 and March 2009 were enrolled in this study. Their average age was 55.5±11.4 years. The etiology of cirrhosis was alcohol (68%), virus hepatitis (18%), or mixed (5.5%). The main causes of hospitalization were gastrointestinal hemorrhage (43%), sepsis (19%), and hepatic encephalopathy (12%). ICU and in-hospital mortality rates were 34.7% and 43.0%, respectively. Infection was the major cause of death (81.6%). ROC curve analysis demonstrated that SOFA (0.92) and SAPS II (0.89) scores calculated within 24h of admission predicted ICU mortality better than the Child-Pugh score (0.79) or MELD scores with (0.79-0.82) or without the incorporation of serum sodium levels (0.82). Statistical analysis showed that the prognostic severity scores, organ replacement therapy, and infection were accurate predictors of mortality. On multivariate analysis, mechanical ventilation, vasopressor therapy, bilirubin level at admission, and infection were independently associated with ICU mortality. For cirrhotic patients admitted to the ICU, SAPS II, and SOFA scores predicted ICU mortality better than liver-specific scores. Mechanical ventilation or vasopressor therapy, bilirubin levels at admission and infection in patients with advanced cirrhosis were associated with a poor outcome. Copyright © 2011 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

  14. Cost of riparian buffer zones: A comparison of hydrologically adapted site-specific riparian buffers with traditional fixed widths

    NASA Astrophysics Data System (ADS)

    Tiwari, T.; Lundström, J.; Kuglerová, L.; Laudon, H.; Öhman, K.; Ågren, A. M.

    2016-02-01

    Traditional approaches aiming at protecting surface waters from the negative impacts of forestry often focus on retaining fixed width buffer zones around waterways. While this method is relatively simple to design and implement, it has been criticized for ignoring the spatial heterogeneity of biogeochemical processes and biodiversity in the riparian zone. Alternatively, a variable width buffer zone adapted to site-specific hydrological conditions has been suggested to improve the protection of biogeochemical and ecological functions of the riparian zone. However, little is known about the monetary value of maintaining hydrologically adapted buffer zones compared to the traditionally used fixed width ones. In this study, we created a hydrologically adapted buffer zone by identifying wet areas and groundwater discharge hotspots in the riparian zone. The opportunity cost of the hydrologically adapted riparian buffer zones was then compared to that of the fixed width zones in a meso-scale boreal catchment to determine the most economical option of designing riparian buffers. The results show that hydrologically adapted buffer zones were cheaper per hectare than the fixed width ones when comparing the total cost. This was because the hydrologically adapted buffers included more wetlands and low productive forest areas than the fixed widths. As such, the hydrologically adapted buffer zones allows more effective protection of the parts of the riparian zones that are ecologically and biogeochemically important and more sensitive to disturbances without forest landowners incurring any additional cost than fixed width buffers.

  15. [The children with burns admitted to a Pediatric Unit of a General Hospital].

    PubMed

    Rolim, Eni de Jesus; Leme, Marcus Antonio da Silva

    1980-08-01

    The necessity of improving nursing care to children with burns, admitted to a Pediatric Unit of a General Hospital, led the authors to adapt the ward so as to have one room prepared for such children. Results were good. They can be proved by the quicker evolution of the patients' condition, the increased interest of nursing personnel in caring for such patients and in the decreasing time splent by them in the accomflish ment of their tashs.

  16. Clinical characteristics and medication use patterns among hospitalized patients admitted with psychotic vs nonpsychotic major depressive disorder.

    PubMed

    Gaudiano, Brandon A; Weinstock, Lauren M; Epstein-Lubow, Gary; Uebelacker, Lisa A; Miller, Ivan W

    2016-02-01

    In routine practice, major depressive disorder (MDD) with psychotic features often goes under-recognized and undertreated. Previous research has specified several demographic and clinical differences in MDD patients with psychotic features compared with those without psychosis in routine outpatient practice, but there is little systematic research in modern routine hospital settings. We conducted a retrospective electronic medical records chart review of 1,314 patients diagnosed with MDD who were admitted consecutively to a major psychiatric hospital over a 1-year period. We examined the prevalence of psychotic features in the sample and investigated the differences in demographic variables, clinical characteristics, and medication use patterns among patients with and without psychosis. The prevalence of psychotic features was 13.2% in the current hospital sample. Patients with psychotic depression were more likely to be older, male, a member of a racial/ethnic minority, and have more medical comorbidities and certain Axis I disorders compared with nonpsychotic patients. In addition, patients with psychotic depression were more likely to be prescribed antipsychotics and hypnotics before admission. Several demographic and clinical characteristics differentiate MDD patients with psychosis from those without psychosis in hospital settings that may be helpful in identifying these patients. Comparisons with outpatient samples and treatments implications are discussed.

  17. Etiologies and Management of Aseptic Meningitis in Patients Admitted to an Internal Medicine Department

    PubMed Central

    Jarrin, Irène; Sellier, Pierre; Lopes, Amanda; Morgand, Marjolaine; Makovec, Tamara; Delcey, Veronique; Champion, Karine; Simoneau, Guy; Green, Andrew; Mouly, Stéphane; Bergmann, Jean-François; Lloret-Linares, Célia

    2016-01-01

    Abstract Several studies have focused on the clinical and biological characteristics of meningitis in order to distinguish between bacterial and viral meningitis in the emergency setting. However, little is known about the etiologies and outcomes of aseptic meningitis in patients admitted to Internal Medicine. The aim of the study is to describe the etiologies, characteristics, and outcomes of aseptic meningitis with or without encephalitis in adults admitted to an Internal Medicine Department. A retrospective cohort study was conducted in the Internal Medicine Department of the Lariboisière Hospital in Paris, France, from January 2009 to December 2011. Clinical and biological characteristics of aseptic meningitis were recorded. These included cerebrospinal fluid analysis, results of polymerase chain reaction testing, final diagnoses, and therapeutic management. The cohort included 180 patients fulfilling the criteria for aseptic meningitis with (n = 56) or without (n = 124) encephalitis. A definitive etiological diagnosis was established in 83 of the 180 cases. Of the cases with a definitive diagnosis, 73 were due to infectious agents, mainly enteroviruses, Herpes Simplex Virus 2, and Varicella Zoster Virus (43.4%, 16.8%, and 14.5% respectively). Inflammatory diseases were diagnosed in 7 cases. Among the 97 cases without definitive diagnoses, 26 (26.8%) remained free of treatment throughout their management whereas antiviral or antibiotic therapy was initiated in the emergency department for the remaining 71 patients. The treatment was discontinued in only 10 patients deemed to have viral meningitis upon admission to Internal Medicine. The prevalence of inflammatory diseases among patients admitted to internal medicine for aseptic meningitis is not rare (4% of overall aseptic meningitis). The PCR upon admission to the emergency department is obviously of major importance for the prompt optimization of therapy and management. However, meningitis due to

  18. Etiologies and Management of Aseptic Meningitis in Patients Admitted to an Internal Medicine Department.

    PubMed

    Jarrin, Irène; Sellier, Pierre; Lopes, Amanda; Morgand, Marjolaine; Makovec, Tamara; Delcey, Veronique; Champion, Karine; Simoneau, Guy; Green, Andrew; Mouly, Stéphane; Bergmann, Jean-François; Lloret-Linares, Célia

    2016-01-01

    Several studies have focused on the clinical and biological characteristics of meningitis in order to distinguish between bacterial and viral meningitis in the emergency setting. However, little is known about the etiologies and outcomes of aseptic meningitis in patients admitted to Internal Medicine.The aim of the study is to describe the etiologies, characteristics, and outcomes of aseptic meningitis with or without encephalitis in adults admitted to an Internal Medicine Department.A retrospective cohort study was conducted in the Internal Medicine Department of the Lariboisière Hospital in Paris, France, from January 2009 to December 2011. Clinical and biological characteristics of aseptic meningitis were recorded. These included cerebrospinal fluid analysis, results of polymerase chain reaction testing, final diagnoses, and therapeutic management.The cohort included 180 patients fulfilling the criteria for aseptic meningitis with (n = 56) or without (n = 124) encephalitis. A definitive etiological diagnosis was established in 83 of the 180 cases. Of the cases with a definitive diagnosis, 73 were due to infectious agents, mainly enteroviruses, Herpes Simplex Virus 2, and Varicella Zoster Virus (43.4%, 16.8%, and 14.5% respectively). Inflammatory diseases were diagnosed in 7 cases. Among the 97 cases without definitive diagnoses, 26 (26.8%) remained free of treatment throughout their management whereas antiviral or antibiotic therapy was initiated in the emergency department for the remaining 71 patients. The treatment was discontinued in only 10 patients deemed to have viral meningitis upon admission to Internal Medicine.The prevalence of inflammatory diseases among patients admitted to internal medicine for aseptic meningitis is not rare (4% of overall aseptic meningitis). The PCR upon admission to the emergency department is obviously of major importance for the prompt optimization of therapy and management. However, meningitis due to viral agents or

  19. 76 FR 44803 - Quarterly Listings; Safety Zones, Security Zones, Special Local Regulations, Drawbridge Operation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-27

    ... USCG-2009-1081 New Orleans, LA Safety Zone (Part 165)..... 12/23/2009 USCG-2009-1084 Rio Vista, CA...-1096 Port Portland Zone......... Safety Zone (Part 165)..... 7/3/2010 USCG-2009-0040 La Push, WA Safety...-0950 Madisonville, LA Safety Zone (Part 165)..... 12/31/2009 USCG-2009-0951 Lower Mississippi River...

  20. Landslide susceptibility mapping in three selected target zones in Afghanistan

    NASA Astrophysics Data System (ADS)

    Schwanghart, Wolfgang; Seegers, Joe; Zeilinger, Gerold

    2015-04-01

    In May 2014, a large and mobile landslide destroyed the village Ab Barek, a village in Badakshan Province, Afghanistan. The landslide caused several hundred fatalities and once again demonstrated the vulnerability of Afghanistan's population to extreme natural events following more than 30 years of civil war and violent conflict. Increasing the capacity of Afghanistan's population by strengthening the disaster preparedness and management of responsible government authorities and institutions is thus a major component of international cooperation and development strategies. Afghanistan is characterized by high relief and widely varying rock types that largely determine the spatial distribution as well as emplacement modes of mass movements. The major aim of our study is to characterize this variability by conducting a landslide susceptibility analysis in three selected target zones: Greater Kabul Area, Badakhshan Province and Takhar Province. We expand on an existing landslide database by mapping landforms diagnostic for landslides (e.g. head scarps, normal faults and tension cracks), and historical landslide scars and landslide deposits by visual interpretation of high-resolution satellite imagery. We conduct magnitude frequency analysis within subregional physiogeographic classes based on geological maps, climatological and topographic data to identify regional parameters influencing landslide magnitude and frequency. In addition, we prepare a landslide susceptibility map for each area using the Weight-of-Evidence model. Preliminary results show that the three selected target zones vastly differ in modes of landsliding. Low magnitude but frequent rockfall events are a major hazard in the Greater Kabul Area threatening buildings and infrastructure encroaching steep terrain in the city's outskirts. Mass movements in loess covered areas of Badakshan are characterized by medium to large magnitudes. This spatial variability of characteristic landslide magnitudes and

  1. Spatial variability and long-term analysis of groundwater quality of Faisalabad industrial zone

    NASA Astrophysics Data System (ADS)

    Nasir, Muhammad Salman; Nasir, Abdul; Rashid, Haroon; Shah, Syed Hamid Hussain

    2017-10-01

    Water is the basic necessity of life and is essential for healthy society. In this study, groundwater quality analysis was carried out for the industrial zone of Faisalabad city. Sixty samples of groundwater were collected from the study area. The quality maps of deliberately analyzed results were prepared in GIS. The collected samples were analyzed for chemical parameters and heavy metals, such as total hardness, alkalinity, cadmium, arsenic, nickel, lead, and fluoride, and then, the results were compared with the WHO guidelines. The values of these results were represented by a mapping of quality parameters using the ArcView GIS v9.3, and IDW was used for raster interpolation. The long-term analysis of these parameters has been carried out using the `R Statistical' software. It was concluded that water is partially not fit for drinking, and direct use of this groundwater may cause health issues.

  2. [Even more critical medicine: a retrospective analysis of casualties admitted to the intensive care unit in the Spanish Military Hospital in Herat (Afghanistan)].

    PubMed

    Navarro Suay, R; Bartolomé Cela, E; Jara Zozaya, I; Hernández Abadía de Barbará, A; Gutiérrez Ortega, C; García Labajo, J D; Planas Roca, A; Gilsanz Rodríguez, F

    2011-04-01

    To analyze casualties from firearm and explosives injuries who were admitted to the Intensive Care Unit in the Spanish ROLE-2E from December 2005 to December 2008 and to evaluate which damaging agent had produced the highest morbidity-mortality in our series using score indices with anatomical base (ISS and NISS). Observational and retrospective study performed between 2005 and 2008. Polyvalent Intensive Care Unit in the Spanish Military Hospital of those deployed in Afghanistan. The inclusion criteria were all patients who had been wounded by firearm or by explosive devices and who had been admitted in ICU in Spanish Military Hospital in Herat (Afghanistan). The anatomic scores Injury Severity Score and the New Injury Severity Score (NISS) were applied to all the selected patients to estimate the grade of severity of their injuries. Independent: damaging agent, injured anatomical area, protection measures and dependent: mortality, surgical procedure applied, score severity and socio-demographics and control variables. Eighty-six casualties, 30 by firearm and 56 by explosive devices. Applying the NISS, 38% of the casualties had suffered severe injuries. Mean stay in the ICU was 2.8 days and mortality was 10%. Significant differences in admission to the ICU for the damaging agent were not observed (P=.142). No significant differences were observed in the need for admission and stay in the ICU according to the damaging agent. The importance of the strategy, care and logistics of the intensive care military physician in Intensive Medicine in the Operating Room in Afghanistan is stressed. © 2010 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  3. Perturbed invariant subspaces and approximate generalized functional variable separation solution for nonlinear diffusion-convection equations with weak source

    NASA Astrophysics Data System (ADS)

    Xia, Ya-Rong; Zhang, Shun-Li; Xin, Xiang-Peng

    2018-03-01

    In this paper, we propose the concept of the perturbed invariant subspaces (PISs), and study the approximate generalized functional variable separation solution for the nonlinear diffusion-convection equation with weak source by the approximate generalized conditional symmetries (AGCSs) related to the PISs. Complete classification of the perturbed equations which admit the approximate generalized functional separable solutions (AGFSSs) is obtained. As a consequence, some AGFSSs to the resulting equations are explicitly constructed by way of examples.

  4. Association of low body temperature and poor outcomes in patients admitted with worsening heart failure: a substudy of the Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study with Tolvaptan (EVEREST) trial.

    PubMed

    Payvar, Saeed; Spertus, John A; Miller, Alan B; Casscells, S Ward; Pang, Peter S; Zannad, Faiez; Swedberg, Karl; Maggioni, Aldo P; Reid, Kimberly J; Gheorghiade, Mihai

    2013-12-01

    Risk stratification in patients admitted with worsening heart failure (HF) is essential for tailoring therapy and counselling. Risk models are available but rarely used, in part because many require laboratory and imaging results that are not routinely available. Body temperature is associated with prognosis in other illnesses, and we hypothesized that low body temperature would be associated with worse outcomes in patients admitted with worsening HF. The Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study with Tolvaptan (EVEREST) trial was an event-driven, randomized, double-blind, placebo-controlled study of tolvaptan in 4133 patients hospitalized for worsening HF with an EF <40%. Co-primary endpoints were all-cause mortality and cardiovascular (CV) death or HF rehospitalization. Body temperature was measured orally at randomization and entered in analyses both as a continuous variable and categorized into three groups (<36 °C, 36-36.5 °C, and >36.5 °C) using Cox regression models. The composite of CV death or HF rehospitalization occurred in 1544 patients within 1 year. For every 1 °C decrease in body temperature, the risk of adverse outcomes increased by 16% [hazard raio (HR) 1.16, 95% confidence interval (CI) 1.04-1.28], after adjustment for age, gender, race, systolic blood pressure, EF, blood urea nitrogen, and serum sodium. In fully adjusted analysis, the risk of adverse outcomes in the lowest body temperature group (<36 °C) was 51% higher than that of the index group (>36.5 °C) (HR 1.35, 95% CI 1.15-1.58). Low body temperature is an independent marker of poor cardiovascular outcomes in patients admitted with worsening HF and reduced EF.

  5. The predictive value of fall assessment tools for patients admitted to hospice care.

    PubMed

    Patrick, Rebecca J; Slobodian, Dana; Debanne, Sara; Huang, Ying; Wellman, Charles

    2017-09-01

    Fall assessment tools are commonly used to evaluate the likelihood of fall. For patients found to be at high risk, patient-specific fall prevention interventions are implemented. The purposes of this study were to describe the population, evaluate and compare the efficacy of fall assessment tools, and suggest the best use for these tools in hospice. Data were downloaded from the electronic medical record for all patients who were admitted to and died in hospice care in 2013. Variables included demographic, clinical and initial fall assessment scores that had been computed on admission to hospice care, using our standard fall assessment tool. To facilitate comparison among three tools, additional fall assessment calculations were made for each patient using the Morse Fall Scale and MACH-10, two tools commonly used in a variety of healthcare settings. Data were available for 3446 hospice patients. Female patients were less likely to fall than males; Fallers lived longer than Nonfallers; and patients with a primary dementia diagnosis fell 10 days sooner than those with a primary non-dementia diagnosis. A comparison of three fall assessment tools revealed that no tool had a good positive predictive value, but each demonstrated a good negative predictive value. Fall assessment scores should not be used as the sole predictor of likelihood of fall, and are best used as a supplement to clinical judgement. Patients with a primary dementia diagnosis are likely to fall earlier in their hospice care than those with other primary diagnoses. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  6. Shear zones bounding the central zone of the Limpopo Mobile Belt, southern Africa

    NASA Astrophysics Data System (ADS)

    McCouri, Stephen; Vearncombe, Julian R.

    Contrary to previously suggested north-directed thrust emplacement of the central zone of the Limpopo mobile belt, we present evidence indicating west-directed emplacement. The central zone differs from the marginal zones in rock types, structural style and isotopic signature and is an allochthonous thrust sheet. It is bounded in the north by the dextral Tuli-Sabi shear zone and in the south by the sinistral Palala shear zone which are crustal-scale lateral ramps. Published gravity data suggest that the lateral ramps are linked at depth and they probably link at the surface, in a convex westward frontal ramp, in the vicinity of longitude 26°30'E in eastern Botswana. Two phases of movement, the first between 2.7 and 2.6 Ga and the second between 2.0 and 1.8 Ga. occurred on both the Tuli-Sabi and the Palala shear zones.

  7. Functional Process Zones Characterizing Aquatic Insect Communities in Streams of the Brazilian Cerrado.

    PubMed

    Godoy, B S; Simião-Ferreira, J; Lodi, S; Oliveira, L G

    2016-04-01

    Stream ecology studies see to understand ecological dynamics in lotic systems. The characterization of streams into Functional Process Zones (FPZ) has been currently debated in stream ecology because aquatic communities respond to functional processes of river segments. Therefore, we tested if different functional process zones have different number of genera and trophic structure using the aquatic insect community of Neotropical streams. We also assessed whether using physical and chemical variables may complement the approach of using FPZ to model communities of aquatic insects in Cerrado streams. This study was conducted in 101 streams or rivers from the central region of the state of Goiás, Brazil. We grouped the streams into six FPZ associated to size of the river system, presence of riparian forest, and riverbed heterogeneity. We used Bayesian models to compare number of genera and relative frequency of the feeding groups between FPZs. Streams classified in different FPZs had a different number of genera, and the largest and best preserved rivers had an average of four additional genera. Trophic structure exhibited low variability among FPZs, with little difference both in the number of genera and in abundance. Using functional process zones in Cerrado streams yielded good results for Ephemeroptera, Plecoptera, and Trichoptera communities. Thus, species distribution and community structure in the river basin account for functional processes and not necessarily for the position of the community along a longitudinal dimension of the lotic system.

  8. Freeway work zone lane capacity.

    DOT National Transportation Integrated Search

    2009-01-01

    The focus of this report is a capacity analysis of two long-term urban freeway Work Zones. Work Zone #1 : tapered four mainline lanes to two, using two separate tapers; Work Zone #2 tapered two mainline lanes to one. : Work Zone throughput was analyz...

  9. Clinical Epidemiology of SIRS and Sepsis in Newly Admitted Children.

    PubMed

    Ganjoo, Sheetal; Ahmad, Kaisar; Qureshi, Umar Amin; Mir, Zahed Hussain

    2015-08-01

    To assess the clinical and demographic profile of Systemic Inflammatory Response Syndrome (SIRS) and sepsis, among newly admitted children in different age groups in a hospital in North India. This prospective study was conducted at a referral care centre in Northern India. All children, age group 0 to <18 y, admitted on days selected for study were screened and those with abnormal temperature and abnormal leukocyte count were included for further assessment. A total of twenty "24 h" periods were randomly chosen during the study period. Patients were assessed according to age specific vital signs and laboratory values to diagnose Systemic Inflammatory Response Syndrome (SIRS) and sepsis and to gain clinical and demographic data. The criteria laid at International consensus conference, 2002, were used to define patients as SIRS, Sepsis, Severe sepsis and Septic shock. During the study period, a total of 865 patients were screened for SIRS. Prevalence of SIRS amongst hospitalised children was 23 % (n = 201). Seventy nine percent (n = 159) of patients had infection associated SIRS and 21 % (42) had non-infective SIRS. Sixty four percent (n = 129) SIRS patients had uncomplicated sepsis, 15 % (n = 30) patients fulfilled criteria for severe sepsis. Out of the latter 30, 19 had septic shock. Organ dysfunction in SIRS was noted in 25 % (n = 51). 37.25 % (n = 19) had multiple organ dysfunction syndrome (MODS). The most common organism isolated was Staphylococcus aureus (n = 9). Focus of infection in majority was pulmonary (44 %). Mean duration of antibiotic therapy and hospital stay in the SIRS group were 6.4 and 6.5 d respectively. In the group without SIRS, mean duration were 2.44 d and 3.07 d respectively The differences were statistically significant. In conclusion, the proportion of sepsis contributing to SIRS is high in a tertiary care hospital. Therefore rapid recognition of SIRS is essential. Goal directed treatment of sepsis is

  10. Predicting hospital stay, mortality and readmission in people admitted for hypoglycaemia: prognostic models derivation and validation.

    PubMed

    Zaccardi, Francesco; Webb, David R; Davies, Melanie J; Dhalwani, Nafeesa N; Gray, Laura J; Chatterjee, Sudesna; Housley, Gemma; Shaw, Dominick; Hatton, James W; Khunti, Kamlesh

    2017-06-01

    Hospital admissions for hypoglycaemia represent a significant burden on individuals with diabetes and have a substantial economic impact on healthcare systems. To date, no prognostic models have been developed to predict outcomes following admission for hypoglycaemia. We aimed to develop and validate prediction models to estimate risk of inpatient death, 24 h discharge and one month readmission in people admitted to hospital for hypoglycaemia. We used the Hospital Episode Statistics database, which includes data on all hospital admission to National Health Service hospital trusts in England, to extract admissions for hypoglycaemia between 2010 and 2014. We developed, internally and temporally validated, and compared two prognostic risk models for each outcome. The first model included age, sex, ethnicity, region, social deprivation and Charlson score ('base' model). In the second model, we added to the 'base' model the 20 most common medical conditions and applied a stepwise backward selection of variables ('disease' model). We used C-index and calibration plots to assess model performance and developed a calculator to estimate probabilities of outcomes according to individual characteristics. In derivation samples, 296 out of 11,136 admissions resulted in inpatient death, 1789/33,825 in one month readmission and 8396/33,803 in 24 h discharge. Corresponding values for validation samples were: 296/10,976, 1207/22,112 and 5363/22,107. The two models had similar discrimination. In derivation samples, C-indices for the base and disease models, respectively, were: 0.77 (95% CI 0.75, 0.80) and 0.78 (0.75, 0.80) for death, 0.57 (0.56, 0.59) and 0.57 (0.56, 0.58) for one month readmission, and 0.68 (0.67, 0.69) and 0.69 (0.68, 0.69) for 24 h discharge. Corresponding values in validation samples were: 0.74 (0.71, 0.76) and 0.74 (0.72, 0.77), 0.55 (0.54, 0.57) and 0.55 (0.53, 0.56), and 0.66 (0.65, 0.67) and 0.67 (0.66, 0.68). In both derivation and validation samples

  11. Modeling variably saturated subsurface solute transport with MODFLOW-UZF and MT3DMS

    USGS Publications Warehouse

    Morway, Eric D.; Niswonger, Richard G.; Langevin, Christian D.; Bailey, Ryan T.; Healy, Richard W.

    2013-01-01

    The MT3DMS groundwater solute transport model was modified to simulate solute transport in the unsaturated zone by incorporating the unsaturated-zone flow (UZF1) package developed for MODFLOW. The modified MT3DMS code uses a volume-averaged approach in which Lagrangian-based UZF1 fluid fluxes and storage changes are mapped onto a fixed grid. Referred to as UZF-MT3DMS, the linked model was tested against published benchmarks solved analytically as well as against other published codes, most frequently the U.S. Geological Survey's Variably-Saturated Two-Dimensional Flow and Transport Model. Results from a suite of test cases demonstrate that the modified code accurately simulates solute advection, dispersion, and reaction in the unsaturated zone. Two- and three-dimensional simulations also were investigated to ensure unsaturated-saturated zone interaction was simulated correctly. Because the UZF1 solution is analytical, large-scale flow and transport investigations can be performed free from the computational and data burdens required by numerical solutions to Richards' equation. Results demonstrate that significant simulation runtime savings can be achieved with UZF-MT3DMS, an important development when hundreds or thousands of model runs are required during parameter estimation and uncertainty analysis. Three-dimensional variably saturated flow and transport simulations revealed UZF-MT3DMS to have runtimes that are less than one tenth of the time required by models that rely on Richards' equation. Given its accuracy and efficiency, and the wide-spread use of both MODFLOW and MT3DMS, the added capability of unsaturated-zone transport in this familiar modeling framework stands to benefit a broad user-ship.

  12. 19 CFR 146.82 - Suspension.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (CONTINUED) FOREIGN TRADE ZONES Penalties; Suspension; Revocation § 146.82 Suspension. (a) For cause. The port director may suspend for cause the activated status of a zone or zone site, or the privilege to admit, manufacture, manipulate, exhibit, destroy, transfer or remove merchandise at a zone or zone site...

  13. 19 CFR 146.82 - Suspension.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... (CONTINUED) FOREIGN TRADE ZONES Penalties; Suspension; Revocation § 146.82 Suspension. (a) For cause. The port director may suspend for cause the activated status of a zone or zone site, or the privilege to admit, manufacture, manipulate, exhibit, destroy, transfer or remove merchandise at a zone or zone site...

  14. 19 CFR 146.82 - Suspension.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... (CONTINUED) FOREIGN TRADE ZONES Penalties; Suspension; Revocation § 146.82 Suspension. (a) For cause. The port director may suspend for cause the activated status of a zone or zone site, or the privilege to admit, manufacture, manipulate, exhibit, destroy, transfer or remove merchandise at a zone or zone site...

  15. 19 CFR 146.82 - Suspension.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (CONTINUED) FOREIGN TRADE ZONES Penalties; Suspension; Revocation § 146.82 Suspension. (a) For cause. The port director may suspend for cause the activated status of a zone or zone site, or the privilege to admit, manufacture, manipulate, exhibit, destroy, transfer or remove merchandise at a zone or zone site...

  16. 19 CFR 146.82 - Suspension.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (CONTINUED) FOREIGN TRADE ZONES Penalties; Suspension; Revocation § 146.82 Suspension. (a) For cause. The port director may suspend for cause the activated status of a zone or zone site, or the privilege to admit, manufacture, manipulate, exhibit, destroy, transfer or remove merchandise at a zone or zone site...

  17. Impact of consultant specialty on discharge decisions in patients admitted as medical emergencies to hospitals in the United Kingdom.

    PubMed

    Subbe, C P; Jeune, Ivan Le; Ward, D; Pradhan, S; Masterton-Smith, C

    2017-02-01

    The Society for Acute Medicine's Benchmarking Audit (SAMBA) annually examines Clinical Quality Indicators (CQIs) of the care of patients admitted to UK hospitals as medical emergencies. The aim of this study is to review the impact of consultant specialty on discharge decisions in the SAMBA data-set. Prospective audit of patients admitted to acute medical units (AMUs) on 25 June 2015 to participating hospitals throughout the UK with subgroup analysis. Eighty-three units submitted patient data from 3138 patients.Nearly 1845 (58%, IQR for units 50-69%) of patients were referrals from Emergency Medicine, 1072 (32%, IQR for units 24-44%) were referrals from Primary Care. The mean age was 65 (SD 20). One hundred and forty-one (4.5%) patients were admitted from care homes and 951 (30%) of patients were at least 'mildly frail' and 407 (13%) had signs of physiological instability. The median and the mean time to being seen by a doctor were 1 h 20 min and 2 h 3 min, respectively. The median and the mean time to being seen by senior specialist were 3 h 55 min and 5 h 56 min, respectively. By 72 h, 29 (1%) patients had died in the AMU, 73 were admitted to critical care units, 1297 (41%) had been discharged to their own home and 60 to nursing or residential homes. For every 100 patients seen specialists in acute medicine discharged 12 more patients than specialists from other disciplines of medicine ( P  < 0.001). The difference remained significant after adjustment for case mix. Specialist in acute care might facilitate discharge in a higher proportion of patients. © The Author 2016. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  18. Severity of airflow limitation, co-morbidities and management of chronic obstructive pulmonary disease patients acutely admitted to hospital.

    PubMed

    Au, L H; Chan, H S

    2013-12-01

    To assess the disease spectrum, severity of airflow limitation, admission pattern, co-morbidities, and management of patients admitted for acute exacerbations of chronic obstructive pulmonary disease. Case series. An acute regional hospital in Hong Kong. Adult subjects admitted during January 2010 to December 2010 with the principal discharge diagnosis of chronic obstructive pulmonary disease. In all, the records of 253 patients with physician-diagnosed chronic obstructive pulmonary disease were analysed. The majority were old (mean age, 78 years). The median number of admissions per patient for this condition in 2010 was two. About two thirds (64%) had had spirometry at least once. Mean forced expiratory volume in one second predicted was 55%. Almost 90% had moderate-to-very severe airflow limitation by spirometry. Overall, long-acting bronchodilators (beta agonists and/or antimuscarinics) were being prescribed for only 21% of the patients. Most of the patients admitted to hospital for acute exacerbations of chronic obstructive pulmonary disease were old, had multiple co-morbidities, and the majority had moderate-to-severe airflow limitation by spirometry. Almost half of them (around 46%) had two or more admissions in 2010. Adherence to the latest treatment guidelines seemed inadequate, there being a low prescription rate of long-acting bronchodilators. Chronic obstructive pulmonary disease patients warranting emergency admissions are at risk of future exacerbations and mortality. Management by a designated multidisciplinary team is recommended.

  19. Analysis of biophysical and anthropogenic variables and their relation to the regional spatial variation of aboveground biomass illustrated for North and East Kalimantan, Borneo.

    PubMed

    Van der Laan, Carina; Verweij, Pita A; Quiñones, Marcela J; Faaij, André Pc

    2014-12-01

    Land use and land cover change occurring in tropical forest landscapes contributes substantially to carbon emissions. Better insights into the spatial variation of aboveground biomass is therefore needed. By means of multiple statistical tests, including geographically weighted regression, we analysed the effects of eight variables on the regional spatial variation of aboveground biomass. North and East Kalimantan were selected as the case study region; the third largest carbon emitting Indonesian provinces. Strong positive relationships were found between aboveground biomass and the tested variables; altitude, slope, land allocation zoning, soil type, and distance to the nearest fire, road, river and city. Furthermore, the results suggest that the regional spatial variation of aboveground biomass can be largely attributed to altitude, distance to nearest fire and land allocation zoning. Our study showed that in this landscape, aboveground biomass could not be explained by one single variable; the variables were interrelated, with altitude as the dominant variable. Spatial analyses should therefore integrate a variety of biophysical and anthropogenic variables to provide a better understanding of spatial variation in aboveground biomass. Efforts to minimise carbon emissions should incorporate the identified factors, by 1) the maintenance of lands with high AGB or carbon stocks, namely in the identified zones at the higher altitudes; and 2) regeneration or sustainable utilisation of lands with low AGB or carbon stocks, dependent on the regeneration capacity of the vegetation. Low aboveground biomass densities can be found in the lowlands in burned areas, and in non-forest zones and production forests.

  20. 33 CFR 165.503 - Security Zone; Captain of the Port Hampton Roads Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Port Hampton Roads Zone. 165.503 Section 165.503 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND LIMITED... § 165.503 Security Zone; Captain of the Port Hampton Roads Zone. (a) Definitions. As used in this...

  1. Viral meningitis admitted to an infectious diseases hospital: a retrospective case series.

    PubMed

    Vâţă, A; Luca, Cătălina M; Duca, Elena; Irina, Teodorescu; Manciuc, Carmen; Vâţă, Luminita G; Dorobăţ, Carmen

    2013-01-01

    Given its epidemic potential and development of severe forms of disease, viral meningitis (VM) is a serious public health problem. to characterize the main clinical, epidemiologic features, the etiology and treatment of VM cases admitted to the Iasi Infectious Diseases Hospital, in 2012. We retrospectively analyzed the medical records of the patients admitted for viral meningitis at the Iasi "St. Parascheva" Infectious Diseases Hospital in the interval January 1- December 31, 2012 (98 cases). The etiologic diagnosis was made by determining the IgM/IgG antibodies against Coxsackie virus and/or West Nile virus in blood/CSF. There was a fourfold increase in the number of cases as compared to the average for the years 2009-2011. Most cases (73.5%) were children aged 1 to 14 years. 61.8% of patients were males, 51.7% from urban areas. The most common symptom was headache (85.7%), followed by fever (77.6%), and vomiting (66.3%). Neck stiffness was absent in 28.6% cases. In43.5% of the 39 patients serologically investigated a Coxsackie virus infection was confirmed and 1/20 was positive for West Nile virus; three varicella-zoster virus infections and one mumps infection were diagnosed clinically. 68.3% of the patients received first-line antibiotic treatment. The illness mainly affected children, fever and neck stiffness being sometimes absent. The etiology was known in 22.4% of cases; enter viruses being the most frequent causative agent. Most patients received antibiotic therapy. The course was favorable in all cases.

  2. [Characteristics of heroin dependent patients admitted to a methadone treatment program].

    PubMed

    Sanvisens, Arantza; Rivas, Inmaculada; Faure, Eva; Muñoz, Trinidad; Rubio, Manuela; Fuster, Daniel; Tor, Jordi; Muga, Robert

    2014-01-21

    Methadone is largely used as the primary opioid substitution therapy for the treatment of heroin addiction; the objective of the study was to describe the clinical characteristics of heroin abusers admitted into a methadone maintenance program (MMP) in metropolitan Barcelona. Cross-sectional study in patients enrolled in MMP since its introduction in 1992 through December 2010. Socio-demographic data, drug use characteristics, prevalence of blood-borne infections (human immunodeficiency virus [HIV], and hepatitis B [HBV] and C [HCV]) and psychiatric co-morbidity were assessed at entry. One thousand and six hundred seventy eight patients (82.8% male). A total of 608 (36.2%) patients were admitted during 1992-1996, 566 (33.7%) between 1997-2001, 305 (18.2%) between 2002-2006 and 199 (11.9%) in the last period. Age at admission to methadone increased significantly (28 years in period 1992-1996 vs. 37 years in the last period [P<.005]). The percentage of patients with a history of intravenous drug use decreased significantly (89.5% in first period vs. 56.4% in period 2007-2010 [P<.05]). Prevalence of HIV, HCV and HBV (HBcAb+) was 53.7, 73.6 and 61.3%, respectively. The prevalence of HIV decreased over time from 66.2% in first period to 43.5% in 2007-2010 (P<.05); the prevalence of HCV decreased significantly from 82.8% in 1992-1996 to 69.8% in last period (P<.05). Twenty five percent of patients had psychiatric co-morbidity at admission and the prevalence of psychiatric co-morbidity increased over time (21% in 1992-1996 and 32% in 2007-2010; P<.05). Age at first opioid substitution therapy is increasing over time, as well as the proportion of patients with psychiatric co-morbidity. There were significant reductions in blood-borne infections. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  3. Speed behaviour in work zone crossovers. A driving simulator study.

    PubMed

    Domenichini, Lorenzo; La Torre, Francesca; Branzi, Valentina; Nocentini, Alessandro

    2017-01-01

    Reductions in speed and, more critically, in speed variability between vehicles are considered an important factor to reduce crash risk in work zones. This study was designed to evaluate in a virtual environment the drivers' behaviour in response to nine different configurations of a motorway crossover work zone. Specifically, the speed behaviour through a typical crossover layout, designed in accordance with the Italian Ministerial Decree 10 July 2002, was compared with that of eight alternative configurations which differ in some characteristics such as the sequence of speed limits, the median opening width and the lane width. The influence of variable message signs, of channelizing devices and of perceptual treatments based on Human Factor principles were also tested. Forty-two participants drove in driving simulator scenarios while data on their speeds and decelerations were collected. The results indicated that drivers' speeds are always higher than the temporary posted speed limits for all configurations and that speeds decreases significantly only within the by-passes. However the implementation of higher speed limits, together with a wider median opening and taller channelization devices led to a greater homogeneity of the speeds adopted by the drivers. The presence of perceptual measures generally induced both the greatest homogenization of speeds and the largest reductions in mean speed values. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Splenic marginal zone lymphoma uncovered after a 10-year follow up as anemia of unknown cause.

    PubMed

    Koyama, Asumi; Shiotani, Chieko; Kurihara, Toshio; Mushino, Toshiki; Okamoto, Yukiharu; Tamaki, Tatsunori; Ozaki, Takashi; Ohshima, Kouichi; Tamura, Shinobu

    2017-01-01

    A 75-year-old man was referred to our hospital for evaluation of persistent anemia. Despite repeated diagnostic tests, including bone marrow aspiration, the cause of his anemia remained unknown. On each occasion, computed tomography had revealed neither swollen lymph nodes nor splenomegaly. After a 10-year follow-up period, he was admitted with general fatigue and had developed splenomegaly as well as the anemia. Bone marrow biopsy revealed increased abnormal lymphocytes with short villi that were positive for CD11c, CD19, CD20, and kappa chain, but not for CD5, CD10, CD23, or cyclin D1, according to flow cytometry. The bone marrow biopsy sample showed nodular proliferation of small to medium-sized abnormal lymphocytes. Based on these findings, the patient was diagnosed as having splenic marginal zone lymphoma, a rare indolent B-cell neoplasm. Although his splenomegaly diminished after eight cycles of weekly rituximab monotherapy, the anemia did not improve, and abnormal lymphocytes remained detectable in his bone marrow. The patient was then treated with bendamustine monotherapy for six cycles, after which the anemia resolved, and he has since been in good condition. Although rare, it is important to consider splenic marginal zone lymphoma during the differential diagnosis of patients with a long history of anemia of unknown cause.

  5. Rehabilitation of patients admitted to a respiratory intensive care unit.

    PubMed

    Nava, S

    1998-07-01

    Pulmonary rehabilitation has been shown to be of benefit to clinically stable patients with chronic obstructive pulmonary disease (COPD). This study examined the effect of pulmonary rehabilitation on some physiologic variables in COPD patients recovering from an episode of acute respiratory failure. A prospective, randomized study. A respiratory intensive care unit (RICU). Eighty COPD patients recovering from an episode of acute respiratory failure were randomized in a 3:1 fashion to receive stepwise pulmonary rehabilitation (group A, n=60 patients) or standard medical therapy (group B, n=20 patients). Improvements in exercise tolerance, sense of breathlessness, respiratory muscle function, and pulmonary function test values were measured, respectively, by exercise capacity (6-minute walking distance [6MWD]), dyspnea score (Visual Analog Scale [VAS]), maximal inspiratory pressure (MIP), forced expiratory volume in 1 second (FEV1), and forced vital capacity (FVC). Group A received pulmonary rehabilitation that consisted of passive mobilization (step I), early deambulation (step II), respiratory and lower skeletal muscle training (step III), and if the patients were able, complete lower extremity training on a treadmill (step IV). Group B received standard medical therapy plus a basic deambulation program. Sixty-one of 80 patients were mechanically ventilated at admission to the unit and most of them were bedridden. Twelve of the 60 group A patients and 4 of the 20 group B patients died during their RICU stay, and 9 patients required invasive mechanical ventilation at home after their discharge. The total length of RICU stay was 38+/-14 days for patients in group A versus 33.2+/-11 days for those in group B. Most patients from both groups regained the ability to walk, either unaided or aided. At discharge, 6 MWD results were significantly improved (p < .001) in Group A only. MIP improved in Group A only (p < .05), while VAS scores improved in both groups, but the

  6. 38.4 PREVALENCE OF ANTI-NEURONAL ANTIBODIES IN PATIENTS ADMITTED WITH FIRST EPISODE OF PSYCHOSIS AND THEIR CLINICAL OUTCOMES

    PubMed Central

    Scott, James; Gillis, David; Ryan, Alex; Hargovan, Hethal; Blum, Stefan

    2018-01-01

    Abstract Background Anti-neuronal antibodies are associated with psychosis although their clinical significance in first episode of psychosis (FEP) is undetermined. This study examined the prevalence of anti-neuronal antibodies in patients admitted to hospital for treatment of their first episode of psychosis and described clinical presentations and treatment outcomes of those who were antibody positive. Methods Between July 2013 and May 2015, all consenting patients aged between 12 and 50 admitted for their first episode of psychosis to three mental health hospitals in Queensland, Australia, were tested for anti-neuronal antibodies in serum. Antibody positive patients were referred for neurological and immunological consultation and treatment. Results During the study, 154 FEP patients were admitted with their first episode of psychosis and 113 consented to participate. Six patients were found to have anti-neuronal antibodies; (anti-NMDAR antibodies [n = 4], VGKC antibody [n = 1], antibody against uncharacterised antigen [n = 1]). Of these, five received immunotherapy, leading to complete resolution of psychosis in four. Discussion A small, but significant subgroup of patients with first episode psychosis have anti-neuronal antibodies detectable in serum and evidence of central nervous system autoimmune pathology. Early identification of these patients and referral for appropriate treatment is critical to optimise recovery.

  7. 33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

  8. 33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

  9. 33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

  10. 33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

  11. 33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

  12. 33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

  13. 33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

  14. 33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

  15. 33 CFR 3.65-15 - Sector Portland Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Zone and Captain of the Port Zone. 3.65-15 Section 3.65-15 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Thirteenth Coast Guard District § 3.65-15 Sector Portland Marine Inspection Zone...

  16. 33 CFR 3.35-10 - Sector Miami Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Zone and Captain of the Port Zone. 3.35-10 Section 3.35-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Seventh Coast Guard District § 3.35-10 Sector Miami Marine Inspection Zone and...

  17. 33 CFR 3.40-10 - Sector Mobile Marine Inspection Zone and Captain of the Port Zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Zone and Captain of the Port Zone. 3.40-10 Section 3.40-10 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY GENERAL COAST GUARD AREAS, DISTRICTS, SECTORS, MARINE INSPECTION ZONES, AND CAPTAIN OF THE PORT ZONES Eighth Coast Guard District § 3.40-10 Sector Mobile Marine Inspection Zone and...

  18. Mushy zone modeling

    NASA Astrophysics Data System (ADS)

    Glicksman, Martin E.; Smith, Richard N.; Marsh, Steven P.; Kuklinski, Robert

    A key element of mushy zone modeling is the description of the microscopic evolution of the lengthscales within the mushy zone and the influence of macroscopic transport processes. This paper describes some recent progress in developing a mean-field statistical theory of phase coarsening in adiabatic mushy zones. The main theoretical predictions are temporal scaling laws that indicate that average lengthscale increases as time 1/3, a self-similar distribution of mushy zone lengthscales based on spherical solid particle shapes, and kinetic rate constants which provide the dependences of the coarsening process on material parameters and the volume fraction of the solid phase. High precision thermal decay experiments are described which verify aspects of the theory in pure material mushy zones held under adiabatic conditions. The microscopic coarsening theory is then integrated within a macroscopic heat transfer model of one-dimensional alloy solidification, using the Double Integral Method. The method demonstrates an ability to predict the influence of macroscopic heat transfer on the evolution of primary and secondary dendrite arm spacings in Al-Cu alloys. Finally, some suggestions are made for future experimental and theoretical studies required in developing comprehensive solidification processing models.

  19. Proliferation zones in the axolotl brain and regeneration of the telencephalon

    PubMed Central

    2013-01-01

    ventricular zone of the axolotl brain. Variable rates of proliferation were detected across brain regions. These neural progenitor cells appear to mediate telencephalic tissue regeneration through an injury-induced olfactory cue. Identification of this cue is our future goal. PMID:23327114

  20. Freshwater-Brine Mixing Zone Hydrodynamics in Salt Flats (Salar de Atacama)

    NASA Astrophysics Data System (ADS)

    Marazuela, M. A.; Vázquez-Suñé, E.; Custodio, E.; Palma, T.; García-Gil, A.

    2017-12-01

    The increase in the demand of strategic minerals for the development of medicines and batteries require detailed knowledge of the salt flats freshwater-brine interface to make its exploitation efficient. The interface zone is the result of a physical balance between the recharged and evaporated water. The sharp interface approach assumes the immiscibility of the fluids and thus neglects the mixing between them. As a consequence, for miscible fluids it is more accurate and often needed to use the mixing zone concept, which results from the dynamic equilibrium of flowing freshwater and brine. In this study, we consider two and three-dimensional scale approaches for the management of the mixing zone. The two-dimensional approach is used to understand the dynamics and the characteristics of the salt flat mixing zone, especially in the Salar de Atacama (Atacama salt flat) case. By making use of this model we analyze and quantify the effects of the aquitards on the mixing zone geometry. However, the understanding of the complex physical processes occurring in the salt flats and the management of these environments requires the adoption of three-dimensional regional scale numerical models. The models that take into account the effects of variable density represent the best management tool, but they require large computational resources, especially in the three-dimensional case. In order to avoid these computational limitations in the modeling of salt flats and their valuable ecosystems, we propose a three-step methodology, consisting of: (1) collection, validation and interpretation of the hydrogeochemical data, (2) identification and three-dimensional mapping of the mixing zone on the land surface and in depth, and (3) application of a water head correction to the freshwater and mixed water heads in order to compensate the density variations and to transform them to brine water heads. Finally, an evaluation of the sensibility of the mixing zone to anthropogenic and