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Sample records for disease utilizing satellite

  1. Predicting and Mitigating Outbreaks of Vector-Borne Disease Utilizing Satellite Remote Sensing Technology and Models

    NASA Technical Reports Server (NTRS)

    Estes, Sue; Haynes, John; Kiang, Richard; Brown, Molly; Reisen, William

    2008-01-01

    Satellite earth observations present a unique vantage point of the earth's environment from space which offers a wealth of health applications for the imaginative investigator. The session will present research results of the remote sensing environmental observations of earth and health applications. This session will an overview of many of the NASA public health applications using Remote Sensing Data and will also discuss opportunities to become a research collaborator with NASA.

  2. Predicting and Mitigating Outbreaks of Vector-Borne Disease Utilizing Satellite Remote Sensing Technology and Models

    NASA Technical Reports Server (NTRS)

    Estes, Sue M.

    2009-01-01

    The Public Health application area focuses on Earth science applications to public health and safety, particularly regarding infectious disease, emergency preparedness and response, and environmental health issues. The application explores issues of toxic and pathogenic exposure, as well as natural and man-made hazards and their effects, for risk characterization/mitigation and improvements to health and safety. The program elements of the NASA Applied Sciences Program are: Agricultural Efficiency, Air Quality, Climate, Disaster Management, Ecological Forecasting, Water Resources, Weather, and Public Health.

  3. Satellite utilization for educational communications in the U.S.

    NASA Technical Reports Server (NTRS)

    Morgan, R. P.; Singh, J. P.

    1974-01-01

    This paper summarizes completed, continuing and planned satellite experiments in the U.S. related to the delivery of educational services and networking. It also describes some results of an on-going study at Washington University directed towards defining applications of fixed/broadcast communication satellites in the U.S. and alternative systems and strategies for large-scale telecommunication-based educational delivery systems utilizing satellites. An analysis is presented of recent actions which may influence future development of such systems.

  4. Planning satellite communication services and spectrum-orbit utilization

    NASA Technical Reports Server (NTRS)

    Sawitz, P. H.

    1982-01-01

    The relationship between approaches to planning satellite communication services and spectrum-orbit utilization is considered, with emphasis on the fixed-satellite and the broadcasting-satellite services. It is noted that there are several possible approaches to planning space services, differing principally in the rigidity with which technical parameters are prescribed, in the time for which a plan remains in force, and in the procedures adopted for implementation and modifications. With some planning approaches, spectrum-orbit utilization is fixed at the time the plan is made. Others provide for greater flexibility by making it possible to postpone some decisions on technical parameters. In addition, the two political questions of what is equitable access and how it can be guaranteed in practice play an important role.

  5. Utilizing expert systems for satellite monitoring and control

    NASA Technical Reports Server (NTRS)

    Hughes, Peter M.

    1991-01-01

    Spacecraft analysts in the spacecraft control center for the Cosmic Background Explorer (COBE) satellite are currently utilizing a fault-isolation expert system developed to assist in the isolation and correction of faults in the communications link. This system, the communication link expert assistance resource (CLEAR), monitors real time spacecraft and ground systems performance parameters in search of configuration discrepancies and communications link problems. If such a discrepancy or problem is isolated, CLEAR alerts the analyst and provides advice on how to resolve the problem swiftly and effectively. The CLEAR system is the first real time expert system to be used in the operational environment of a satellite control center at the NASA Goddard Space Flight Center. Clear has not only demonstrated the utility and potential of an expert system in the demanding environment of a satellite control center, but also has revealed many of the pitfalls and deficiencies of development of expert systems. One of the lessons learned from this and other initial expert system projects is that prototypes can often be developed quite rapidly, but operational expert systems require considerable effort. Development is generally a slow, tedious process that typically requires the special skills of trained programmers. Due to the success of CLEAR and several other systems in the control center domain, a large number of expert systems will certainly be developed to support control center operations during the early 1990's. To facilitate the development of these systems, a project was initiated to develop an integrated, domain-specific tool, the generic spacecraft analyst assistent (GenSAA), that alows the spacecraft analysts to rapidly create simple expert systems themselves. By providing a highly graphical point-and-select method of system development, GenSAA allows the analyst to utilize and/or modify previously developed rule bases and system components; thus, facilitating

  6. Eulusmap: An international land resources map utilizing satellite imagery

    NASA Technical Reports Server (NTRS)

    Paludan, T.; Csati, E.

    1978-01-01

    In 1972, the International Geographical Union's Commission on World Land Use Survey adopted a project for a land-use map of Europe. Such a map, under the name Eulusmap was started earlier under sponsorship of several government offices in Hungary. Although there was great response from a number of contributors in many countries, it became evident by mid-1974 that the map would contain gaps and some inaccuracies unless additional data sources were utilized. By then, the satellite Landsat-1 had obtained imagery of most of Europe. Using theme extraction techniques, the map was completed in draft form and portions of it displayed at the 23d International Geographical Congress in Moscow during July 1976. Printing of the completed map was accomplished in May 1978.

  7. An initial approach to the utilization of VAS satellite sounding data

    NASA Technical Reports Server (NTRS)

    Shin, Kyung-Sup; Scoggins, James R.

    1984-01-01

    The primary objective is the development of methods to utilize satellite soundings. To achieve that, a more precise understanding of the characteristics of satellite derived soundings is required. The initial approach in the utilization of satellite soundings is to find a way to combine rawinsondes and satellite data into a unified data set. If this can be done in a meaningful way, satellite data could be integrated into existing data and interpretation would be enhanced. In this attempt, both rawinsonde and satellite soundings will be decomposed by the use of the Fourier cosine series. Then, each harmonic will be compared to get a better understanding of the representativeness of the satellite sounding data. Harmonics taken from satellite and rawinsonde soundings will be combined to provide a unified data set that can be used both over data sparse ocean areas as well as over land where rawinsonde data are available.

  8. Utilization of NASA Lewis mobile terminals for the Hermes satellite

    NASA Technical Reports Server (NTRS)

    Edelman, E. A.; Fiala, J. L.; Rizzolla, L.

    1977-01-01

    The paper describes the portable earth terminal (PET) and the transportable earth terminal (TET) which enable two-way television and voice communication. Both terminals were developed by NASA and utilize the high power of the Hermes satellite. PET is a bus-type vehicle which has receiving equipment for full duplex color television and which can transmit programs originating in either the on-board PET studio or in nearby buildings. PET has a collapsible 2.4-m diameter parabolic antenna interfacing with a 500-watt 14-GHz wideband TV transmitter and a 12-GHz wideband TV receiver system. TET uses two parabolic reflector antennas, 3 m and 1.2 m in diameter, mounted on a flat trailer towed by a truck. TET can receive and relay color TV signals, and its narrowband transmitter can serve as a return audio link permitting a question-and-answer format. Also described are uplink and downlink performance characteristics, operation procedures, and field demonstrations which enabled personnel at several hospitals to participate in a distant medical conference.

  9. Sun-synchronous and geo-synchronous satellite data utilization for environmental studies

    NASA Astrophysics Data System (ADS)

    Chong, Yean-Joo

    1992-11-01

    The remote sensing activities in Singapore are presented. Activities explained are as follows: (1) the satellite ground station that are receiving data from the Geostationary Meteorological Satellite-4 (GMS-4), NOAA-11, and 12 satellites on a real-time basis; (2) data processing systems of Singapore University that are being used for resource mapping of the Organism and Coastal Resources Project under the Asian-Australia Oceanography Joint Program; and (3) trials have been conducted to utilize the combination of the radiometer data from GMS-4 satellite, the Indian National Satellite System (INSAT), and NOAA satellites with the high-resolution data from the Marine Observation Satellite (MOS), the Infrared Astronomical Satellite (IRAS), the ERS, and the Japanese Earth Resources Satellite-1 (JERS-1).

  10. Multipath study for a low altitude satellite utilizing a data relay satellite system

    NASA Technical Reports Server (NTRS)

    Eggert, D.

    1970-01-01

    Technical considerations associated with a low altitude satellite operating in conjuction with a data relay satellite system are reported. Emphasis was placed on the quantitative characterization of multipath phenomenon and determination of power received via both the direct and earth reflection paths. Attempts were made to develop a means for estimating the magnitude and nature of the reflected power.

  11. A digitally implemented communications experiment utilizing the Hermes (CTS) satellite

    NASA Technical Reports Server (NTRS)

    Jackson, H. D.; Fiala, J. L.

    1977-01-01

    The Hermes (CTS) experiment program made possible a significant effort directed toward new developments which will reduce the costs associated with the distribution of satellite services. Advanced satellite transponder technology and small inexpensive earth terminals were demonstrated as part of the Hermes program. Another system element that holds promise for reduced transmission cost is associated with the communication link implementation. An experiment is described which uses CTS to demonstrate digital link implementation and its advantages over conventional analog systems. A Digitally Implemented Communications experiment which demonstrates the flexibility and efficiency of digital transmission of television video and audio, telephone voice and high-bit-rate data is also described. Presentation of the experiment concept which concentrates on the evaluation of full-duplex digital television in the teleconferencing environment is followed by a description of unique equipment that was developed.

  12. Proposed advanced satellite applications utilizing space nuclear power systems

    NASA Technical Reports Server (NTRS)

    Bailey, Patrick G.; Isenberg, Lon

    1990-01-01

    A review of the status of space nuclear reactor systems and their possible applications is presented. Such systems have been developed over the past twenty years and are capable of use in various military and civilian applications in the 5-1000-kWe power range. The capabilities and limitations of the currently proposed nuclear reactor systems are summarized. Statements of need are presented from DoD, DOE, and NASA. Safety issues are identified, and if they are properly addressed they should not pose a hindrance. Applications are summarized for the DoD, DOE, NASA, and the civilian community. These applications include both low- and high-altitude satellite surveillance missions, communications satellites, planetary probes, low- and high-power lunar and planetary base power systems, broadband global telecommunications, air traffic control, and high-definition television.

  13. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite-Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) satellite at 62 deg. West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  14. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite - Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) satellite at 62 deg West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  15. Utilization of near real-time satellite data in atmospheric transport and dispersion modeling applications

    NASA Astrophysics Data System (ADS)

    Nair, U. S.; Christopher, S. A.; Wu, Y.; Yang, E.; Keiser, K.

    2010-12-01

    Prior studies show that satellite derived land and aerosols products may be utilized to improve numerical model predictions of atmospheric transport and dispersion. Satellite derived smoke emissions can be effectively utilized in numerical modeling of smoke transport. Satellite derived aerosol optical thickness (AOT) provide an effective constraint for the column loading in aerosol transport models. Land surface heterogeneity has substantial impact on mesoscale and small scale atmospheric dispersion. Satellite derived land products such as albedo and leaf area index provide an effective constraint for land surface heterogeneity. Utilization of NASA MODIS land and aerosol products in multiple applications related to atmospheric dispersion, nutrient deposition and air quality modeling will be discussed. These applications are developed for near-real time use in a decision support related to emergency and environmental management in the State of Alabama. Experiences and lessons learned form the development of these applications will also be discussed.

  16. Utilization of NASA Lewis mobile terminals for the Hermes satellite

    NASA Technical Reports Server (NTRS)

    Edelman, E. A.; Fiala, J. L.; Rizzolla, L.

    1977-01-01

    The high power of the Hermes satellite enables two-way television and voice communication with small ground terminals. The Portable Earth Terminal (PET) and the Transportable Earth Terminal (TET) were developed and built by NASA-Lewis to provide communications capability to short-term users. The NASA-Lewis mobile terminals are described in terms of vehicles and onboard equipment, as well as operation aspects, including use in the field. The section on demonstrations divides the uses into categories of medicine, education, technology and government. Applications of special interest within each category are briefly described.

  17. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite - Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) at 62 deg West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  18. Orbit utilization in the US Broadcast Satellite Service

    NASA Astrophysics Data System (ADS)

    Kase, C. A.

    This paper deals with the development of the new broadcast satellite service (BSS) in the United States. This 12 GHz service allows direct broadcast of television to very small receivers located at the home. The Western Hemisphere (North and South America) will decide in 1983 on a plan to use the geosynchronous arc for broadcast service. In the United States the question of the number of television channels to serve the United States and spacecraft locations is critical. The paper discusses the number of zones to be covered, the number of spacecraft that can be made available for this service and their locations. Finally the estimates of spacecraft system cost are shown indicating the advantages of the various systems.

  19. Saturn ring rendezvous mission utilizing a tethered sub-satellite

    NASA Technical Reports Server (NTRS)

    Bright, Larry E.

    1990-01-01

    By combining the advanced technologies of constant-thrust propulsion and space tethers in a planetary mission, it may be feasible to perform a complete radial and azimuthal survey of the Saturnian ring system from close range (about 10 km) in a period of some 300 days. Constant-thrust propulsion would provide the means of 'hovering' above the rings while simultaneously spiraling radially inward toward Saturn. Use of a tethered sub-satellite at a distance of 500-1000 km from the main spacecraft would permit an instrumented package to achieve a significant azimuthal angular rate relative to the rings. Exhaustive 360 deg azimuthal mapping at one or two selected distances from Saturn could be performed in a few tens of days.

  20. Satellite applications to electric-utility communications needs. [land mobile satellite service

    NASA Technical Reports Server (NTRS)

    Horstein, M.; Barnett, R.

    1981-01-01

    Significant changes in the Nation's electric power systems are expected to result from the integration of new technology, possible during the next decade. Digital communications for monitor and control, exclusive of protective relaying, are expected to double or triple current traffic. A nationwide estimate of 13 Mb/s traffic is projected. Of this total, 8 Mb/s is attributed to the bulk-power system as it is now being operated (4 Mb/s). This traffic could be accommodated by current communications satellites using 3- to 4.5-m-diameter ground terminals costing $35,000 to $70,000 each. The remaining 5-Mb/s traffic is attributed to new technology concepts integrated into the distribution system. Such traffic is not compatible with current satellite technology because it requires small, low-cost ground terminals. Therefore, a high effective isotropic radiated power satellite, such as the one being planned by NASA for the Land Mobile Satellite Service, is required.

  1. A 15.3 GHz satellite-to-ground diversity experiment utilizing the ATS-5 satellite

    NASA Technical Reports Server (NTRS)

    Hodge, D. B.

    1972-01-01

    During 1970 and 1971 the characteristics of a diversity satellite-to-ground communication link were measured using the ATS-5 15.3 GHz downlink. These data were gathered at two ground receiving terminals spaced 4 km apart during 1970 and 8 km apart during 1971 in the vicinity of Columbus, Ohio. These data have been subsequently analyzed to determine the improvement in link performance resulting from the use of space diversity. The results of this analysis have shown that substantial improvements in link performance may be gained through the use of space diversity on satellite-to-ground paths. For example, the durations of fades having depths exceeding 10 dB were reduced by more than two orders of magnitude for both the 4 and 8 km site separation distances.

  2. Utilization of satellite-satellite tracking data for determination of the geocentric gravitational constant (GM)

    NASA Technical Reports Server (NTRS)

    Martin, C. F.; Oh, I. H.

    1979-01-01

    Range rate tracking of GEOS 3 through the ATS 6 satellite was used, along with ground tracking of GEOS 3, to estimate the geocentric gravitational constant (GM). Using multiple half day arcs, a GM of 398600.52 + or - 0.12 cu km/sq sec was estimated using the GEM 10 gravity model, based on speed of light of 299792.458 km/sec. Tracking station coordinates were simultaneously adjusted, leaving geopotential model error as the dominant error source. Baselines between the adjusted NASA laser sites show better than 15 cm agreement with multiple short arc GEOS 3 solutions.

  3. A Survey of the Utility of Satellite Magnetometer Data for Application to Solid-earth Geophysical and Geological Studies

    NASA Technical Reports Server (NTRS)

    1975-01-01

    A survey of potential users of low altitude satellite magnetic measurements for solid-earth and geological studies was conducted. The principal objectives of this survey were to: document the utility and application of the data and resultant products obtained from such a satellite mission, and establish a users committee for the proposed low altitude vector magnetometer satellite.

  4. RETROSPECTIVE EPIDEMIOLOGICAL STUDY OF DISEASE ASSOCIATED WITH WASTEWATER UTILIZATION

    EPA Science Inventory

    A retrospective epidemiological study was carried out on the association between enteric disease incidence and wastewater utilization in 79 kibbutzim (cooperative agricultural settlements) in Israel having a population of 32,672. Medical records on disease incidence were collecte...

  5. Satellites

    SciTech Connect

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

    1986-01-01

    The present work is based on a conference: Natural Satellites, Colloquium 77 of the IAU, held at Cornell University from July 5 to 9, 1983. Attention is given to the background and origins of satellites, protosatellite swarms, the tectonics of icy satellites, the physical characteristics of satellite surfaces, and the interactions of planetary magnetospheres with icy satellite surfaces. Other topics include the surface composition of natural satellites, the cratering of planetary satellites, the moon, Io, and Europa. Consideration is also given to Ganymede and Callisto, the satellites of Saturn, small satellites, satellites of Uranus and Neptune, and the Pluto-Charon system.

  6. On attaining lower sidelobes and new antenna envelopes for better orbit spectrum utilization in satellite broadcasting

    NASA Technical Reports Server (NTRS)

    Janky, J. M.; Zaumen, W. T.; Lee, L.-S.

    1979-01-01

    The concept of using beam-shaping techniques to reduce sidelobe levels at the expense of efficiency is introduced and analyzed with respect to the potential for improving orbit-spectrum utilization. Emphasis is placed on a simple method: improving the antenna patterns used in satellite systems, for both the satellite antennas and the ground station antennas. Only broadcasting applications are considered. The discussion includes how the antenna envelope can be improved, how this improvement can be interpreted in terms of orbit spectrum utilization efficiency, and whether this improved envelope is actually realizable and feasible. It is noted that the magnitude of the improvement with a better spacecraft antenna increases rapidly as the coverage area decreases.

  7. Effective Utilization of Satellite Observations for Assessing Transnational Impact of Disasters

    NASA Astrophysics Data System (ADS)

    Alozie, J. E.; Anuforom, A. C.

    2014-12-01

    General meteorological observations sources for the surface, upper air and outer space are conducted using different technological equipment and instruments that meet international standards prescribed and approved by the United Nations organizations such as the International Civil Aviation Organization (ICAO) and the World Meteorological Organization (WMO). Satellite weather observations are critical for effective monitoring of the developments, propagations and disseminations of cold clouds and their expected adverse weather conditions as they move across national and transnational boundaries. The Nigerian Meteorological Agency (NiMet) which is the national weather service provider for Nigeria, utilizes an array of satellite products obtained from mainly the European Meteorological Satellite (EUMETSAT) for its routine weather and climate monitoring and forecasts. Overtime, NiMet has used weather workstations such as MSG, SYNERGIE and now PUMA for accessing satellite products such as RGB, Infra-red, Water vapour and the Multi-sensor Precipitation Estimate (MPE) obtained at near real-time periods. The satellite imageries find extensive applications in the delivery of early warning of raising of severe weather conditions such as dust storm and dust haze during the harmattan season (November - February); and thunderstorm accompanied by severe lightning and destructive strong winds. The paper will showcase some special cases of the tracking of squall lines and issuance of weather alerts through the media. The good result is that there was limited damage to infrastructure and no loss of life from the flash floods caused by the heavy rainfall from the squally thunderstorm.

  8. Utilization of Precipitation and Moisture Products Derived from Satellites to Support NOAA Operational Precipitation Forecasts

    NASA Astrophysics Data System (ADS)

    Ferraro, R.; Zhao, L.; Kuligowski, R. J.; Kusselson, S.; Ma, L.; Kidder, S. Q.; Forsythe, J. M.; Jones, A. S.; Ebert, E. E.; Valenti, E.

    2012-12-01

    NOAA/NESDIS operates a constellation of polar and geostationary orbiting satellites to support weather forecasts and to monitor the climate. Additionally, NOAA utilizes satellite assets from other U.S. agencies like NASA and the Department of Defense, as well as those from other nations with similar weather and climate responsibilities (i.e., EUMETSAT and JMA). Over the past two decades, through joint efforts between U.S. and international government researchers, academic partners, and private sector corporations, a series of "value added" products have been developed to better serve the needs of weather forecasters and to exploit the full potential of precipitation and moisture products generated from these satellites. In this presentation, we will focus on two of these products - Ensemble Tropical Rainfall Potential (eTRaP) and Blended Total Precipitable Water (bTPW) - and provide examples on how they contribute to hydrometeorological forecasts. In terms of passive microwave satellite products, TPW perhaps is most widely used to support real-time forecasting applications, as it accurately depicts tropospheric water vapor and its movement. In particular, it has proven to be extremely useful in determining the location, timing, and duration of "atmospheric rivers" which contribute to and sustain flooding events. A multi-sensor approach has been developed and implemented at NESDIS in which passive microwave estimates from multiple satellites and sensors are merged to create a seamless, bTPW product that is more efficient for forecasters to use. Additionally, this product is being enhanced for utilization for television weather forecasters. Examples will be shown to illustrate the roll of atmospheric rivers and contribution to flooding events, and how the bTPW product was used to improve the forecast of these events. Heavy rains associated with land falling tropical cyclones (TC) frequently trigger floods that cause millions of dollars of damage and tremendous loss

  9. Impacts and Benefits of a Satellite Power System on the Electric Utility Industry

    NASA Technical Reports Server (NTRS)

    Winer, B. M.

    1977-01-01

    The purpose of this limited study was to investigate six specific issues associated with interfacing a Satellite Power System (5 GW) with large (by present standards) terrestrial power pools to a depth sufficient to determine if certain interface problems and/or benefits exist and what future studies of these problems are required. The issues investigated are as follows: (1) Stability of Power Pools Containing a 5 GWe SPS; (2) Extra Reserve Margin Required to Maintain the Reliability of Power Pools Containing a 5 GWe SPS; (3) Use of the SPS in Load Following Service (i.e. in two independent pools whose times of peak demand differ by three hours); (4) Ownership of the SPS and its effect on SPS Usage and Utility Costs; (5) Utility Sharing of SPS related RD and D Costs; (6) Utility Liability for SPS Related Hazards.

  10. A digitally implemented communications experiment utilizing the communications technology satellite, Hermes

    NASA Technical Reports Server (NTRS)

    Jackson, H. D.; Fiala, J.

    1980-01-01

    Developments which will reduce the costs associated with the distribution of satellite services are considered with emphasis on digital communication link implementation. A digitally implemented communications experiment (DICE) which demonstrates the flexibility and efficiency of digital transmission of television video and audio, telephone voice, and high-bit-rate data is described. The utilization of the DICE system in a full duplex teleconferencing mode is addressed. Demonstration teleconferencing results obtained during the conduct of two sessions of the 7th AIAA Communication Satellite Systems Conference are discussed. Finally, the results of link characterization tests conducted to determine (1) relationships between the Hermes channel 1 EIRP and DICE model performance and (2) channel spacing criteria for acceptable multichannel operation, are presented.

  11. The utilization of nonterrestrial materials. [resources for solar power satellite construction

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The development of research and technology programs on the user of nonterrestrial materials for space applications was considered with emphasis on the space power satellite system as a model of large space systems for which the use of nonterrestrial materials may be economically viable. Sample topics discussed include the mining of raw materials and the conversion of raw materials into useful products. These topics were considered against a background of the comparative costs of using terrestrial materials. Exploratory activities involved in the preparation of a nonterrestrial materials utilization program, and the human factors involved were also addressed. Several recommendations from the workshop are now incorporated in NASA activities.

  12. Utilization of photovoltaic for broadband satellite communications in rural area of Thailand

    NASA Astrophysics Data System (ADS)

    Jinayim, Theerawut; Mungkung, Narong; Kasayapanand, Nat

    2013-06-01

    Electricity, Information and Communication Technologies (ICTs) are very important not only in urban areas but also in rural areas. To provide ICTs service in rural areas, sources of electricity and communication infrastructures must be implemented. Electricity is a major condition due to the fact that all electronic devices needed it in order to power on, so that it is impossible to operate any forms of ICTs in areas where the main national grid line is unavailable. Almost rural areas of Thailand where the main national grid line is unavailable have very good sunlight intensity. Photovoltaic is the most effective renewable energy technologies in those areas for meeting electricity needed in areas that are not connected to the main national grid line. In this paper, the efficiency utilization of photovoltaic as source of electricity for broadband satellite communication systems as well as social and economic impact and quality of life of people in rural areas of Thailand are presented. The results show that most rural communities would be able to universally access to the basic telecommunications services such as internet access and public telephone via satellite communication systems. However, in some field case study, broadband internet access via satellite communication may be unnecessary for some rural communities and the most exactly rural communities needed are electricity for household usage and battery charger.

  13. Examining the utility of satellite-based wind sheltering estimates for lake hydrodynamic modeling

    USGS Publications Warehouse

    2014-01-01

    Satellite-based measurements of vegetation canopy structure have been in common use for the last decade but have never been used to estimate canopy's impact on wind sheltering of individual lakes. Wind sheltering is caused by slower winds in the wake of topography and shoreline obstacles (e.g. forest canopy) and influences heat loss and the flux of wind-driven mixing energy into lakes, which control lake temperatures and indirectly structure lake ecosystem processes, including carbon cycling and thermal habitat partitioning. Lakeshore wind sheltering has often been parameterized by lake surface area but such empirical relationships are only based on forested lakeshores and overlook the contributions of local land cover and terrain to wind sheltering. This study is the first to examine the utility of satellite imagery-derived broad-scale estimates of wind sheltering across a diversity of land covers. Using 30 m spatial resolution ASTER GDEM2 elevation data, the mean sheltering height, hs, being the combination of local topographic rise and canopy height above the lake surface, is calculated within 100 m-wide buffers surrounding 76,000 lakes in the U.S. state of Wisconsin. Uncertainty of GDEM2-derived hs was compared to SRTM-, high-resolution G-LiHT lidar-, and ICESat-derived estimates of hs, respective influences of land cover type and buffer width on hs are examined; and the effect of including satellite-based hs on the accuracy of a statewide lake hydrodynamic model was discussed. Though GDEM2 hs uncertainty was comparable to or better than other satellite-based measures of hs, its higher spatial resolution and broader spatial coverage allowed more lakes to be included in modeling efforts. GDEM2 was shown to offer superior utility for estimating hs compared to other satellite-derived data, but was limited by its consistent underestimation of hs, inability to detect within-buffer hs variability, and differing accuracy across land cover types. Nonetheless

  14. Analysis on the Utility of Satellite Imagery for Detection of Agricultural Facility

    NASA Astrophysics Data System (ADS)

    Kang, J.-M.; Baek, S.-H.; Jung, K.-Y.

    2012-07-01

    Now that the agricultural facilities are being increase owing to development of technology and diversification of agriculture and the ratio of garden crops that are imported a lot and the crops cultivated in facilities are raised in Korea, the number of vinyl greenhouses is tending upward. So, it is important to grasp the distribution of vinyl greenhouses as much as that of rice fields, dry fields and orchards, but it is difficult to collect the information of wide areas economically and correctly. Remote sensing using satellite imagery is able to obtain data of wide area at the same time, quickly and cost-effectively collect, monitor and analyze information from every object on earth. In this study, in order to analyze the utilization of satellite imagery at detection of agricultural facility, image classification was performed about the agricultural facility, vinyl greenhouse using Formosat-2 satellite imagery. The training set of sea, vegetation, building, bare ground and vinyl greenhouse was set to monitor the agricultural facilities of the object area and the training set for the vinyl greenhouses that are main monitoring object was classified and set again into 3 types according the spectral characteristics. The image classification using 4 kinds of supervise classification methods applied by the same training set were carried out to grasp the image classification method which is effective for monitoring agricultural facilities. And, in order to minimize the misclassification appeared in the classification using the spectral information, the accuracy of classification was intended to be raised by adding texture information. The results of classification were analyzed regarding the accuracy comparing with that of naked-eyed detection. As the results of classification, the method of Mahalanobis distance was shown as more efficient than other methods and the accuracy of classification was higher when adding texture information. Hence the more effective

  15. Compositional Mapping of Jupiter's Satellite Io Utilizing High Speed Multifilter Photometry During Mutual Satellite Occultations, 1990-1991

    NASA Technical Reports Server (NTRS)

    Nelson, R. M.; Wallis, B. D.; Barker, E. S.; Horn, L. J.; Smythe, W. D.; Lane, A. L.; Hapke, B. W.

    1993-01-01

    We observed slected mutual occultations of Jupiter's satellites in 1990-1991 and we used the occultation profiles to constrain the areal distribution of selected spectrally active compounds on Io's surface.

  16. Earth Observatory Satellite system definition study. Report no. 6: Space shuttle interfaces/utilization

    NASA Technical Reports Server (NTRS)

    1974-01-01

    The impacts of achieving compatibility of the Earth Observatory Satellite (EOS) with the space shuttle and the potential benefits of space shuttle utilization are discussed. Mission requirements and mission suitability, including the effects of multiple spacecraft missions, are addressed for the full spectrum of the missions. Design impact is assessed primarily against Mission B, but unique requirements reflected by Mission A, B, and C are addressed. The preliminary results indicated that the resupply mission had the most pronounced impact on spacecraft design and cost. Program costs are developed for the design changes necessary to achieve EOS-B compatibility with Space Shuttle operations. Non-recurring and recurring unit costs are determined, including development, test, ground support and logistics, and integration efforts. Mission suitability is addressed in terms of performance, volume, and center of gravity compatibility with both space shuttle and conventional launch vehicle capabilities.

  17. A laser communication experiment utilizing the ACT satellite and an airborne laser transceiver

    NASA Technical Reports Server (NTRS)

    Provencher, Charles E., Jr.; Spence, Rodney L.

    1988-01-01

    The launch of a laser communication transmitter package into geosynchronous Earth orbit onboard the Advanced Communications Technology Satellite (ACTS) will present an excellent opportunity for the experimental reception of laser communication signals transmitted from a space orbit. The ACTS laser package includes both a heterodyne transmitter (Lincoln Labs design) and a direct detection transmitter (Goddard Space Flight Center design) with both sharing some common optical components. NASA Lewis Research Center's Space Electronics Division is planning to perform a space communication experiment utilizing the GSFC direct detection laser transceiver. The laser receiver will be installed within an aircraft provided with a glass port for the reception of the signal. This paper describes the experiment and the approach to performing such an experiment. Described are the constraints placed on the NASA Lewis experiment by the performance parameters of the laser transmitter and by the ACTS spacecraft operations. The conceptual design of the receiving terminal is given; also included is the anticipated capability of the detector.

  18. Earth-satellite propagation above GHz: Papers from the 1972 spring URSI session on experiments utilizing the ATS-5 satellite

    NASA Technical Reports Server (NTRS)

    Ippolito, L. J. (Compiler)

    1972-01-01

    Papers are reported from the Special Session on Earth-Satellite Propagation Above 10 GHz, presented at The 1972 Spring Meeting of the United States National Committee, International Union of Radio Science, April 1972, Washington, D. C. This session was devoted to propagation measurements associated with the Applications Technology Satellite (ATS-5), which provided the first operational earth-space links at frequencies above 15 GHz. A comprehensive summary is presented of the major results of the ATS-5 experiment measurements and related radiometric, radar and meteorological studies. The papers are organized around seven selected areas of interest, with the results of the various investigators combined into a single paper presented by a principal author for that area. A comprehensive report is provided on the results of the ATS-5 satellite to earth transmissions. A complete list of published reports and presentations related to the ATS-5 Millimeter Wave Experiment is included.

  19. Utilizing Satellite Precipitation Products to Understand the Link Between Climate Variability and Malaria

    NASA Astrophysics Data System (ADS)

    Maggioni, V.; Mousam, A.; Delamater, P. L.; Cash, B. A.; Quispe, A.

    2015-12-01

    Malaria is a public health threat to people globally leading to 198 million cases and 584,000 deaths annually. Outbreaks of vector borne diseases such as malaria can be significantly impacted by climate variables such as precipitation. For example, an increase in rainfall has the potential to create pools of water that can serve as breeding locations for mosquitos. Peru is a country that is currently controlling malaria, but has not been able to completely eliminate the disease. Despite the various initiatives in order to control malaria - including regional efforts to improve surveillance, early detection, prompt treatment, and vector management - malaria cases in Peru have risen between 2011 and 2014. The purpose of this study is to test the hypothesis that climate variability plays a fundamental role in malaria occurrence over a 12-year period (2003-2014) in Peru. When analyzing climate variability, it is important to obtain high-quality, high-resolution data for a time series long enough to draw conclusion about how climate variables have been and are changing. Remote sensing is a powerful tool for measuring and monitoring climate variables continuously in time and space. A widely used satellite-based precipitation product, the Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA), available globally since 1998, was used to obtain 3-hourly data with a spatial resolution of 0.25° x 0.25°. The precipitation data was linked to weekly (2003-2014) malaria cases collected by health centers and available at a district level all over Peru to investigate the relationship between precipitation and the seasonal and annual variations in malaria incidence. Further studies will incorporate additional climate variables such as temperature, humidity, soil moisture, and surface pressure from remote sensing data products and climate models. Ultimately, this research will help us to understand if climate variability impacts malaria incidence

  20. Utility of Noninvasive Markers of Fibrosis in Cholestatic Liver Diseases.

    PubMed

    Corpechot, Christophe

    2016-02-01

    Methods of liver fibrosis assessment have changed considerably in the last 20 years, and noninvasive markers now have been recognized as major first-line tools in the management of patients with chronic viral hepatitis infection. But what about the efficiency and utility of these surrogate indices for the more uncommon chronic cholestatic liver diseases, namely primary biliary cirrhosis and primary sclerosing cholangitis? This article provides clinicians with a global overview of what is currently known in the field. Both diagnostic and prognostic aspects of noninvasive markers of fibrosis in cholestatic liver diseases are presented and discussed. PMID:26593296

  1. The utility of digital subtraction arteriography in peripheral vascular disease.

    PubMed

    Kubal, W S; Crummy, A B; Turnipseed, W D

    1983-01-01

    Digital subtraction angiography (DSA), whether used in conjunction with intravenous or intraarterial injection techniques, has an established role in evaluation of peripheral vascular disease. Use of DSA can reduce the time, cost, and patient discomfort of the standard arteriographic study. While it is limited by field size and patient cooperation in some instances, the utility of noninvasive imaging using intravenous DSA and the added anatomic detail of intraarterial DSA for roadmapping and delineation of small distal vessels provide the basis for future integration of standard arteriographic and DSA methods in assessment of peripheral vascular disease. PMID:6228296

  2. Development of U.S. Government General Technical Requirements for UAS Flight Safety Systems Utilizing the Iridium Satellite Constellation

    NASA Technical Reports Server (NTRS)

    Murray, Jennifer; Birr, Richard

    2010-01-01

    This slide presentation reviews the development of technical requirements for Unmanned Aircraft Systems (UAS) utilization of the Iridium Satellite Constellation to provide flight safety. The Federal Aviation Authority (FAA) required an over-the-horizon communication standard to guarantee flight safety before permitting widespread UAS flights in the National Air Space (NAS). This is important to ensure reliable control of UASs during loss-link and over-the-horizon scenarios. The core requirement was to utilize a satellite system to send GPS tracking data and other telemetry from a flight vehicle down to the ground. Iridium was chosen as the system because it is one of the only true satellite systems that has world wide coverage, and the service has a highly reliable link margin. The Iridium system, the flight modems, and the test flight are described.

  3. Utilization of satellite data and regional scale numerical models in short range weather forecasting

    NASA Technical Reports Server (NTRS)

    Kreitzberg, C. W.

    1985-01-01

    Overwhelming evidence was developed in a number of studies of satellite data impact on numerical weather prediction that it is unrealistic to expect satellite temperature soundings to improve detailed regional numerical weather prediction. It is likely that satellite data over the United States would substantially impact mesoscale dynamical predictions if the effort were made to develop a composite moisture analysis system. The horizontal variability of moisture, most clearly depicited in images from satellite water vapor channels, would not be determined from conventional rawinsondes even if that network were increased by a doubling of both the number of sites and the time frequency.

  4. Detection of regional air pollution episodes utilizing satellite digital data in the visual range

    NASA Technical Reports Server (NTRS)

    Burke, H.-H. K.

    1982-01-01

    Digital analyses of satellite visible data for selected high-sulfate cases over the northeastern U.S., on July 21 and 22, 1978, are compared with ground-based measurements. Quantitative information on total aerosol loading derived from the satellite digitized data using an atmospheric radiative transfer model is found to agree with the ground measurements, and it is shown that the extent and transport of the haze pattern may be monitored from the satellite data over the period of maximum intensity for the episode. Attention is drawn to the potential benefits of satellite monitoring of pollution episodes demonstrated by the model.

  5. Association of Satellites with a Mastrevirus in Natural Infection: Complexity of Wheat Dwarf India Virus Disease

    PubMed Central

    Kumar, Jitendra; Kumar, Jitesh; Singh, Sudhir P.

    2014-01-01

    Dwarf India Virus (WDIV), isolated from two distant locations in India. This study reports the first identification of the satellites in a monocot plant. The satellites enhanced accumulation of WDIV and severity of disease symptoms. The satellites lowered the concentration of virus-specific small RNAs in wheat plants, indicating their silencing suppressor activity. The involvement of the satellites in symptom severity of the mastrevirus can have implications in the form of economic impact of the virus on crop yield. Understanding the role of the satellites in disease severity is important for developing disease management strategies. PMID:24719407

  6. Assessing the utility of satellite-based whitecap fraction to estimate sea spray production and CO2 transfer velocity

    NASA Astrophysics Data System (ADS)

    Anguelova, M. D.

    2016-05-01

    The utility of a satellite-based whitecap database for estimates of surface sea spray production and bubble-mediated gas transfer on a global scale is presented. Existing formulations of sea spray production and bubble-mediated CO2 transfer velocity involve whitecap fraction parametrization as a function of wind speed at 10 m reference height W(U 10) based on photographic measurements of whitecaps. Microwave radiometric measurements of whitecaps from satellites provide whitecap fraction data over the world oceans for all seasons. Parametrizations W(U 10) based on such radiometric data are thus applicable for a wide range of conditions and can account for influences secondary to the primary forcing factor, the wind speed. Radiometric satellite-based W(U 10) relationship was used as input to: (i) the Coupled Ocean-Atmosphere Response Experiment Gas transfer (COAREG) algorithm to obtain CO2 transfer velocity and total CO2 flux; and (ii) the sea spray source function (SSSF) recommended by Andreas in 2002 to obtain fluxes of sea spray number and mass. The outputs of COAREG and SSSF obtained with satellite-based W(U 10) are compared with respective outputs obtained with the nominal W(U 10) relationship based on photographic data. Good comparisons of the gas and sea spray fluxes with direct measurements and previous estimates imply that the satellite- based whitecap database can be useful to obtain surface fluxes of particles and gases in regions and conditions difficult to access and sample in situ. Satellite and in situ estimates of surface sea spray production and bubble-mediated gas transfer thus complement each other: accurate in situ observations can constrain radiometric whitecap fraction and mass flux estimates, while satellite observations can provide global coverage of whitecap fraction and mass flux estimates.

  7. TRAN*STAR 2 evaluation for NOAA data buoy office, part A. [utilizing the US Navy Navigation Satellite System

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The capability of the TRAN*STAR 2 receiver equipment utilizing the U.S. Navy Navigation Satellite System to provide reliable position locations with reasonable accuracy and frequency was evaluated. Two receivers, an antenna, and a test set were procured, and position fix data collected at NSTL from a fixed known location during the months of May and June. The data were processed through a computer program and analyzed. The results of the evaluation are summarized.

  8. Application of communications satellites to educational development. [technology utilization/information systems - bibliographies

    NASA Technical Reports Server (NTRS)

    Morgan, R. P.

    1975-01-01

    A summary of research is presented. The broad objectives of this interdisciplinary research effort were: (1) to assess the role of satellite communications as a means of improving education in the United States, as well as in less-developed areas of the world; (2) to generate basic knowledge which will aid in making rational decisions about satellite application in the field of education in the years ahead; (3) to devise systems and strategies for improving education; and (4) to educate individuals who will be knowledgeable about aspects of satellite communications policy which transcend any single discipline.

  9. The Impact of Physical Atmosphere on Air Quality and the Utility of Satellite Observations in Air Quality Models

    NASA Astrophysics Data System (ADS)

    Pour Biazar, A.; McNider, R. T.; Park, Y. H.; Doty, K.; Khan, M. N.; Dornblaser, B.

    2012-12-01

    Physical atmosphere significantly impacts air quality as it regulates production, accumulation, and transport of atmospheric pollutants. Consequently, air quality simulations are greatly influenced by the uncertainties that emanates from the simulation of physical atmosphere. Since air quality model predictions are increasingly being used in health studies, regulatory applications, and policy making, reducing such uncertainties in model simulations is of outmost importance. This paper describes some of the critical aspects of physical atmosphere affecting air quality models that can be improved by utilizing satellite observations. Retrievals of skin temperature, surface albedo, surface insolation, cloud top temperature and cloud reflectance obtained from the Geostationary Operational Environmental Satellite (GOES) by NASA/MSFC GOES Product Generation System (GPGS) have been utilized to improve the air quality simulations used in the State Implementation Plan (SIP) attainment demonstrations. Satellite observations of ground temperature are used to recover surface moisture and heat capacity and thereby improving model simulation of air temperature. Observations of clouds are utilized to improve the photochemical reaction rates within the photochemical model and also to assimilate clouds in the meteorological model. These techniques have been implemented and tested in some of the widely used air quality decision modeling systems such as MM5/WRF/CMAQ/CAMx. The results from these activities show significant improvements in air quality simulations.

  10. Utility of immunologic testing in suspected rheumatologic disease.

    PubMed

    Bhagat, Monica; Sehra, Shiv T; Shahane, Anupama; Kwan, Mildred

    2014-01-01

    The use of diagnostic testing in the clinical practice of medicine has been a shifting landscape from the time that the first blood test was utilized. This is no different in the field of immunology and in particular rheumatology. As the field of immunology is relatively young, the clinical tests are not well established and therefore guidelines for use are still under debate. In this review, we seek to look at some of the key autoantibodies, as well as other tests that are available to diagnose suspected rheumatologic disease, and examine how to best use these tests in the clinic. In particular, we will focus on the anti-nuclear antibodies, anti-neutrophil cytoplasmic antibodies, complement, cryoglobulins, rheumatoid factor, and anti-citrullinated protein antibodies. PMID:24370946

  11. Investigation of biomass burning and aerosol loading and transport in South America utilizing geostationary satellites

    NASA Technical Reports Server (NTRS)

    Menzel, Paul; Prins, Elaine

    1995-01-01

    This study attempts to assess the extent of burning and associated aerosol transport regimes in South America and the South Atlantic using geostationary satellite observations, in order to explore the possible roles of biomass burning in climate change and more directly in atmospheric chemistry and radiative transfer processes. Modeling and analysis efforts have suggested that the direct and indirect radiative effects of aerosols from biomass burning may play a major role in the radiative balance of the earth and are an important factor in climate change calculations. One of the most active regions of biomass burning is located in South America, associated with deforestation in the selva (forest), grassland management, and other agricultural practices. As part of the NASA Aerosol Interdisciplinary Program, we are utilizing GOES-7 (1988) and GOES-8 (1995) visible and multispectral infrared data (4, 11, and 12 microns) to document daily biomass burning activity in South America and to distinguish smoke/aerosols from other multi-level clouds and low-level moisture. This study catalogues the areal extent and transport of smoke/aerosols throughout the region and over the Atlantic Ocean for the 1988 (July-September) and 1995 (June-October) biomass burning seasons. The smoke/haze cover estimates are compared to the locations of fires to determine the source and verify the haze is actually associated with biomass burning activities. The temporal resolution of the GOES data (half-hourly in South America) makes it possible to determine the prevailing circulation and transport of aerosols by considering a series of visible and infrared images and tracking the motion of smoke, haze and adjacent clouds. The study area extends from 40 to 70 deg W and 0 to 40 deg S with aerosol coverage extending over the Atlantic Ocean when necessary. Fire activity is estimated with the GOES Automated Biomass Burning Algorithm (ABBA). To date, our efforts have focused on GOES-7 and GOES-8 ABBA

  12. Accessing and Utilizing Remote Sensing Data for Vectorborne Infectious Diseases Surveillance and Modeling

    NASA Technical Reports Server (NTRS)

    Kiang, Richard; Adimi, Farida; Kempler, Steven

    2008-01-01

    Background: The transmission of vectorborne infectious diseases is often influenced by environmental, meteorological and climatic parameters, because the vector life cycle depends on these factors. For example, the geophysical parameters relevant to malaria transmission include precipitation, surface temperature, humidity, elevation, and vegetation type. Because these parameters are routinely measured by satellites, remote sensing is an important technological tool for predicting, preventing, and containing a number of vectorborne infectious diseases, such as malaria, dengue, West Nile virus, etc. Methods: A variety of NASA remote sensing data can be used for modeling vectorborne infectious disease transmission. We will discuss both the well known and less known remote sensing data, including Landsat, AVHRR (Advanced Very High Resolution Radiometer), MODIS (Moderate Resolution Imaging Spectroradiometer), TRMM (Tropical Rainfall Measuring Mission), ASTER (Advanced Spaceborne Thermal Emission and Reflection Radiometer), EO-1 (Earth Observing One) ALI (Advanced Land Imager), and SIESIP (Seasonal to Interannual Earth Science Information Partner) dataset. Giovanni is a Web-based application developed by the NASA Goddard Earth Sciences Data and Information Services Center. It provides a simple and intuitive way to visualize, analyze, and access vast amounts of Earth science remote sensing data. After remote sensing data is obtained, a variety of techniques, including generalized linear models and artificial intelligence oriented methods, t 3 can be used to model the dependency of disease transmission on these parameters. Results: The processes of accessing, visualizing and utilizing precipitation data using Giovanni, and acquiring other data at additional websites are illustrated. Malaria incidence time series for some parts of Thailand and Indonesia are used to demonstrate that malaria incidences are reasonably well modeled with generalized linear models and artificial

  13. [Utility of Ultrasonography in Point of Care for Cardiovascular Disease].

    PubMed

    Ishizu, Tomoko; Kawakami, Yasushi

    2015-06-01

    Echocardiography is a powerful noninvasive cardiovascular diagnostic tool. In the emergency room, an outpatient setting, and the intensive care unit, physician-performed point-of-care (POC) echocardiography is particularly important to understand the concurrent pathophysiology of unstable patients. In POC echocardiography, the purpose of examination should be clearly decided in advance by performing careful symptom assessment and physical examination, including heart and lung auscultation. In this article, heart failure, cardiac murmur-, ischemic heart disease, and acute pulmonary artery thromboembolism are selected and overviewed to assess the utility of POC cardiovascular ultrasound. In heart failure, visual assessments of the left ventricular ejection fraction, chamber size ratio, and inferior vena cava diameter are important. An ultrasound lung comet is a very useful finding, suggesting the presence of lung congestion. In patients with a cardiac murmur, the source of the abnormal sound can easily be confirmed by the color Doppler signal in conjunction with chamber size assessment. On the other hand, judgment of the severity of valvular heart disease should be reserved for detailed echocardiography. In acute coronary syndrome, POC echo is extremely important for prompt diagnosis and complication assessment. An understanding of the coronary artery territory and method to detect regional wall motion abnormality in ischemic heart disease is necessary. Papillary muscle rupture and ventricular septal perforation are both fatal complications of myocardial infarction, and they should be kept in mind and pan-systolic murmur should be detected before echocardiography. In acute pulmonary thromboembolism, the right heart size and characteristic wall motion abnormality should be focused on using echocardiography in addition to tricuspid regurgitant flow velocity measurement. Femoral vein ultrasonography with a compression test should be performed for all patients with acute

  14. Detection of regional air pollution episodes utilizing satellite data in the visual range

    NASA Technical Reports Server (NTRS)

    Bowley, C. J.; Burke, H. K.; Barnes, J. C.

    1981-01-01

    A comparative analysis of satellite-observed haze patterns and ground-based aerosol measurements is carried out for July 20-23, 1978. During this period, a significant regional air pollution episode existed across the northeastern United States, accompanied by widespread haze, reduced surface visibility, and elevated sulfate levels measured by the Sulfate Regional Experiment (SURE) network. The results show that the satellite-observed haze patterns correlate closely with the area of reported low surface visibility (less than 4 mi) and high sulfate levels. Quantitative information on total aerosol loading derived from the satellite-digitized data, using an atmospheric radiative transfer model, agrees well with the results obtained from the ground-based measurements.

  15. Space-shuttle interfaces/utilization. Earth Observatory Satellite system definition study (EOS)

    NASA Technical Reports Server (NTRS)

    1974-01-01

    The economic aspects of space shuttle application to a representative Earth Observatory Satellite (EOS) operational mission in the various candidate Shuttle modes of launch, retrieval, and resupply are discussed. System maintenance of the same mission capability using a conventional launch vehicle is also considered. The studies are based on application of sophisticated Monte Carlo mission simulation program developed originally for studies of in-space servicing of a military satellite system. The program has been modified to permit evaluation of space shuttle application to low altitude EOS missions in all three modes. The conclusions generated by the EOS system study are developed.

  16. Instantaneous Shoreline Extraction Utilizing Integrated Spectrum and Shadow Analysis From LiDAR Data and High-resolution Satellite Imagery

    NASA Astrophysics Data System (ADS)

    Lee, I.-Chieh

    manually connected, for its length was less than 3% of the total shoreline length in our dataset. Secondly, the parameters for satellite image classification needed to be manually determined. The need for manpower was significantly less compared to the ground surveying or aerial photogrammetry. The first phase of shoreline extraction was to utilize Normalized Difference Vegetation Index (NDVI), Mean-Shift segmentation on the coordinate (X, Y, Z), and attributes (multispectral bands from satellite images) of the LiDAR points to classify each LiDAR point into land or water surface. Boundary of the land points were then traced to create the shoreline. The second phase of shoreline extraction solely from satellite images utilized spectrum, NDVI, and shadow analysis to classify the satellite images into classes. These classes were then refined by mean-shift segmentation on the panchromatic band. By tracing the boundary of the water surface, the shoreline can be created. Since these two shorelines may represent different shoreline instances in time, evaluating the changes of shoreline was the first to be done. Then an independent scenario analysis and a procedure are performed for the shoreline of each of the three conditions: in the process of erosion, in the process of accession, and remaining the same. With these three conditions, we could analysis the actual terrain type and correct the classification errors to obtain a more accurate shoreline. Meanwhile, methods of evaluating the quality of shorelines had also been discussed. The experiment showed that there were three indicators could best represent the quality of the shoreline. These indicators were: (1) shoreline accuracy, (2) land area difference between extracted shoreline and ground truth shoreline, and (3) bias factor from shoreline quality metrics.

  17. Cerebral glucose utilization and blood flow in Huntington's Disease (HD)

    SciTech Connect

    Phelps, M.E.; Mazziotta, J.C.; Wapenski, J.; Riege, W.; Baxter, L.R.

    1985-05-01

    Previous studies in the authors' Laboratory have been carried out on 13 patients symptomatic of HD (SHD) and 15 asymptomatic at-risk for HD (ARHD) with a ECAT II and identification of changes in caudate metabolism using an index technique. The authors report now studies of additional 28 subjects (11 SHD, 17 ARHD) studied drug free and compared to age/sex matched controls using the higher resolution NeuroECAT, FDG for glucose utilization (LCMRGlc) and 0-15 water for cerebral blood flow (CBF). Patients had neurological, psychiatric-tests, x-ray CT and were video taped to determine type, timing and amount of choreathetic movements during study. In SHD (disease duration 4.9 +- 2.7 yrs), significant decreases (30%) in LCMRGlc were found in striatum (SHD=19.3 +- 7.7, controls = 29.9 +- 5.8 ..mu.. moles/min/100g) despite no to moderate caudate atrophy on x-ray CT. Hemisphere and cortical CMRGlc were not significantly decreased. There was a significant correlation between disease duration and ratio of caudate to putamen (Cd/Put). Pattern of LCMRGlc and CBF matched in SHD. The caudate to hemisphere LCMRGlc ratio was not different between ARHD and controls except variance was about 4 times greater for ARHD (ARHD=1.21 +- 0.15, controls = 1.28 +- 0.04) indicating presence of subpopulations in ARHD group. Four ARHD subjects had a ratio of 1 Std. Dev. from mean of SHD (no normals had values in this range). The 2 ARHD subjects with lowest caudate LCMRGlc had Cd/Put ratios > 2 Std. Dev. from controls. Results show 1) LCMRGlc abnormalities in all SHD patients and subpopulations in ARHD, 2) metabolic alterations appear to begin in caudate and spread to putamen and that a Cd/Put value of 0.7 should be found at start of symptoms, and 3) cortex and thalamus are relatively spared in ARHD and early SHD.

  18. The potential utility of land surface modeling and data assimilation for satellite soil moisture validation activities

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In the past five years, a number of different modeling and/or data assimilation strategies have been introduced to conduct validation/evaluation of satellite-based surface soil moisture retrievals. These strategies can be (roughly) separated into three separate categories: 1) triple collocation (TC)...

  19. Analysis of the proposed utilization of TDRS system by the HEAO-C satellite

    NASA Technical Reports Server (NTRS)

    Weathers, G.

    1974-01-01

    The primary function of the study was to assess the impact upon the HEAO telecommunications system of the proposed relay satellite-to-ground-link configuration. The system is designed to perform the function of most of the NASA ground tracking and communications network at a net cost savings for NASA.

  20. Utilization of Satellite Data in Land Surface Hydrology: Sensitivity and Assimilation

    NASA Technical Reports Server (NTRS)

    Lakshmi, Venkataraman; Susskind, Joel

    1999-01-01

    This paper investigates the sensitivity of potential evapotranspiration to input meteorological variables, viz- surface air temperature and surface vapor pressure. The sensitivity studies have been carried out for a wide range of land surface variables such as wind speed, leaf area index and surface temperatures. Errors in the surface air temperature and surface vapor pressure result in errors of different signs in the computed potential evapotranspiration. This result has implications for use of estimated values from satellite data or analysis of surface air temperature and surface vapor pressure in large scale hydrological modeling. The comparison of cumulative potential evapotranspiration estimates using ground observations and satellite observations over Manhattan, Kansas for a period of several months shows very little difference between the two. The cumulative differences between the ground based and satellite based estimates of potential evapotranspiration amounted to less that 20mm over a 18 month period and a percentage difference of 15%. The use of satellite estimates of surface skin temperature in hydrological modeling to update the soil moisture using a physical adjustment concept is studied in detail including the extent of changes in soil moisture resulting from the assimilation of surface skin temperature. The soil moisture of the surface layer is adjusted by 0.9mm over a 10 day period as a result of a 3K difference between the predicted and the observed surface temperature. This is a considerable amount given the fact that the top layer can hold only 5mm of water.

  1. ERTS-B (Earth Resources Technology Satellite). [spacecraft design remote sensor description, and technology utilization

    NASA Technical Reports Server (NTRS)

    1975-01-01

    Mission plans and objectives of the ERTS 2 Satellite are presented. ERTS 2 follow-on investigations in various scientific disciplines including agriculture, meteorology, land-use, geology, water resources, oceanography, and environment are discussed. Spacecraft design and its sensors are described along with the Delta launch vehicle and launch operations. Applications identified from ERTS 1 investigations are summarized.

  2. A laser communication experiment utilizing the ACT satellite and an airborne laser transceiver

    NASA Technical Reports Server (NTRS)

    Provencher, C.; Spence, Rod

    1988-01-01

    The Advanced Communications Technology Satellite (ACTS) will carry a laser communications transmitter package in order to attempt the experimental reception of signals transmitted from earth orbit. The ACTS laser package includes both a heterodyne transmitter and a direct-detection transmitter. The laser receiver will be installed in an aircraft that is fitted with the requisite signal window. The anticipated capability of this signal detector is noted.

  3. a Class of Regression-Cum Estimators in Two-Phase Sampling for Utilizing Information from High Resolution Satellite Data

    NASA Astrophysics Data System (ADS)

    Handique, B. K.

    2012-07-01

    Two-phase sampling design offers a variety of possibilities for effective use of auxiliary information such as those from high resolution remote sensing data. Continuous satellite data with large area coverage provide scope for deriving population values of the auxiliary variables, which can effectively be used for estimating the population parameters of the variable of interest. This study has been made to examine the possibilities of different forms of auxiliary information derived from remote sensing data in two-phase sampling design and suggest an appropriate estimator that will be of broad interest and applications. A new class of regression-cum-ratio estimators has been proposed for two-phase sampling using information on two auxiliary variables derived from high resolution satellite data. The bias and the mean square error (MSE) of the proposed estimators have been obtained up to first order approximation. Efficiency comparison of the proposed estimators has been made with some traditional estimators. The proposed estimator is found to be more efficient than the usual regression and ratio estimators. Numerical illustration has been carried out to examine the efficiency of the estimator in case of forest timber volume estimation utilizing tree crown diameter and tree height as auxiliary variables. It is shown that these estimators can be employed in a variety of conditions where there is strong correlation of satellite derived information with sample based ground measurements and when the cost of ground measurements is relatively high.

  4. An investigation into new advances in geodesy utilizing future satellite constellations

    NASA Astrophysics Data System (ADS)

    Gunter, B.; Teixeira da Encarnacao, J.; Ditmar, P.; Klees, R.

    2011-12-01

    The ability to measure temporal gravity field variations is of great interest to the Earth sciences community. These gravity measurements provide a unique source of information about Earth's mass transport processes, such as ocean currents, sea-level change, atmospheric variations, continental hydrology, movements of the solid earth, and the flux of ice in the cryosphere. Dedicated gravity field missions such as the Gravity Recovery and Climate Experiment (GRACE) have been collecting valuable global time-variable gravity measurements for nearly a decade now; however, as a single instrument pair, the spatial and temporal resolution of the GRACE mission is inherently limited by its ground track coverage. The information from these dedicated missions could be significantly enhanced if the information from a constellation of (non-dedicated) satellites were available. For example, the precise positions determined from a constellation of satellites equipped with GNSS receivers could be differentiated to reveal the gravitational accelerations acting on each satellite. The measurements from the constellation would not match the accuracy of those collected from GRACE, but would be sufficient to observe the large scale (> 1000 km) gravity variations. More importantly, these variations would be observed at time scales as short as six hours, covering a spectrum of the gravity field not possible from missions such as GRACE. In this context, the gravity data from the constellation would provide new information about Earth's global gravity field that would be fully complementary to data from dedicated gravity missions. In addition, the gravity data from the constellations could serve as an independent source of global time-variable gravity data in the event there is a gap between the end of the current GRACE mission (est. 2015-2016) and the proposed GRACE follow-on mission. Such constellations could soon become a reality, as satellite networks such as Iridium NEXT and others are

  5. Aviation utilization of geostationary satellites for the augmentation to GPS: Ranging and data link

    NASA Astrophysics Data System (ADS)

    Fuller, Richard Andrew, II

    2000-08-01

    The Wide Area Augmentation System (WAAS) is a GPS-based navigation aid currently under development by the Federal Aviation Administration (FAA). WAAS will provide corrections to aviation users for the GPS clock, its ephemeris, and for the delay in its signal as it passes through the ionosphere. These corrections will be broadcast to users throughout the United States via geostationary satellites. A master station that combines data from a continental network of reference GPS receivers will create these messages. The geostationary satellites serve both as wide-area differential GPS data links as well as additional ranging sources. The data message stream of WAAS enhances the accuracy and integrity of the GPS signal for aviation. Simultaneously, the satellite ranging-source increases the percentage of time that the precise signal is available. In this way, WAAS provides needed improvements in four metrics over the standard GPS signal: accuracy, integrity, availability, and continuity. The ranging function, described above, requires an estimate of the position of the geostationary satellite. This dissertation presents a novel technique for generating this position estimate. This technique is designed to provide high integrity performance in the user position domain and operates in real-time. As such, it contrasts classical orbit determination techniques that have no integrity requirement, are not designed to optimize performance in the user position domain, and usually have no real-time requirement. Our estimator is evaluated using real data from the FAA's National Satellite Test Bed (NSTB). The WAAS Signal-In-Space (SIS) has a limited data message bandwidth of 250 bits-per-second. This data bandwidth was chosen to balance two concerns. First, the power of the signal must not be so strong that it jams GPS. Second, the signal must provide the minimum amount of information necessary to ensure adequate accuracy and integrity for aviation users over the entire

  6. Earth Observatory Satellite system definition study. Report 6: Space shuttle interfaces/utilization

    NASA Technical Reports Server (NTRS)

    1974-01-01

    An analysis was conducted to determine the compatibility of the Earth Observatory Satellite (EOS) with the space shuttle. The mechanical interfaces and provisions required for a launch or retrieval of the EOS by the space shuttle are summarized. The space shuttle flight support equipment required for the operation is defined. Diagrams of the space shuttle in various configurations are provised to show the mission capability with the EOS. The subjects considered are as follows: (1) structural and mechanical interfaces, (2) spacecraft retention and deployment, (3) spacecraft retrieval, (4) electrical interfaces, (5) payload shuttle operations, (6) shuttle mode cost analysis, (7) shuttle orbit trades, and (8) safety considerations.

  7. Central electrical utility power for a satellite ring city in low earth orbit space

    NASA Technical Reports Server (NTRS)

    Myers, Ira T.; Faymon, Karl A.; Patton, A. D.

    1989-01-01

    Information is given in viewgraph form on central electrical power for a satellite ring city, defined as a group of large free flyers of 10 to 20 units with perhaps 100 people in each unit, and organized in a circle so that power can be fed from a central location. The free flyers would be located at 300 to 700 miles in altitude, and spaced about a kilometer apart. Potential activities of a ring city are listed as well as the electrical power needs. Information is given on costs and individual and centralized solar arrays and nuclear reactor systems.

  8. Environmental waste site characterization utilizing aerial photographs and satellite imagery: Three sites in New Mexico, USA

    SciTech Connect

    Van Eeckhout, E.; Pope, P.; Becker, N.; Wells, B.; Lewis, A.; David, N.

    1996-04-01

    The proper handling and characterization of past hazardous waste sites is becoming more and more important as world population extends into areas previously deemed undesirable. Historical photographs, past records, current aerial satellite imagery can play an important role in characterizing these sites. These data provide clear insight into defining problem areas which can be surface samples for further detail. Three such areas are discussed in this paper: (1) nuclear wastes buried in trenches at Los Alamos National Laboratory, (2) surface dumping at one site at Los Alamos National Laboratory, and (3) the historical development of a municipal landfill near Las Cruces, New Mexico.

  9. Utility of Satellite Magnetic Observations for Estimating Near-Surface Magnetic Anomalies

    NASA Technical Reports Server (NTRS)

    Kim, Hyung Rae; vonFrese, Ralph R. B.; Taylor, Patrick T.; Kim, Jeong Woo; Park, Chan Hong

    2003-01-01

    Regional to continental scale magnetic anomaly maps are becoming increasingly available from airborne, shipborne, and terrestrial surveys. Satellite data are commonly considered to fill the coverage gaps in regional compilations of these near-surface surveys. For the near-surface Antarctic magnetic anomaly map being produced by the Antarctic Digital Magnetic Anomaly Project (ADMAP), we show that near-surface magnetic anomaly estimation is greatly enhanced by the joint inversion of the near-surface data with the satellite observations relative to the conventional technique such as minimum curvature. Orsted observations are especially advantageous relative to the Magsat data that have order-of-magnitude greater measurement errors, albeit at much lower orbital altitudes. CHAMP is observing the geomagnetic field with the same measurement accuracy as the Orsted mission, but at the lower orbital altitudes covered by Magsat. Hence, additional significant improvement in predicting near-surface magnetic anomalies can result as these CHAMP data are available. Our analysis also suggests that considerable new insights on the magnetic properties of the lithosphere may be revealed by a further order-of-magnitude improvement in the accuracy of the magnetometer measurements at minimum orbital altitude.

  10. Utilizing NASA Satellite Missions to Identify Bark Beetle Infestation in Sequoia National Park

    NASA Astrophysics Data System (ADS)

    Newcomer, M. E.; Bird, J. E.; Sabatine, S. M.; Sady, G. C.; Stalzer, A. M.; Wheeler, T. A.; Skiles, J. W.; Schmidt, C.

    2009-12-01

    Bark beetle-induced tree mortality has increased over the last few decades, exacerbated by below-average precipitation and a loss of soil nutrients, forcing park managers to improve bark beetle monitoring techniques. Bark beetle dynamics were investigated during summer 2009 at 32 sites within Sequoia National Park, California with the aim of correlating field data with satellite imagery to provide forest managers with a more efficient methodology for tracking, monitoring, and forecasting bark beetle outbreaks. Field parameters included visual assessments of the presence and degree of bark beetle-induced mortality and percent canopy cover. Ancillary data such as relative leaf chlorophyll concentration and soil nutrients including sodium [Na+], nitrate [NO3-], and potassium [K+] were collected for each 15 × 15 meter plot. The relationship between bark beetle attacks and potassium [K+] shows higher concentrations in healthy areas. Additionally, algorithms from three satellites were used to identify areas of moisture and vegetation stress; including the Ratio Vegetation Index (RVI) from ASTER, Enhanced Wetness Difference Index (EWDI) from Landsat Thematic Mapper (TM5), Disturbance Index (DI) from MODIS, and four other vegetation indices from Landsat TM5. Vegetation indices show uniform stress across various years.

  11. Assessing Wildlife Habitat And Range Utilization in Arizona Using Satellite Data

    NASA Astrophysics Data System (ADS)

    Hutchinson, C. F.; Marsh, S. E.; Krausman, P. R.; Enns, R. M.; Howery, L. D.; Trobia, E.; Wallace, C. S.; Walker, J. J.; Mauz, K.; Boyd, H.; Salazar, H.

    2001-05-01

    Since their reintroduction in 1914, elk (Cervus elaphus) have grown to be a major issue in the western United States. Most land is controlled by federal or state agencies, but individual ranchers have agreements that permit them to graze cattle on much of this land. Elk often compete with cattle for forage, and damage infrastructure (i.e. fences, watering points, and crops). Conversely, environmentalists and hunters also have an interest in the management of elk populations. As a result, consequence of these conflicting interests, there is little agreement about the size of the elk population or the nature, location, and timing of conflicts that elk might cause. This study was intended to provide information that might help managers understand the distribution of elk in Arizona as a consequence of seasonal variation and in response to extreme climatic events (i.e. El Niño and La Niña). The first task involved modeling elk populations over time. There are no long term or large-scale studies of elk movements through continuous observation (i.e. radiocollars). A technique for modeling elk population has been developed that is based on harvest data, gender ratios, and estimates of male mortality. This provided estimates of elk populations for individual game management units (areas for which harvest is reported and within which elk are managed by the Arizona Game and Fish Department). The second task involved the use of satellite data to characterize vegetation responses to seasonal and interannual climate variation among vegetation associations within game management units. This involved the use of NOAA Advanced Very High Resolution Radiometer (AVHRR) time series data to describe temporal vegetation behavior, Landsat and Ikonos data to describe spatial vegetation distribution in conjunction with U.S. Forest Service vegetation maps. Elk population estimates were correlated with satellite-derived vegetation measures by vegetation association through time. The patterns

  12. Multi-year black carbon emissions from cropland burning in the Russian Federation utilizing satellite fire data and agricultural statistics

    NASA Astrophysics Data System (ADS)

    McCarty, J.; Ellicott, E.; Romanenkov, V.; Rukhovitch, D.; Koroleva, P.

    2012-04-01

    Cropland fires are an important source of black carbon (BC) emissions. Previous research has suggested that springtime cropland burning in Eastern Europe, and more specifically Russia, is a main source of BC in the Arctic atmosphere, acting as a short-lived climate forcer strongly influencing snow-ice albedo and radiation transmission in the atmosphere above the Arctic. BC emissions from cropland burning were estimated for the Russian Federation for years 2003 through 2009 using three satellite fire products, the 1 km MODIS Active Fire Product, 0.5° MODIS Fire Radiative Power monthly climate modeling grid product, and the 500 m MODIS Burned Area Product. Agricultural statistics published by the Russian government were also used to estimate BC emissions from a modified approach developed and published by the All-Russian Institute of Organic Peat and Fertilizers to estimate farm- and regional-level residue loading based on straw surplus left after grain harvesting, while accounting for agricultural management and agrometeorological inputs. The satellite-based emission calculations utilized several different land cover classification schemas for defining croplands in Russia for both the 1 km MODIS Land Cover Product and the 300m MERIS GlobCover v2.2 data sets. In general, the peaks of BC emissions from cropland burning occurred during the spring (April - May), summer (July - August), and the fall (October). 2008 had the highest annual BC emissions. The range of average annual BC emissions from cropland burning calculated from the different satellite products was 2.49 Gg to 22.2 Gg, with the agricultural statistics approach annual average equal to 8.90 Gg. The Global Fire Emissions Database (GFED) version 3 estimated average annual BC emissions from agricultural fires in Russia for this time period to be 11.9 Gg. The majority of BC emissions from the Fire Radiative Power, Burned Area, and Active Fire satellite analyses originated in European Russia, followed by

  13. Forecasting distributions of large federal-lands fires utilizing satellite and gridded weather information

    USGS Publications Warehouse

    Preisler, H.K.; Burgan, R.E.; Eidenshink, J.C.; Klaver, Jacqueline M.; Klaver, R.W.

    2009-01-01

    The current study presents a statistical model for assessing the skill of fire danger indices and for forecasting the distribution of the expected numbers of large fires over a given region and for the upcoming week. The procedure permits development of daily maps that forecast, for the forthcoming week and within federal lands, percentiles of the distributions of (i) number of ignitions; (ii) number of fires above a given size; (iii) conditional probabilities of fires greater than a specified size, given ignition. As an illustration, we used the methods to study the skill of the Fire Potential Index an index that incorporates satellite and surface observations to map fire potential at a national scale in forecasting distributions of large fires. ?? 2009 IAWF.

  14. A gradient model of vegetation and climate utilizing NOAA satellite imagery. Phase 1: Texas transect

    NASA Technical Reports Server (NTRS)

    Greegor, D. H.; Norwine, J.

    1981-01-01

    A new experimental climatological model/variable termed the sponge, a measure of moisture availability based on daily temperature maxima and minima and precipitation, is tested for potential biogeographic, ecological, and agro-climatological applications. Results, depicted in tabular and graphic from, suggest that, as a generalized climatic index, sponge's simplicity and sensitivity make particularly appropriate for trans-regional biogeographic studies (e.g., large-area and global vegetation monitoring). The feasibility of utilizing NOAA/AVHRR data for vegetation classification was investigated and a vegetation gradient model that utilizes sponge, and AVHRR pixel data (channels 1 and 2) were obtained for 12 locations. The normalized difference values for the AVHRR data when plotted against vegetation characteristics (biomass, net productivity, leaf area) and sponge values suggest that a multivariate gradient model incorporating AVHRR and sponge data may indeed be useful in global vegetation stratification and monitoring.

  15. A gradient model of vegetation and climate utilizing NOAA satellite imagery. Phase 1: Texas transect

    NASA Technical Reports Server (NTRS)

    Greegor, D.; Norwine, J. (Principal Investigator)

    1981-01-01

    A climatological model/variable termed the sponge (a measure of moisture availability based on daily temperature maxima and minima, and precipitation) was tested for potential biogeograhic, ecological, and agro-climatological applications. Results, depicted in tabular and graphic form, suggest that, as generalized climatic index, sponge is particularly appropriate for large-area and global vegetation monitoring. The feasibility of utilizing NOAA/AVHRR data for vegetation classification was investigated and a vegetation gradient model that utilizes sponge and AVHRR data was initiated. Along an east-west Texas gradient, vegetation, sponge, and AVHRR pixel data (channels 1 and 2) were obtained for 12 locations. The normalized difference values for the AVHRR data when plotted against vegetation characteristics (biomass, net productivity, leaf area) and sponge values along the Texas gradient suggest that a multivariate gradient model incorporating AVHRR and sponge data may indeed be useful in global vegetation stratification and monitoring.

  16. Predicting utility of a model for end stage liver disease in alcoholic liver disease

    PubMed Central

    Soultati, Aspasia S; Dourakis, Spyridon P; Alexopoulou, Alexandra; Deutsch, Melanie; Vasilieva, Larissa; Archimandritis, Athanasios J

    2006-01-01

    AIM: To validate the statistic utility of both the Maddrey Discriminant Function score and the Model for End-Stage Liver Disease as predictors of short term (30 d and 90 d) mortality in patients with alcoholic hepatitis and to assess prognostic factors among clinical characteristics and laboratory variables of patients with alcoholic hepatitis. METHODS: Thirty-four patients with the diagnosis of alcoholic hepatitis admitted to Hippokration University Hospital of Athens from 2000 to 2005 were assessed in the current retrospective study and a statistical analysis was conducted. RESULTS: 30- and 90-d mortality rates were reported at 5.9% (2/34) and 14.7% (5/34), respectively. Significant correlation was demonstrated for the Model for End-Stage Liver Disease (P30 = 0.094, P90 = 0.046) and the Maddrey Discriminant Function score (P30 = 0.033, P90 = 0.038) with 30- and 90-d mortality whereas a significant association was also established for alanine aminotransferase (P = 0.057), fibrin degradation products (P = 0.048) and C-reactive protein (P = 0.067) with 90-d mortality. For 30-d mortality the Area Under the Curve was 0.969 (95%CI: 0.902-1.036, P = 0.028) for the Model for End-Stage Liver Disease score and 0.984 (95%CI: 0.942-1.027, P = 0.023) for the Maddrey Discriminant Function score with the optimal cut off point of 30.5 (sensitivity 1, specificity 0.937) and 108.68 (sensitivity 1, specificity 0.969), respectively. Accordingly, for 90-d mortality the Area Under the Curve was 0.762 (95%CI: 0.559-0.965, P = 0.065) for the Model for End-Stage Liver Disease score and 0.752 (95%CI: 0.465-1.038, P = 0.076) for the Maddrey Discriminant Function score with the optimal cut off point of 19 (sensitivity 0.6, specificity 0.6) and 92 (sensitivity 0.6, specificity 0.946), respectively. The observed Kaplan Meier survival rates for different score-categories were compared with log-rank tests and higher score values were correlated with a lower survival. CONCLUSION: Equivalency of

  17. Monitoring Disease Trends using Hospital Traffic Data from High Resolution Satellite Imagery: A Feasibility Study

    PubMed Central

    Nsoesie, Elaine O.; Butler, Patrick; Ramakrishnan, Naren; Mekaru, Sumiko R.; Brownstein, John S.

    2015-01-01

    Challenges with alternative data sources for disease surveillance include differentiating the signal from the noise, and obtaining information from data constrained settings. For the latter, events such as increases in hospital traffic could serve as early indicators of social disruption resulting from disease. In this study, we evaluate the feasibility of using hospital parking lot traffic data extracted from high-resolution satellite imagery to augment public health disease surveillance in Chile, Argentina and Mexico. We used archived satellite imagery collected from January 2010 to May 2013 and data on the incidence of respiratory virus illnesses from the Pan American Health Organization as a reference. We developed dynamical Elastic Net multivariable linear regression models to estimate the incidence of respiratory virus illnesses using hospital traffic and assessed how to minimize the effects of noise on the models. We noted that predictions based on models fitted using a sample of observations were better. The results were consistent across countries with selected models having reasonably low normalized root-mean-squared errors and high correlations for both the fits and predictions. The observations from this study suggest that if properly procured and combined with other information, this data source could be useful for monitoring disease trends. PMID:25765943

  18. Satellite Hyperspectral Imagery to Support Tick-Borne Infectious Diseases Surveillance

    PubMed Central

    Polo, Gina; Labruna, Marcelo Bahia; Ferreira, Fernando

    2015-01-01

    This study proposed the use of satellite hyperspectral imagery to support tick-borne infectious diseases surveillance based on monitoring the variation in amplifier hosts food sources. To verify this strategy, we used the data of the human rickettsiosis occurrences in southeastern Brazil, region in which the emergence of this disease is associated with the rising capybara population. Spatio-temporal analysis based on Monte Carlo simulations was used to identify risk areas of human rickettsiosis and hyperspectral moderate-resolution imagery was used to identify the increment and expansion of sugarcane crops, main food source of capybaras. In general, a pixel abundance associated with increment of sugarcane crops was detected in risk areas of human rickettsiosis. Thus, the hypothesis that there is a spatio-temporal relationship between the occurrence of human rickettsiosis and the sugarcane crops increment was verified. Therefore, due to the difficulty of monitoring locally the distribution of infectious agents, vectors and animal host’s, satellite hyperspectral imagery can be used as a complementary tool for the surveillance of tick-borne infectious diseases and potentially of other vector-borne diseases. PMID:26599337

  19. Utilizing Satellite-based and Reanalysis Precipitation Data in Hydrological Modeling

    NASA Astrophysics Data System (ADS)

    Ignatius, A. R.; Grundstein, A.; Rasmussen, T. C.; Mote, T. L.; Shepherd, J. M.

    2010-12-01

    Precipitation is an essential input into surface hydrologic models. While rain gauges are the most common source for precipitation data, many regions suffer from a paucity of precipitation data at appropriate temporal and spatial resolutions. Satellite-based or gridded reanalysis data sources provide alternative rainfall inputs for hydrologic models. The University of Georgia and U.S. Dept. of Energy Savannah River National Laboratory are investigating complex hydrometeorological and source attribution problems using a combination of hydrologic observations and models. The project investigates the use several NASA products including TRMM 3B42, TRMM 3B42RT, and MERRA (Modern Era Retrospective-Analysis for Research and Applications) reanalysis data. These data are used as meteorological inputs for a hydrologic model of the Savannah River watershed, located in Georgia and South Carolina. Hydrologic simulations are performed using the BASINS 4.0 (Better Assessment Science Integrating Point and Non-Point Sources) environmental analysis system and the HSPF hydrologic model. Validation studies of the precipitation datasets along with comparisons of streamflow simulations using the alternative inputs will be presented. The work represents a synergy of scientific analysis and stakeholder applications that the forthcoming GPM era can leverage.

  20. Utilization of VAS satellite data in the initialization of an oceanic-cyclogenesis simulation

    NASA Technical Reports Server (NTRS)

    Douglas, Sharon G.; Warner, Thomas T.

    1986-01-01

    A series of experiments was performed to test various method of incorporating Visible Infrared Spin Scan Radiometer Atmospheric Sounder (VAS)-sounding data into the initial conditions of the Penn State University/National Center for Atmospheric mesoscale model. The VAS data for this ocean-cyclogenesis case consist of 110 irregularly distributed temperature and humidity soundings located over the North Pacific Ocean and apply at approximately 1200 GMT 10 November 1981. Various methods of utilizing VAS data in the initial condition of a mesoscale model were evaluated.

  1. Estimating surface longwave radiative fluxes from satellites utilizing artificial neural networks

    NASA Astrophysics Data System (ADS)

    Nussbaumer, Eric A.; Pinker, Rachel T.

    2012-04-01

    A novel approach for calculating downwelling surface longwave (DSLW) radiation under all sky conditions is presented. The DSLW model (hereafter, DSLW/UMD v2) similarly to its predecessor, DSLW/UMD v1, is driven with a combination of Moderate Resolution Imaging Spectroradiometer (MODIS) level-3 cloud parameters and information from the European Centre for Medium-Range Weather Forecasts (ECMWF) ERA-Interim model. To compute the clear sky component of DSLW a two layer feed-forward artificial neural network with sigmoid hidden neurons and linear output neurons is implemented; it is trained with simulations derived from runs of the Rapid Radiative Transfer Model (RRTM). When computing the cloud contribution to DSLW, the cloud base temperature is estimated by using an independent artificial neural network approach of similar architecture as previously mentioned, and parameterizations. The cloud base temperature neural network is trained using spatially and temporally co-located MODIS and CloudSat Cloud Profiling Radar (CPR) and the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO) Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) observations. Daily average estimates of DSLW from 2003 to 2009 are compared against ground measurements from the Baseline Surface Radiation Network (BSRN) giving an overall correlation coefficient of 0.98, root mean square error (rmse) of 15.84 W m-2, and a bias of -0.39 W m-2. This is an improvement over an earlier version of the model (DSLW/UMD v1) which for the same time period has an overall correlation coefficient 0.97 rmse of 17.27 W m-2, and bias of 0.73 W m-2.

  2. A Preliminary Study of Psychiatric, Familial, and Medical Characteristics of High Utilizing Sickle Cell Disease Patients

    PubMed Central

    Carroll, C. Patrick; Haywood, Carlton; Hoot, Michelle R.; Lanzkron, Sophie

    2012-01-01

    Objectives To identify demographic, medical, and psychosocial characteristics that distinguished sickle cell disease patients who were frequent utilizers of urgent or emergent care resources from low-utilizing patients. Methods Patients at a large urban comprehensive sickle cell disease treatment center were recruited from clinic or during urgent care visits. Participants who were high utilizers, defined as having more than 4 acute or emergency care visits in the prior 12 months, were compared to patients with more typical utilization patterns on lifetime complications of SCD, family background, psychiatric history, occupational function, coping, depressive symptoms, and personality. Results High utilizers were nearly a decade younger on average; despite this they had a similar lifetime history of SCD complications. High utilizing patients' parents appeared to have greater educational achievement overall. High utilizers reported a nearly three-fold greater prevalence of psychiatric illness in family members than low utilizers. On other measures; including coping strategies, social support, and personality; the two groups were comparable. Discussion The study strengthens emerging evidence that disease severity, familial factors related to greater parental education, and psychiatric illness are important factors in high care utilization in patients with sickle cell disease. PMID:23246997

  3. Objective Operational Utilization of Satellite Microwave Scatterometer Observations of Tropical Cyclones

    NASA Technical Reports Server (NTRS)

    Cardone, Vincent J.; Cox, Andrew T.

    2000-01-01

    This study has demonstrated that high-resolution scatterometer measurements in tropical cyclones and other high-marine surface wind regimes may be retrieved accurately for wind speeds up to about 35 mls (1-hour average at 10 m) when the scatterometer data are processed through a revised geophysical model function, and a spatial adaptive algorithm is applied which utilizes the fact that wind direction is so tightly constrained in tile inner core of severe marine storms that wind direction may be prescribed from conventional data. This potential is demonstrated through case studies with NSCAT data in a severe West Pacific Typhoon (Violet, 1996) and an intense North Atlantic hurricane (Lili, 1996). However, operational scatterometer winds from NSCAT and QuickScat in hurricanes and severe winter storms are biased low in winds above 25 m/s. We have developed an inverse model to specify the entire surface wind field about a tropical cyclone from operational QuickScat scatterometer measurements within 150 nm of a storm center with the restriction that only wind speeds up to 20 m/s are used until improved model function are introduced. The inverse model is used to specify the wind field over the entire life-cycle of Hurricane Floyd (1999) for use to drive an ocean wave model. The wind field compares very favorably with wind fields developed from the copious aircraft flight level winds obtained in this storm.

  4. Multispectral imaging utilizing LCTF technology for plant disease detection

    NASA Astrophysics Data System (ADS)

    Tian, Lixun; Liao, Ningfang; Chai, Ali; Tan, Boneng; Cui, Deqi; Wang, Jiajia

    2011-08-01

    The aim of this paper is to pave the way for the establishment of analysis of the lights reflected from the leaf's surface as an analytical method of plant disease. An imaging LCTF spectrometer that covers a visible light with 400-720 nm wavelength bands has been developed. This paper first outlines the structure of imaging LCTF spectrometer, including their operational principles and construction. Next, various spectral images acquired using the LCTF spectrometer in laboratory environment experiments to measure spectral characteristics of rays reflected from cucumber leaves surfaces that are infected by different germs are analyzed. Then, the results of the experiments conducted using the imaging spectrometer are shown, including the analyzed relative radiance of rays reflected from the plants, and spectral images acquired at various wavelengths. These experimental results demonstrate clearly that rays reflected from plant contaminated by different disease germs have different spectral properties.

  5. MicroRNAs Classify Different Disease Behavior Phenotypes of Crohn's Disease and May Have Prognostic Utility

    PubMed Central

    Peck, Bailey C. E.; Weiser, Matthew; Lee, Saangyoung E.; Gipson, Gregory R.; Iyer, Vishal B.; Sartor, Ryan B.; Herfarth, Hans H.; Long, Millie D.; Hansen, Jonathan J.; Isaacs, Kim L.; Trembath, Dimitri G.; Rahbar, Reza; Sadiq, Timothy S.

    2015-01-01

    Background: There is a dire need for reliable prognostic markers that can guide effective therapeutic intervention in Crohn's disease (CD). We examined whether different phenotypes in CD can be classified based on colonic microRNA (miRNA) expression and whether miRNAs have prognostic utility for CD. Methods: High-throughput sequencing of small and total RNA isolated from colon tissue from patients with CD and controls without Inflammatory Bowel Disease (non-IBD) was performed. To identify miRNAs associated with specific phenotypes of CD, patients were stratified according to disease behavior (nonstricturing, nonpenetrating; stricturing; penetrating), and miRNA profiles in each subset were compared with those of the non-IBD group. Validation assays were performed using quantitative reverse transcription polymerase chain reaction. These miRNAs were further evaluated by quantitative reverse transcriptase polymerase chain reaction on formalin-fixed, paraffin-embedded tissue (index biopsies) of patients with nonpenetrating CD at the time of diagnosis that either retained the nonpenetrating phenotype or progressed to penetrating/fistulizing CD. Results: We found a suite of miRNAs, including miR-31-5p, miR-215, miR-223-3p, miR-196b-5p, and miR-203 that stratify patients with CD according to disease behavior independent of the effect of inflammation. Furthermore, we also demonstrated that expression levels of miR-215 in index biopsies of patients with CD might predict the likelihood of progression to penetrating/fistulizing CD. Finally, using a novel statistical simulation approach applied to colonic RNA-sequencing data for patients with CD and non-IBD controls, we identified miR-31-5p and miR-203 as candidate master regulators of gene expression profiles associated with CD. Conclusions: miRNAs may serve as clinically useful prognostic markers guiding initial therapy and identifying patients who would benefit most from effective intervention. PMID:26164662

  6. Utilization of Satellite Dish Technology and its Application in Taping PeachStar Programming: A Survey of Library Media Specialists.

    ERIC Educational Resources Information Center

    Razza, Betsy L.

    Through lottery funding, all public schools in Georgia received satellite dish equipment. This study is an assessment of the use of the satellite dish equipment by library media specialists in the DeKalb County School System for taping PeachStar (the satellite channel of Georgia Public Broadcasting) programming. The purpose was four-fold: (1) to…

  7. Health Care Utilization among Migrant Latino Farmworkers: The Case of Skin Disease

    ERIC Educational Resources Information Center

    Feldman, Steven R.; Vallejos, Quirina M.; Quandt, Sara A.; Fleischer, Alan B., Jr.; Schulz, Mark R.; Verma, Amit; Arcury, Thomas A.

    2009-01-01

    Context: Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources. Purpose: Framed by the Health Behavior Model, the purpose of this study was to assess health care utilization for skin disease by migrant Latino farmworkers. Methods: Three hundred and four migrant…

  8. Using Satellite Images of Environmental Changes to Predict Infectious Disease Outbreaks

    PubMed Central

    Colwell, Rita R.; Rose, Joan B.; Morse, Stephen S.; Rogers, David J.; Yates, Terry L.

    2009-01-01

    Recent events clearly illustrate a continued vulnerability of large populations to infectious diseases, which is related to our changing human-constructed and natural environments. A single person with multidrug-resistant tuberculosis in 2007 provided a wake-up call to the United States and global public health infrastructure, as the health professionals and the public realized that today’s ease of airline travel can potentially expose hundreds of persons to an untreatable disease associated with an infectious agent. Ease of travel, population increase, population displacement, pollution, agricultural activity, changing socioeconomic structures, and international conflicts worldwide have each contributed to infectious disease events. Today, however, nothing is larger in scale, has more potential for long-term effects, and is more uncertain than the effects of climate change on infectious disease outbreaks, epidemics, and pandemics. We discuss advances in our ability to predict these events and, in particular, the critical role that satellite imaging could play in mounting an effective response. PMID:19788799

  9. Pathways of Polyunsaturated Fatty Acid Utilization: Implications for Brain Function in Neuropsychiatric Health and Disease

    PubMed Central

    Liu, Joanne J.; Green, Pnina; Mann, J. John; Rapoport, Stanley I.; Sublette, M. Elizabeth

    2014-01-01

    Essential polyunsaturated fatty acids (PUFAs) have profound effects on brain development and function. Abnormalities of PUFA status have been implicated in neuropsychiatric diseases such as major depression, bipolar disorder, schizophrenia, Alzheimer’s disease, and attention deficit hyperactivity disorder. Pathophysiologic mechanisms could involve not only suboptimal PUFA intake, but also metabolic and genetic abnormalities, defective hepatic metabolism, and problems with diffusion and transport. This article provides an overview of physiologic factors regulating PUFA utilization, highlighting their relevance to neuropsychiatric disease. PMID:25498862

  10. Shifting the emphasis: From cost models to satellite utility or revenue models. The case for a value-centric mindset in space system design

    NASA Astrophysics Data System (ADS)

    Saleh, Joseph H.; Jordan, Nicole C.; Newman, Dava J.

    2007-11-01

    Cost models are pervasive throughout the aerospace industry. Almost every engineer or program manager in this industry is familiar with cost models or cost estimate relationships (CER), and has at some point in his or her career performed cost analyses for a system or a subsystem. This situation is the laudable result of the emphasis over the last two decades on financial discipline in the design of complex engineering systems. Unfortunately, while cost models are pervasive throughout the aerospace industry, revenue models or utility models on the other hand are quasi-inexistent. In this paper, we argue that while the proliferation of spacecraft cost models is laudable, the absence of interest in satellite utility or revenue models is deplorable. We contend that this situation carries a number of drawbacks. For example, the situation perhaps conveys the false impression that satellites are either cost sinks, or expensive artifacts whose value or utility profile over their design lifetime is difficult to quantify and does not warrant efforts to do so. More importantly, we argue that the absence of quantitative revenue models (in the case of commercial systems) or utility models (in the case of scientific or military systems) makes it difficult to build the case for such systems to policy-makers or decision-makers, especially in the light in their exorbitant costs. Furthermore, we show that the specification and selection of a system design lifetime will always have weak arguments fraught with subjectivity in the absence of quantitative revenue or utility models. We make the case that satellites, like other complex engineering systems, should be viewed as "value-delivery artifacts." Finally, we propose a roadmap for developing a spacecraft utility model in the case of a GEO communications satellite.

  11. Bhendi yellow vein mosaic disease in India is caused by association of a DNA Beta satellite with a begomovirus.

    PubMed

    Jose, Joyce; Usha, Ramakrishnan

    2003-01-20

    Yellow vein mosaic disease is the major limitation in the production of bhendi or okra (Abelmoschus esculentus), an important vegetable crop of India. This disease is caused by a complex consisting of the monopartite begomovirus Bhendi yellow vein mosaic virus (BYVMV, family: Geminiviridae) and a small satellite DNA beta component. BYVMV can systemically infect bhendi upon agroinoculation but produces only mild leaf curling in this host. DNA beta induces typical symptoms of bhendi yellow vein mosaic disease (BYVMD) when co-agroinoculated with the begomovirus to bhendi. The DNA beta component associated with BYVMD has a number of features in common with those reported for ageratum yellow vein disease and cotton leaf curl disease. BYVMV represents a new member of the emerging group of monopartite begomoviruses requiring a satellite component for symptom induction. PMID:12573576

  12. New vegetation type map of India prepared using satellite remote sensing: Comparison with global vegetation maps and utilities

    NASA Astrophysics Data System (ADS)

    Roy, P. S.; Behera, M. D.; Murthy, M. S. R.; Roy, Arijit; Singh, Sarnam; Kushwaha, S. P. S.; Jha, C. S.; Sudhakar, S.; Joshi, P. K.; Reddy, Ch. Sudhakar; Gupta, Stutee; Pujar, Girish; Dutt, C. B. S.; Srivastava, V. K.; Porwal, M. C.; Tripathi, Poonam; Singh, J. S.; Chitale, Vishwas; Skidmore, A. K.; Rajshekhar, G.; Kushwaha, Deepak; Karnatak, Harish; Saran, Sameer; Giriraj, A.; Padalia, Hitendra; Kale, Manish; Nandy, Subrato; Jeganathan, C.; Singh, C. P.; Biradar, C. M.; Pattanaik, Chiranjibi; Singh, D. K.; Devagiri, G. M.; Talukdar, Gautam; Panigrahy, Rabindra K.; Singh, Harnam; Sharma, J. R.; Haridasan, K.; Trivedi, Shivam; Singh, K. P.; Kannan, L.; Daniel, M.; Misra, M. K.; Niphadkar, Madhura; Nagabhatla, Nidhi; Prasad, Nupoor; Tripathi, O. P.; Prasad, P. Rama Chandra; Dash, Pushpa; Qureshi, Qamer; Tripathi, S. K.; Ramesh, B. R.; Gowda, Balakrishnan; Tomar, Sanjay; Romshoo, Shakil; Giriraj, Shilpa; Ravan, Shirish A.; Behera, Soumit Kumar; Paul, Subrato; Das, Ashesh Kumar; Ranganath, B. K.; Singh, T. P.; Sahu, T. R.; Shankar, Uma; Menon, A. R. R.; Srivastava, Gaurav; Neeti; Sharma, Subrat; Mohapatra, U. B.; Peddi, Ashok; Rashid, Humayun; Salroo, Irfan; Krishna, P. Hari; Hajra, P. K.; Vergheese, A. O.; Matin, Shafique; Chaudhary, Swapnil A.; Ghosh, Sonali; Lakshmi, Udaya; Rawat, Deepshikha; Ambastha, Kalpana; Malik, Akhtar H.; Devi, B. S. S.; Gowda, Balakrishna; Sharma, K. C.; Mukharjee, Prashant; Sharma, Ajay; Davidar, Priya; Raju, R. R. Venkata; Katewa, S. S.; Kant, Shashi; Raju, Vatsavaya S.; Uniyal, B. P.; Debnath, Bijan; Rout, D. K.; Thapa, Rajesh; Joseph, Shijo; Chhetri, Pradeep; Ramachandran, Reshma M.

    2015-07-01

    A seamless vegetation type map of India (scale 1: 50,000) prepared using medium-resolution IRS LISS-III images is presented. The map was created using an on-screen visual interpretation technique and has an accuracy of 90%, as assessed using 15,565 ground control points. India has hitherto been using potential vegetation/forest type map prepared by Champion and Seth in 1968. We characterized and mapped further the vegetation type distribution in the country in terms of occurrence and distribution, area occupancy, percentage of protected area (PA) covered by each vegetation type, range of elevation, mean annual temperature and precipitation over the past 100 years. A remote sensing-amenable hierarchical classification scheme that accommodates natural and semi-natural systems was conceptualized, and the natural vegetation was classified into forests, scrub/shrub lands and grasslands on the basis of extent of vegetation cover. We discuss the distribution and potential utility of the vegetation type map in a broad range of ecological, climatic and conservation applications from global, national and local perspectives. We used 15,565 ground control points to assess the accuracy of products available globally (i.e., GlobCover, Holdridge's life zone map and potential natural vegetation (PNV) maps). Hence we recommend that the map prepared herein be used widely. This vegetation type map is the most comprehensive one developed for India so far. It was prepared using 23.5 m seasonal satellite remote sensing data, field samples and information relating to the biogeography, climate and soil. The digital map is now available through a web portal (http://bis.iirs.gov.in).

  13. Simultaneous precision positioning and vibration suppression of an intelligent composite satellite structure utilizing piezoelectric sensors and actuators

    NASA Astrophysics Data System (ADS)

    Doherty, Kathleen Marie

    Adaptive or intelligent structures which have the capability for sensing and responding to their environment promise a novel approach to satisfying the stringent performance requirements of future space missions. This research effort focuses on the development of a smart thruster mount truss structure with precision positioning and active vibration suppression capability for use in a space satellite. The smart thruster mount would utilize piezoelectric sensors and actuators for precision positioning to provide fine tuning of position tolerance for thruster alignment. The same structure may be used for suppressing the vibration that resonates throughout the spacecraft during thruster firing. This vibration renders sensitive optical or measurement equipment non-operational until the disturbance has dissipated. This smart system approach would greatly enhance mission performance by fine tuning attitude control, potentially eliminating the nonoperational period as well as minimizing fuel consumption utilized for position correction. The configuration of the smart thruster mount truss system is that of a modified Stewart platform. Precision positioning of the truss structure is achieved using active members which extend or contract to tilt the upper platform where the thruster is mounted. An inverse kinematic analysis of a modified Stewart platform has been developed and is used to determine the required axial displacement of the active struts for the desired angular tilt of the smart platform. Experimental data is used to verify the precision positioning capabilities of the active struts. This information demonstrates the ability of the active strut to tilt the top of the smart platform by the required angular displacement. Analytical verification of the vibration suppression capabilities of the active struts in the smart composite platform using finite element analysis is presented. A model of an active strut with surface mounted sensors/actuators was used to develop

  14. Health Care Costs, Utilization and Patterns of Care following Lyme Disease

    PubMed Central

    Adrion, Emily R.; Aucott, John; Lemke, Klaus W.; Weiner, Jonathan P.

    2015-01-01

    Background Lyme disease is the most frequently reported vector borne infection in the United States. The Centers for Disease Control have estimated that approximately 10% to 20% of individuals may experience Post-Treatment Lyme Disease Syndrome – a set of symptoms including fatigue, musculoskeletal pain, and neurocognitive complaints that persist after initial antibiotic treatment of Lyme disease. Little is known about the impact of Lyme disease or post-treatment Lyme disease symptoms (PTLDS) on health care costs and utilization in the United States. Objectives 1) to examine the impact of Lyme disease on health care costs and utilization, 2) to understand the relationship between Lyme disease and the probability of developing PTLDS, 3) to understand how PTLDS may impact health care costs and utilization. Methods This study utilizes retrospective data on medical claims and member enrollment for persons aged 0-64 years who were enrolled in commercial health insurance plans in the United States between 2006-2010. 52,795 individuals treated for Lyme disease were compared to 263,975 matched controls with no evidence of Lyme disease exposure. Results Lyme disease is associated with $2,968 higher total health care costs (95% CI: 2,807-3,128, p<.001) and 87% more outpatient visits (95% CI: 86%-89%, p<.001) over a 12-month period, and is associated with 4.77 times greater odds of having any PTLDS-related diagnosis, as compared to controls (95% CI: 4.67-4.87, p<.001). Among those with Lyme disease, having one or more PTLDS-related diagnosis is associated with $3,798 higher total health care costs (95% CI: 3,542-4,055, p<.001) and 66% more outpatient visits (95% CI: 64%-69%, p<.001) over a 12-month period, relative to those with no PTLDS-related diagnoses. Conclusions Lyme disease is associated with increased costs above what would be expected for an easy to treat infection. The presence of PTLDS-related diagnoses after treatment is associated with significant health care

  15. Techniques for analyzing and utilizing the rain gauges at the NASA White Sands Test Facility. [Tracking and Data Relay Satellite System ground station

    NASA Technical Reports Server (NTRS)

    Kalagher, R. J.

    1973-01-01

    Ten tipping bucket rain gauges have been installed at the NASA WSTF for the purpose of determining rainfall characteristics in this area which may affect the performance of the NASA Tracking and Data Relay Satellite System. A plan is presented for analyzing and utilizing the data which will be obtained during the course of this experiment. Also included is a description of a computer program which has been written to aid in the analysis.

  16. From scientific understanding to operational utility: New concepts and tools for monitoring space weather effects on satellites

    NASA Astrophysics Data System (ADS)

    Green, J. C.; Rodriguez, J. V.; Denig, W. F.; Redmon, R. J.; Blake, J. B.; Mazur, J. E.; Fennell, J. F.; O'Brien, T. P.; Guild, T. B.; Claudepierre, S. G.; Singer, H. J.; Onsager, T. G.; Wilkinson, D. C.

    2013-12-01

    NOAA space weather sensors have monitored the near Earth space radiation environment for more than three decades providing one of the only long-term records of these energetic particles that can disable satellites and pose a threat to astronauts. These data have demonstrated their value for operations for decades, but they are also invaluable for scientific discovery. Here we describe the development of new NOAA tools for assessing radiation impacts to satellites and astronauts working in space. In particular, we discuss the new system implemented for processing and delivering near real time particle radiation data from the POES/MetOp satellites. We also describe the development of new radiation belt indices from the POES/MetOp data that capture significant global changes in the environment needed for operational decision making. Lastly, we investigate the physical processes responsible for dramatic changes of the inner proton belt region and the potential consequences these new belts may have for satellite operations.

  17. Clinical Utility of Serologic Testing for Celiac Disease in Asymptomatic Patients

    PubMed Central

    2011-01-01

    Executive Summary Objective The objective of this evidence-based analysis was to evaluate the clinical utility of serologic testing for celiac disease in asymptomatic individuals presenting with one of the non-gastrointestinal conditions evaluated in this report. The clinical utility was based on the effects of a gluten-free diet (GFD) on outcomes specific to each of these conditions. The prevalence of celiac disease in asymptomatic individuals and one of these non-gastrointestinal conditions was also evaluated. Clinical Need and Target Population Celiac Disease Celiac disease is an autoimmune disease characterized by a chronic inflammatory state of the proximal small bowel mucosa accompanied by structural and functional changes. Technology Under Evaluation Serologic Tests for Celiac Disease There are a number of serologic tests for celiac disease available. Serologic tests are automated with the exception of the anti-endomysial antibody test, which is more time-consuming and operator-dependent than the other tests. Research Questions What is the prevalence of asymptomatic celiac disease in patients presenting with one of the non-gastrointestinal conditions evaluated? What is the effect of the gluten-free diet on condition-specific outcomes in patients with asymptomatic celiac disease presenting with one of the non-gastrointestinal conditions evaluated? What is the clinical utility of serologic testing for celiac disease in asymptomatic patients presenting with one of the non-gastrointestinal conditions evaluated? The clinical utility was defined as the impact of the GFD on disease specific outcomes. What is the risk of all-cause mortality and lymphoma in individuals with asymptomatic celiac disease? What is the budget impact of serologic testing for celiac disease in asymptomatic subjects presenting with one of the non-gastrointestinal conditions evaluated? Research Methods Study Population The study population consisted of individuals with newly diagnosed celiac

  18. Transgenic mice expressing human glucocerebrosidase variants: utility for the study of Gaucher disease.

    PubMed

    Sanders, Angela; Hemmelgarn, Harmony; Melrose, Heather L; Hein, Leanne; Fuller, Maria; Clarke, Lorne A

    2013-08-01

    Gaucher disease is an autosomal recessively inherited storage disorder caused by deficiency of the lysosomal hydrolase, acid β-glucosidase. The disease manifestations seen in Gaucher patients are highly heterogeneous as is the responsiveness to therapy. The elucidation of the precise factors responsible for this heterogeneity has been challenging as the development of clinically relevant animal models of Gaucher disease has been problematic. Although numerous murine models for Gaucher disease have been described each has limitations in their specific utility. We describe here, transgenic murine models of Gaucher disease that will be particularly useful for the study of pharmacological chaperones. We have produced stable transgenic mouse strains that individually express wild type, N370S and L444P containing human acid β-glucosidase and show that each of these transgenic lines rescues the lethal phenotype characteristic of acid β-glucosidase null mice. Both the N370S and L444P transgenic models show early and progressive elevations of tissue sphingolipids with L444P mice developing progressive splenic Gaucher cell infiltration. We demonstrate the potential utility of these new transgenic models for the study of Gaucher disease pathogenesis. In addition, since these mice produce only human enzyme, they are particularly relevant for the study of pharmacological chaperones that are specifically targeted to human acid β-glucosidase and the common mutations underlying Gaucher disease. PMID:23642305

  19. A review of health utilities using the EQ-5D in studies of cardiovascular disease

    PubMed Central

    2010-01-01

    Background The EQ-5D has been extensively used to assess patient utility in trials of new treatments within the cardiovascular field. The aims of this study were to review evidence of the validity and reliability of the EQ-5D, and to summarise utility scores based on the use of the EQ-5D in clinical trials and in studies of patients with cardiovascular disease. Methods A structured literature search was conducted using keywords related to cardiovascular disease and EQ-5D. Original research studies of patients with cardiovascular disease that reported EQ-5D results and its measurement properties were included. Results Of 147 identified papers, 66 met the selection criteria, with 10 studies reporting evidence on validity or reliability and 60 reporting EQ-5D responses (VAS or self-classification). Mean EQ-5D index-based scores ranged from 0.24 (SD 0.39) to 0.90 (SD 0.16), while VAS scores ranged from 37 (SD 21) to 89 (no SD reported). Stratification of EQ-5D index scores by disease severity revealed that scores decreased from a mean of 0.78 (SD 0.18) to 0.51 (SD 0.21) for mild to severe disease in heart failure patients and from 0.80 (SD 0.05) to 0.45 (SD 0.22) for mild to severe disease in angina patients. Conclusions The published evidence generally supports the validity and reliability of the EQ-5D as an outcome measure within the cardiovascular area. This review provides utility estimates across a range of cardiovascular subgroups and treatments that may be useful for future modelling of utilities and QALYs in economic evaluations within the cardiovascular area. PMID:20109189

  20. The Operational Utility of Space Environmental Measurements From Polar-Orbiting, Sun-Synchronous Satellites in AFWA Models and Applications

    NASA Astrophysics Data System (ADS)

    Citrone, P. J.; Bonadonna, M. F.; Cade, T.; Nobis, T. E.; Denig, W. F.

    2005-12-01

    Satellite-based measurements of the space environment provide vital data inputs to advanced space weather models and applications used by the Air Force Weather Agency (AFWA) to generate mission-tailored space weather intelligence in support of U.S. military operations. Since the 1970's, the Defense Meteorological Satellite Program (DMSP) has provided in-situ measurements of the topside ionosphere and of the differential energy flux of precipitating electrons and ions into the auroral and polar regions. Recently, DMSP has deployed a new class of ultraviolet remote sensors which offer opportunities for improved space environmental monitoring. The DMSP polar-orbiting, sun-synchronous satellite measurements provide critical data inputs for current and future AFWA space weather models that specify and forecast the global thermosphere, ionosphere, and magnetosphere. The AFWA Space Weather Technology Branch is pursuing an ongoing effort to transition to operations advanced research technologies associated with space environmental forecasting, to include related software applications used by AFWA to generate mission-tailored visualization products that depict space weather impacts on military systems. The Space Environmental Sensor Suite (SESS) on the National Polar-orbiting Operational Environmental Satellite System (NPOESS) will offer improved capabilities in terms of characterization and timeliness for space environmental data required by AFWA to meet new and emerging Department of Defense space weather operational requirements.

  1. Maximizing the diagnostic utility of endoscopic biopsy in dogs and cats with gastrointestinal disease.

    PubMed

    Jergens, Albert E; Willard, Michael D; Allenspach, Karin

    2016-08-01

    Flexible endoscopy has become a valuable tool for the diagnosis of many small animal gastrointestinal (GI) diseases, but the techniques must be performed carefully so that the results are meaningful. This article reviews the current diagnostic utility of flexible endoscopy, including practical/technical considerations for endoscopic biopsy, optimal instrumentation for mucosal specimen collection, the correlation of endoscopic indices to clinical activity and to histopathologic findings, and new developments in the endoscopic diagnosis of GI disease. Recent studies have defined endoscopic biopsy guidelines for the optimal number and quality of diagnostic specimens from different regions of the gut. They also have shown the value of ileal biopsy in the diagnosis of canine and feline chronic enteropathies, and have demonstrated the utility of endoscopic biopsy specimens beyond routine hematoxylin and eosin histopathological analysis, including their use in immunohistochemical, microbiological, and molecular studies. PMID:27387727

  2. Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases

    ERIC Educational Resources Information Center

    Glover, Saundra; Bellinger, Jessica D.; Bae, Sejong; Rivers, Patrick A.; Singh, Karan P.

    2010-01-01

    Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality…

  3. Utilization of Meteorological Satellite Imagery for World-Wide Environmental Monitoring the Lower Mississippi River Flood of 1979 - Case 1. [St. Louis, Missouri

    NASA Technical Reports Server (NTRS)

    Helfert, M. R.; Mccrary, D. G.; Gray, T. I. (Principal Investigator)

    1981-01-01

    The 1979 Lower Mississippi River flood was selected as a test case of environmental disaster monitoring utilizing NOAA-n imagery. A small scale study of the St. Louis Missouri area comparing ERTS-1 (LANDSAT) and NOAA-2 imagery and flood studies using only LANDSAT imagery for mapping the Rad River of the North, and Nimbus-5 imagery for East Australia show the nonmeteorological applications of NOAA satellites. While the level of NOAA-n imagery detail is not that of a LANDSAT image, for operational environmental monitoring users the NOAA-n imagery may provide acceptable linear resolution and spectral isolation.

  4. Earth Resources Technology Satellite (ERTS)

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The Earth Resources Technology Satellite (ERTS) mock-up in a space chamber test at General Electric's Space Division. The ERTS program represented a concentrated effort to observe and monitor the limited resources of the Earth, in order to best conserve and utilize the resources in support of a burgeoning world population. The first ERTS was launched in 1972 and was later named Land Remote-Sensing Satellite (Landsat), to better represent the civil satellite program's prime emphasis on remote sensing of land resources. Multiple sensors survey and relay back masses of data in various ways from the Landsat. NASA has built 7 Land Remote Sensing Satellites, which have helped agricultural experts pick up underutilized land areas and new prospects for land use through irrigation. It has also assisted in pinpointing the spread of crop disease and in charting new uses of the sea for oceanographers.

  5. Assessing the utility of intermediate phenotypes for genetic mapping of psychiatric disease

    PubMed Central

    Flint, Jonathan; Timpson, Nicholas; Munafò, Marcus

    2016-01-01

    Intermediate phenotypes are traits positioned somewhere between genetic variation and disease. They represent a target for attempts to find disease-associated genetic variants and elucidation of mechanisms. Psychiatry has been particularly enamored with intermediate phenotypes, due to uncertainty about disease etiology, inconclusive results in early psychiatric genetic studies, and their appeal relative to traditional diagnostic categories. Here, we argue that new genetic findings are relevant to the question of the utility of these constructs. In particular, results from genome-wide association studies of psychiatric disorders now allow an assessment of the potential role of particular intermediate phenotypes. Based on such an analysis, as well as other recent results, we conclude that intermediate phenotypes are likely to be most valuable in understanding mechanism. PMID:25216981

  6. Patterns of cerebral glucose utilization in depression, multiple infarct dementia, and Alzheimer's disease

    SciTech Connect

    Kuhl, D.E.; Metter, E.J.; Riege, W.H.

    1983-01-01

    Patterns of local cerebral glucose utilization were determined in moderately to severely disabled patients with depression (n=7), multiple infarct dementia (n=6), and Alzheimer's disease (n=6), and in normal controls (n=6), using positron emission tomography with the /sup 18/F-fluorodeoxyglucose method. Average global metabolic rate was decreased 30% in patients with Alzheimer's disease, but overlap among the other groups reduced the discriminant value of this measure. In depressed patients, the cerebral metabolic pattern was normal, except for evidence of hypometabolic zone in the posterior-inferior frontal cortex which was of marginal statistical significance. In multiple infarct dementia, focal metabolic defects were scattered throughout the brain and exceeded the extent of infarction. In Alzheimer's disease, metabolism was markedly reduced in cortex, especially parietal cortex, but relatively preserved in caudate, thalamus, anterior cingulate gyrus, pre and post central gyrus, and calcarine occipital cortex, a pattern duplicating the degree and location of pathological and neurochemical alterations characteristic of this disorder.

  7. Bayesian probability analysis: a prospective demonstration of its clinical utility in diagnosing coronary disease

    SciTech Connect

    Detrano, R.; Yiannikas, J.; Salcedo, E.E.; Rincon, G.; Go, R.T.; Williams, G.; Leatherman, J.

    1984-03-01

    One hundred fifty-four patients referred for coronary arteriography were prospectively studied with stress electrocardiography, stress thallium scintigraphy, cine fluoroscopy (for coronary calcifications), and coronary angiography. Pretest probabilities of coronary disease were determined based on age, sex, and type of chest pain. These and pooled literature values for the conditional probabilities of test results based on disease state were used in Bayes theorem to calculate posttest probabilities of disease. The results of the three noninvasive tests were compared for statistical independence, a necessary condition for their simultaneous use in Bayes theorem. The test results were found to demonstrate pairwise independence in patients with and those without disease. Some dependencies that were observed between the test results and the clinical variables of age and sex were not sufficient to invalidate application of the theorem. Sixty-eight of the study patients had at least one major coronary artery obstruction of greater than 50%. When these patients were divided into low-, intermediate-, and high-probability subgroups according to their pretest probabilities, noninvasive test results analyzed by Bayesian probability analysis appropriately advanced 17 of them by at least one probability subgroup while only seven were moved backward. Of the 76 patients without disease, 34 were appropriately moved into a lower probability subgroup while 10 were incorrectly moved up. We conclude that posttest probabilities calculated from Bayes theorem more accurately classified patients with and without disease than did pretest probabilities, thus demonstrating the utility of the theorem in this application.

  8. Clinical variables impacting on the estimation of utilities in chronic obstructive pulmonary disease

    PubMed Central

    Miravitlles, Marc; Huerta, Alicia; Valle, Manuel; García-Sidro, Patricia; Forné, Carles; Crespo, Carlos; López-Campos, José Luis

    2015-01-01

    Purpose Health utilities are widely used in health economics as a measurement of an individual’s preference and show the value placed on different health states over a specific period. Thus, health utilities are used as a measure of the benefits of health interventions in terms of quality-adjusted life years. This study aimed to determine the demographic and clinical variables significantly associated with health utilities for chronic obstructive pulmonary disease (COPD) patients. Patients and methods This was a multicenter, observational, cross-sectional study conducted between October 2012 and April 2013. Patients were aged ≥40 years, with spirometrically confirmed COPD. Utility values were derived from the preference-based generic questionnaire EQ-5D-3L applying weighted Spanish societal preferences. Demographic and clinical variables associated with utilities were assessed by univariate and multivariate linear regression models. Results Three hundred and forty-six patients were included, of whom 85.5% were male. The mean age was 67.9 (standard deviation [SD] =9.7) years and the mean forced expiratory volume in 1 second (%) was 46.2% (SD =15.5%); 80.3% were former smokers, and the mean smoking history was 54.2 (SD =33.2) pack-years. Median utilities (interquartile range) were 0.81 (0.26) with a mean value of 0.73 (SD =0.29); 22% of patients had a utility value of 1 (ceiling effect) and 3.2% had a utility value lower than 0. The factors associated with utilities in the multivariate analysis were sex (beta =-0.084, 95% confidence interval [CI]: −0.154; -0.013 for females), number of exacerbations the previous year (−0.027, 95% CI: −0.044; -0.010), and modified Medical Research Council Dyspnea Scale (mMRC) score (−0.123 [95% CI: −0.185; −0.061], −0.231 [95% CI: −0.301; −0.161], and −0.559 [95% CI: −0.660; −0.458] for mMRC scores 2, 3, and 4 versus 1), all P<0.05. Conclusion Multivariate analysis showed that female sex, frequent

  9. In flight ground control of high drag satellites utilizing on-board accelerometer data and rapid orbit prediction techniques

    NASA Technical Reports Server (NTRS)

    Fuchs, A. J.; Velez, C. E.

    1974-01-01

    High drag satellites frequently require precise verification of orbital maneuvers and the accurate prediction of perigee height. An in-flight ground support system designed to monitor and compute orbital state and maneuvers is described. The use of on-board three-axis accelerometer data in a flight support software system to perform on-line maneuver analysis and atmospheric model updating is discussed. In addition, automated analytic techniques to rapidly and accurately predict perigee height following a maneuver are described, as well as semianalytic averaging techniques designed to predict a decaying orbital state for mission control.

  10. Clinical characteristics and healthcare utilization of patients with multicentric Castleman disease.

    PubMed

    Casper, Corey; Teltsch, Dana Y; Robinson, Don; Desrosiers, Marie-Pierre; Rotella, Philip; Dispenzieri, Angela; Qi, Ming; Habermann, Thomas; Reynolds, Matthew W

    2015-01-01

    Multicentric Castleman disease (MCD) is a rare lymphoproliferative disease. Little is known about how patient clinical features and healthcare utilization varies by human immunodeficiency virus (HIV) status and disease subtype. Data of MCD patients identified between 2000 and 2009 were collected from medical records at two United States treatment centres. Clinical, demographic, and biochemical characteristics, drug therapies and medical utilization were descriptively reported by HIV status and cell histology, and statistically compared with the Fisher's Exact and Kruskal-Wallis tests. Patients (n = 59) had a pathologically and clinically confirmed MCD diagnosis: plasmacytic (42%), hyaline vascular (29%) and mixed (15%); 10% had HIV infection. In the first year after diagnosis, MCD patients on average saw a healthcare provider more than six times, were hospitalized at least once and underwent frequent radiological and laboratory testing. Rituximab was the most commonly used drug therapy, followed by corticosteroids and conventional chemotherapy. One- and 2-year survival was excellent in HIV-negative patients (100% and 97%, respectively) but inferior for HIV-positive cases (67% and 67%, respectively). Heterogeneous treatment decisions were observed in this MCD study; HIV status was the only distinguishing clinical criteria associated with pharmacotherapies. Additional research is necessary to guide treatment of this rare lymphoproliferative disorder. PMID:25208471

  11. Transgenic models of Alzheimer's disease: better utilization of existing models through viral transgenesis.

    PubMed

    Platt, Thomas L; Reeves, Valerie L; Murphy, M Paul

    2013-09-01

    Animal models have been used for decades in the Alzheimer's disease (AD) research field and have been crucial for the advancement of our understanding of the disease. Most models are based on familial AD mutations of genes involved in the amyloidogenic process, such as the amyloid precursor protein (APP) and presenilin 1 (PS1). Some models also incorporate mutations in tau (MAPT) known to cause frontotemporal dementia, a neurodegenerative disease that shares some elements of neuropathology with AD. While these models are complex, they fail to display pathology that perfectly recapitulates that of the human disease. Unfortunately, this level of pre-existing complexity creates a barrier to the further modification and improvement of these models. However, as the efficacy and safety of viral vectors improves, their use as an alternative to germline genetic modification is becoming a widely used research tool. In this review we discuss how this approach can be used to better utilize common mouse models in AD research. This article is part of a Special Issue entitled: Animal Models of Disease. PMID:23619198

  12. Characteristics of acute care utilization of a Delaware adult sickle cell disease patient population.

    PubMed

    Anderson, Nina; Bellot, Jennifer; Senu-Oke, Oluseyi; Ballas, Samir K

    2014-02-01

    Sickle cell disease (SCD) is an inherited blood disorder that is chronic in nature and manifests itself through many facets of the patient's life. Comprehensive specialty centers have the potential to reduce health care costs and improve the quality of care for patients who have chronic medical conditions such as heart failure and SCD. The purpose of this practice inquiry was to analyze de-identified data for acute care episodes involving SCD in order to create a detailed picture of acute care utilization for adult patients in Delaware with SCD from 2007 to 2009. Gaining a better understanding of acute care utilization for adults with SCD may provide evidence to improve access to high-quality health care services for this vulnerable patient population in the state of Delaware. PMID:23965046

  13. Comparison of nitrogen utilization of two elemental diets in patients with Crohn's disease.

    PubMed

    Vaisman, N; Griffiths, A; Pencharz, P B

    1988-01-01

    Energy, nitrogen absorption, and nitrogen utilization of two commercial elemental diets, Vivonex and Vital, were compared in 10 teenage boys and girls with Crohn's disease. The diets were given in random order as overnight feedings and were the sole source of nutrients for two consecutive periods of 3 weeks each. Urine and stools were collected for 48 h at the end of each 3-week period. Energy absorption was slightly better on Vivonex (p less than 0.05), although 95-100% of energy was absorbed with both formulas. Nitrogen absorption was not different for the two formulas, but nitrogen utilization was significantly better on Vital (28.6 +/- 12.9% versus 9.7 +/- 17.7%, p less than 0.01). This difference may be attributable to the different concentrations of sulfur-containing and aromatic amino acids in the two formulas. PMID:3335991

  14. The potential utilizations of hydrogen as a promising therapeutic strategy against ocular diseases

    PubMed Central

    Tao, Ye; Geng, Lei; Xu, Wei-Wei; Qin, Li-Min; Peng, Guang-Hua; Huang, Yi-Fei

    2016-01-01

    Hydrogen, one of the most well-known natural molecules, has been used in numerous medical applications owing to its ability to selectively neutralize cytotoxic reactive oxygen species and ameliorate hazardous inflammations. Hydrogen can exert protective effects on various reactive oxygen species-related diseases, including the transplantation-induced intestinal graft injury, chronic inflammation, ischemia–reperfusion injuries, and so on. Especially in the eye, hydrogen has been used to counteract multiple ocular pathologies in the ophthalmological models. Herein, the ophthalmological utilizations of hydrogen are systematically reviewed and the underlying mechanisms of hydrogen-induced beneficial effects are discussed. It is our hope that the protective effects of hydrogen, as evidenced by these pioneering studies, would enrich our pharmacological knowledge about this natural element and cast light into the discovery of a novel therapeutic strategy against ocular diseases. PMID:27279745

  15. Analysis of nuclear propagation effects utilizing wideband satellite data. Final report, 14 January 1980-30 January 1981

    SciTech Connect

    Rino, C.L.; Owen, J.; Livingston, R.C.

    1981-04-01

    Previous analyses of the Wideband Satellite data have emphasized the scale-size regime between 500 m and several tens of kilometers. In this report we describe the results of a detailed analysis of the auroral and equatorial total electron content (TEC) structure associated with the various scintillation phenomena. A nighttime equatorial anomaly was a prominent feature in the equatorial data, particularly as the solar cycle maximum approached. In the auroral data we found that an enhanced F region is the primary contributor to steep latitudinal TEC gradients. Because recent data have shown an abrupt steepening of the irregularity spectral density function near 500 m, a careful analysis of the mutual coherence function was performed to see if this feature could be detected in the Wideband scintillation data. The analysis did indeed reveal such a feature, which is evidently a permanent characteristic of the most severely disturbed equatorial irregularity continuum.

  16. Utilizing low-cost 3U single-sensor satellites for intelligence, surveillance, and reconnaissance mission capabilities

    NASA Astrophysics Data System (ADS)

    Huang, Philip M.; Knuth, Andrew A.; Garrison-Darrin, Margaret A.

    2012-06-01

    Leveraging low cost launch carriers for small satellites with the functionality required for DoD and intelligence missions realizes a hidden potential capability. The Multi-Mission Bus Demonstration (MBD) is a Johns Hopkins University Applied Physics Laboratory (JHU/APL) program to demonstrate military operational relevance in a 3U CubeSat form factor. The MBD spacecraft caters to mission versatility and responsive launch capabilities with a standardized bus and interchangeable payload interface design. MBD embraced the challenge of building two space vehicles on an extremely aggressive timeline and demanding budget, causing the development team to evaluate every step of the process to maximize efforts with minimal manpower and cost. MBD is providing a classified DoD payload capability that is truly operationally relevant and may revolutionize the mission area. As a single instrument or payload satellite, also called a SensorSat, MBD is a spacecraft of realizable ISR benefits including effective remote sensing, simplified engineering design and program requirements, and reduced time to launch, all yielding an appealing cost per unit. The SensorSat has potential to detect sufficient information that will act as a complementary component to tactical commanders in heightening battlefield awareness. Recent advancements in technology has put capabilities such as precision navigation, communication intelligence, signal intelligence, tactical warning, environmental intelligence, and a wide variety of ground imaging, at the tip of culmination in a small, economical package. This paper reviews the high functionality of the MBD spacecraft in the miniaturized footprint of 10 cm by 10 cm by 30cm which allows the mission to leverage inexpensive launch opportunities.

  17. Assessing the Utility of Satellite Imagery with Differing Spatial Resolutions for Deriving Proxy Measures of Slum Presence in Accra, Ghana

    PubMed Central

    Stoler, Justin; Daniels, Dean; Weeks, John R.; Stow, Douglas A.; Coulter, Lloyd L.; Finch, Brian Karl

    2012-01-01

    Little research has been conducted on how differing spatial resolutions or classification techniques affect image-driven identification and categorization of slum neighborhoods in developing nations. This study assesses the correlation between satellite-derived land cover and census-derived socioeconomic variables in Accra, Ghana to determine whether the relationship between these variables is altered with a change in spatial resolution or scale. ASTER and Landsat TM satellite images are each used to classify land cover using spectral mixture analysis (SMA), and land cover proportions are summarized across Enumeration Areas in Accra and compared to socioeconomic data for the same areas. Correlation and regression analyses compare the SMA results with a Slum Index created from various socio-economic data taken from the Census of Ghana, as well as to data derived from a “hard” per-pixel classification of a 2.4 m Quickbird image. Results show that the vegetation fraction is significantly correlated with the Slum Index (Pearson’s r ranges from −0.33 to −0.51 depending on which image-derived product is compared), and the use of a spatial error model improves results (multivariate model pseudo-R2 ranges from 0.37 to 0.40 by image product). We also find that SMA products derived from ASTER are a sufficient substitute for classification products derived from higher spatial resolution QB data when using land cover fractions as a proxy for slum presence, suggesting that SMA might be more cost-effective for deriving land cover fractions than the use of high-resolution imagery for this type of demographic analysis. PMID:23847453

  18. Utilization of Dimethyl Fumarate and Related Molecules for Treatment of Multiple Sclerosis, Cancer, and Other Diseases.

    PubMed

    Al-Jaderi, Zaidoon; Maghazachi, Azzam A

    2016-01-01

    Several drugs have been approved for treatment of multiple sclerosis (MS). Dimethyl fumarate (DMF) is utilized as an oral drug to treat this disease and is proven to be potent with less side effects than several other drugs. On the other hand, monomethyl fumarate (MMF), a related compound, has not been examined in greater details although it has the potential as a therapeutic drug for MS and other diseases. The mechanism of action of DMF or MMF is related to their ability to enhance the antioxidant pathways and to inhibit reactive oxygen species. However, other mechanisms have also been described, which include effects on monocytes, dendritic cells, T cells, and natural killer cells. It is also reported that DMF might be useful for treating psoriasis, asthma, aggressive breast cancers, hematopoeitic tumors, inflammatory bowel disease, intracerebral hemorrhage, osteoarthritis, chronic pancreatitis, and retinal ischemia. In this article, we will touch on some of these diseases with an emphasis on the effects of DMF and MMF on various immune cells. PMID:27499754

  19. Utilization of Dimethyl Fumarate and Related Molecules for Treatment of Multiple Sclerosis, Cancer, and Other Diseases

    PubMed Central

    Al-Jaderi, Zaidoon; Maghazachi, Azzam A.

    2016-01-01

    Several drugs have been approved for treatment of multiple sclerosis (MS). Dimethyl fumarate (DMF) is utilized as an oral drug to treat this disease and is proven to be potent with less side effects than several other drugs. On the other hand, monomethyl fumarate (MMF), a related compound, has not been examined in greater details although it has the potential as a therapeutic drug for MS and other diseases. The mechanism of action of DMF or MMF is related to their ability to enhance the antioxidant pathways and to inhibit reactive oxygen species. However, other mechanisms have also been described, which include effects on monocytes, dendritic cells, T cells, and natural killer cells. It is also reported that DMF might be useful for treating psoriasis, asthma, aggressive breast cancers, hematopoeitic tumors, inflammatory bowel disease, intracerebral hemorrhage, osteoarthritis, chronic pancreatitis, and retinal ischemia. In this article, we will touch on some of these diseases with an emphasis on the effects of DMF and MMF on various immune cells. PMID:27499754

  20. Utility of surrogate markers for the prediction of relapses in inflammatory bowel diseases.

    PubMed

    Musci, Jason Orlando Dimitri; Cornish, Jack Stephen; Däbritz, Jan

    2016-06-01

    Patients with diagnosed inflammatory bowel disease (IBD) will commonly experience a clinical relapse in spite of a prolonged therapy-induced period of clinical remission. The current methods of assessing subclinical levels of low-grade inflammation which predispose patients to relapse are not optimal when considering both cost and patient comfort. Over the past few decades, much investigation has discovered that proteins such as calprotectin that are released from inflammatory cells are capable of indicating disease activity. Along with C-reactive protein and erythrocyte sedimentation rate, calprotectin has now become part of the current methodology for assessing IBD activity. More recently, research has identified that other fecal and serum biomarkers such as lactoferrin, S100A12, GM-CSF autoantibodies, α1-antitrypsin, eosinophil-derived proteins, and cytokine concentrations have variable degrees of utility in monitoring gastrointestinal tract inflammation. In order to provide direction toward novel methods of predicting relapse in IBD, we provide an up-to-date review of these biomarkers and their potential utility in the prediction of clinical relapse, given their observed activities during various stages of clinical remission. PMID:26975751

  1. Satellite imaging and vector-borne diseases: the approach of the French National Space Agency (CNES).

    PubMed

    Marechal, Fabienne; Ribeiro, Nathalie; Lafaye, Murielle; Güell, Antonio

    2008-11-01

    Tele-epidemiology consists in studying human and animal epidemic, the spread of which is closely tied to environmental factors, using data from earth-orbiting satellites. By combining various data originated from satellites such as SPOT (vegetation indexes), Meteosat (winds and cloud masses) and other Earth observation data from Topex/Poseidon and Envisat (wave height, ocean temperature and colour) with hydrology data (number and distribution of lakes, water levels in rivers and reservoirs) and clinical data from humans and animals (clinical cases and serum use), predictive mathematical models can be constructed. A number of such approaches have been tested in the last three years. In Senegal, for example, Rift Valley fever epidemics are being monitored using a predictive model based on the rate at which water holes dry out after the rainy season, which affects the number of mosquito eggs which carry the virus. PMID:19021103

  2. Utilizing a Multi-sensor Satellite Time Series in Real-time Drought Monitoring Across the United States

    NASA Astrophysics Data System (ADS)

    Brown, J. F.; Miura, T.; Gu, Y.; Jenkerson, C.; Wardlow, B.

    2009-05-01

    Drought events frequently occur in the United States and result in billions of dollars of damage, often exceeding the costs of other weather-related hazards. Monitoring drought conditions is a necessary function of government agencies at State, Federal, and local levels as part of decision support for planning, risk management, and hazard mitigation activities. In partnership with the National Drought Mitigation Center, the National Aeronautics and Space Administration, the U.S. Department of Agriculture Risk Management Agency, and the High Plains Regional Climate Center, the U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center is developing an operational drought decision support tool with relatively higher spatial resolution (1 km2) than traditional drought monitoring maps. The Vegetation Drought Response Index (VegDRI) is a geospatial model that integrates in-situ climate, satellite, and biophysical data, providing an indicator of canopy vegetation condition (or stress). The satellite data ingested into VegDRI are collected from daily polar-orbiting earth observing systems including the Advanced Very High Resolution Radiometer (AVHRR) and the Moderate Resolution Imaging Spectroradiometer (MODIS). These instruments provide regular synoptic measurements of land surface conditions in near-real time. In VegDRI, remote sensing data provide proxy information about the vegetation status (or health) related to climate-induced changes and are integrated with traditional drought indices based on in-situ climate observations. When merged, the two complementary sources of drought-related data provide a comprehensive and detailed picture of drought impacts across the landscape. A 20-year history of AVHRR time-series data produced over the U.S. at a 1 km2 resolution provides a historical context for monitoring drought conditions. However, the MODIS instrument has improved sensor characteristics designed for land surface monitoring. To seamlessly

  3. Computers and small satellites: How FORTE is utilizing the WWW as a {open_quotes}paperless{close_quotes} information resource and the development of a unique resource management planning tool

    SciTech Connect

    Roussel-Dupre, D.; Carter, M.; Franz, R.

    1997-10-01

    The Fast-On-orbit Recording of Transient Events (FORTE) satellite is the second satellite to be developed and flown by Los Alamos National Laboratory and is scheduled to be launched August, 1997 by a Pegasus XL rocket. FORTE follows in the footsteps of the ALEXIS satellite in utilizing a very small operations crew for mission operations. Partially based upon the ALEXIS automation and World Wide Web (WWW) usage for data dissemination, FORTE began at an early stage of ground processing to use the web as a repository of information about all aspects of the satellite. Detailed descriptions of the various satellite and experiment components, cable diagrams, integration photographs as well as extensive test data have all been compiled into a single site as a means of archiving the data at a single location. In this manner, it is readily available during times of ground testing, ground station operation training as well as anomaly resolution. Small satellites usually require extensive effort to optimize operation under minimal resources. For the FORTE satellite, a unique planning tool has been developed over the past 2 years which balances the various resources of the satellite (power, memory, downlink, on board command buffer, etc.) to provide the maximum data acquisition. This paper will concentrate on a description of both the extensive web interface and the planning tool. 6 refs.

  4. The Clinical Utility of Health Related Quality of Life Screening in a Pediatric Inflammatory Bowel Disease Clinic

    PubMed Central

    Ryan, Jamie L.; Mellon, Michael W.; Junger, Katherine W. F.; Hente, Elizabeth A.; Denson, Lee A.; Saeed, Shehzad A.; Hommel, Kevin A.

    2013-01-01

    Background Adjusting to symptom flares, treatment regimens, and side effects places youth with inflammatory bowel disease (IBD) at increased risk for emotional and behavioral problems and adverse disease outcomes. Implementation of psychosocial screening into clinical practice remains a challenge. This study examines the clinical utility of health-related quality of life (HRQOL) screening in predicting disease outcome and healthcare utilization. Methods One-hundred twelve youth 7-18 years diagnosed with IBD and their parents. Youth completed standardized measures of HRQOL and depression. Parents completed a proxy-report of HRQOL. Pediatric gastroenterologists provided the Physician Global Assessment. Families were recruited from a pediatric gastroenterology clinic. Retrospective chart reviews examined disease outcome and healthcare utilization 12-months following baseline measurement. Results Linear regressions, controlling for demographic and disease parameters, revealed that baseline measurement of youth and parent proxy-reported HRQOL predicted the number of IBD-related hospital admissions, gastroenterology clinic visits, Emergency Department visits, psychology clinic visits, telephone contacts, and pain management referrals over the next 12 months. Disease outcome was not significant. Conclusions Lower HRQOL was predictive of increased healthcare utilization among youth with IBD. Regular HRQOL screening may be the impetus to providing better case management and allocating resources based on ongoing care needs and costs. Proactive interventions focused on patients with poor HRQOL may be an efficient approach to saving on healthcare costs and resource utilization. PMID:24051932

  5. Resource Utilization for Noncardiac Admissions in Pediatric Patients With Single Ventricle Disease.

    PubMed

    Thomas, Ian D; Seckeler, Michael D

    2016-05-15

    Patients with single ventricle (SV) congenital heart disease (CHD) incur high hospital costs during staged surgical palliation. Health care resource utilization for noncardiac admissions in patients with SV has not been reported. This study sought to compare costs and outcomes for common noncardiac hospital admissions between patients with SV and patients without CHD. Hospital discharge data from the University Health System Consortium from January 2011 to December 2013 was queried for patients aged ≤18 years with International Classification of Diseases, Ninth Revision (ICD-9) codes for SV lesions: hypoplastic left heart syndrome (746.7), tricuspid atresia (746.1), or common ventricle (745.3). Primary diagnosis, direct cost, length of stay (LOS), intensive care unit admission rate and mortality data were obtained. The 10 most common noncardiac admission diagnoses were compared between patients with SV and patients without CHD using t test and Fisher's exact test. Total direct cost, LOS, and intensive care unit admission rate were higher for patients with SV for all diagnoses with the exception of LOS for dehydration, which was not different between groups. Hospital mortality was significantly higher for patients with SV admitted for acute kidney injury, esophageal reflux, failure to thrive, respiratory syncytial virus bronchiolitis and pneumonia. In conclusion, our study demonstrates that patients with SV CHD admitted with noncardiac diagnoses have higher health care resource utilization compared to those without CHD. As long-term survival increases, it can be expected that this patient group will use a disproportionate amount of medical dollars. Further characterization of costs will be important so steps can be taken to reduce or prevent hospitalization in these patients. PMID:27018934

  6. The Impact of Obesity on Perioperative Resource Utilization after Elective Spine Surgery for Degenerative Disease

    PubMed Central

    Planchard, Ryan F.; Higgins, Dominique M.; Mallory, Grant W.; Puffer, Ross C.; Jacob, Jeffrey T.; Curry, Timothy B.; Kor, Daryl J.; Clarke, Michelle J.

    2015-01-01

    Study Design Retrospective case series. Objective To determine the effect of obesity on the resource utilization and cost in 3270 consecutive patients undergoing elective noninstrumented decompressive surgeries for degenerative spine disease at Mayo Clinic Rochester between 2005 and 2012. Methods Groups were assessed for baseline differences (age, gender, and American Society of Anesthesiologists [ASA] classification, procedure type, and number of operative levels). Outcome variables included the transfusion requirements during surgery, the total anesthesia and surgical times, intensive care unit (ICU) admissions, standardized costs, as well as the ICU and hospital length of stay (LOS). Regression analysis was used to evaluate for strength of association between obesity and outcome variables. Results Baseline differences between the groups (nonobese: n = 1,853; obese: n = 1,417) were found with respect to age, ASA class, gender, procedure type, and number of operative levels. After correcting for differences, we found significant associations between obesity and surgical (p < 0.0001) and anesthesia times (p < 0.0001) and hospital LOS (p < 0.0001). Additionally, ICU admission rates (p = 0.02) and requirement for postoperative ventilation (p = 0.048) were significantly higher in obese patients. Finally, mean difference in total cost ($1,632, p < 0.0001) was significantly higher for the obese cohort. Conclusion Obesity is associated with increased resource utilization and cost in patients undergoing a noninstrumented decompressive surgery for degenerative spine disease. PMID:26225277

  7. Clinical Utility of Echocardiography for the Diagnosis and Management of Pulmonary Vascular Disease in Young Children With Chronic Lung Disease

    PubMed Central

    Mourani, Peter M.; Sontag, Marci K.; Younoszai, Adel; Ivy, D. Dunbar; Abman, Steven H.

    2011-01-01

    Objective The goal was to determine the clinical utility of Doppler echocardiography in predicting the presence and severity of pulmonary hypertension in patients with chronic lung disease who subsequently underwent cardiac catheterization. Methods A retrospective review of data for all patients <2 years of age with a diagnosis of bronchopulmonary dysplasia, congenital diaphragmatic hernia, or lung hypoplasia who underwent echocardiography and subsequently underwent cardiac catheterization for evaluation of pulmonary hypertension was performed. The accuracy of echocardiography in diagnosing pulmonary hypertension, on the basis of estimated systolic pulmonary artery pressure, was compared with the detection of pulmonary hypertension with the standard method of cardiac catheterization. Results Thirty-one linked measurements for 25 children were analyzed. Systolic pulmonary artery pressure could be estimated in 61% of studies, but there was poor correlation between echocardiography and cardiac catheterization measures of systolic pulmonary artery pressure in these infants. Compared with cardiac catheterization measurements, echocardiographic estimates of systolic pulmonary artery pressure diagnosed correctly the presence or absence of pulmonary hypertension in 79% of the studies in which systolic pulmonary artery pressure was estimated but determined the severity of pulmonary hypertension (severe pulmonary hypertension was defined as pulmonary/systemic pressure ratio of ≥0.67) correctly in only 47% of those studies. Seven (58%) of 12 children without estimated systolic pulmonary artery pressure demonstrated pulmonary hypertension during subsequent cardiac catheterization. In the absence of estimated systolic pulmonary artery pressure, qualitative echocardiographic findings, either alone or in combination, had worse predictive value for the diagnosis of pulmonary hypertension. Conclusion As used in clinical practice, echocardiography often identifies pulmonary

  8. AB029. Clinical utility of a molecular diagnostic in evaluation of interstitial lung disease

    PubMed Central

    Wu, Xiaoping; Rosenbluth, Michael; Choi, Yoonha; Danese, Sherry; Bianchi, Pauline; Flaherty, Kevin; Martinez, Fernando

    2016-01-01

    Background The accurate diagnosis of idiopathic pulmonary fibrosis (IPF) continues to be challenging due to its overlapping features with other interstitial lung diseases (ILDs). With the approval of pirfenidone and nintedanib for treatment of IPF, there is greater urgency to identify patients with IPF without requiring surgical lung biopsy (SLB). In this study, we evaluated the clinical utility of a genomic classifier under development to identify usual interstitial pneumonia (UIP), the pathology pattern associated with IPF, using bronchoscopically collected samples. Methods A national survey was conducted from March 17–20, 2015 among 76 pulmonologists from ILD centers and non-specialty clinics. The survey described a genomic test with high precision for detecting UIP pattern using bronchoscopically collected samples. Physicians were asked about diagnostic/treatment next steps on four ILD patient cases representing confident UIP, possible UIP, possible UIP vs. hypersensitivity pneumonitis (HP), and connective tissue disease related ILD and how the genomic test would alter management. Results Physicians’ likelihood of using the genomic test varied with the method of sampling. Ninety-one percent of physicians reported they would likely use the test if it required bronchoalveolar lavage (BAL), compared with 85% for transbronchial biopsy (TBB), and 63% for SLB. Across four clinical scenarios, a positive genomic test result significantly increased treatment with pirfenidone/nintedanib and reduced biopsies. The largest impact occurred in the possible UIP cases with an increase in treatment from 11% to 46% (P<0.001) and a decrease in biopsies from 59% to 26% (P<0.001). A positive test in the setting of confident UIP raised treatment recommendation from 47% to 70% (P<0.001) and decreased biopsies from 42% to 18% (P<0.001), suggesting its utility even in cases with high pre-test probability for UIP. A negative test result was less impactful on management than a

  9. Fecal calprotectin: its scope and utility in the management of inflammatory bowel disease.

    PubMed

    Ikhtaire, Shapur; Shajib, Mohammad Sharif; Reinisch, Walter; Khan, Waliul Islam

    2016-05-01

    Gastrointestinal symptoms such as abdominal pain, dyspepsia, and diarrhea are relatively nonspecific and a common cause for seeking medical attention. To date, it is challenging for physicians to differentiate between functional and organic gastrointestinal conditions and it involves the use of serological and endoscopic techniques. Therefore, a simple, noninvasive, inexpensive, and effective test would be of utmost importance in clinical practice. Fecal calprotectin (FC) is considered to be a reliable biomarker that fulfills these criteria. FC can detect intestinal inflammation, and its level correlates well with macroscopic and histological inflammation as detected by colonoscopy and biopsies, respectively. FC has a decent diagnostic accuracy for differentiating organic diseases and functional disorders because of its excellent negative predictive value in ruling out inflammatory bowel disease (IBD) in symptomatic undiagnosed patients. There is accumulating evidence that FC has been effectively used to monitor the natural course of IBD, to predict relapse, and to see the response to treatment. This novel biomarker has the ability to assess mucosal healing (MH), which is a therapeutic goal in IBD management. A literature search was carried out using PubMed with the keywords FC, IBD, intestinal inflammation, and MH. In our review, we provide an overview of the utility and scope of FC as a biomarker in patients with IBD as well as undiagnosed patients with lower gastrointestinal symptoms. PMID:26897740

  10. Utilization of health care services by patients with chronic obstructive pulmonary disease.

    PubMed

    O'Brien, J A; Ward, A J; Jones, M K C; McMillan, C; Lordan, N

    2003-01-01

    In order to identify healthcare resource use patterns associated with chronic obstructive pulmonary disease (COPD), resource utilization (RU) data collection was integrated into a randomized, double-blind placebo-controlled study of Viozan (sibenadet HCl). This study enrolled patients with symptomatic, smoking-related COPD, randomized to receive sibenadet or placebo for a 52-week treatment period. A questionnaire establishing typical pre-trial, COPD-related RU was completed by each patient. Subsequent data were collected by means of an Interactive Voice Response System (IVRS) at 30-day intervals (14 time points) during the study and in the follow-up period. The IVRS system facilitated data collection and minimized inconvenience to the patient. Compliance with the requirement to record details of the healthcare services during the year-long study was high. No overall trend for lower RU was associated with sibenadet therapy, which correlates with the lack of sustained clinical effect seen in studies conducted concurrently. These data do, however, provide valuable information on RU associated with COPD and insights into adjustments associated with changes in disease course. Physicians were seen to be the most common source of care for patients with COPD and more of the patients with severe COPD (stage III) than mild (stage I) were seen to utilize the most expensive resources (e.g. inpatient hospital care). For those patients who experienced an exacerbation during the trial (irrespective of treatment group), resource use was increased during the periods when an exacerbation was reported when compared with the periods before or after an exacerbation. The proportion of cases attending the physician doubled and with a trip to the Emergency Room (ER) increased approximately ninefold during the reporting period in which the exacerbation occurred compared with the previous month. This study has shown that use of an IVRS, even in elderly patients, is an effective means of

  11. Utilizing Chemical Genomics to Identify Cytochrome b as a Novel Drug Target for Chagas Disease

    PubMed Central

    Khare, Shilpi; Roach, Steven L.; Barnes, S. Whitney; Hoepfner, Dominic; Walker, John R.; Chatterjee, Arnab K.; Neitz, R. Jeffrey; Arkin, Michelle R.; McNamara, Case W.; Ballard, Jaime; Lai, Yin; Fu, Yue; Molteni, Valentina; Yeh, Vince; McKerrow, James H.; Glynne, Richard J.; Supek, Frantisek

    2015-01-01

    Unbiased phenotypic screens enable identification of small molecules that inhibit pathogen growth by unanticipated mechanisms. These small molecules can be used as starting points for drug discovery programs that target such mechanisms. A major challenge of the approach is the identification of the cellular targets. Here we report GNF7686, a small molecule inhibitor of Trypanosoma cruzi, the causative agent of Chagas disease, and identification of cytochrome b as its target. Following discovery of GNF7686 in a parasite growth inhibition high throughput screen, we were able to evolve a GNF7686-resistant culture of T. cruzi epimastigotes. Clones from this culture bore a mutation coding for a substitution of leucine by phenylalanine at amino acid position 197 in cytochrome b. Cytochrome b is a component of complex III (cytochrome bc1) in the mitochondrial electron transport chain and catalyzes the transfer of electrons from ubiquinol to cytochrome c by a mechanism that utilizes two distinct catalytic sites, QN and QP. The L197F mutation is located in the QN site and confers resistance to GNF7686 in both parasite cell growth and biochemical cytochrome b assays. Additionally, the mutant cytochrome b confers resistance to antimycin A, another QN site inhibitor, but not to strobilurin or myxothiazol, which target the QP site. GNF7686 represents a promising starting point for Chagas disease drug discovery as it potently inhibits growth of intracellular T. cruzi amastigotes with a half maximal effective concentration (EC50) of 0.15 µM, and is highly specific for T. cruzi cytochrome b. No effect on the mammalian respiratory chain or mammalian cell proliferation was observed with up to 25 µM of GNF7686. Our approach, which combines T. cruzi chemical genetics with biochemical target validation, can be broadly applied to the discovery of additional novel drug targets and drug leads for Chagas disease. PMID:26186534

  12. Hodgkin disease and non-Hodgkin lymphomas in children: utilization of radiological modalities

    SciTech Connect

    Cohen, M.D.; Siddiqui, A.; Weetman, R.; Provisor, A.; Coates, T.

    1986-02-01

    If costs of medical care are to be reduced, the choice of which imaging modality to use must be made as carefully as possible. This study was done to show how radiological modalities were used to evaluate patients with Hodgkin disease and non-Hodgkin lymphoma. We kept a record of every radiological study performed on 66 children with both diseases seen in the past 6 1/3 years. The results of these studies were analyzed to see which areas of the body were studied, which imaging modality was used, how frequently the studies were repeated, and how frequently the studies gave abnormal results. Our findings disclosed that radiological studies have been appropriately performed in anatomic regions of the body in which disease is present. New imaging modalities have been introduced, and the use of some of the older modalities has been decreased. With some modalities, such as skeletal survey, liver/spleen scan, whole-lung tomography, contrast studies of the bowel, and excretory urography, utilization is higher than it ought to be in view of the fact that the yield of positive results is low and the information is obtainable in many cases from other more sensitive procedures. These studies should not be performed as a routine on initial evaluation or follow-up of all patients with Hodgkin or non-Hodgkin lymphomas. On initial presentation all patients should undergo chest radiography and CT scanning of both chest and abdomen. A problem area is that the timing of follow-up studies has been somewhat erratic, with some inappropriate studies particularly 3 or 4 years after diagnosis. Too many imaging procedures have probably been done in follow-up of our patients.

  13. Development and Utilization of InDel Markers to Identify Peanut (Arachis hypogaea) Disease Resistance

    PubMed Central

    Liu, Lifeng; Dang, Phat M.; Chen, Charles Y.

    2015-01-01

    Peanut diseases, such as leaf spot and spotted wilt caused by Tomato Spotted Wilt Virus, can significantly reduce yield and quality. Application of marker assisted plant breeding requires the development and validation of different types of DNA molecular markers. Nearly 10,000 SSR-based molecular markers have been identified by various research groups around the world, but less than 14.5% showed polymorphism in peanut and only 6.4% have been mapped. Low levels of polymorphism limit the application of marker assisted selection (MAS) in peanut breeding programs. Insertion/deletion (InDel) markers have been reported to be more polymorphic than SSRs in some crops. The goals of this study were to identify novel InDel markers and to evaluate the potential use in peanut breeding. Forty-eight InDel markers were developed from conserved sequences of functional genes and tested in a diverse panel of 118 accessions covering six botanical types of cultivated peanut, of which 104 were from the U.S. mini-core. Results showed that 16 InDel markers were polymorphic with polymorphic information content (PIC) among InDels ranged from 0.017 to 0.660. With respect to botanical types, PICs varied from 0.176 for fastigiata var., 0.181 for hypogaea var., 0.306 for vulgaris var., 0.534 for aequatoriana var., 0.556 for peruviana var., to 0.660 for hirsuta var., implying that aequatoriana var., peruviana var., and hirsuta var. have higher genetic diversity than the other types and provide a basis for gene functional studies. Single marker analysis was conducted to associate specific marker to disease resistant traits. Five InDels from functional genes were identified to be significantly correlated to tomato spotted wilt virus (TSWV) infection and leaf spot, and these novel markers will be utilized to identify disease resistant genotype in breeding populations. PMID:26617627

  14. Utility of meibography in the evaluation of meibomian glands morphology in normal and diseased eyelids☆

    PubMed Central

    Alsuhaibani, Adel H.; Carter, Keith D.; Abràmoff, Michael D.; Nerad, Jeffrey A.

    2010-01-01

    Purpose To study the utility of meibography for the morphology of meibomian glands in normal eyelids and in various eyelid diseases. Design A cross-sectional study. Methods A newly designed transilluminator, fitting both the upper along with lower eyelids, and an infrared camera were used to obtain video clips of the meibomian glands for 60 asymptomatic subjects with normal eyelid margin. Parameters studied included, ocular surface, Schirmer test, and tear breakup time (TBUT). The meibomian glands of patients with meibomian glands’ abnormality secondary to infectious, inflammatory, malignant, congenital, or post-radiation therapy disease related etiologies were compared with normal patients. Still pictures were extracted from the video clips to evaluate the meibomian glands for gland dropout and gross morphological changes. Results In normal subjects, meibomian glands appeared to be thinner and longer in the upper eye lids than in the lower eye lids. Gland dropout occured with increased age, more in the lower eye lid and in females. Excessive gland drop out (> 75%) was seen in patients with history of trachoma, Stevens Johnson syndrome, severe blepharitis, and post-radiation for orbital tumors. Variable gland drop out was noticed in patients with floppy eyelid syndrome, and blepharitis. In patients with congenital distichiasis, partial or complete gland drop out at the part of the eyelid margins affected by distichiasis was noticed. Conclusions The newly designed transilluminator permitted the examination of both upper and lower eye lid meibomian glands with minimal discomfort. Evaluating the anatomical changes involving meibomian glands with meibography may help increase our understanding of the meibomian gland-related diseases, monitor the effects of treatment, and provide helpful information for patient education. PMID:23960903

  15. Evaluating the Utility of Satellite Soil Moisture Retrievals over Irrigated Areas and the Ability of Land Data Assimilation Methods to Correct for Unmodeled Processes

    NASA Technical Reports Server (NTRS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-01-01

    Earth's land surface is characterized by tremendous natural heterogeneity and human-engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human-induced modification to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human-engineered, often unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation effects is mixed, with ASCAT-based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  16. Evaluating the utility of satellite soil moisture retrievals over irrigated areas and the ability of land data assimilation methods to correct for unmodeled processes

    NASA Astrophysics Data System (ADS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-11-01

    Earth's land surface is characterized by tremendous natural heterogeneity and human-engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human-induced modification to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human-engineered, often unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation effects is mixed, with ASCAT-based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  17. Evaluating the utility of satellite soil moisture retrievals over irrigated areas and the ability of land data assimilation methods to correct for unmodeled processes

    NASA Astrophysics Data System (ADS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-06-01

    The Earth's land surface is characterized by tremendous natural heterogeneity and human engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human induced modifications to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human engineered, unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation artifacts is mixed, with ASCAT based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  18. Molecular characterization of Chilli leaf curl virus and satellite molecules associated with leaf curl disease of Amaranthus spp.

    PubMed

    George, B; Kumar, R Vinoth; Chakraborty, S

    2014-04-01

    Amaranthus, collectively known as amaranth, is an annual or short-lived perennial plant used as leafy vegetables, cereals and for ornamental purposes in many countries including India. During 2011, leaf samples of Amaranthus plants displaying leaf curling, leaf distortion, leaf crinkling and yellow leaf margins were collected from Banswara district, Rajasthan in India. Full-length clones of a monopartite begomovirus, a betasatellite and an alphasatellite were characterized. The complete nucleotide sequence of the isolated begomovirus features as a typical 'Old World' begomovirus with the highest nucleotide per cent identity with Chilli leaf curl virus and hence, considered as an isolate of Chilli leaf curl virus. The complete nucleotide sequences of betasatellite and alphasatellite possess maximum nucleotide identity with Tomato yellow leaf curl Thailand betasatellite and Chilli leaf curl alphasatellite, respectively. This is the first report of the association of chilli-infecting begomovirus and satellite molecules infecting a new host, Amaranthus, causing leaf curl disease. PMID:24368759

  19. A global network for the control of snail-borne disease using satellite surveillance and geographic information systems.

    PubMed

    Malone, J B; Bergquist, N R; Huh, O K; Bavia, M E; Bernardi, M; El Bahy, M M; Fuentes, M V; Kristensen, T K; McCarroll, J C; Yilma, J M; Zhou, X N

    2001-04-27

    At a team residency sponsored by the Rockefeller Foundation in Bellagio, Italy, 10-14 April 2000 an organizational plan was conceived to create a global network of collaborating health workers and earth scientists dedicated to the development of computer-based models that can be used for improved control programs for schistosomiasis and other snail-borne diseases of medical and veterinary importance. The models will be assembled using GIS methods, global climate model data, sensor data from earth observing satellites, disease prevalence data, the distribution and abundance of snail hosts, and digital maps of key environmental factors that affect development and propagation of snail-borne disease agents. A work plan was developed for research collaboration and data sharing, recruitment of new contributing researchers, and means of access of other medical scientists and national control program managers to GIS models that may be used for more effective control of snail-borne disease. Agreement was reached on the use of compatible GIS formats, software, methods and data resources, including the definition of a 'minimum medical database' to enable seamless incorporation of results from each regional GIS project into a global model. The collaboration plan calls for linking a 'central resource group' at the World Health Organization, the Food and Agriculture Organization, Louisiana State University and the Danish Bilharziasis Laboratory with regional GIS networks to be initiated in Eastern Africa, Southern Africa, West Africa, Latin America and Southern Asia. An Internet site, www.gnosisGIS.org, (GIS Network On Snail-borne Infections with special reference to Schistosomiasis), has been initiated to allow interaction of team members as a 'virtual research group'. When completed, the site will point users to a toolbox of common resources resident on computers at member organizations, provide assistance on routine use of GIS health maps in selected national disease control

  20. Routine Paediatric Sickle Cell Disease (SCD) Outpatient Care in a Rural Kenyan Hospital: Utilization and Costs

    PubMed Central

    Amendah, Djesika D.; Mukamah, George; Komba, Albert; Ndila, Carolyne; Williams, Thomas N.

    2013-01-01

    Background More than 70% of children with sickle cell disease (SCD) are born in sub-Saharan Africa where the prevalence at birth of this disease reaches 2% or higher in some selected areas. There is a dearth of knowledge on comprehensive care received by children with SCD in sub-Saharan Africa and its associated cost. Such knowledge is important for setting prevention and treatment priorities at national and international levels. This study focuses on routine care for children with SCD in an outpatient clinic of the Kilifi District Hospital, located in a rural area on the coast of Kenya. Objective To estimate the per-patient costs for routine SCD outpatient care at a rural Kenyan hospital. Methods We collected routine administrative and primary cost data from the SCD outpatient clinic and supporting departments at Kilifi District Hospital, Kenya. Costs were estimated by evaluating inputs - equipment, medication, supplies, building use, utility, and personnel - to reflect the cost of offering this service within an existing healthcare facility. Annual economic costs were similarly calculated based on input costs, prorated lifetime of equipment and appropriate discount rate. Sensitivity analyses evaluated these costs under different pay scales and different discount rate. Results We estimated that the annual economic cost per patient attending the SCD clinic was USD 138 in 2010 with a range of USD 94 to USD 229. Conclusion This study supplies the first published estimate of the cost of routine outpatient care for children born with SCD in sub-Saharan Africa. Our study provides policy makers with an indication of the potential future costs of maintaining specialist outpatient clinics for children living with SCD in similar contexts. PMID:23593408

  1. The AmpliChip CYP450 test: principles, challenges, and future clinical utility in digestive disease.

    PubMed

    Juran, Brian D; Egan, Laurence J; Lazaridis, Konstantinos N

    2006-07-01

    Understanding genetically encoded inherited differences in drug metabolism and targets (ie, receptors, transporters) offers the promise of minimizing adverse drug reactions and improving therapies. Among the enzymes involved in drug metabolism, the cytochromes P450 (CYP450) hold a central position. In fact, CYP450 are involved in the biotransformation of most drugs used in clinical practice. Recent advances in the development of DNA-based diagnostics, coupled with a better understanding of genetic polymorphisms in influencing pharmacologic responses, have provided the foundation for novel in vitro tests that may predict side effects and/or therapeutic responses. The AmpliChip CYP450 test was developed as a clinical test to evaluate an individual's metabolic capacity for certain drugs by identifying polymorphisms of 2 CYP450 enzymes (ie, CYP2D6 and CYP2D19). Even though the AmpliChip CYP450 has been approved by the US Food and Drug Administration, its practical clinical utility has not yet been determined, and there is a paucity of data related to gastrointestinal and liver diseases. An understanding of the principles and opportunities provided by this new category of diagnostic test is key before planning the necessary studies to evaluate the usefulness of AmpliChip CYP450 in gastroenterologic clinical practice. PMID:16797246

  2. Health Care Utilization and Attitudes Survey: Understanding Diarrheal Disease in Rural Gambia

    PubMed Central

    Saha, Debasish; Akinsola, Adebayo; Sharples, Katrina; Adeyemi, Mitchell O.; Antonio, Martin; Imran, Sayeed; Jasseh, Momodou; Hossain, Mohammad J.; Nasrin, Dilruba; Kotloff, Karen L.; Levine, Myron M.; Hill, Philip C.

    2013-01-01

    Diarrheal disease causes ∼1.34 million deaths per year among children under 5 years of age globally. We conducted a Health Care Utilization and Attitudes Survey of 1,012 primary caregivers of children aged 0–11, 12–23, and 24–59 months randomly selected from a Demographic Surveillance population in rural Gambia. Point prevalence of diarrhea was 7.7% (95% confidence interval [CI] = 6.1–9.8); 23.3% had diarrhea within the previous 2 weeks. Caregivers of 81.5% of children with diarrhea sought healthcare outside their home, but only 48.4% of them visited a health center. Only 17.0% (95% CI = 12.1–23.2) of children with diarrhea received oral rehydration solution (ORS) at home. Abbreviated surveys conducted on six occasions over the subsequent 2 years showed no change in prevalence or treatment-seeking behavior. Diarrhea remains a significant problem in rural young Gambian children. Encouraging care-seeking behavior at health centers and promoting ORS use can reduce mortality and morbidity in this population. PMID:23629926

  3. Clinical utility of platinum chromium bare-metal stents in coronary heart disease

    PubMed Central

    Jorge, Claudia; Dubois, Christophe

    2015-01-01

    Coronary stents represent a key development for the treatment of obstructive coronary artery disease since the introduction of percutaneous coronary intervention. While drug-eluting stents gained wide acceptance in contemporary percutaneous coronary intervention practice, further developments in bare-metal stents remain crucial for patients who are not candidates for drug-eluting stents, or to improve metallic platforms for drug elution. Initially, stent platforms used biologically inert stainless steel, restricting stent performance due to limitations in flexibility and strut thickness. Later, cobalt chromium stent alloys outperformed steel as the material of choice for stents, allowing latest generation stents to be designed with significantly thinner struts, while maintaining corrosion resistance and radial strength. Most recently, the introduction of the platinum chromium alloy refined stent architecture with thin struts, high radial strength, conformability, and improved radiopacity. This review will provide an overview of the novel platinum chromium bare-metal stent platforms available for coronary intervention. Mechanical properties, clinical utility, and device limitations will be summarized and put into perspective. PMID:26345228

  4. Linking Satellite Remote Sensing Based Environmental Predictors to Disease: AN Application to the Spatiotemporal Modelling of Schistosomiasis in Ghana

    NASA Astrophysics Data System (ADS)

    Wrable, M.; Liss, A.; Kulinkina, A.; Koch, M.; Biritwum, N. K.; Ofosu, A.; Kosinski, K. C.; Gute, D. M.; Naumova, E. N.

    2016-06-01

    90% of the worldwide schistosomiasis burden falls on sub-Saharan Africa. Control efforts are often based on infrequent, small-scale health surveys, which are expensive and logistically difficult to conduct. Use of satellite imagery to predictively model infectious disease transmission has great potential for public health applications. Transmission of schistosomiasis requires specific environmental conditions to sustain freshwater snails, however has unknown seasonality, and is difficult to study due to a long lag between infection and clinical symptoms. To overcome this, we employed a comprehensive 8-year time-series built from remote sensing feeds. The purely environmental predictor variables: accumulated precipitation, land surface temperature, vegetative growth indices, and climate zones created from a novel climate regionalization technique, were regressed against 8 years of national surveillance data in Ghana. All data were aggregated temporally into monthly observations, and spatially at the level of administrative districts. The result of an initial mixed effects model had 41% explained variance overall. Stratification by climate zone brought the R2 as high as 50% for major zones and as high as 59% for minor zones. This can lead to a predictive risk model used to develop a decision support framework to design treatment schemes and direct scarce resources to areas with the highest risk of infection. This framework can be applied to diseases sensitive to climate or to locations where remote sensing would be better suited than health surveys.

  5. Landscape characterization of peridomestic risk for Lyme disease using satellite imagery

    NASA Technical Reports Server (NTRS)

    Dister, S. W.; Fish, D.; Bros, S. M.; Frank, D. H.; Wood, B. L.

    1997-01-01

    Remotely sensed characterizations of landscape composition were evaluated for Lyme disease exposure risk on 337 residential properties in two communities of suburban Westchester County, New York. Properties were categorized as no, low, or high risk based on seasonally adjusted densities of Ixodes scapularis nymphs, determined by drag sampling during June and July 1990. Spectral indices based on Landsat Thematic Mapper data provided relative measures of vegetation structure and moisture (wetness), as well as vegetation abundance (greenness). A geographic information system (GIS) was used to spatially quantify and relate the remotely sensed landscape variables to risk category. A comparison of the two communities showed that Chappaqua, which had more high-risk properties (P < 0.001), was significantly greener and wetter than Armonk (P < 0.001). Furthermore, within Chappaqua, high-risk properties were significantly greener and wetter than lower-risk properties in this community (P < 0.01). The high-risk properties appeared to contain a greater proportion of broadleaf trees, while lower-risk properties were interpreted as having a greater proportion of nonvegetative cover and/or open lawn. The ability to distinguish these fine scale differences among communities and individual properties illustrates the efficiency of a remote sensing/GIS-based approach for identifying peridomestic risk of Lyme disease over large geographic areas.

  6. Computational model of precision grip in Parkinson's disease: a utility based approach

    PubMed Central

    Gupta, Ankur; Balasubramani, Pragathi P.; Chakravarthy, V. Srinivasa

    2013-01-01

    We propose a computational model of Precision Grip (PG) performance in normal subjects and Parkinson's Disease (PD) patients. Prior studies on grip force generation in PD patients show an increase in grip force during ON medication and an increase in the variability of the grip force during OFF medication (Ingvarsson et al., 1997; Fellows et al., 1998). Changes in grip force generation in dopamine-deficient PD conditions strongly suggest contribution of the Basal Ganglia, a deep brain system having a crucial role in translating dopamine signals to decision making. The present approach is to treat the problem of modeling grip force generation as a problem of action selection, which is one of the key functions of the Basal Ganglia. The model consists of two components: (1) the sensory-motor loop component, and (2) the Basal Ganglia component. The sensory-motor loop component converts a reference position and a reference grip force, into lift force and grip force profiles, respectively. These two forces cooperate in grip-lifting a load. The sensory-motor loop component also includes a plant model that represents the interaction between two fingers involved in PG, and the object to be lifted. The Basal Ganglia component is modeled using Reinforcement Learning with the significant difference that the action selection is performed using utility distribution instead of using purely Value-based distribution, thereby incorporating risk-based decision making. The proposed model is able to account for the PG results from normal and PD patients accurately (Ingvarsson et al., 1997; Fellows et al., 1998). To our knowledge the model is the first model of PG in PD conditions. PMID:24348373

  7. Computational model of precision grip in Parkinson's disease: a utility based approach.

    PubMed

    Gupta, Ankur; Balasubramani, Pragathi P; Chakravarthy, V Srinivasa

    2013-01-01

    We propose a computational model of Precision Grip (PG) performance in normal subjects and Parkinson's Disease (PD) patients. Prior studies on grip force generation in PD patients show an increase in grip force during ON medication and an increase in the variability of the grip force during OFF medication (Ingvarsson et al., 1997; Fellows et al., 1998). Changes in grip force generation in dopamine-deficient PD conditions strongly suggest contribution of the Basal Ganglia, a deep brain system having a crucial role in translating dopamine signals to decision making. The present approach is to treat the problem of modeling grip force generation as a problem of action selection, which is one of the key functions of the Basal Ganglia. The model consists of two components: (1) the sensory-motor loop component, and (2) the Basal Ganglia component. The sensory-motor loop component converts a reference position and a reference grip force, into lift force and grip force profiles, respectively. These two forces cooperate in grip-lifting a load. The sensory-motor loop component also includes a plant model that represents the interaction between two fingers involved in PG, and the object to be lifted. The Basal Ganglia component is modeled using Reinforcement Learning with the significant difference that the action selection is performed using utility distribution instead of using purely Value-based distribution, thereby incorporating risk-based decision making. The proposed model is able to account for the PG results from normal and PD patients accurately (Ingvarsson et al., 1997; Fellows et al., 1998). To our knowledge the model is the first model of PG in PD conditions. PMID:24348373

  8. The utility of handheld echocardiography for early rheumatic heart disease diagnosis: a field study

    PubMed Central

    Beaton, Andrea; Lu, Jimmy C.; Aliku, Twalib; Dean, Peter; Gaur, Lasya; Weinberg, Jacqueline; Godown, Justin; Lwabi, Peter; Mirembe, Grace; Okello, Emmy; Reese, Allison; Shrestha-Astudillo, Ashley; Bradley-Hewitt, Tyler; Scheel, Janet; Webb, Catherine; McCarter, Robert; Ensing, Greg; Sable, Craig

    2015-01-01

    Aims The World Heart Federation (WHF) guidelines for rheumatic heart disease (RHD) are designed for a standard portable echocardiography (STAND) machine. A recent study in a tertiary care centre demonstrated that they also had good sensitivity and specificity when modified for use with handheld echocardiography (HAND). Our study aimed to evaluate the performance of HAND for early RHD diagnosis in the setting of a large-scale field screening. Methods and results STAND was performed in 4773 children in Gulu, Uganda, with 10% randomly assigned to also undergo HAND. Additionally, any child with mitral or aortic regurgitation also underwent HAND. Studies were performed by experienced echocardiographers and blindly reviewed by cardiologists using 2012 WHF criteria, which were modified slightly for HAND—due to the lack of spectral Doppler capability. Paired echocardiograms were performed in 1420 children (mean age 10.8 and 53% female), resulting in 1234 children who were normal, 133 who met criteria for borderline RHD, 47 who met criteria for definite RHD, and 6 who had other diagnoses. HAND had good sensitivity and specificity for RHD detection (78.9 and 87.2%, respectively), but was most sensitive for definite RHD (97.9%). Inter- and intra-reviewer agreement ranged between 66–83 and 71.4–94.1%, respectively. Conclusions HAND has good sensitivity and specificity for diagnosis of early RHD, performing best for definite RHD. Protocols for RHD detection utilizing HAND will need to include confirmation by STAND to avoid over-diagnosis. Strategies that evaluate simplified screening protocols and training of non-physicians hold promise for more wide spread deployment of HAND-based protocols. PMID:25564396

  9. Prognostic Utility of Secretory Phospholipase A2 in Patients with Stable Coronary Artery Disease

    PubMed Central

    O’Donoghue, Michelle; Mallat, Ziad; Morrow, David A; Benessiano, Joelle; Sloan, Sarah; Omland, Torbjørn; Solomon, Scott D.; Braunwald, Eugene; Tedgui, Alain; Sabatine, Marc S

    2011-01-01

    Background Secretory phospholipase A2 (sPLA2) may contribute to atherogenesis. To date, few prospective studies have examined the utility of sPLA2 for risk stratification in coronary artery disease (CAD). Methods Plasma sPLA2 activity was measured at baseline in 3708 subjects in the PEACE randomized trial of trandolapril versus placebo in stable CAD. Median follow-up was 4.8 years. Cox regression was used to adjust for demographics, clinical risk factors, apolipoprotein B, apolipoprotein A1, and medications. Results After multivariable adjustment, sPLA2 was associated with an increased risk of cardiovascular death, myocardial infarction or stroke (adjusted hazard ratio quartile 4:quartile 1 1.55, 95% CI 1.13–2.14) and cardiovascular death or heart failure (adjusted hazard ratio quartile 4:quartile 1 1.91, 95% CI 1.20–3.03). In further multivariable assessment, increased activities of sPLA2 were associated with the risk of cardiovascular death, myocardial infarction or stroke (adjusted hazard ratio 1.47, 95% CI 1.06–2.04) independent of lipoprotein-associated phospholipase A2 mass and C-reactive protein, and modestly improved the area under the curve (AUC) beyond established clinical risk factors (AUC 0.668 to 0.675, P=0.01). sPLA2, NT-pro B-type natriuretic peptide and high-sensitivity cardiac troponin T were all independently associated with cardiovascular death or heart failure and each improved risk discrimination (P=0.02, P<0.001, P<0.001, respectively). Conclusion sPLA2 activity provides independent prognostic information beyond established risk markers in patients with stable CAD. These data are encouraging for studies designed to evaluate the role of sPLA2 as a therapeutic target. PMID:21784767

  10. Simulation of the water regime for a vast agricultural region territory utilizing measurements from polar-orbital and geostationary meteorological satellites

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Uspensky, Alexander; Startseva, Zoya; Volkova, Elena; Kukharsky, Alexander; Uspensky, Sergey

    2013-04-01

    The model of land surface-atmosphere interaction has been developed to calculate the water and heat balance components for vast vegetation covered areas during the growing season. The model is adjusted to utilize estimates of the land surface and meteorological characteristics derived from satellite-based measurements of radiometers AVHRR/NOAA, MODIS/EOS Terra, Aqua, and SEVIRI/Meteosat-9. The studies have been conducted for the territory of the European Russia Central Black Earth Region (CCR) with area of 227,300 km2 comprising seven regions of the Russian Federation for years 2009-2012 vegetation seasons. The technologies of AVHRR and MODIS data thematic processing have been refined and adapted to the study region providing the retrieval of land surface temperature Tls and emissivity E, land-air temperature (temperature at vegetation cover level) Ta, normalized difference vegetation index NDVI, vegetation cover fraction B, as well as the leaf area index LAI. The updated linear regression estimators for Tls, Ta and LAI have been built using more representative training samples compiled for the above vegetation seasons. The updated software package has been applied for AVHRR data processing to generate named remote sensing products for various dates of the mentioned vegetation periods. On the base of special technology and Internet resources the remote sounding products (Tls, E, NDVI, LAI), derived from MODIS data and covering the CCR, have been downloaded from LP DAAC web-site for the same vegetation seasons. The new method and technology have been developed and adopted for the retrieval of Tls and E from SEVIRI data. The retrievals cover the region of interest and are produced at daylight and nighttime. Method provides the derivation of Tls and E from SEVIRI measurements carried out at three successive times (for example, at 11.00, 12.00, 13.00 UTC), classified as 100% cloud-free for the study region without accurate a priori knowledge of E. The validation of

  11. Investigation of biomass burning and aerosol loading and transport in South America utilizing geostationary satellites. Annual report, January-December 1995

    SciTech Connect

    Menzel, P.; Prins, E.

    1995-12-01

    This study attempts to assess the extent of burning and associated aerosol transport regimes in South America and the South Atlantic using geostationary satellite observations, in order to explore the possible roles of biomass burning in climate change and more directly in atmospheric chemistry and radiative transfer processes. Modeling and analysis efforts have suggested that the direct and indirect radiative effects of aerosols from biomass burning may play a major role in the radiative balance of the earth and are an important factor in climate change calculations. One of the most active regions of biomass burning is located in South America, associated with deforestation in the selva (forest), grassland management, and other agricultural practices. As part of the NASA Aerosol Interdisciplinary Program, the authors are utilizing GOES-7 (1988) and GOES-8 (1995) visible and multispectral infrared data (4, 11, and 12 microns) to document daily biomass burning activity in South America and to distinguish smoke/aerosols from other multi-level clouds and low-level moisture. This study catalogues the areal extent and transport of smoke/aerosols throughout the region and over the Atlantic Ocean for the 1988 (July-September) and 1995 (June-October) biomass burning seasons. The smoke/haze cover estimates are compared to the locations of fires to determine the source and verify the haze is actually associated with biomass burning activities. The temporal resolution of the GOES data (half-hourly in South America) makes it possible to determine the prevailing circulation and transport of aerosols by considering a series of visible and infrared images and tracking the motion of smoke, haze and adjacent clouds. The study area extends from 40 to 70 deg W and 0 to 40 deg S with aerosol coverage extending over the Atlantic Ocean when necessary. Fire activity is estimated with the GOES Automated Biomass Burning Algorithm (ABBA).

  12. Utilization of ERTS data to detect plant diseases and nutrient deficiencies, soil types and moisture levels

    NASA Technical Reports Server (NTRS)

    Parks, W. L. (Principal Investigator); Sewell, J. I.; Hilty, J. W.; Rennie, J. C.

    1973-01-01

    The author has identified the following significant results. Findings demonstrate the feasibility of delineating major terrain features, land uses, and crop species through computerized analyses. Channel 6 appears to give the most information for making separations of this type. By enlarging satellite imagery and visually comparing this with high altitude aerial photographs, locating small terrain features and cropland areas on satellite imagery is greatly facilitated. Forest types are discernable on the 2402 imagery with a #25 filter: pine stands have dark tones, hardwood stands have light tones, and pine-hardwood have intermediate tones. No textural differences are evident on this type of imagery. However, on the 2424 imagery with #89B filter, textural differences are evident but tonal differences are absent. Areas of considerable texture are interpreted as stands of high volume while areas of suppressed texture are of low volume. The 2402 imagery with a #57 filter appears to have little information of importance in timber inventory.

  13. Under-utilization of health care services for infectious diseases syndromes in rural Azerbaijan: A cross-sectional study

    PubMed Central

    2011-01-01

    Background Infectious diseases present a potentially substantial yet undefined burden on the health of the adult Azerbaijani population. Efforts to quantify this burden in Azerbaijan are currently based almost exclusively on passive disease surveillance, and therefore hinge on the health utilization practices of the population. Understanding the prevalence of infectious syndromes and health utilization practices is paramount to disease surveillance, public health planning, and health care system reform. Methods A two-stage, probability proportional to size sampling design was used to select a representative sample of three regions of northern Azerbaijan with village populations less than 500 people. Demographic, clinical, and epidemiologic parameters were assessed using prevalence odds ratios, chi-squared, and the Fisher exact test. Associations with p < 0.10 were included in the regression analysis and removed by backward elimination. Respondents included 796 adults from 39 villages. Results Self-medication with antibiotics was the predominant utilization practice reported (19.4%). Only 1.3% of respondents reported seeing a health care provider for an infection, and 3.4% missed work or stayed in bed during the day in the last 5 years. In contrast, 338 illness episodes were reported in a 5 year period. Antibiotic use was significantly associated with gender, region, history of febrile illness, sleep disturbances, and arthritis controlling for age, ethnicity, and education. Influenza-like illness was the most prevalent infectious syndrome reported (33.3%). Conclusions We observed a remarkably low utilization of health services, despite reported symptoms that would merit use. Widespread availability of antibiotics may deter health care use, and may contribute to the development of antibiotic resistance in this population. Information on utilization of health services during an infection is essential for development of effective intervention strategies, and data on

  14. Drug-induced Parkinsonism versus Idiopathic Parkinson Disease: Utility of Nigrosome 1 with 3-T Imaging.

    PubMed

    Sung, Young Hee; Noh, Young; Lee, Jongho; Kim, Eung Yeop

    2016-06-01

    Purpose To explore the utility of nigrosome 1 with 3-T magnetic resonance (MR) imaging to differentiate idiopathic Parkinson disease (IPD) from drug-induced parkinsonism (DIP). Materials and Methods The institutional review board approved this study, and participants gave informed consent. This study enrolled patients with DIP (n = 20) and IPD (n = 29) who underwent N-3-fluoropropyl-2-β-carbomethoxy-3-β-(4-iodophenyl)nortropane ((18)F-FP-CIT) positron emission tomography (PET) and healthy participants (n = 20). All participants underwent 0.5 × 0.5 × 1.0 mm(3) oblique axial three-dimensional multiecho-data image combination imaging to view the nigrosome 1 with 3-T imaging. Two reviewers independently assessed the nigrosome 1 without clinical information. DIP was diagnosed when no abnormality was seen at (18)F-FP-CIT PET. Diagnostic sensitivity, specificity, and accuracy of the nigrosome 1 imaging were evaluated between the IPD and DIP patients and between the IPD patients and healthy participants. Interrater agreement was assessed with Cohen κ. Results Both reviewers agreed in 63 of 69 participants (91.3%) for the presence of any abnormality on either side of the nigrosome 1 (κ = 0.825). Findings in all 29 IPD patients (100%) and three of 20 DIP patients (15%) were rated as abnormal and in 17 of 20 DIP patients (85%) they were interpreted as normal on the basis of imaging of the nitgrosome 1 (sensitivity, 100% (29 of 29); specificity, 85.0% (17 of 20); accuracy, 93.9% (46 of 49) between IPD and DIP patients). Findings in 3 of 20 healthy participants (15.0%) were interpreted as abnormal on the basis of imaging the nigrosome 1 while in the other 17 of 20 healthy participants (85.0%) they were rated as normal (sensitivity, 100% [29 of 29]; specificity, 85.0% [17 of 20]; accuracy, 93.9% [46 of 49] between IPD patients and healthy participants [κ = 0.831]). Conclusion The imaging of nigrosome 1 with 3-T imaging can differentiate DIP from IPD with high accuracy and

  15. Clinical utility of quantitative multi-antibody Polycheck immunoassays in the diagnosis of coeliac disease

    PubMed Central

    Konopka, Ewa; Grzywnowicz, Maciej; Oralewska, Beata; Cielecka-Kuszyk, Joanna; Trojanowska, Ilona; Cukrowska, Bożena

    2016-01-01

    AIM: To evaluate the clinical utility of multi-antibody strategies in the diagnosis of coeliac disease (CD), the new quantitative Polycheck immunoassays were analysed. METHODS: Polycheck Celiac Panels (PCPs) are immunoenzyme screening assays for the quantitative measurement of coeliac-specific immunoglobulin class G (IgG) or class A (IgA) in serum. Lines of relevant antigens are coated together with five IgG or IgA standard lines used for the standard curve as positive control. PCP IgA consists of human recombinant human tissue transglutaminase (tTG) and deamidated gliadin peptides (DGP) as targets to detect IgA antibodies. PCP IgG consists of tTG, DGP and IF (intrinsic factor) antigens to detect antibodies in IgG class. PCPs were performed on 50 CD patients, including 6 cases with selective IgA deficiency, and 50 non-coeliac controls. CD diagnosis was performed according to the ESPGHAN recommendations: The presence of specific anti-tTG-IgA or anti-DGP-IgG (in the case of IgA deficiency) antibodies, typical histopathological changes in duodenal mucosa described in Marsh-Oberhüber classification as at least grade 2. The diagnosis of the majority of the control subjects was functional gastrointestinal disorders. The PCP results were compared with reference EliA Celikey. RESULTS: The usage of PCPs led to the correct identification of all CD patients. In our study, PCPs showed 100% agreement with the histopathological results. PCP IgA test showed a 98% concordance and correlated positively (R = 0.651, P = 0.0014) with EliA Celikey test. The highest specificity and positive predictive value (both 100%) were observed for the detection of Polycheck anti-tTG-IgA antibodies. The highest sensitivity and negative predictive value (both 100%) were achieved by Polycheck anti-DGP-IgG antibody detection. The best performance (98% sensitivity and negative predictive value, 100% specificity and positive predictive value, diagnostic accuracy - AU ROC 99%) was observed for the

  16. Selective biologics for ulcerative colitis and Crohn’s disease – clinical utility of vedolizumab

    PubMed Central

    Petkau, Jill MV; Eksteen, Bertus

    2016-01-01

    Inflammatory bowel disease (IBD) encompasses a cluster of different disease phenotypes which are broadly classified into ulcerative colitis and Crohn’s disease. Disease pathogenesis is driven by abnormal host immune responses to their resident gut microbiome in genetically susceptible individuals. Clinical disease features and outcomes are heterogenous and not unexpected as over 163 genetic loci are associated with disease susceptibility, and there are great variability in environmental exposures. Despite this variability, there has been relatively few efficacious therapies for particularly moderate-to-severe IBD. Treatment has been dominated by antitumor necrosis alpha agents with significant success but equally potentially serious adverse events. Therapeutic targeting of leucocyte trafficking has emerged as a viable alternative therapy, with vedolizumab being the lead compound. This review focuses primarily on its biological function as a selective gut immunotherapy, its safety and efficacy, and its emerging role as a mainstream therapy in managing IBD. PMID:27022240

  17. Satellite Tracking System

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Researchers at the Center for Aerospace Sciences of the University of North Dakota (UND), Grand Forks, used three NASA Computer programs (SANDTRACKS, ODG, NORAD) to develop a Satellite Tracking System for real time utilization of TIROS weather/environment satellite information. SANDTRACKS computes the satellite's position relative to the Earth. ODG allows plotting a view of Earth as seen by the satellite. NORAD computes sight direction, visibility times and maximum elevation angle during each orbit. With the system, UND's Earth System Science Institute will be able to routinely monitor agricultural and environmental conditions of the Northern Plains.

  18. Synergistic Utilization of Microwave Satellite Data and GRACE-Total Water Storage Anomaly for Improving Available Water Capacity Prediction in Lower Mekong Basin

    NASA Astrophysics Data System (ADS)

    Gupta, M.; Bolten, J. D.; Lakshmi, V.

    2015-12-01

    The Mekong River is the longest river in Southeast Asia and the world's eighth largest in discharge with draining an area of 795,000 km² from the eastern watershed of the Tibetan Plateau to the Mekong Delta including three provinces of China, Myanmar, Lao PDR, Thailand, Cambodia and Viet Nam. This makes the life of people highly vulnerable to availability of the water resources as soil moisture is one of the major fundamental variables in global hydrological cycles. The day-to-day variability in soil moisture on field to global scales is an important quantity for early warning systems for events like flooding and drought. In addition to the extreme situations the accurate soil moisture retrieval are important for agricultural irrigation scheduling and water resource management. The present study proposes a method to determine the effective soil hydraulic parameters directly from information available for the soil moisture state from the recently launched SMAP (L-band) microwave remote sensing observations. Since the optimized parameters are based on the near surface soil moisture information, further constraints are applied during the numerical simulation through the assimilation of GRACE Total Water Storage (TWS) within the physically based land surface model. This work addresses the improvement of available water capacity as the soil hydraulic parameters are optimized through the utilization of satellite-retrieved near surface soil moisture. The initial ranges of soil hydraulic parameters are taken in correspondence with the values available from the literature based on FAO. The optimization process is divided into two steps: the state variable are optimized and the optimal parameter values are then transferred for retrieving soil moisture and streamflow. A homogeneous soil system is considered as the soil moisture from sensors such as AMSR-E/SMAP can only be retrieved for the top few centimeters of soil. To evaluate the performance of the system in helping

  19. Study of Drug Utilization Pattern for Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital - A Prescription Survey

    PubMed Central

    Pathak, Anuj Kumar; Kumar, Subodh; Kumar, Manish; Dikshit, Harihar

    2016-01-01

    Introduction Skin diseases are the major contributors of disease burden in society. It affects individuals of all ages, neonates to elderly. Owing to its chronic nature, it causes serious impact on quality of life and financial status of the sufferer and his family. The problem gets compounded with the inappropriate and irrational use of medicines. Periodic prescription audit in form of drug utilization study is a way to improve the quality of prescription and curb the menace of irrational prescribing which has become a global phenomenon. Aim This study aims to determine the drug utilization pattern and assess the economic burden of the patient with skin disease. Materials and Methods It was a prospective, cross-sectional study conducted over a period of three months from January to March 2015 in newly diagnosed cases attending outpatient department of Skin and VD, IGIMS, Patna. The prescriptions were analysed with the help of descriptive statistics and results were expressed in percentage. Results Total 752 prescriptions were analysed during the study. Male patients were lesser as compared to female as male to female ratio was 0.88. Over 50% of patients were in adolescent age group i.e. 21-40 years. Acne (17.95%) was most common disease in the study population followed by eczema and Dermatophytosis. Among the drugs, antihistaminics (24.13%) were prescribed most frequently followed by antifungals and antibiotics. Topical agents constituted almost 60% of the total prescription and average number of drugs per prescription was 5.13, irrespective of the dosage forms prescribed. Conclusion This drug utilization study provides an insight to the prescriber regarding various issues related to polypharmacy, cost analysis and prevalent disease pattern in the region. This study also suggests periodic evaluation of prescription pattern to monitor and improve quality of prescription in other departments of the hospital. PMID:27042479

  20. Utilization of Leaf Reflectance Measurements in Louisiana Sugarcane Disease, Variety, and Harvest Management Systems

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Tests were initiated in 2005 to determine if visible and near-infrared leaf reflectance measurements could be used to predict sugarcane disease incidence, identify varieties, and estimate sucrose content. Leaf samples were collected from: sugarcane yellow leaf disease (SCYLD) and mosaic test plots; ...

  1. Utilizing Dental Electronic Health Records Data to Predict Risk for Periodontal Disease.

    PubMed

    Thyvalikakath, Thankam P; Padman, Rema; Vyawahare, Karnali; Darade, Pratiksha; Paranjape, Rhucha

    2015-01-01

    Periodontal disease is a major cause for tooth loss and adversely affects individuals' oral health and quality of life. Research shows its potential association with systemic diseases like diabetes and cardiovascular disease, and social habits such as smoking. This study explores mining potential risk factors from dental electronic health records to predict and display patients' contextualized risk for periodontal disease. We retrieved relevant risk factors from structured and unstructured data on 2,370 patients who underwent comprehensive oral examinations at the Indiana University School of Dentistry, Indianapolis, IN, USA. Predicting overall risk and displaying relationships between risk factors and their influence on the patient's oral and general health can be a powerful educational and disease management tool for patients and clinicians at the point of care. PMID:26262380

  2. Characterization of a new begomovirus and a beta satellite associated with the leaf curl disease of French bean in northern India.

    PubMed

    Kamaal, Naimuddin; Akram, Mohammad; Pratap, Aditya; Yadav, Prashant

    2013-02-01

    Begomoviruses are emerging as serious threat to many crops throughout the world particularly in tropical and sub-tropical regions. A leaf curl disease with symptoms typical of infection by many begomoviruses was observed in French bean (Phaseolus vulgaris) at Kanpur, India, during 2010-2012. The disease caused downward leaf curling and made the plants unproductive. The disease was transmitted from infected to healthy plants through whitefly (Bemisia tabaci). The products of five samples digested with EcoRI yielded DNA fragments of about 2.7 kb. The complete sequence of the Fb1 sample comprised 2,741 nucleotides with genome organization typical of begomoviruses having two ORFs in virion-sense and five ORFs in complementary-sense separated by an intergenic region with begomovirus conserved nonanucleotide sequence, TAATATTAC. The complete DNA-A sequence homology was most closely related to Cotton leaf curl Bangalore virus with 80 % nucleotide sequence identity. Based on the demarcation criteria for identifying a begomovirus species, Fb1 is considered as a distinct begomovirus species, named French bean leaf curl virus and designated as FbLCV-[IN:Knp:12]. The complete sequence of associated satellite DNA-β comprises 1,379 nucleotides with single ORF and has 80 % identity with Papaya leaf curl beta satellite. There was no evidence of recombination in DNA-A of FbLCV and associated beta satellite DNA molecule. PMID:23054434

  3. A systematic review of the association between depression and health care utilization in children and adults with sickle cell disease.

    PubMed

    Jonassaint, Charles R; Jones, Victor L; Leong, Sharlene; Frierson, Georita M

    2016-07-01

    Patients with sickle cell disease (SCD) experience a disproportionately high use of health care resources. Several studies have examined depression and other negative mood states as risk factors for increased health care utilization; however, there have been no systematic reviews examining and summarizing this evidence in SCD. The aim of this systematic review, therefore, was to determine whether depression or depressive symptoms are associated with health care utilization among children and adults with SCD. We followed a quantitative systematic review protocol based on the Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines and performed a literature search of records from January 1980 to April 2014 using six databases. Empirical studies were eligible if the sample was primarily composed of patients with SCD and included data on depression, mood disorder diagnosis or depressive symptoms and health care utilization. We included 12 studies involving 54 036 unique participants. The prevalence estimates for depression ranged from 2-57%. Seven studies found a significant, or marginally significant, association between depression and utilization while five did not. Patients reporting depression had an estimated 2·8 times greater relative risk of being a high utilizer, and 2·9 versus 1·8 hospitalizations per year on average compared to patients without depression. Overall, depressive symptoms are common in SCD and may increase risk for poor outcomes including health care utilization. The available studies on depression in SCD, however, are limited by small sample sizes, retrospective designs or short follow-up. This systematic review found a modest association between depression and health care utilization in SCD. PMID:26991317

  4. Satellite Communication.

    ERIC Educational Resources Information Center

    Technology Teacher, 1985

    1985-01-01

    Presents a discussion of communication satellites: explains the principles of satellite communication, describes examples of how governments and industries are currently applying communication satellites, analyzes issues confronting satellite communication, links mathematics and science to the study of satellite communication, and applies…

  5. Creutzfeldt-Jakob disease: updated diagnostic criteria, treatment algorithm, and the utility of brain biopsy.

    PubMed

    Manix, Marc; Kalakoti, Piyush; Henry, Miriam; Thakur, Jai; Menger, Richard; Guthikonda, Bharat; Nanda, Anil

    2015-11-01

    Creutzfeldt-Jakob disease (CJD) is a rare neurodegenerative condition with a rapid disease course and a mortality rate of 100%. Several forms of the disease have been described, and the most common is the sporadic type. The most challenging aspect of this disease is its diagnosis-the gold standard for definitive diagnosis is considered to be histopathological confirmation-but newer tests are providing means for an antemortem diagnosis in ways less invasive than brain biopsy. Imaging studies, electroencephalography, and biomarkers are used in conjunction with the clinical picture to try to make the diagnosis of CJD without brain tissue samples, and all of these are reviewed in this article. The current diagnostic criteria are limited; test sensitivity and specificity varies with the genetics of the disease as well as the clinical stage. Physicians may be unsure of all diagnostic testing available, and may order outdated tests or prematurely request a brain biopsy when the diagnostic workup is incomplete. The authors review CJD, discuss the role of brain biopsy in this patient population, provide a diagnostic pathway for the patient presenting with rapidly progressive dementia, and propose newer diagnostic criteria. PMID:26646926

  6. Utility of quantitative ultrasound for tracking the progression of polycystic kidney disease

    NASA Astrophysics Data System (ADS)

    Hall, Timothy J.; Khant, Htet A.; Insana, Michael F.; Wood, John G.; Zhu, Yanning; Preston, David; Cowley, Benjamin D.

    2000-04-01

    We are combining techniques of quantitative ultrasonic imaging to study polycystic kidney disease (PKD) as the disease progresses to renal failure. Our goal is to use ultrasound noninvasively to detect morphological changes early in the disease process when interventions are most likely to be successful and prior to a significant loss in renal function. We are examining the kidneys of normal rats and those with PKD at various ages with several techniques to obtain comprehensive knowledge of the disease progression. The Han:SPRD rat inherits PKD as an autosomal dominant trait (ADPKD) that closely mimics ADPKD in humans. Changes in renal function are assessed using tracer kinetics (DTPA) and IOH clearance). Ultrasonic techniques, based on measurements of acoustic backscatter coefficients and parameters derived from these measurements, are sensitive to microscopic changes in the tissue morphology. Elasticity imaging is used to study the changes in the tissue macrostructure. All acoustic measurements are made using a state-of-the-art clinical imaging system (Siemens Elegra). Our results show that ultrasonic techniques are very sensitive to early changes in renal microstructure and macrostructure. Ultrasound can be used to detect changes in the renal cortex long before there is a measurable loss of renal function. These techniques are also useful for monitoring the progression of the disease. Most importantly, these techniques are noninvasive and directly applicable to humans.

  7. The Utility of Independent Component Analysis and Machine Learning in the Identification of the Amyotrophic Lateral Sclerosis Diseased Brain

    PubMed Central

    Welsh, Robert C.; Jelsone-Swain, Laura M.; Foerster, Bradley R.

    2013-01-01

    Amyotrophic lateral sclerosis (ALS) is a devastating disease with a lifetime risk of ∼1 in 2000. Presently, diagnosis of ALS relies on clinical assessments for upper motor neuron and lower motor neuron deficits in multiple body segments together with a history of progression of symptoms. In addition, it is common to evaluate lower motor neuron pathology in ALS by electromyography. However, upper motor neuron pathology is solely assessed on clinical grounds, thus hindering diagnosis. In the past decade magnetic resonance methods have been shown to be sensitive to the ALS disease process, namely: resting-state connectivity measured with functional MRI, cortical thickness measured by high-resolution imaging, diffusion tensor imaging (DTI) metrics such as fractional anisotropy and radial diffusivity, and more recently magnetic resonance spectroscopy (MRS) measures of gamma-aminobutyric acid concentration. In this present work we utilize independent component analysis to derive brain networks based on resting-state functional magnetic resonance imaging and use those derived networks to build a disease state classifier using machine learning (support-vector machine). We show that it is possible to achieve over 71% accuracy for disease state classification. These results are promising for the development of a clinically relevant disease state classifier. Future inclusion of other MR modalities such as high-resolution structural imaging, DTI and MRS should improve this overall accuracy. PMID:23772210

  8. Utilization of artificial neural networks in the diagnosis of optic nerve diseases.

    PubMed

    Kara, Sadik; Güven, Ayşegül; Oner, Ayşe Oztürk

    2006-04-01

    This research is concentrated on the diagnosis of optic nerve disease through the analysis of pattern electroretinography (PERG) signals with the help of artificial neural network (ANN). Multilayer feed forward ANN trained with a Levenberg Marquart (LM) backpropagation algorithm was implemented. The designed classification structure has about 96.4% sensitivity, 90.4% specifity and positive prediction is calculated to be 94.2%. The end results are classified as healthy and diseased. Testing results were found to be compliant with the expected results that are derived from the physician's direct diagnosis. The end benefit would be to assist the physician to make the final decision without hesitation. PMID:16488775

  9. Reduced carbon utilization, competitive colonization of the spermosphere, and disease suppression by Enterobacter cloacae

    Technology Transfer Automated Retrieval System (TEKTRAN)

    De Wit Replacement series and disease suppression experiments with a collection of nutritional mutants of E. cloacae 501R3 are being used to determine the role of reduced carbon compounds found in seed exudate during beneficial activities by this bacterium. Mutants A-11, M2, and M43 contain single ...

  10. Alberta's systems approach to chronic disease management and prevention utilizing the expanded chronic care model.

    PubMed

    Delon, Sandra; Mackinnon, Blair

    2009-01-01

    Alberta's integrated approach to chronic disease management programming embraces client-centred care, supports self-management and facilitates care across the continuum. This paper presents strategies implemented through collaboration with primary care to improve care of individuals with chronic conditions, evaluation evidence supporting success and lessons learned from the Alberta perspective. PMID:20057258

  11. Foot-and-mouth disease virus utilizes an autophagic pathway during viral replication

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Foot-and-mouth disease virus (FMDV) is the type species of the Aphthovirus genus, of the family Picornaviridae. Infection of cells with positive-strand RNA viruses results in a rearrangement of intracellular membranes into viral replication complexes. However, the origin of these membranes remains u...

  12. The experimental autoimmune encephalomyelitis (EAE) model of MS: utility for understanding disease pathophysiology and treatment

    PubMed Central

    ROBINSON, ANDREW P.; HARP, CHRISTOPHER T.; NORONHA, AVERTANO; MILLER, STEPHEN D.

    2014-01-01

    While no single model can exactly recapitulate all aspects of multiple sclerosis (MS), animal models are essential in understanding the induction and pathogenesis of the disease and to develop therapeutic strategies that limit disease progression and eventually lead to effective treatments for the human disease. Several different models of MS exist, but by far the best understood and most commonly used is the rodent model of experimental autoimmune encephalomyelitis (EAE). This model is typically induced by either active immunization with myelin-derived proteins or peptides in adjuvant or by passive transfer of activated myelin-specific CD4+ T lymphocytes. Mouse models are most frequently used because of the inbred genotype of laboratory mice, their rapid breeding capacity, the ease of genetic manipulation, and availability of transgenic and knockout mice to facilitate mechanistic studies. Although not all therapeutic strategies for MS have been developed in EAE, all of the current US Food and Drug Administration (FDA)-approved immunomodulatory drugs are effective to some degree in treating EAE, a strong indicator that EAE is an extremely useful model to study potential treatments for MS. Several therapies, such as glatiramer acetate (GA: Copaxone), and natalizumab (Tysabri), were tested first in the mouse model of EAE and then went on to clinical trials. Here we discuss the usefulness of the EAE model in understanding basic disease pathophysiology and developing treatments for MS as well as the potential drawbacks of this model. PMID:24507518

  13. Development and Utilization of InDel Markers to Identify Peanut (Arachis hypogaea L.) Disease Resistance

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Peanut diseases, such as leaf spot and spotted wilt caused by Tomato Spotted Wilt Virus, can significantly reduce yield and quality. Application of marker assisted plant breeding requires the development and validation of different types of DNA molecular markers. Nearly 10,000 SSR-based molecular ...

  14. The utility of satellite precipitation products for hydrologic prediction in topographically complex regions: The Chehalis River Basin, WA as a case study

    NASA Astrophysics Data System (ADS)

    Cao, Q.; Mehran, A.; Lettenmaier, D. P.; Mass, C.; Johnson, N.

    2015-12-01

    Accurate measurements of precipitation are of great importance in hydrologic predictions especially for floods, which are a pervasive natural hazard. One of the primary objectives of Global Precipitation Measurement (GPM) mission is to provide a basis for hydrologic predictions using satellite sensors. A major advance in GPM relative to the Tropical Rainfall Measuring Mission (TRMM) is that it observes atmospheric river (AR) events, most of which have landfall too far north to be tracked by TRMM. These events are responsible for most major floods along the U.S. West Coast. We address the question of whether, for hydrologic modeling purposes, it is better to use precipitation products derived directly from GPM and/or other precipitation fields from weather models that have assimilated satellite data. Our overall strategy is to compare different methods for prediction of flood and/or high flow events by different forcings on the hydrologic model. We examine four different configurations of the Distroibute Hydrology Soil Vegetation Model (DHSVM) over the Chehalis River Basin that use a) precipitation forcings based on gridded station data; b) precipitation forcings based on NWS WSR-88D data, c) forcings based from short-term precipitation forecasts using the Weather Research and Forecasting (WRF) mesoscale atmospheric model, and d) satellite-based precipitation estimates (TMPA and IMERG). We find that in general, biases in the radar and satellite products result in much larger errors than with either gridded station data or WRF forcings, but if these biases are removed, comparable performance in flood predictions can be achieved by Satellite-based precipitation estimates (TMPA and IMERG).

  15. Taking it Personally: Personalized Utilization of the Human Microbiome in Health and Disease.

    PubMed

    Zmora, Niv; Zeevi, David; Korem, Tal; Segal, Eran; Elinav, Eran

    2016-01-13

    The genomic revolution enabled the clinical inclusion of an immense body of person-specific information to an extent that is revolutionizing medicine and science. The gut microbiome, our "second genome," dynamically integrates signals from the host and its environment, impacting health and risk of disease. Herein, we summarize how individualized characterization of the microbiome composition and function may assist in personalized diagnostic assessment, risk stratification, disease prevention, treatment decision-making, and patients' follow up. We further discuss the limitations, pitfalls, and challenges that the microbiome field faces in integrating patient-specific microbial data into the clinical realm. Finally, we highlight how recent insights into personalized modulation of the microbiome, by nutritional and pre-, pro-, and post-biotic intervention, may lead to development of individualized approaches that may enable us to harness the microbiome as a central precision medicine target. PMID:26764593

  16. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate

    PubMed Central

    Khaleghi, Shahryar; Ju, Josephine M.; Lamba, Abhinav; Murray, Joseph A.

    2016-01-01

    Celiac disease (CD) is a common chronic immune disease triggered by gluten. Gliadin peptides pass through the epithelial layers, either paracellularly or transcellularly, to launch a potent adaptive immune response in the lamina propria. This aberrant immune response leads to diverse gastrointestinal and extra-gastrointestinal symptoms. Currently, the only treatment for CD is a strict lifelong adherence to a gluten-free diet (GFD), which can be challenging. An early effect of gluten in CD is an increase in gut permeability. Larazotide acetate, also known as AT-1001, is a synthetic peptide developed as a permeability regulator primarily targeting CD. In vitro studies indicate that larazotide acetate is capable of inhibiting the actin rearrangement caused by gliadin and clinical studies have been conducted using this peptide as a therapy for CD. PMID:26770266

  17. Three-dimensional imaging for hepatobiliary and pancreatic diseases: Emphasis on clinical utility

    PubMed Central

    Kim, Soo Jin; Choi, Byung Ihn; Kim, Se Hyung; Lee, Jae Young

    2009-01-01

    Three-dimensional (3D) imaging allows disease processes and anatomy to be better understood, both by radiologists as well as physicians and surgeons. 3D imaging can be performed with USG, CT scan and MRI, using different modes or rendering that include surface-shaded display, volume-based rendering, multiplanar imaging, etc. All these techniques are used variably depending on the indications. PMID:19774130

  18. What is The Utility of Electrophysiological Study in Elderly Patients with Syncope and Heart Disease?

    PubMed Central

    Aslam, Rumas; Girerd, Nicolas; Brembilla-Perrot, Beatrice

    2016-01-01

    Background Syncope in elderly patients with heart disease is a growing problem. Its aetiological diagnosis is often difficult. We intended to investigate the value of the electrophysiological study (EPS) in old patients with syncope and heart disease. Methods EPS was performed in 182 consecutive patients with syncope and heart disease, among whom 62 patients were ≥75 years old and 120 patients <75. Results Left ventricular ejection fraction was 43.9±11.7% in patients ≥75 and 41.1±12.6% in patients <75. During EPS, induced sustained ventricular arrhythmias were as frequent in both groups (27.4% in patients ≥75 versus 27.5% in patients <75, p=0.99) whereas AV conduction abnormalities were more frequent in older patients (37.1% in patients ≥75 versus 18.3% in patients<75, p<0.005). Syncope remained unexplained in 35.5% of patients ≥75 and in 51.7% of patients <75 (p<0.04). ICD was more likely to be implanted in younger patients than in patients ≥75 years (37.5% vs 21% respectively, p<0.009). During a mean follow-up period of 3.3±3 years, the 4-year-survival rate was 66.9±6.8 % in patients ≥75 and 75.9±6.2 % in patients <75 years. The main cause of death was heart failure in both groups. The factors related to a worse outcome in a multivariate analysis were low LVEF and higher age. Conclusion Complete EPS allows the identification of treatable causes in a high proportion of elderly patients with syncope and heart disease. Yet, the prognosis of these patients is mainly related to LVEF and age. PMID:25852241

  19. The utility of the PFA-100 in the identification of von Willebrand disease: a concise review.

    PubMed

    Favaloro, Emmanuel J

    2006-07-01

    The PFA-100 (platelet function analyser; Dade-Behring, Marburg, Germany) is a relatively new tool for the investigation of primary hemostasis. Recent studies have shown its utility as a screening tool for investigating various platelet disorders and possible von Willebrand disorder (vWD), both in the initial investigation and in subsequent therapeutic monitoring of desmopressin therapy. This article reviews current findings with respect to the identification of vWD, and highlights both the benefits and the limitations of its clinical utility. In brief, sensitivity to vWD types 2A, 2B, 2M, and 3 is > 98%, but overall sensitivity to vWD (types 1, 2A, 2B, 2M, and 3 combined) is ~85 to 90%. Ultimately, the high sensitivity of the PFA-100 to vWD and its simplicity of use provide its greatest strengths. However, because it is a global test system, and also sensitive to low hematocrit, low platelet counts, and platelet dysfunction (both congenital and acquired; e.g., secondary to medication such as aspirin) it must be recognized that the PFA-100 is neither specific for, nor predictive of, any particular disorder (inclusive of vWD). Nevertheless, used appropriately, the PFA-100 can be considered a worthwhile addition to the hemostasis laboratory involved in the diagnosis or therapeutic monitoring of vWD, and a normal PFA-100 result can be used with some confidence to exclude severe vWD. PMID:16862528

  20. Disease constraints for utilization of the African buffalo (Syncerus caffer) on game ranches in Zambia.

    PubMed

    Munang'andu, Hetron M; Munag'andu, Hetron M; Siamudaala, Victor M; Nambota, Andrew; Bwalya, John M; Munyeme, Musso; Mweene, Aaron S; Takada, Ayato; Kida, Hiroshi

    2006-05-01

    Eco-tourism depending on wildlife is becoming increasingly profitable and landowners are beginning to favor game farming and ecotourism. In these areas, large-scale translocation of wildlife involves a diversity of species and large populations. The African buffalo (Syncerus caffer) is one of the major tourist attractions in Zambia. It accounts for 8.7% and 12.4% of the total animal species hunted in the Game Management Areas and the total hunting revenue earned in Zambia, respectively. It is ecologically an important animal species essential for the purpose of habitat control and facilitating the provision of suitable grazing pastures. However, the rearing of the African buffalo on game ranches has been hampered by its carrier state of the Southern Africa Terroritory (SAT) serotypes of foot and mouth disease virus (FMD). The African buffalo is also known to be a carrier of Theileria parva lawrencei, the causative agent of corridor disease (CD) that continues to have devastating effects on the livestock industry in Zambia. In addition, the importation of buffaloes from countries with populations endemic to bovine tuberculosis is highly restricted. Veterinary regulations in Zambia, strongly advocate against the translocation of buffaloes from protected areas to private ranches for disease control purposes thereby mounting a considerable constraint on the economic and ecological viability of the industry. It is hoped that this review will motivate the relevant government authorities in exploiting ways in which this animal species play a central role in eco-tourism. PMID:16786973

  1. Clinical utility of cerebrospinal fluid biomarkers in the diagnosis of early Alzheimer's disease.

    PubMed

    Blennow, Kaj; Dubois, Bruno; Fagan, Anne M; Lewczuk, Piotr; de Leon, Mony J; Hampel, Harald

    2015-01-01

    Several potential disease-modifying drugs for Alzheimer's disease (AD) have failed to show any effect on disease progression in clinical trials, conceivably because the AD subjects are already too advanced to derive clinical benefit from treatment and because diagnosis based on clinical criteria alone introduces a high misdiagnosis rate. Thus, well-validated biomarkers for early detection and accurate diagnosis are crucial. Low cerebrospinal fluid (CSF) concentrations of the amyloid-β (Aβ1-42) peptide, in combination with high total tau and phosphorylated tau, are sensitive and specific biomarkers highly predictive of progression to AD dementia in patients with mild cognitive impairment. However, interlaboratory variations in the results seen with currently available immunoassays are of concern. Recent worldwide standardization efforts and quality control programs include standard operating procedures for both preanalytical (e.g., lumbar puncture and sample handling) and analytical (e.g., preparation of calibration curve) procedures. Efforts are also ongoing to develop highly reproducible assays on fully automated instruments. These global standardization and harmonization measures will provide the basis for the generalized international application of CSF biomarkers for both clinical trials and routine clinical diagnosis of AD. PMID:24795085

  2. Wilson Disease Protein ATP7B Utilizes Lysosomal Exocytosis to Maintain Copper Homeostasis

    PubMed Central

    Polishchuk, Elena V.; Concilli, Mafalda; Iacobacci, Simona; Chesi, Giancarlo; Pastore, Nunzia; Piccolo, Pasquale; Paladino, Simona; Baldantoni, Daniela; van IJzendoorn, Sven C.D.; Chan, Jefferson; Chang, Christopher J.; Amoresano, Angela; Pane, Francesca; Pucci, Piero; Tarallo, Antonietta; Parenti, Giancarlo; Brunetti-Pierri, Nicola; Settembre, Carmine; Ballabio, Andrea; Polishchuk, Roman S.

    2014-01-01

    Summary Copper is an essential yet toxic metal and its overload causes Wilson disease, a disorder due to mutations in copper transporter ATP7B. To remove excess copper into the bile, ATP7B traffics toward canalicular area of hepatocytes. However, the trafficking mechanisms of ATP7B remain elusive. Here, we show that, in response to elevated copper, ATP7B moves from the Golgi to lysosomes and imports metal into their lumen. ATP7B enables lysosomes to undergo exocytosis through the interaction with p62 subunit of dynactin that allows lysosome translocation toward the canalicular pole of hepatocytes. Activation of lysosomal exocytosis stimulates copper clearance from the hepatocytes and rescues the most frequent Wilson-disease-causing ATP7B mutant to the appropriate functional site. Our findings indicate that lysosomes serve as an important intermediate in ATP7B trafficking, whereas lysosomal exocytosis operates as an integral process in copper excretion and hence can be targeted for therapeutic approaches to combat Wilson disease. PMID:24909901

  3. Clinical utility of cerebrospinal fluid biomarkers in the diagnosis of early Alzheimer’s disease

    PubMed Central

    Blennow, Kaj; Dubois, Bruno; Fagan, Anne M.; Lewczuk, Piotr; de Leon, Mony J.; Hampel, Harald

    2015-01-01

    Several potential disease-modifying drugs for Alzheimer’s disease (AD) have failed to show any effect on disease progression in clinical trials, conceivably because the AD subjects are already too advanced to derive clinical benefit from treatment and because diagnosis based on clinical criteria alone introduces a high misdiagnosis rate. Thus, well-validated biomarkers for early detection and accurate diagnosis are crucial. Low cerebrospinal fluid (CSF) concentrations of the amyloid-β (Aβ1-42) peptide, in combination with high total tau and phosphorylated tau, are sensitive and specific biomarkers highly predictive of progression to AD dementia in patients with mild cognitive impairment. However, interlaboratory variations in the results seen with currently available immunoassays are of concern. Recent worldwide standardization efforts and quality control programs include standard operating procedures for both preanalytical (e.g., lumbar puncture and sample handling) and analytical (e.g., preparation of calibration curve) procedures. Efforts are also ongoing to develop highly reproducible assays on fully automated instruments. These global standardization and harmonization measures will provide the basis for the generalized international application of CSF bio-markers for both clinical trials and routine clinical diagnosis of AD. PMID:24795085

  4. Wilson disease protein ATP7B utilizes lysosomal exocytosis to maintain copper homeostasis.

    PubMed

    Polishchuk, Elena V; Concilli, Mafalda; Iacobacci, Simona; Chesi, Giancarlo; Pastore, Nunzia; Piccolo, Pasquale; Paladino, Simona; Baldantoni, Daniela; van IJzendoorn, Sven C D; Chan, Jefferson; Chang, Christopher J; Amoresano, Angela; Pane, Francesca; Pucci, Piero; Tarallo, Antonietta; Parenti, Giancarlo; Brunetti-Pierri, Nicola; Settembre, Carmine; Ballabio, Andrea; Polishchuk, Roman S

    2014-06-23

    Copper is an essential yet toxic metal and its overload causes Wilson disease, a disorder due to mutations in copper transporter ATP7B. To remove excess copper into the bile, ATP7B traffics toward canalicular area of hepatocytes. However, the trafficking mechanisms of ATP7B remain elusive. Here, we show that, in response to elevated copper, ATP7B moves from the Golgi to lysosomes and imports metal into their lumen. ATP7B enables lysosomes to undergo exocytosis through the interaction with p62 subunit of dynactin that allows lysosome translocation toward the canalicular pole of hepatocytes. Activation of lysosomal exocytosis stimulates copper clearance from the hepatocytes and rescues the most frequent Wilson-disease-causing ATP7B mutant to the appropriate functional site. Our findings indicate that lysosomes serve as an important intermediate in ATP7B trafficking, whereas lysosomal exocytosis operates as an integral process in copper excretion and hence can be targeted for therapeutic approaches to combat Wilson disease. PMID:24909901

  5. Utility of Circulating MicroRNAs as Clinical Biomarkers for Cardiovascular Diseases

    PubMed Central

    Kondkar, Altaf A.; Abu-Amero, Khaled K.

    2015-01-01

    MicroRNAs (miRNAs) are small noncoding RNA molecules that regulate gene and protein expression by translational repression and/or mRNA degradation. miRNAs are implicated in the pathogenesis of various cardiovascular diseases and have become potential targets for therapeutic intervention. Their stability and presence in variety of readily accessible cell types including whole blood, serum, plasma, and other body fluids render them as potential source of a clinical biomarker. This review provides a brief overview of miRNA biogenesis and function, the diagnostic potential of circulating extracellular miRNA and their specific role in vivo in various cardiovascular settings, and their future perspective as clinical biomarkers. It is clearly evident from experimental studies that miRNAs are responsible for the regulation of several biological functions and alterations in cardiovascular diseases. Current data supports the concept of using circulating miRNAs as a biomarker in cardiovascular disease. It remains to be seen, however, whether circulating miRNAs can fulfil this role to improve risk and severity prediction. PMID:25710029

  6. Immunofluorescence Patterns in Selected Dermatoses, Including Blistering Skin Diseases Utilizing Multiple Fluorochromes

    PubMed Central

    Abreu-Velez, Ana Maria; Calle-Isaza, Juliana; Howard, Michael S.

    2015-01-01

    Background: Autoimmune vesiculobullous disorders represent a heterogeneous group of dermatoses whose diagnosis is made based on clinical history, histologic features, and immunopathologic features. The most commonly used techniques for the diagnosis of these diseases are direct and indirect immunofluorescence (DIF and IIF), including salt-split processing. NaCl split skin is used to determine the level of blister formation, and the localization of autoantibodies relative to the split. Classically, immunofluorescence has been performed with one fluorochrome in the diagnosis of autoimmune bullous skin diseases. Aims: To compare DIF and IIF of the skin, using a single fluorochrome versus multiple fluorochromes. Materials and Methods: We studied 20 autoimmune skin disease cases using fluorescein isothiocyanate (FITC) alone, in comparison to multiple fluorochromes (with or without DNA counterstaining). Results: The use of multiple fluorochromes helped to simultaneously visualize reactivity in multiple skin areas, in contrast to using FITC alone. Conclusions: Using multiple fluorochromes allows simultaneous labeling of two or more antigens within the same cell/or tissue section, assists in colocalization of unknown antigens with known molecules, and helps in ruling out “background” staining. PMID:26605203

  7. Satellite communications

    NASA Astrophysics Data System (ADS)

    Saha, M. K.

    1982-11-01

    The paper describes the basic principles and the historial development of satellite communications. Various satellite systems for global communications are discused and compared. Some typical operational communication satellite systems summary including geostationary systems are presented. Considerations leading to the system design including the link design for various multiple access techniques and the future trends in satellite communications systems are also discussed.

  8. Satellite communications

    NASA Astrophysics Data System (ADS)

    Rubin, Philip A.

    A review of the economic and technological status of the satellite communications industry is presented. The history of satellite communications is outlined, focusing on the launching of Syncom III in 1963. The basic operation of communication satellites is explained. The differences between C and Ku frequency bands are examined. Economic issues related to satellite communications are discussed in detail.

  9. Measuring midkine: the utility of midkine as a biomarker in cancer and other diseases

    PubMed Central

    Jones, D R

    2014-01-01

    Midkine (MK) is a pleiotropic growth factor prominently expressed during embryogenesis but down-regulated to neglible levels in healthy adults. Many published studies have demonstrated striking MK overexpression compared with healthy controls in various pathologies, including ischaemia, inflammation, autoimmunity and, most notably, in many cancers. MK expression is detectable in biopsies of diseased, but not healthy, tissues. Significantly, because it is a soluble cytokine, elevated MK is readily apparent in the blood and other body fluids such as urine and CSF, making MK a relatively convenient, accessible, non-invasive and inexpensive biomarker for population screening and early disease detection. The first diagnostic tests that quantify MK are just now receiving regulatory clearance and entering the clinic. This review examines the current state of knowledge pertaining to MK as a biomarker and highlights promising indications and clinical settings where measuring MK could make a difference to patient treatment. I also raise outstanding questions about reported variants of MK as well as MK's bio-distribution in vivo. Answering these questions in future studies will enhance our understanding of the significance of measured MK levels in both patients and healthy subjects, and may reveal further opportunities for measuring MK to diagnose disease. MK has already proven to be a biomarker that can significantly improve detection, management and treatment of cancer, and there is significant promise for developing further MK-based diagnostics in the future. Linked Article This article is part of a recent themed section on Midkine, published in volume 171 issue 4. To view the other articles in this section visit http://dx.doi.org/10.1111/bph.2014.171.issue-4 PMID:24460734

  10. Clinical utility of a new endoscopic scoring system for Crohn’s disease

    PubMed Central

    Morise, Kazuhiro; Ando, Takafumi; Watanabe, Osamu; Nakamura, Masanao; Miyahara, Ryoji; Maeda, Osamu; Ishiguro, Kazuhiro; Hirooka, Yoshiki; Goto, Hidemi

    2015-01-01

    AIM: To evaluate the clinical value of the newly modified Simple Endoscopic Score for Crohn’s disease (mSES-CD). METHODS: Seventy-six Crohn’s disease (CD) patients who underwent transanal double balloon endoscopy (DBE) in our hospital between 2003 and 2012 were retrospectively reviewed. DBE is defined as small intestinal endoscopy using two attached balloons. We included patients with stenosis which hampered passage of the scope and those who underwent DBE with observation for at least 80 cm from the ileocecal valve. Our new mSES-CD assesses the endoscopic activity of two consecutive small intestinal segments located 0-40 cm and 40-80 cm from the ileocecal valve by DBE, in addition to the activity of four colorectal segments. To compare the usefulness of mSES-CD with SES-CD, we similarly divided the patients into two groups according to total mSES-CD score (low disease activity group, < 4; high disease activity group, ≥ 4). The clinical value of mSES-CD in predicting clinical outcome in patients with CD was evaluated using the occurrence of surgery after DBE as an endpoint. RESULTS: Median age of the 76 CD patients was 36 years (range, 16-71). Thirty-nine patients had stenosis which hampered passage of the DBE to 80 cm on the proximal side from the ileocecal valve. Median evaluable length of small intestine by DBE was 80 cm (range, 3-200). A total of 74 patients had one or more small intestinal lesions detected by DBE, of which 62 (83.8%) were within 80 cm of the ileocecal valve on the proximal side. Only two patients (2.7%) with proximal-side lesions more than 80 cm from the ileocecal valve did not have lesions within 80 cm. Patients with high mSES-CD scores showed significantly shorter surgery-free survival than those with low scores (P < 0.05). In contrast, surgery-free survival did not significantly differ between the low and high SES-CD groups (P > 0.05). Multivariate analysis by a Cox proportional hazards model identified mSES-CD as an independent

  11. Does response inhibition have pre- and postdiagnostic utility in Parkinson's disease?

    PubMed

    MacDonald, Hayley J; Byblow, Winston D

    2015-01-01

    Parkinson's disease (Pd) is the second most prevalent degenerative neurological condition worldwide. Improving and sustaining quality of life is an important goal for Parkinson's patients. Key areas of focus to achieve this goal include earlier diagnosis and individualized treatment. In this review the authors discuss impulse control in Pd and examine how measures of impulse control from a response inhibition task may provide clinically useful information (a) within an objective test battery to aid earlier diagnosis of Pd and (b) in postdiagnostic Pd, to better identify individuals at risk of developing impulse control disorders with dopaminergic medication. PMID:25575221

  12. Utilization of Feeding Tubes in the Management of Feline Chronic Kidney Disease.

    PubMed

    Ross, Sheri

    2016-11-01

    Esophagostomy feeding tubes are useful, and in many cases essential, for the comprehensive management of cats with moderate to advanced chronic kidney disease (CKD). They should be considered a lifelong therapeutic appliance to facilitate the global management of cats with CKD thus providing improved therapeutic efficacy and quality-of-life. Esophagostomy tubes facilitate the maintenance of adequate hydration and increase owner compliance by facilitating the administration of medications. Finally, feeding tubes provide a means to deliver a stage-appropriate dietary prescription for cats with CKD and maintain an adequate nutritional plane in a patient that otherwise would be subject to chronic wasting. PMID:27499006

  13. Use of Satellite data by the USDA to Forecast Global Vector-borne Human and Animal Diseases

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In recent years satellite remote sensing has been used increasingly for public health applications. In this symposium, experts from four government departments and agencies with major roles in leading and promoting such applications will discuss the state of the art of using remote sensing for epide...

  14. Anterior-posterior and lateral hemispheric alterations in cortical glucose utilization in Alzheimer's disease

    SciTech Connect

    Friedland, T.F.; Budinger, T.F.; Jaqust, W.J.; Yano, Y.; Huesman, R.H.; Knittel, B.; Koss, E.; Ober, B.A.

    1984-01-01

    The anatomical and chemical features of Alzheimer's disease (AD) are not distributed evenly throughout the brain. However, the nature of this focality has not been well established in vivo. Dynamic studies using the Donner 280-Crystal Positron Tomograph with (F-18)2-fluorodeoxyglucose were performed in 17 subjects meeting current research criteria for AD, and in 7 healthy age-matched control subjects. Glucose metabolic rates in the temporal-parietal cortex are 27% lower in AD than in controls. Ratios of activity density reveal consistently lower metabolic rates in temporal-parietal than frontal cortex in the AD group, while healthy aged subjects have equal metabolic rates in the two areas. Similar findings have been reported by other laboratories. A major finding is a striking lateral asymmetry of cortical metabolism in AD which does not favor either hemisphere. (The asymmetry is 13% in the AD group, 3% in controls, p<.005.) This has not been previously reported in AD. The consistency with which anterior-posterior metabolic differences are found in AD suggests that the focality of the metabolic changes may be used to develop a noninvasive diagnostic test for the disorder. The metabolic asymmetry in AD may be compared to the clinical and pathological asymmetry found in Creutzfeldt-Jakob disease, and may represent an additional link between AD and the subacute spongiform encephalopathies.

  15. Vaccine-preventable disease and the under-utilization of immunizations in complex humanitarian emergencies.

    PubMed

    Close, Ryan M; Pearson, Catherine; Cohn, Jennifer

    2016-09-01

    Complex humanitarian emergencies affect 40-60 million people annually and are a growing public health concern worldwide. Despite efforts to provide medical and public health services to populations affected by complex emergencies, significant morbidity and mortality persist. Measles is a major communicable disease threat, but through vaccination of broader target age groups beyond the traditional immunization schedule, measles-related mortality has been significantly reduced during crises. Yet, a limited number of vaccine-preventable diseases continue to contribute disproportionately to morbidity and mortality in complex emergencies. The literature suggests that Streptococcus pneumoniae, Rotavirus, and Haemophilus influenzae type-b should be key targets for vaccination programs. Because of the significant contribution of these three pathogens to complex humanitarian emergencies in low and middle-income countries regardless of disaster type, geography, or population, their vaccines should be considered essential components of the standard emergency response effort. We discuss the barriers to vaccine distribution and provide evidence for strategies to improve distribution, including expanded target age-range and reduced dose schedules. Our review includes specific recommendations for the expanded use of these three vaccines in complex emergencies in low and middle-income countries as a way to guide future policy discussions. PMID:27527818

  16. Utilization of satellite-derived estimates of meteorological and land surface characteristics in the Land Surface Model for vast agricultural region territory

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Startseva, Zoya; Uspensky, Alexander; Volkova, Elena

    2015-04-01

    The method has been elaborated to evaluate the water and heat regime characteristics of the territory on a regional scale for the vegetation season based on a physical-mathematical model of water and heat exchange between vegetation covered land surface and atmosphere (LSM, Land Surface Model) appropriate for using satellite information on land surface and meteorological conditions. The developed model is intended for calculating soil water content, evapotranspiration (evaporation from bare soil and transpiration by vegetation), vertical water and heat fluxes as well as land surface and vegetation cover temperatures and vertical distributions of temperature and moisture in the active soil layer. Parameters of the model are soil and vegetation characteristics and input variables are meteorological characteristics. Their values have been obtained from ground-based observations at agricultural meteorological stations and satellite-based measurements by scanning radiometers AVHRR/NOAA, MODIS/EOS Terra and Aqua and SEVIRI (geostationary satellites Meteosat-9, -10). The AVHRR data have been used to build the estimates of three types of land surface temperature (LST): land skin temperature Tsg, air temperature at a level of vegetation cover Ta and efficient radiation temperature Tseff, emissivity E, normalized vegetation index NDVI, vegetation cover fraction B, leaf area index LAI, and precipitation. The set of estimates derived from MODIS data has comprised values of LST Tls, E, NDVI and LAI. The SEVIRI-based retrievals have included Tls, Ta, Е at daylight and nighttime, LAI (daily) and precipitation. The case study has been carried out for agricultural Central Black Earth region of the European Russia of 227,300 sq.km containing 7 regions of the Russian Federation for years 2009-2013 vegetation seasons. Estimates of described characteristics have been built with the help of the developed original and improved pre-existing methods and technologies of thematic processing

  17. Consensus on the utility of bone markers in the malignant bone disease setting.

    PubMed

    Coleman, Robert; Costa, Luis; Saad, Fred; Cook, Richard; Hadji, Peyman; Terpos, Evangelos; Garnero, Patrick; Brown, Janet; Body, Jean-Jacques; Smith, Matthew; Lee, Ker-Ai; Major, Pierre; Dimopoulos, Meletios; Lipton, Allan

    2011-12-01

    Biochemical markers of bone turnover provide insight into ongoing rates of skeletal metabolism and tumor-bone interactions in patients with malignant bone disease. This article reviews the available recent evidence assessing the potential of bone markers for detecting and monitoring malignant bone lesions in patients with advanced cancers, and for assessing overall skeletal health and response to antiresorptive therapies in patients at all stages of cancer progression. Most data thus far are for urinary N-terminal cross-linked telopeptide of type I collagen (NTX) in predicting risks of skeletal morbidity and death and monitoring response to zoledronic acid in patients with bone metastases. Ongoing studies are evaluating such correlations for other markers and therapies. Emerging evidence suggests that bone markers may help identify patients at high risk for bone metastasis or bone lesion progression, thereby allowing improved follow-up. Results from ongoing clinical trials evaluating such potential applications of bone markers are awaited. PMID:21411334

  18. Utility of Consumer Physical Activity Trackers as an Intervention Tool in Cardiovascular Disease Prevention and Treatment.

    PubMed

    Hickey, Amanda M; Freedson, Patty S

    2016-01-01

    Consumer activity trackers have grown in popularity over the last few years. These devices are typically worn on the hip or wrist and provide the user with information about physical activity measures such as steps taken, energy expenditure, and time spent in moderate to vigorous physical activity. The consumer may also use the computer interface (e.g. device websites, smartphone applications) to monitor and track achievement of PA goals and compete with other users. This review will describe some of the most popular consumer devices and discuss the user feedback tools. We will also present the limited evidence available about the accuracy of these devices and highlight how they have been used in cardiovascular disease management. We conclude with some recommendations for future research, focusing on how consumer devices might be used to assess effectiveness of various cardiovascular treatments. PMID:26943981

  19. The utility of cardiovascular drugs in the treatment of cerebrovascular disease.

    PubMed

    Bösel, Julian; Amiri, Hemasse

    2010-09-01

    Cardiovascular and cerebrovascular diseases share many pathophysiological traits, often impact one another and share several risk factors, though not always to the same magnitude. Therefore, it is not surprising that many classes of cardiovascular drugs have demonstrated effectiveness in the primary prevention, acute treatment and secondary prevention of stroke. Important advances have been made since 2007 in the use of antiplatelets, anticoagulants, antihypertensives, antiarrhythmics and statins for the treatment of stroke. This review summarizes selected clinical trials of cardiovascular drugs completed from 2007 to 2010 that generated important evidence supporting the efficacy of these drugs in stroke treatment. Ongoing trials and preclinical research of promising agents and treatment strategies are also discussed. PMID:20730696

  20. Neurological diseases and health care utilization among first-generation immigrants.

    PubMed

    Rinaldi, Fabrizio; Nembrini, Stefano; Concoreggi, Carlo; Magoni, Mauro; Padovani, Alessandro

    2016-04-01

    Migrants may constitute a risk group and should have specific targets for health policy. To identify their health needs, it is important to investigate their epidemiological profile and their access to health services. The aim of this study was to identify the pattern of hospital and neurological services use among immigrants living in Brescia (Italy). The analysis took into account the records of 45,645 immigrants admitted to the ER (Emergency Room) as well as the discharge data of 6419 patients hospitalized in the Department of Neurology of the Azienda Ospedaliera Spedali Civili di Brescia, over a 3.5 years period. To take confounding factors into account, immigrant patients admitted to the department of Neurology were compared to a selection of Italian patients matched by age and sex. The main objectives were to explore causes of admission of the immigrant population-along with socio-demographic characteristics-to the Emergency Room and to the Neurology Units. Immigrants showed a similar pattern of hospital use to the Italian patients, although with a higher frequency of infective diseases and traumatic injuries. They also showed a higher mean Diagnosis-Related Group (DRG) weight than the Italians. Average length of hospitalization was longer in immigrant population. However, the use of neurological services by migrants is less than their demographic share. Poorer economic and social conditions, as well as a worse labor market experienced by immigrants may expose them to risk factors for injuries and infective diseases. Reducing the language and bureaucratic barriers, as well as enhancing cross-cultural skills of physicians, might be crucial in decreasing the length and the cost of hospitalization. PMID:26872665

  1. Evaluation of ventricular geometry and performance in congenital heart disease utilizing magnetic resonance imaging

    NASA Astrophysics Data System (ADS)

    Fogel, Mark A.

    1994-05-01

    We have recently embarked on a systematic evaluation of the regional and global mechanical processes of the systemic, morphologic right ventricle (RV) which is in either a single or dual chambered circulation as well as single left ventricles (LV). An MRI tagging technique which lays down 2 sets of parallel stripes perpendicular to each other on the myocardium as well as standard cine MRI were utilized. Finite strain analysis was applied to the grid lines to derive principle strains and the motion of the intersection points were tracked through systole to determine regional radial shortening and twist. Cine sequences were used to derive the various parameters of ventricular geometry and performance as well as visualizing flow profiles in the aorta. We noted a marked decrease in vol, EF, and CO in the Fontan group of patients when compared to other surgical subgroups. It is hypothesized that atrial stiffening by surgical placement of baffles may contribute to the observed changes in ventricular mechanics. Aortic flow profiles in the reconstructed aorta were noted to be heterogenous across the aortic diameter.

  2. The G-765C promoter polymorphism in cyclooxygenase-2 (PTGS2), aspirin utilization and cardiovascular disease risk: the Atherosclerosis Risk in Communities (ARIC) study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Cyclooxygenase-2 derived prostaglandins modulate cardiovascular disease risk. We sought to determine if the reduced function G-765C promoter polymorphism in PTGS2 was associated with incident coronary heart disease (CHD) or ischemic stroke risk, and if this was modified by aspirin utilization. Usin...

  3. How to Utilize Coronary Computed Tomography Angiography in the Treatment of Coronary Artery Disease

    PubMed Central

    Kim, Hyung-Yoon

    2015-01-01

    Coronary computed tomography angiography (CCTA) has high negative predictive power for detecting coronary artery disease. However CCTA is limited by moderate positive predictive power in the detection of myocardial ischemia. This is not unexpected because the diameter of a stenosis is a poor indicator of myocardial ischemia and discrepancy between the severity of stenosis and noninvasive tests is not uncommon. The value of stenosis for predicting future development of acute coronary syndrome represented by plaque rupture has been questioned. CCTA identifies the characteristics of high-risk plaque including positive remodeling, low density plaque and spotty or micro-calcification. Also, additional evaluation of myocardial ischemia using computational flow dynamics, and luminal attenuation gradient are expected to increase both diagnostic performance for hemodynamically significant stenosis and the predictive power for future cardiovascular risk. Technical advances in CCTA would enable evaluation of both coronary artery stenosis and myocardial ischemia simultaneously with high predictive performance, and would improve vastly the clinical value of CCTA. PMID:26755927

  4. Update on the pathological processes, molecular biology, and clinical utility of N-acetylcysteine in chronic obstructive pulmonary disease

    PubMed Central

    Tse, Hoi Nam; Tseng, Cee Zhung Steven

    2014-01-01

    Chronic obstructive pulmonary disease (COPD) is a common and morbid disease characterized by high oxidative stress. Its pathogenesis is complex, and involves excessive oxidative stress (redox imbalance), protease/antiprotease imbalance, inflammation, apoptosis, and autoimmunity. Among these, oxidative stress has a pivotal role in the pathogenesis of COPD by initiating and mediating various redox-sensitive signal transduction pathways and gene expression. The protective physiological mechanisms of the redox balance in the human body, their role in the pathogenesis of COPD, and the clinical correlation between oxidative stress and COPD are reviewed in this paper. N-acetylcysteine (NAC) is a mucolytic agent with both antioxidant and anti-inflammatory properties. This paper also reviews the use of NAC in patients with COPD, especially the dose-dependent properties of NAC, eg, its effects on lung function and the exacerbation rate in patients with the disease. Earlier data from BRONCUS (the Bronchitis Randomized on NAC Cost-Utility Study) did not suggest that NAC was beneficial in patients with COPD, only indicating that it reduced exacerbation in an “inhaled steroid-naïve” subgroup. With regard to the dose-dependent properties of NAC, two recent randomized controlled Chinese trials suggested that high-dose NAC (1,200 mg daily) can reduce exacerbations in patients with COPD, especially in those with an earlier (moderately severe) stage of disease, and also in those who are at high risk of exacerbations. However, there was no significant effect on symptoms or quality of life in patients receiving NAC. Further studies are warranted to investigate the effect of NAC at higher doses in non-Chinese patients with COPD. PMID:25125976

  5. Towards an integrated understanding of the therapeutic utility of exclusive enteral nutrition in the treatment of Crohn's disease.

    PubMed

    Ó Cuív, Páraic; Begun, Jakob; Keely, Simon; Lewindon, Peter J; Morrison, Mark

    2016-04-20

    Crohn's disease (CD) is a chronic disease characterized by episodic and disabling inflammation of the gastrointestinal tract in genetically susceptible individuals. The incidence and prevalence of CD is rising rapidly across the world emphasising that disease risk is also influenced by environmental and lifestyle factors, as well as the microbial community resident in the gut. Childhood-onset CD is associated with an aggressive disease course that can adversely impact patient growth and development. There is no cure for CD however new onset and recurrent cases of paediatric CD are often responsive to exclusive enteral nutrition (EEN) treatment. EEN treatment involves the exclusive consumption of an elemental or polymeric formula for several weeks and it is well established as a primary intervention strategy. EEN treatments typically achieve remission rates of over 80% and importantly they are associated with a high rate of mucosal healing, far superior to steroids, which is prognostic of improved long-term health outcomes. Furthermore, they are safe, have few side effects, and improve nutritional status and linear growth. Surprisingly, despite the utility of EEN our understanding of the host-microbe-diet interactions that underpin clinical remission and mucosal healing are limited. Here, we review the current state of knowledge and propose that the induction of autophagy, in addition to modulation of the microbiota and coordinated effects on inflammation and epithelial cell biology, may be critical for the therapeutic effects associated with EEN. A better understanding of EEN treatment will provide new opportunities to restore gut homeostasis and prolong periods of remission, as well as provide new insights into the factors that trigger and perhaps prevent CD. PMID:26948398

  6. Identifying decreased diaphragmatic mobility and diaphragm thickening in interstitial lung disease: the utility of ultrasound imaging

    PubMed Central

    Santana, Pauliane Vieira; Prina, Elena; Albuquerque, André Luis Pereira; Carvalho, Carlos Roberto Ribeiro; Caruso, Pedro

    2016-01-01

    Objective: To investigate the applicability of ultrasound imaging of the diaphragm in interstitial lung disease (ILD). Methods: Using ultrasound, we compared ILD patients and healthy volunteers (controls) in terms of diaphragmatic mobility during quiet and deep breathing; diaphragm thickness at functional residual capacity (FRC) and at total lung capacity (TLC); and the thickening fraction (TF, proportional diaphragm thickening from FRC to TLC). We also evaluated correlations between diaphragmatic dysfunction and lung function variables. Results: Between the ILD patients (n = 40) and the controls (n = 16), mean diaphragmatic mobility was comparable during quiet breathing, although it was significantly lower in the patients during deep breathing (4.5 ± 1.7 cm vs. 7.6 ± 1.4 cm; p < 0.01). The patients showed greater diaphragm thickness at FRC (p = 0.05), although, due to lower diaphragm thickness at TLC, they also showed a lower TF (p < 0.01). The FVC as a percentage of the predicted value (FVC%) correlated with diaphragmatic mobility (r = 0.73; p < 0.01), and an FVC% cut-off value of < 60% presented high sensitivity (92%) and specificity (81%) for indentifying decreased diaphragmatic mobility. Conclusions: Using ultrasound, we were able to show that diaphragmatic mobility and the TF were lower in ILD patients than in healthy controls, despite the greater diaphragm thickness at FRC in the former. Diaphragmatic mobility correlated with ILD functional severity, and an FVC% cut-off value of < 60% was found to be highly accurate for indentifying diaphragmatic dysfunction on ultrasound. PMID:27167428

  7. X-Ray Magnetic Resonance Fusion to Internal Markers and Utility in Congenital Heart Disease Catheterization

    PubMed Central

    Dori, Yoav; Sarmiento, Marily; Glatz, Andrew C.; Gillespie, Matthew J.; Jones, Virginia M.; Harris, Matthew A.; Whitehead, Kevin K.; Fogel, Mark A.; Rome, Jonathan J.

    2012-01-01

    Background X-ray magnetic resonance fusion (XMRF) allows for use of 3D data during cardiac catheterization. However, to date, technical requirements have limited the use of this modality in clinical practice. We report on a new internal-marker XMRF method that we have developed and describe how we used XMRF during cardiac catheterization in congenital heart disease. Methods and Results XMRF was performed in a phantom and in 23 patients presenting for cardiac catheterization who also needed cardiac MRI for clinical reasons. The registration process was performed in <5 minutes per patient, with minimal radiation (0.004 to 0.024 mSv) and without contrast. Registration error was calculated in a phantom and in 8 patients using the maximum distance between angiographic and 3D model boundaries. In the phantom, the measured error in the anteroposterior projection had a mean of 1.15 mm (standard deviation, 0.73). The measured error in patients had a median of 2.15 mm (interquartile range, 1.65 to 2.56 mm). Internal markers included bones, airway, image artifact, calcifications, and the heart and vessel borders. The MRI data were used for road mapping in 17 of 23 (74%) cases and camera angle selection in 11 of 23 (48%) cases. Conclusions Internal marker–based registration can be performed quickly, with minimal radiation, without the need for contrast, and with clinically acceptable accuracy using commercially available software. We have also demonstrated several potential uses for XMRF in routine clinical practice. This modality has the potential to reduce radiation exposure and improve catheterization outcomes. PMID:21536785

  8. Molecular diversity of Cotton leaf curl Gezira virus isolates and their satellite DNAs associated with okra leaf curl disease in Burkina Faso

    PubMed Central

    2010-01-01

    Okra leaf curl disease (OLCD) is a major constraint on okra (Abelmoschus esculentus) production and is widespread in Africa. Using a large number of samples representative of the major growing regions in Burkina Faso (BF), we show that the disease is associated with a monopartite begomovirus and satellite DNA complexes. Twenty-three complete genomic sequences of Cotton leaf curl Gezira virus (CLCuGV) isolates associated with OLCD, sharing 95 to 99% nucleotide identity, were cloned and sequenced. Six betasatellite and four alphasatellite (DNA-1) molecules were also characterized. The six isolates of betasatellite associated with CLCuGV isolates correspond to Cotton leaf curl Gezira betasatellite (CLCuGB) (88 to 98% nucleotide identity). One isolate of alphasatellite is a variant of Cotton leaf curl Gezira alphasatellite (CLCuGA) (89% nucleotide identity), whereas the three others isolates appear to correspond to a new species of alphasatellite (CLCuGA most similar sequence present 52 to 60% nucleotide identity), provisionally named Okra leaf curl Burkina Faso alphasatellite (OLCBFA). Recombination analysis of the viruses demonstrated the interspecies recombinant origin of all CLCuGV isolates, with parents being close to Hollyhock leaf crumple virus (AY036009) and Tomato leaf curl Diana virus (AM701765). Combined with the presence of satellites DNA, these results highlight the complexity of begomoviruses associated with OLCD. PMID:20178575

  9. Epoetin zeta in the management of anemia associated with chronic kidney disease, differential pharmacology and clinical utility.

    PubMed

    Davis-Ajami, Mary Lynn; Wu, Jun; Downton, Katherine; Ludeman, Emilie; Noxon, Virginia

    2014-01-01

    Epoetin zeta was granted marketing authorization in October 2007 by the European Medicines Agency as a recombinant human erythropoietin erythropoiesis-stimulating agent to treat symptomatic anemia of renal origin in adult and pediatric patients on hemodialysis and adults on peritoneal dialysis, as well as for symptomatic renal anemia in adult patients with renal insufficiency not yet on dialysis. Currently, epoetin zeta can be administered either subcutaneously or intravenously to correct for hemoglobin concentrations ≤10 g/dL (6.2 mmol/L) or with dose adjustment to maintain hemoglobin levels at desired levels not in excess of 12 g/dL (7.5 mmol/L). This review article focuses on epoetin zeta indications in chronic kidney disease, its use in managing anemia of renal origin, and discusses its pharmacology and clinical utility. PMID:24790409

  10. Mobile satellite service communications tests using a NASA satellite

    NASA Technical Reports Server (NTRS)

    Chambers, Katherine H.; Koschmeder, Louis A.; Hollansworth, James E.; ONeill, Jack; Jones, Robert E.; Gibbons, Richard C.

    1995-01-01

    Emerging applications of commercial mobile satellite communications include satellite delivery of compact disc (CD) quality radio to car drivers who can select their favorite programming as they drive any distance; transmission of current air traffic data to aircraft; and handheld communication of data and images from any remote corner of the world. Experiments with the enabling technologies and tests and demonstrations of these concepts are being conducted before the first satellite is launched by utilizing an existing NASA spacecraft.

  11. Utilization of a free fitness center-based exercise referral program among women with chronic disease risk factors.

    PubMed

    Waterman, Megan R; Wiecha, John M; Manne, Jennifer; Tringale, Stephen M; Costa, Elizabeth; Wiecha, Jean L

    2014-12-01

    Physical activity (PA) reduces the risk for a number of chronic diseases including heart disease, hypertension, hyperlipidemia, and diabetes mellitus type 2. However, most Americans do not meet expert recommendations for exercise, and minorities and low-income persons are the most inactive. Community-based approaches to promoting PA include primary care exercise referral programs. This study examines patient characteristics associated with utilization of a community health center-based exercise referral program. Adult female patients of a community health center with an affiliated fitness center, in Boston, MA, were included in the study if they received a referral to the fitness center from their primary care provider. Demographic and medical information was abstracted from the medical chart, and fitness records were abstracted to measure activation of a fitness center membership (creation of an account denoting at least an initial visit) and utilization over time. Overall, 503 (40%) of the 1,254 referred women in the study sample activated their membership. Black women were almost 60% more likely to activate their membership (adjusted OR 1.6, 95% CI 1.2-2.2), and women with higher co-morbidity counts were almost 45% more likely to activate (adjusted OR 1.4, 95% CI 1.0-2.0). Once activated, a minority of women participated at levels likely to improve cardiometabolic fitness. Of the 503 activations, 96 (19%) had no participation, 359 (71%) had low participation, and only 48 (10%) had high participation. No independent predictors of participation were identified. These findings suggest that program design may benefit from developing activation, initial participation, and retention strategies that address population-specific barriers. PMID:24752958

  12. Utilization of satellite remote sensing data on land surface characteristics in water and heat balance component modeling for vegetation covered territories

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Uspensky, Alexander; Startseva, Zoya; Volkova, Elena; Kukharsky, Alexander; Uspensky, Sergey

    2010-05-01

    The model of vertical water and heat transfer in the "soil-vegetation-atmosphere" system (SVAT) for vegetation covered territory has been developed, allowing assimilating satellite remote sensing data on land surface condition as well as accounting for heterogeneities of vegetation and meteorological characteristics. The model provides the calculation of water and heat balance components (such as evapotranspiration Ev, soil water content W, sensible and latent heat fluxes and others ) as well as vertical soil moisture and temperature distributions, temperatures of soil surface and foliage, land surface brightness temperature for any time interval within vegetation season. To describe the landscape diversity soil constants and leaf area index LAI, vegetation cover fraction B, and other vegetation characteristics are used. All these values are considered to be the model parameters. Territory of Kursk region with square about 15 thousands km2 situated in the Black Earth zone of Central Russia was chosen for investigation. Satellite-derived estimates of land surface characteristics have been constructed under cloud-free condition basing AVHRR/NOAA, MODIS/EOS Terra and EOS Aqua, SEVIRI/Meteosat-8, -9 data. The developed technologies of AVHRR data thematic processing have been refined providing the retrieval of surface skin brightness temperature Tsg, air foliage temperature Ta, efficient surface temperature Ts.eff and emissivity E, as well as derivation of vegetation index NDVI, B, and LAI. The linear regression estimators for Tsg, Ta and LAI have been built using representative training samples for 2003-2009 vegetation seasons. The updated software package has been applied for AVHRR data thematic processing to generate named remote sensing products for various dates of the above vegetation seasons. The error statistics of Ta, Ts.eff and Тsg derivation has been investigated for various samples using comparison with in-situ measurements that has given RMS errors in the

  13. Cost reductions through earth resource satellites in developed countries

    NASA Technical Reports Server (NTRS)

    Schweickart, R. L.; Buffalano, A. C.

    1975-01-01

    Data from detailed studies on the possible economic impact of the use of remote sensing technology in industry and agriculture are presented and analyzed. The utility of satellite surveillance in reduction of crop production forecast error, recognition and monitoring of crop diseases and insect infestations, and range management is evaluated. Application of satellite maps to facilitate land resource decisions, mineral exploration, geological studies, and water resource inventories is considered, as is the usefulness of early storm warning in the reduction of property damage. The cost of remote sensing is compared to that of conventional methods whenever possible.

  14. The utility of the Dementia Severity Rating Scale in differentiating mild cognitive impairment and Alzheimer disease from controls.

    PubMed

    Mitchell, Joel C; Dick, Malcolm B; Wood, Amanda E; Tapp, Andre M; Ziegler, Raphael

    2015-01-01

    The current study investigated the utility of the Dementia Severity Rating Scale (DSRS) total score to identify individuals at the earliest stage of impairment (ie, mild cognitive impairment/MCI). In addition, the authors sought to investigate how well the measure correlates with an expanded battery of cognitive tests and other measures of functional abilities. Of the 320 participants included in this study, 85 were normal controls, 96 had single-domain or multiple-domain amnestic MCI, and 139 had possible or probable Alzheimer disease (AD). Each participant underwent a thorough cognitive, neurological, and physical examination. Results from this study indicated that the DSRS total scores differed significantly between the 3 groups (P<0.001) and accurately identified 81% of the control group, 60% of the MCI group, and 78% of the AD group in a post hoc discriminant analysis. When combined with a brief cognitive measure (ie, Consortium to Establish a Registry for Alzheimer's Disease Word List 5 min recall test), the DSRS accurately identified 98% of the control group, 76% of the MCI group, and 82% of the AD group. Implications for clinical practice and proposed areas of future research are discussed. PMID:25187220

  15. Awareness, utilization, and determinants of using oral diseases prevention methods among Saudi adults – a clinic-based pilot study

    PubMed Central

    Al-Ansari, Asim

    2016-01-01

    Objectives The present study was conducted to assess the level of awareness and utilization of methods to prevent oral diseases among a group of adult Saudis. Methodology An anonymous, self-administered questionnaire was distributed to patients visiting the clinics of the College of Dentistry, University of Dammam in 2015. The questionnaire assessed the background of the respondents, their dental history, awareness and use of a number of methods available to prevent oral diseases, sources of information about these methods and barriers against their use. Regression analysis was used to assess the factors affecting the use of these practices. Results Brushing was reported to be used by about 60% of respondents whereas fluoride and sealant were less prevalent (≤30%). Dentist was the most frequently reported source of information about preventive methods (60%) and about 40% cited cost and time as the main reasons why they did not use these preventive methods. Awareness and age were associated with using a greater number of the various preventive methods (odds regression coefficient ratio= 0.27 and 0.04). Conclusions Use of preventive methods is not prevalent among Saudi adults and it can be improved by more intensive efforts to increase the awareness of these methods, primarily through dentists. PMID:27004060

  16. Prognostic Utility of Calcium Scoring as an Adjunct to Stress Myocardial Perfusion Scintigraphy in End-Stage Renal Disease

    PubMed Central

    Moody, William E.; Lin, Erica L.S.; Stoodley, Matthew; McNulty, David; Thomson, Louise E.; Berman, Daniel S.; Edwards, Nicola C.; Holloway, Benjamin; Ferro, Charles J.; Townend, Jonathan N.; Steeds, Richard P.

    2016-01-01

    Coronary artery calcium score (CACS) is a strong predictor of adverse cardiovascular events in the general population. Recent data confirm the prognostic utility of single-photon emission computed tomographic (SPECT) imaging in end-stage renal disease, but whether performing CACS as part of hybrid imaging improves risk prediction in this population is unclear. Consecutive patients (n = 284) were identified after referral to a university hospital for cardiovascular risk stratification in assessment for renal transplantation. Participants underwent technetium-99m SPECT imaging after exercise or standard adenosine stress in those unable to achieve 85% maximal heart rate; multislice CACS was also performed (Siemens Symbia T16, Siemens, Erlangen, Germany). Subjects with known coronary artery disease (n = 88) and those who underwent early revascularization (n = 2) were excluded. The primary outcome was a composite of death or first myocardial infarction. An abnormal SPECT perfusion result was seen in 22% (43 of 194) of subjects, whereas 45% (87 of 194) had at least moderate CACS (>100 U). The frequency of abnormal perfusion (summed stress score ≥4) increased with increasing CACS severity (p = 0.049). There were a total of 15 events (8 deaths, and 7 myocardial infarctions) after a median duration of 18 months (maximum follow-up 3.4 years). Univariate analysis showed diabetes mellitus (Hazard ratio [HR] 3.30, 95% CI 1.14 to 9.54; p = 0.028), abnormal perfusion on SPECT (HR 5.32, 95% CI 1.84 to 15.35; p = 0.002), and moderate-to-severe CACS (HR 3.55, 95% CI 1.11 to 11.35; p = 0.032) were all associated with the primary outcome. In a multivariate model, abnormal perfusion on SPECT (HR 4.18, 95% CI 1.43 to 12.27; p = 0.009), but not moderate-to-severe CACS (HR 2.50, 95% CI 0.76 to 8.20; p = 0.130), independently predicted all-cause death or myocardial infarction. The prognostic value of CACS was not incremental to clinical and SPECT perfusion data (global chi

  17. Prognostic Utility of Calcium Scoring as an Adjunct to Stress Myocardial Perfusion Scintigraphy in End-Stage Renal Disease.

    PubMed

    Moody, William E; Lin, Erica L S; Stoodley, Matthew; McNulty, David; Thomson, Louise E; Berman, Daniel S; Edwards, Nicola C; Holloway, Benjamin; Ferro, Charles J; Townend, Jonathan N; Steeds, Richard P

    2016-05-01

    Coronary artery calcium score (CACS) is a strong predictor of adverse cardiovascular events in the general population. Recent data confirm the prognostic utility of single-photon emission computed tomographic (SPECT) imaging in end-stage renal disease, but whether performing CACS as part of hybrid imaging improves risk prediction in this population is unclear. Consecutive patients (n = 284) were identified after referral to a university hospital for cardiovascular risk stratification in assessment for renal transplantation. Participants underwent technetium-99m SPECT imaging after exercise or standard adenosine stress in those unable to achieve 85% maximal heart rate; multislice CACS was also performed (Siemens Symbia T16, Siemens, Erlangen, Germany). Subjects with known coronary artery disease (n = 88) and those who underwent early revascularization (n = 2) were excluded. The primary outcome was a composite of death or first myocardial infarction. An abnormal SPECT perfusion result was seen in 22% (43 of 194) of subjects, whereas 45% (87 of 194) had at least moderate CACS (>100 U). The frequency of abnormal perfusion (summed stress score ≥4) increased with increasing CACS severity (p = 0.049). There were a total of 15 events (8 deaths, and 7 myocardial infarctions) after a median duration of 18 months (maximum follow-up 3.4 years). Univariate analysis showed diabetes mellitus (Hazard ratio [HR] 3.30, 95% CI 1.14 to 9.54; p = 0.028), abnormal perfusion on SPECT (HR 5.32, 95% CI 1.84 to 15.35; p = 0.002), and moderate-to-severe CACS (HR 3.55, 95% CI 1.11 to 11.35; p = 0.032) were all associated with the primary outcome. In a multivariate model, abnormal perfusion on SPECT (HR 4.18, 95% CI 1.43 to 12.27; p = 0.009), but not moderate-to-severe CACS (HR 2.50, 95% CI 0.76 to 8.20; p = 0.130), independently predicted all-cause death or myocardial infarction. The prognostic value of CACS was not incremental to clinical and SPECT perfusion data (global chi-square change

  18. Determinants of Initial Utilization of Community Healthcare Services among Patients with Major Non-Communicable Chronic Diseases in South China

    PubMed Central

    Zhou, Zhiheng; Wang, Harry H. X.; Tong, Xinyue; Wang, Zhihong; Wang, Jiaji; Lu, Zuxun

    2014-01-01

    Background Although expected to act as gate-keeping primary care providers, as community health service (CHS) facilities are severely under-utilized; Chinese people in both rural and urban areas used predominantly higher-tier facilities for primary care purpose, with significant financial and outcome consequences. This study intends to explore the determinants of initial utilization of CHS among patients with major non-communicable chronic diseases (NCDs) in order to understand the care-seeking behavior among urban and rural residents in South China. Methods A multi-stage cluster random sampling methodology was adopted to create a sample of 19,466 adults with NCDs from 7,970 urban households and 32,035 adults with NCDs from 3,860 rural households in Guangdong, China. Interviews and physical examinations were conducted in 2010 to collect data on patient characteristics, medical conditions, and awareness and utilization of healthcare. Descriptive analysis and logistic regression analysis were performed to study utilization patterns and the factors associated with the patterns. Results Prevalence of major NCDs in urban areas was significantly higher than that in rural areas (12.55% vs. 8.70%; p<0.001). Second-tier district hospitals were most preferred for initial consultation (46.05% in rural areas vs. 45.32% in urban areas; p<0.001), followed by tertiary general or specialized hospitals (28.39% in rural areas vs. 33.89% in urban areas; p<0.001). The proportion of patients who had initial use of CHS was relatively low (25.56% in rural areas vs. 20.79% in urban areas; p<0.001). Awareness of self-care and the presence of medical insurance were leading factors associated with first contact of CHS facilities in both urban and rural areas. Conclusion The study suggests that CHS facilities are not often used as the first contact for patients in both rural and urban areas in south China. Much effect must be made to enhance the gatekeeper system and improve medical insurance

  19. Current utility of the ankle-brachial index (ABI) in general practice: implications for its use in cardiovascular disease screening

    PubMed Central

    2014-01-01

    Background Peripheral arterial disease (PAD) is a marker of systemic atherosclerosis and associated with a three to six fold increased risk of death from cardiovascular causes. Furthermore, it is typically asymptomatic and under-diagnosed; this has resulted in escalating calls for the instigation of Primary Care PAD screening via Ankle Brachial Index (ABI) measurement. However, there is limited evidence regarding the feasibility of this and if the requisite core skills and knowledge for such a task already exist within primary care. This study aimed to determine the current utility of ABI measurement in general practices across Wales, with consideration of the implications for its use as a cardiovascular risk screening tool. Method A self-reporting questionnaire was distributed to all 478 General Practices within Wales, sent via their responsible Health Boards. Results The survey response rate was 20%. ABI measurement is primarily performed by nurses (93%) for the purpose of wound management (90%). It is infrequently (73% < 4 times per month) and often incorrectly used (42% out of compliance with current ABI guidance). Only 52% of general practitioners and 16% of nurses reported that patients with an ABI of ≤ 0.9 require aggressive cardiovascular disease risk factor modification (as recommended by current national and international guidelines). Conclusion ABI measurement is an under-utilised and often incorrectly performed procedure in the surveyed general practices. Prior to its potential adoption as a formalised screening tool for cardiovascular disease, there is a need for a robust training programme with standardised methodology in order to optimise accuracy and consistency of results. The significance of a diagnosis of PAD, in terms of associated increased cardiovascular risk and the necessary risk factor modification, needs to be highlighted. PMID:24742018

  20. Radiocommunications for meteorological satellite systems

    NASA Technical Reports Server (NTRS)

    Walton, B. A.

    1975-01-01

    A general overview is presented of the spectrum utilization and frequency requirements of present and planned meteorological satellite programs. The sensors, and TIROS operational systems are discussed along with the Nimbus and Synchronous Meteorological Satellites. STORMSAT, SEASAT, and the Spacelab are briefly described.

  1. Satellite Teleconferencing in the Caribbean.

    ERIC Educational Resources Information Center

    Sankar, Hollis C.

    1985-01-01

    Discusses the need for, and the development, use, and future trends of, the University of the West Indies Distance Teaching Experiment, which utilizes telephone and communications satellite technology teleconferencing to extend educational opportunities to the peoples of the Caribbean. (MBR)

  2. Using qualitative methods to inform the trade-off between content validity and consistency in utility assessment: the example of type 2 diabetes and Alzheimer's Disease

    PubMed Central

    2010-01-01

    Background Key stakeholders regard generic utility instruments as suitable tools to inform health technology assessment decision-making regarding allocation of resources across competing interventions. These instruments require a 'descriptor', a 'valuation' and a 'perspective' of the economic evaluation. There are various approaches that can be taken for each of these, offering a potential lack of consistency between instruments (a basic requirement for comparisons across diseases). The 'reference method' has been proposed as a way to address the limitations of the Quality-Adjusted Life Year (QALY). However, the degree to which generic measures can assess patients' specific experiences with their disease would remain unresolved. This has been neglected in the discussions on methods development and its impact on the QALY values obtained and resulting cost per QALY estimate underestimated. This study explored the content of utility instruments relevant to type 2 diabetes and Alzheimer's disease (AD) as examples, and the role of qualitative research in informing the trade-off between content coverage and consistency. Method A literature review was performed to identify qualitative and quantitative studies regarding patients' experiences with type 2 diabetes or AD, and associated treatments. Conceptual models for each indication were developed. Generic- and disease-specific instruments were mapped to the conceptual models. Results Findings showed that published descriptions of relevant concepts important to patients with type 2 diabetes or AD are available for consideration in deciding on the most comprehensive approach to utility assessment. While the 15-dimensional health related quality of life measure (15D) seemed the most comprehensive measure for both diseases, the Health Utilities Index 3 (HUI 3) seemed to have the least coverage for type 2 diabetes and the EuroQol-5 Dimensions (EQ-5D) for AD. Furthermore, some of the utility instruments contained items that

  3. Mobile satellite ranging

    NASA Technical Reports Server (NTRS)

    Silverberg, E. C.

    1978-01-01

    A brief review of the constraints which have limited satellite ranging hardware and an outline of the steps which are underway to improve the status of the equipment in this area are given. In addition, some suggestions are presented for the utilization of newer instruments and for possible future research and development work in this area.

  4. Utility of Ultrasound, Transaminases, and Visual Inspection to Assess Nonalcoholic Fatty Liver Disease in Bariatric Surgery Patients

    PubMed Central

    Petrick, Anthony; Wood, G. Craig; Still, Christopher D.; Strodel, William E.; Gabrielsen, John; Rolston, David; Chu, Xin; Argyropoulos, George; Ibele, Anna; Gerhard, Glenn S.

    2016-01-01

    Background Nonalcoholic fatty liver disease (NAFLD) is common in adults with extreme obesity and can impact long-term health and survival. Liver biopsy is the only accurate test for diagnosis and staging, but is invasive and costly. Non-invasive testing offers an attractive alternate, but the overall accuracy remains a significant issue. This study was conducted to determine the accuracy and clinical utility of preoperative ultrasound and liver transaminase levels, as well as intra-operative hepatic visual inspection, for assessing presence of NAFLD as confirmed by hepatic histology. Methods Data was collected prospectively from 580 morbidly obese adult patients who underwent Roux-en-Y gastric bypass surgery with intraoperative wedge biopsy between January 2004 and February 2009. Complete data for ultrasound, ALT and AST levels, and documented visual inspection was available for 513 patients. Results The prevalence of NAFLD was 69 % and that of NASH was 32 %. The individual non-invasive clinical assessments demonstrated low sensitivity, specificity, and accuracy for detecting the presence of steatosis, steatohepatitis, or fibrosis. The combination of normal or abnormal results for all tests improved predictive utility. Abnormal tests with all three assessments had a sensitivity of 95–98 % and a specificity of 28–48 % for major histologic findings in NAFLD/NASH. Normal tests with all three assessments had a sensitivity of 12–22 % and a specificity of 89–97 % for major histologic findings in NAFLD/NASH. Conclusions Although individual clinical tests for NAFLD have limited accuracy, the use of combined clinical tests may prove useful. PMID:26003548

  5. Health State Utility Value in Chronic Obstructive Pulmonary Disease (COPD); The Challenge of Heterogeneity: A Systematic Review and Meta-Analysis.

    PubMed

    Moayeri, Foruhar; Hsueh, Ya-Seng Arthur; Clarke, Philip; Hua, Xinyang; Dunt, David

    2016-06-01

    Chronic obstructive pulmonary disease (COPD) has a considerable impact on quality of life and well-being of patients. Health state utility value (HSUV) is a recognized measure for health economic appraisals and is extensively used as an indicator for decision-making studies. This study is a systematic review of literature aimed to estimate mean utility value in COPD using meta-analysis and explore degree of heterogeneity in the utility values across a variety of clinical and study characteristic. The literature review covers studies that used EQ-5D to estimate utility value for patient level research in COPD. Studies that reported utility values elicited by EQ-5D in COPD patients were selected for random-effect meta-analysis addressing inter-study heterogeneity and subgroup analyses. Thirty-two studies were included in the general utility meta-analysis. The estimated general utility value was 0.673 (95% CI 0.653 to 0.693). Meta-analyses of COPD stages utility values showed influence of airway obstruction on utility value. The utility values ranged from 0.820 (95% CI 0.767 to 0.872) for stage I to 0.624 (95% CI 0.571 to 0.677) for stage IV. There was substantial heterogeneity in utility values: I(2) = 97.7%. A more accurate measurement of utility values in COPD is needed to refine valid and generalizable scores of HSUV. Given the limited success of the factors studied to reduce heterogeneity, an approach needs to be developed how best to use mean utility values for COPD in health economic evaluation. PMID:26678545

  6. Satellite RNAs and Satellite Viruses.

    PubMed

    Palukaitis, Peter

    2016-03-01

    Satellite RNAs and satellite viruses are extraviral components that can affect either the pathogenicity, the accumulation, or both of their associated viruses while themselves being dependent on the associated viruses as helper viruses for their infection. Most of these satellite RNAs are noncoding RNAs, and in many cases, have been shown to alter the interaction of their helper viruses with their hosts. In only a few cases have the functions of these satellite RNAs in such interactions been studied in detail. In particular, work on the satellite RNAs of Cucumber mosaic virus and Turnip crinkle virus have provided novel insights into RNAs functioning as noncoding RNAs. These effects are described and potential roles for satellite RNAs in the processes involved in symptom intensification or attenuation are discussed. In most cases, models describing these roles involve some aspect of RNA silencing or its suppression, either directly or indirectly involving the particular satellite RNA. PMID:26551994

  7. Association Between Satellite-based Estimates of Long-term PM2.5 Exposure and Coronary Artery Disease

    EPA Science Inventory

    Background: Epidemiological studies have identified associations between long-term PM2.5 exposure and cardiovascular events, though most have relied on concentrations from central-site air quality monitors. Methods: We utilized a cohort of 5679 patients who had undergone cardiac ...

  8. Japan's efforts to promote global health using satellite remote sensing data from the Japan Aerospace Exploration Agency for prediction of infectious diseases and air quality.

    PubMed

    Igarashi, Tamotsu; Kuze, Akihiko; Sobue, Shinichi; Yamamoto, Aya; Yamamoto, Kazuhide; Oyoshi, Kei; Imaoka, Keiji; Fukuda, Toru

    2014-01-01

    In this paper we review the status of new applications research of the Japanese Aerospace Exploration Agency (JAXA) for global health promotion using information derived from Earth observation data by satellites in cooperation with inter-disciplinary collaborators. Current research effort at JAXA to promote global public health is focused primarily on the use of remote sensing to address two themes: (i) prediction models for malaria and cholera in Kenya, Africa; and (ii) air quality assessment of small, particulate matter (PM2.5), nitrogen dioxide (NO2) and ozone (O3). Respiratory and cardivascular diseases constitute cross-boundary public health risk issues on a global scale. The authors report here on results of current of a collaborative research to call attention to the need to take preventive measures against threats to public health using newly arising remote sensing information from space. PMID:25599641

  9. On the Utility of MIBG SPECT/CT in Evaluating Cardiac Sympathetic Dysfunction in Lewy Body Diseases

    PubMed Central

    Odagiri, Hayato; Baba, Toru; Nishio, Yoshiyuki; Iizuka, Osamu; Matsuda, Minoru; Inoue, Kentaro; Kikuchi, Akio; Hasegawa, Takafumi; Aoki, Masashi; Takeda, Atsushi; Taki, Yasuyuki; Mori, Etsuro

    2016-01-01

    Background Abnormal cardiac uptake of 123I-metaiodobenzylguanidine (123I-MIBG) is a diagnostic marker of Lewy body diseases (LBDs), e.g., Parkinson’s disease (PD) and dementia with Lewy bodies (DLB). Planar imaging is generally used to assess cardiac sympathetic dysfunction in 123I-MIBG scintigraphy; however, its clinical utility requires further improvement. We hypothesized that the co-registration of single-photon emission tomography (SPECT) and computed tomography (CT) images would improve the diagnostic accuracy of 123I-MIBG cardiac scintigraphy for LBDs. This study sought to evaluate the effects of SPECT/CT imaging on 123I-MIBG cardiac scintigraphy for diagnosing LBDs. Methods We retrospectively investigated data of 54 patients (consecutive 18 patients in each PD, DLB, and idiopathic normal pressure hydrocephalus [iNPH] groups) who underwent 123I-MIBG cardiac scintigraphy (planar and SPECT/CT) because of suspected LBDs at the Tohoku University hospital from June 2012 to June 2015. We compared the diagnostic accuracies of the conventional planar 123I-MIBG method and SPECT/CT methods (manual and semi-automatic). Results In the conventional planar analysis, 123I-MIBG uptake decreased only in the DLB group compared with the iNPH group. In contrast, the SPECT/CT analysis revealed significantly lower 123I-MIBG uptake in both the PD and DLB groups compared with the iNPH group. Furthermore, a receiver operating characteristic analysis revealed that both the manual and semi-automatic SPECT/CT methods were superior to the conventional planar method in differentiating the 3 disorders. Conclusions SPECT/CT 123I-MIBG cardiac scintigraphy can detect mild cardiac sympathetic dysfunction in LDBs. Our results suggest that the SPECT/CT technique improves diagnostic accuracy for LBDs. PMID:27055151

  10. Satellite communication for public services

    NASA Technical Reports Server (NTRS)

    Cooper, R. S.; Redisch, W. N.

    1977-01-01

    Public service programs using NASA's ATS-6 and CTS satellites are discussed. Examples include the ATS-6 Health and Education Telecommunications experimental program and the use of CTS to enable students in one university to take courses presented at another distant university. Possible applications of satellite communication systems to several areas of public service are described, and economic and political obstacles hindering the implementation of these programs are considered. It is suggested that a federally sponsored program demonstrating the utility of satellites accomodating a large number of small terminals is needed to encourage commercial satellite operations.

  11. Microimaging studies of myocardial substrate utilization and perfusion in two models of non-coronary heart disease

    SciTech Connect

    Som, P.; Oster, Z.H.; Knapp, F.F. Jr.

    1987-01-01

    We have studied two animal models of non-coronary heart disease. The salt-sensitive Dahl strain hypertensive rats and their genetically matched normotensive controls and the cardiomyopathic BIO 53.58 (CM) strain Syrian hamsters with age and sex-matched RB strain controls. The CM strain hamster seems to be a very good model of human congestive cardiomyopathy and the Dahl strain hypertensive rats have also been found to be good models for studying the effects of hypertension on the myocardium. In our studies we compared the utilization of various metabolic substrates, viz., fatty acids, glucose analogs, and the early distribution of /sup 201/Tl, as an indicator of myocardial flow. The routine studies involving dissection of animals for assaying the radioactivity following the injection of radiopharmaceuticals is not suitable for assessing regional changes in metabolism and flow. The use of quantitative autoradiographic microimaging (ARG) enables the visualization of discrete regional as well as global changes from normal and to quantitate them. This paper describes the methodology and results of these investigations. 14 refs., 5 figs.

  12. Utility of Iron Staining in Identifying the Cause of Renal Allograft Dysfunction in Patients with Sickle Cell Disease.

    PubMed

    Wang, Yingchun; Doshi, Mona; Khan, Salman; Li, Wei; Zhang, Ping L

    2015-01-01

    Sickle cell nephropathy (SCN) is associated with iron/heme deposition in proximal renal tubules and related acute tubular injury (ATI). Here we report the utility of iron staining in differentiating causes of renal allograft dysfunction in patients with a history of sickle cell disease. Case 1: the patient developed acute allograft dysfunction two years after renal transplant. Her renal biopsy showed ATI, supported by patchy loss of brush border and positive staining of kidney injury molecule-1 in proximal tubular epithelial cells, where diffuse increase in iron staining (2+) was present. This indicated that ATI likely resulted from iron/heme toxicity to proximal tubules. Electron microscope confirmed aggregated sickle RBCs in glomeruli, indicating a recurrent SCN. Case 2: four years after renal transplant, the patient developed acute allograft dysfunction and became positive for serum donor-specific antibody. His renal biopsy revealed thrombotic microangiopathy (TMA) and diffuse positive C4d stain in peritubular capillaries. Iron staining was negative in the renal tubules, implying that TMA was likely associated with acute antibody-mediated rejection (AAMR, type 2) rather than recurrent SCN. These case reports imply that iron staining is an inexpensive but effective method in distinguishing SCN-associated renal injury in allograft kidney from other etiologies. PMID:26697257

  13. Utilizing satellite precipitation estimates for streamflow forecasting via adjustment of mean field bias in precipitation data and assimilation of streamflow observations

    NASA Astrophysics Data System (ADS)

    Lee, Haksu; Zhang, Yu; Seo, Dong-Jun; Xie, Pingping

    2015-10-01

    This study explores mitigating bias in satellite quantitative precipitation estimates (SQPE) and improving hydrologic predictions at ungauged locations via adjustment of the mean field bias (MFB) in SQPE and data assimilation (DA) of streamflow observations in a distributed hydrologic model. In this study, a variational procedure is used to adjust MFB in Climate Prediction Center MORPHing (CMORPH) SQPE and assimilate streamflow observations at the outlet of Elk River Basin in Missouri into the distributed Sacramento Soil Moisture Accounting (SAC-SMA) and kinematic wave routing models. The benefits of assimilation are assessed by comparing the streamflow predictions with or without DA at both the outlet and an upstream location, and by comparing the soil moisture grids forced by CMORPH SQPE against those forced by higher-quality multisensor quantitative precipitation estimates (MQPE) from National Weather Service. Special attention is given to the dependence of the efficacy of DA on the quality and latency of the SQPE, and the impact of dynamic correction of MFB in the SQPE via DA. The results show that adjusting MFB in CMORPH SQPE in addition to assimilating outlet flow reduces 66% of the bias in the CMORPH SQPE analysis and the RMSE of 12-h streamflow predictions by 81% at the outlet and 34-62% at interior locations of the catchment. Compared to applying a temporally invariant MFB for the entire storm, the DA-based, dynamic MFB correction reduces the RMSE of 6-h streamflow prediction by 63% at the outlet and 39-69% at interior locations. It is also shown that the accuracy of streamflow prediction deteriorates if the delineation of the precipitation area by CMORPH SQPE is significantly different, as measured by the Hausdorff distance, from that by MQPE. When compared with adjusting MFB in the CMORPH SQPE over the entire assimilation window, adjusting the MFB for all but the latest 18 h (i.e., the latency of CMORPH SQPE) within the assimilation window reduces the

  14. Tracking the GLOMR satellite

    NASA Technical Reports Server (NTRS)

    Reiss, Keith W.; Oneil, Jason C.

    1987-01-01

    The task of day-to-day low orbiting satellite tracking utilizing the NAVSPASUR orbital elements is discussed and methods for improving pass time predictions are presented. Estimates are needed for preprogramming of satellite-initiated communications scheduling which requires an accuracy of approximately 30 seconds. This can be achieved by removing the variance associated with the NAVSPASUR D sub 2 (decay) term. Finally, the shock evidenced in GLOMR's orbit on February 7, 1986 is documented and attributed to a severe solar storm with immediately enhanced drag. GLOMR's life expectancy in orbit is now estimated to have dropped approximately 17% by the end of orbit in early February, 1987.

  15. Using satellite data to study the relationship between rainfall and diarrheal diseases in a Southwestern Amazon basin.

    PubMed

    Fonseca, Paula Andrea Morelli; Hacon, Sandra de Souza; Reis, Vera Lúcia; Costa, Duarte; Brown, Irving Foster

    2016-03-01

    The North region is the second region in Brazil with the highest incidence rate of diarrheal diseases in children under 5 years old. The aim of this study was to investigate the relationship between rainfall and water level during the rainy season principally with the incidence rate of this disease in a southwestern Amazon basin. Rainfall estimates and the water level were correlated and both of them were correlated with the diarrheal incidence rate. For the Alto Acre region, 2 to 3 days' time-lag is the best interval to observe the impact of the rainfall in the water level (R = 0.35). In the Lower Acre region this time-lag increased (4 days) with a reduction in the correlation value was found. The correlation between rainfall and diarrheal disease was better in the Lower Acre region (Acrelândia, R = 0.7) and rainfall upstream of the city. Between water level and diarrheal disease, the best results were found for the Brasiléia gauging station (Brasiléia, R = 0.3; Epitaciolândia, R = 0.5). This study's results may support planning and financial resources allocation to prioritize actions for local Civil Defense and health care services before, during and after the rainy season. PMID:26960086

  16. Risk Factors for Nursing Home Placement in Alzheimer's Disease: A Longitudinal Study of Cognition, ADL, Service Utilization, and Cholinesterase Inhibitor Treatment

    ERIC Educational Resources Information Center

    Wattmo, Carina; Wallin, Asa K.; Londos, Elisabet; Minthon, Lennart

    2011-01-01

    Purpose of the Study: To identify risk factors for early nursing home placement (NHP) in Alzheimer's disease (AD), focusing on the impact of longitudinal change in cognition, activities of daily living (ADL), service utilization, and cholinesterase inhibitor treatment (ChEI). Design and Methods: In an open, 3-year, prospective, multicenter study…

  17. Satellite based remote sensing technique as a tool for real time monitoring of leaf retention in natural rubber plantations affected by abnormal leaf fall disease

    NASA Astrophysics Data System (ADS)

    Pradeep, B.; Meti, S.; James, J.

    2014-11-01

    Most parts of the traditional natural rubber growing regions of India, extending from Kanyakumari district of Tamil Nadu in the South to Kasaragod district of Kerala in the North received excess and prolonged rains during 2013. This led to severe incidence of Abnormal Leaf Fall (ALF) disease caused by the fungus, Phytophthora sp. The present study demonstrated the first time use of satellite remote sensing technique to monitor ALF disease by estimating Leaf Area Index (LAI) in natural rubber holdings in near real time. Leaf retention was monitored in between April and December 2012 and 2013 by estimating LAI using MODIS 15A2 product covering rubber holdings spread across all districts in the traditional rubber growing region of the country that was mapped using Resourcesat LISS III 2012 and 2013 data. It was found that as the monsoon advanced, LAI decreased substantially in both years, but the reduction was much more substantial and prolonged in many districts during 2013 than 2012 reflecting increased leaf fall due to ALF disease in 2013. The decline was more pronounced in central and northern Kerala than in the South. Kanyakumari district of Tamil Nadu is generally known to be free from ALF disease, but there was considerable leaf loss due to ALF in June 2012 and June and July 2013 even as the monsoon was unusually severe in 2013. Weighted mean LAI during for the entire period of April to December was estimated as a weighted average of LAI and per cent of total area under rubber in each district in the study area for the two years. This was markedly less in 2013 than 2012. The implications of poor leaf retention for biomass production (net primary productivity), carbon sequestration and rubber yield are discussed.

  18. Clinical utility of panfungal polymerase chain reaction for the diagnosis of invasive fungal disease: a single center experience.

    PubMed

    Trubiano, J A; Dennison, A M; Morrissey, C O; Chua, K Y; Halliday, C L; Chen, S C-A; Spelman, D

    2016-02-01

    The role of panfungal polymerase chain reaction (PCR) assays for diagnosis of invasive fungal disease (IFD) is inadequately defined. We describe the use of an internal transcribed spacer 1 (ITS-1) region-directed panfungal PCR in this context at a tertiary referral transplant center. A retrospective review of patients at Alfred Health, Melbourne, Australia (2009-2014) who had clinical samples referred for panfungal PCR testing was conducted. Baseline patient characteristics, antifungal drug history, fungal culture/histopathology, and radiology results were recorded. For bronchoalveolar lavage (BAL) fluid samples, identification of a fungus other than a Candida spp. was defined as a potential pathogen.Of 138 panfungal PCR tests (108 patients), 41 (30%) were positive for a fungal product. Ninety-seven percent (134/138) of specimens were from immunocompromised hosts. Thirteen percent (19/138) of panfungal PCR positive results were for potential pathogens and potential pathogens were detected more frequently in tissue as compared with BAL (12/13 vs. 6/26; P = .0001). No positive panfungal PCR results were obtained from CSF specimens. If histopathology examination was negative, panfungal PCR identified a potential pathogen in only 12% (11/94) of specimens. For the 20 culture negative/histopathology positive specimens, diagnosis of IFD to causative species level by panfungal PCR occurred in 35% (6/20).Sterile site specimens, in particular tissue, were more frequently panfungal PCR positive for potential pathogens than BAL. The utility of panfungal PCR appears greatest in tissue specimens, as an adjunct to histopathology to improve diagnostic sensitivity and specificity. Based on the results of this study we are now only testing tissue specimens by panfungal PCR. PMID:26527638

  19. Potential utility of three-dimensional temperature and salinity fields estimated from satellite altimetry and Argo data for improving mesoscale reproducibility in regional ocean modeling

    NASA Astrophysics Data System (ADS)

    Kanki, R.; Uchiyama, Y.; Miyazaki, D.; Takano, A.; Miyazawa, Y.; Yamazaki, H.

    2014-12-01

    Mesoscale oceanic structure and variability are required to be reproduced as accurately as possible in realistic regional ocean modeling. Uchiyama et al. (2012) demonstrated with a submesoscale eddy-resolving JCOPE2-ROMS downscaling oceanic modeling system that the mesoscale reproducibility of the Kuroshio meandering along Japan is significantly improved by introducing a simple restoration to data which we call "TS nudging" (a.k.a. robust diagnosis) where the prognostic temperature and salinity fields are weakly nudged four-dimensionally towards the assimilative JCOPE2 reanalysis (Miyazawa et al., 2009). However, there is not always a reliable reanalysis for oceanic downscaling in an arbitrary region and at an arbitrary time, and therefore alternative dataset should be prepared. Takano et al. (2009) proposed an empirical method to estimate mesoscale 3-D thermal structure from the near real-time AVISO altimetry data along with the ARGO float data based on the two-layer model of Goni et al. (1996). In the present study, we consider the TS data derived from this method as a candidate. We thus conduct a synoptic forward modeling of the Kuroshio using the JCOPE2-ROMS downscaling system to explore potential utility of this empirical TS dataset (hereinafter TUM-TS) by carrying out two runs with the T-S nudging towards 1) the JCOPE2-TS and 2) TUM-TS fields. An example of the comparison between the two ROMS test runs is shown in the attached figure showing the annually averaged surface EKE. Both of TUM-TS and JCOPE2-TS are found to help reproducing the mesoscale variance of the Koroshio and its extension as well as its mean paths, surface KE and EKE reasonably well. Therefore, the AVISO-ARGO derived empirical 3-D TS estimation is potentially exploitable for the dataset to conduct the T-S nudging to reproduce mesoscale oceanic structure.

  20. Calibration and Evaluation of a Flood Forecasting System: Utility of Numerical Weather Prediction Model, Data Assimilation and Satellite-based Rainfall

    NASA Astrophysics Data System (ADS)

    Yucel, Ismail; Onen, Alper; Yilmaz, Koray; Gochis, David

    2015-04-01

    A fully-distributed, multi-physics, multi-scale hydrologic and hydraulic modeling system, WRF-Hydro, is used to assess the potential for skillful flood forecasting based on precipitation inputs derived from the Weather Research and Forecasting (WRF) model and the EUMETSAT Multi-sensor Precipitation Estimates (MPEs). Similar to past studies it was found that WRF model precipitation forecast errors related to model initial conditions are reduced when the three dimensional atmospheric data assimilation (3DVAR) scheme in the WRF model simulations is used. The study then undertook a comparative evaluation of the impact of MPE versus WRF precipitation estimates, both with and without data assimilation, in driving WRF-Hydro simulated streamflow. Several flood events that occurred in the Black Sea region were used for testing and evaluation. Following model calibration, the WRF-Hydro system was capable of skillfully reproducing observed flood hydrographs in terms of the volume of the runoff produced and the overall shape of the hydrograph. Streamflow simulation skill was significantly improved for those WRF model simulations where storm precipitation was accurately depicted with respect to timing, location and amount. Accurate streamflow simulations were more evident in WRF model simulations where the 3DVAR scheme was used compared to when it was not used. Because of substantial dry bias feature of MPE, streamflow derived using this precipitation product is in general very poor. Overall, root mean squared errors for runoff were reduced by 22.2% when hydrological model calibration is performed with WRF precipitation. Errors were reduced by 36.9% (above uncalibrated model performance) when both WRF model data assimilation and hydrological model calibration was utilized. Our results also indicated that when assimilated precipitation and model calibration is performed jointly, the calibrated parameters at the gauged sites could be transferred to ungauged neighboring basins

  1. Histopathological differences utilizing the nonalcoholic fatty liver disease activity score criteria in diabetic (type 2 diabetes mellitus) and non-diabetic patients with nonalcoholic fatty liver disease

    PubMed Central

    Puchakayala, Bharat K; Verma, Siddharth; Kanwar, Pushpjeet; Hart, John; Sanivarapu, Raghavendra R; Mohanty, Smruti R

    2015-01-01

    AIM: To study clinical and histopathological features of nonalcoholic fatty liver disease (NAFLD) in patients with and without type 2 diabetes mellitus (T2DM) using updated nonalcoholic steatohepatitis clinical research network (NASH-CRN) grading system. METHODS: We retrospectively analyzed data of 235 patients with biopsy proven NAFLD with and without T2DM. This database was utilized in the previously published study comparing ethnicity outcomes in NAFLD by the same corresponding author. The pathology database from University of Chicago was utilized for enrolling consecutive patients who met the criteria for NAFLD and their detailed clinical and histopathology findings were obtained for comparison. The relevant clinical profile of patients was collected from the Electronic Medical Records around the time of liver biopsy and the histology was read by a single well-trained histopathologist. The updated criteria for type 2 diabetes have been utilized for analysis. Background data of patients with NASH and NAFLD has been included. The mean differences were compared using χ2 and t-test along with regression analysis to evaluate the predictors of NASH and advanced fibrosis. RESULTS: Patients with NAFLD and T2DM were significantly older (49.9 vs 43.0, P < 0.01), predominantly female (71.4 vs 56.3, P < 0.02), had higher rate of metabolic syndrome (88.7 vs 36.4, P < 0.01), had significantly higher aspartate transaminase (AST)/alanine transaminase (ALT) ratio (0.94 vs 0.78, P < 0.01) and Fib-4 index (1.65 vs 1.06, P < 0.01) as markers of NASH, showed higher mean NAFLD activity score (3.5 vs 3.0, P = 0.03) and higher mean fibrosis score (1.2 vs 0.52, P < 0.01) compared to patients with NAFLD without T2DM. Furthermore, advanced fibrosis (32.5 vs 12.0, P < 0.01) and ballooning (27.3 vs 13.3, P < 0.01) was significantly higher among patients with NAFLD and T2DM compared to patients with NAFLD without T2DM. On multivariate analysis, T2DM was independently associated with NASH

  2. Calibration and evaluation of a flood forecasting system: Utility of numerical weather prediction model, data assimilation and satellite-based rainfall

    NASA Astrophysics Data System (ADS)

    Yucel, I.; Onen, A.; Yilmaz, K. K.; Gochis, D. J.

    2015-04-01

    22.2% when hydrological model calibration is performed with WRF precipitation. Errors were reduced by 36.9% (above uncalibrated model performance) when both WRF model data assimilation and hydrological model calibration was utilized. Our results also indicated that when assimilated precipitation and model calibration is performed jointly, the calibrated parameters at the gauged sites could be transferred to ungauged neighboring basins where WRF-Hydro reduced mean root mean squared error from 8.31 m3/s to 6.51 m3/s.

  3. Satellite myths

    NASA Astrophysics Data System (ADS)

    Easton, Roger L.; Hall, David

    2008-01-01

    Richard Corfield's article “Sputnik's legacy” (October 2007 pp23-27) states that the satellite on board the US Vanguard rocket, which exploded during launch on 6 December 1957 two months after Sputnik's successful take-off, was “a hastily put together contraption of wires and circuitry designed only to send a radio signal back to Earth”. In fact, the Vanguard satellite was developed over a period of several years and put together carefully using the best techniques and equipment available at the time - such as transistors from Bell Laboratories/Western Electric. The satellite contained not one but two transmitters, in which the crystal-controlled oscillators had been designed to measure both the temperature of the satellite shell and of the internal package.

  4. Satellite Videoconferences

    NASA Technical Reports Server (NTRS)

    1990-01-01

    NASA is helping thousands of teachers to learn more about aerospace matters, improve their classroom skills, and expand significantly the content of their aerospace education curricula by means of live educational satellite videoconferences. The 1 1/2 hour 'Update for Teachers' programs originate at Oklahoma State University (OSU) Telecommunications Center. The television signals are transmitted to the WESTAR IV communications satellite, which remits them to participating schools across the U.S. and in parts of Mexico and Canada. The schools are equipped with small home style satellite reception dishes. Education Satellite Videoconference programs are conducted four times yearly, covering a variety of aerospace subjects. Teachers can call toll-free and have questions answered after the speaker's presentations. Information about NASA educational resources and how to obtain them will be provided.

  5. Satellite observations

    NASA Astrophysics Data System (ADS)

    1984-05-01

    In 1982 and 1983, six scientific satellites were operated successfully. Two of them, JIKIKEN and ISS-b, performed observations of the Earth's plasma environment. HINOTORI, the solar maximum satellite, observed a number of solar flares. HAKUCHO and newly launched TENMA conducted various observations of cosmic X-ray sources. HIMAWARI-2 is a meteorological satellite but its payload includes a solar particle monitor. EXOS-C was successfully launched in February, 1983, and participants in the MAP (Middle Atmosphere Program). Following these missions, the PLANET-A project comprising two missions, MS-T5 and PLANET-A, is under preparation for the participation in the international cooperative exploration of Comet P/Halley. The third X-ray astronomy satellite ASTRO-C is currently scheduled for 1987 launch.

  6. Risk Factors for Increased Hospital Resource Utilization and In-Hospital Mortality in Adults With Single Ventricle Congenital Heart Disease.

    PubMed

    Collins, Ronnie Thomas; Doshi, Pratik; Onukwube, Jennifer; Fram, Ricki Y; Robbins, James M

    2016-08-01

    Most patients with single ventricle congenital heart disease are now expected to survive to adulthood. Co-morbid medical conditions (CMCs) are common. We sought to identify risk factors for increased hospital resource utilization and in-hospital mortality in adults with single ventricle. We analyzed data from the 2001 to 2011 Nationwide Inpatient Sample database in patients aged ≥18 years admitted to nonteaching general hospitals (NTGHs), TGHs, and pediatric hospitals (PHs) with either hypoplastic left heart syndrome, tricuspid atresia or common ventricle. National estimates of hospitalizations were calculated. Elixhauser CMCs were identified. Length of stay (LOS), total hospital costs, and effect of CMCs were determined. Age was greater in NTGH (41.5 ± 1.3 years) than in TGH (32.8 ± 0.5) and PH (25.0 ± 0.6; p <0.0001). Adjusted LOS was shorter in NTGH (5.6 days) than in PH (9.7 days; p <0.0001). Adjusted costs were higher in PH ($56,671) than in TGH ($31,934) and NTGH ($18,255; p <0.0001). CMCs are associated with increased LOS (p <0.0001) and costs (p <0.0001). Risk factors for in-hospital mortality included increasing age (odds ratio [OR] 5.250, CI 2.825 to 9.758 for 45- to 64-year old vs 18- to 30-year old), male gender (OR 2.72, CI 1.804 to 4.103]), and the presence of CMC (OR 4.55, CI 2.193 to 9.436) for 2 vs none). No differences in mortality were found among NTGH, TGH, and PH. Cardiovascular procedures were more common in PH hospitalizations and were associated with higher costs and LOS. CMCs increase costs and mortality. In-hospital mortality is increased with age, male gender, and the presence of hypoplastic left heart syndrome. PMID:27291967

  7. Utilization of information and communication technology (ICT) among sexually transmitted disease clinics attendees with coexisting drinking problems

    PubMed Central

    2014-01-01

    Background Alcohol misuse remains a major risk factor for contracting sexually transmitted diseases (STDs) not typically addressed in STD clinic settings. Information and communication technology (ICT) can offer new avenues to deliver evidence-based screening and treatment for problematic drinking, however, few data exists regarding the utilization of ICT among STD clinic attendees with coexisting drinking problems. The objectives of this study are to identify STD clinics attendees with hazardous drinking, to examine socio-demographic factors associated with ICT use, and to explore individuals’ interests in engaging in ICT-based health interventions. Methods Cross-sectional questionnaires examining alcohol consumption and ICT use were administered to 396 persons attending two non-urban STD clinics. Descriptive statistics for ICT use were calculated for both hazardous drinkers and the entire sample. Multivariable logistic regression models among hazardous drinkers identified factors significantly associated with use of each kind of ICT. Results The mean age of the 396 participants was 25 years, 66% were females and 60% were African-Americans. One third of the sample met the criteria of hazardous drinking. ICT use in hazardous drinkers included 94% reporting having internet access at least monthly, 82% reporting having an email account, 85% reporting currently owning a cell phone, and 91% reporting use of any cell phone application. More than two thirds (73%) of hazardous drinkers were willing to play health-related video games during clinic waiting time, slightly higher than the entire sample (69%). Multivariable analyses indicated that younger age were significantly related to monthly internet use, and multifunction cell phone use, while being males and younger age were significantly associated with monthly video game playing. Conclusions Our study demonstrates commonality of ICT use among STD clinic attendees with hazardous drinking, indicating the viability of

  8. Expectation versus Reality: The Impact of Utility on Emotional Outcomes after Returning Individualized Genetic Research Results in Pediatric Rare Disease Research, a Qualitative Interview Study

    PubMed Central

    Cacioppo, Cara N.; Chandler, Ariel E.; Towne, Meghan C.; Beggs, Alan H.; Holm, Ingrid A.

    2016-01-01

    Purpose Much information on parental perspectives on the return of individual research results (IRR) in pediatric genomic research is based on hypothetical rather than actual IRR. Our aim was to understand how the expected utility to parents who received IRR on their child from a genetic research study compared to the actual utility of the IRR received. Methods We conducted individual telephone interviews with parents who received IRR on their child through participation in the Manton Center for Orphan Disease Research Gene Discovery Core (GDC) at Boston Children’s Hospital (BCH). Results Five themes emerged around the utility that parents expected and actually received from IRR: predictability, management, family planning, finding answers, and helping science and/or families. Parents expressing negative or mixed emotions after IRR return were those who did not receive the utility they expected from the IRR. Conversely, parents who expressed positive emotions were those who received as much or greater utility than expected. Conclusions Discrepancies between expected and actual utility of IRR affect the experiences of parents and families enrolled in genetic research studies. An informed consent process that fosters realistic expectations between researchers and participants may help to minimize any negative impact on parents and families. PMID:27082877

  9. The utility of cerebral blood flow imaging in patients with the unique syndrome of progressive dementia with motor neuron disease

    SciTech Connect

    Ohnishi, T.; Hoshi, H.; Jinnouchi, S.; Nagamachi, S.; Watanabe, K.; Mituyama, Y. )

    1990-05-01

    Two patients presenting with progressive dementia coupled with motor neuron disease underwent brain SPECT using N-isopropyl-p iodine-123-iodoamphetamine (({sup 123}I)IMP). The characteristic clinical features of progressive dementia and motor neuron disease were noted. IMP SPECT also revealed reduced uptake in the bilateral frontal and temporal regions, with no reduction of uptake in the parietal, parietal-occipital regions. We conclude that IMP SPECT has potential for the evaluation of progressive dementia with motor neuron disease.

  10. Advanced Communications Technology Satellite (ACTS)

    NASA Astrophysics Data System (ADS)

    Gedney, Richard T.; Schertler, Ronald J.

    1989-06-01

    The NASA Advanced Communications Technology Satellite (ACTS) was conceived to help maintain U.S. leadership in the world's communications-satellite market. This experimental satellite is expected to be launched by NASA in 1992 and to furnish the technology necessary for establishing very small aperture terminal digital networks which provide on-demand full-mesh connectivity, and 1.544-MBPS services with only a single hop. Utilizing on-board switching and processing, each individual voice or data circuit can be separately routed to any location in the network. This paper provides an overview of the ACTS and discusses the value of the technology for future communications systems.