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Sample records for early menarche results

  1. Factors associated with early menarche: results from the French Health Behaviour in School-aged Children (HBSC) study

    PubMed Central

    2010-01-01

    Background Puberty is a transition period making physiological development a challenge adolescents have to face. Early pubertal development could be associated with higher risks of poor health. Our objective was to examine risk behaviours, physical and psychological determinants associated with early menarche (<11 years). Methods Early menarche was assessed in the Health Behaviour in School-aged Children French cross-sectional survey. Data were collected in 2006 by anonymous self-reported standardized questionnaire from a nationally representative sample of 1072 15 years old girls in school classrooms. Family environment, school experience, physical and psychological factors, risk behaviours (substance use and sexual initiation) were recorded. Logistic regression models were applied (analysing for crude and adjusted relationships between early menarche and risk behaviours controlled for family context). Results Median age at menarche was 13.0 years; 57 girls (5.3%) were early-matured. Controlled for familial environment, early menarche was associated with having had more than two life-drunkenness episodes (adjusted OR = 2.5 [1.3-4.6]), early sexual initiation (adjusted OR = 2.8 [1.3-6.0]) and overweight (adjusted OR = 7.3 [3.6-14.9]). Conclusion Early-maturing girls may affiliate with older adolescents, hence engage in risk behaviours linked to their appearance rather than their maturity level. Factors associated with early menarche highlight the need to focus attention on early-matured girls to prevent further health problems linked to risk behaviours. PMID:20353570

  2. Sexual Socialization during Early Adolescence: The Menarche.

    ERIC Educational Resources Information Center

    Amann-Gainotti, Merete

    1986-01-01

    Explored early socialization of beliefs and attitudes toward menarche in 258 adolescents, aged 11 to 14 years, male and female pre- and postmenarcheal, from southern Italy. Results showed a consistent lack of accurate information by a high percentage of subjects, both male and female; negative beliefs were held only by girls, boys tended to ignore…

  3. Menarche: Responses of Early Adolescent Females.

    ERIC Educational Resources Information Center

    McGrory, Arlene

    1990-01-01

    Investigated responses of menarcheal age females to menarche. Results from 95 girls indicated that premenarcheal girls thought menses was more debilitating than did postmenarcheal girls. Subjects who had been menstruating longer considered menses natural event but denied its effects. Found no significant difference in overall self-esteem and…

  4. The psychological impact of menarche on early adolescent females: a review of the literature.

    PubMed

    Greif, E B; Ulman, K J

    1982-12-01

    This paper reviews research on the psychological impact of onset of menstruation (menarche). Menarche is an important event for all girls, yet there is relatively little research on this topic, and the existing research contains a number of conceptual and methodological problems. In this paper, we review attitudes toward menarche and personality characteristics of pubertal girls. Then we look at memories of menarche from late adolescents and adult women. Finally, we examine studies of the impact of timing (early and late menarche). Overall, the studies indicate that menarche is a memorable and significant event for girls. Frequently the experience is perceived negatively, but there is also a positive, integrating result to menarche. Factors influencing the psychological impact of menarche include age at time of first period, social factors, amount of preparation, and cultural factors. The paper focuses on research problems and provides suggestions for future research. PMID:6756807

  5. Early-life soy exposure and age at menarche.

    PubMed

    Adgent, Margaret A; Daniels, Julie L; Rogan, Walter J; Adair, Linda; Edwards, Lloyd J; Westreich, Daniel; Maisonet, Mildred; Marcus, Michele

    2012-03-01

    This study examines the timing of menarche in relation to infant-feeding methods, specifically addressing the potential effects of soy isoflavone exposure through soy-based infant feeding. Subjects were participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). Mothers were enrolled during pregnancy and their children have been followed prospectively. Early-life feeding regimes, categorised as primarily breast, early formula, early soy and late soy, were defined using infant-feeding questionnaires administered during infancy. For this analysis, age at menarche was assessed using questionnaires administered approximately annually between ages 8 and 14.5. Eligible subjects were limited to term, singleton, White females. We used Kaplan-Meier survival curves and Cox proportional hazards models to assess age at menarche and risk of menarche over the study period. The present analysis included 2920 girls. Approximately 2% of mothers reported that soy products were introduced into the infant diet at or before 4 months of age (early soy). The median age at menarche [interquartile range (IQR)] in the study sample was 153 months [144-163], approximately 12.8 years. The median age at menarche among early soy-fed girls was 149 months (12.4 years) [IQR, 140-159]. Compared with girls fed non-soy-based infant formula or milk (early formula), early soy-fed girls were at 25% higher risk of menarche throughout the course of follow-up (hazard ratio 1.25 [95% confidence interval 0.92, 1.71]). Our results also suggest that girls fed soy products in early infancy may have an increased risk of menarche specifically in early adolescence. These findings may be the observable manifestation of mild endocrine-disrupting effects of soy isoflavone exposure. However, our study is limited by few soy-exposed subjects and is not designed to assess biological mechanisms. Because soy formula use is common in some populations, this subtle association with menarche warrants more in

  6. The effect of early menarche on the sexual behaviors of Korean female adolescents

    PubMed Central

    Cheong, Ji In; Lee, Chang Hun; Park, Jae Hong; Ye, Byeong Jin; Kwon, Kyoung Ah; Lee, Young Seok

    2015-01-01

    Purpose This study examined the relationships between early menarche and sexual behaviors among Korean female adolescents. Methods We analyzed data from the eighth Korea Youth Risk Behavior Web-based survey that was conducted on female high school students in grades 10-12. The survey included 17,867 students, and 974 students were assigned to the early menarche group because they had experienced menarche when they were in grade four or below, and 16,893 students were assigned to the normal menarche group because they had experienced menarche during or after grade five. The characteristics of the sexual behaviors in the early menarche and normal menarche group were analyzed. Results The early menarche group was at a higher risk of intersexual kissing or petting (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.28-1.87), intersexual intercourse (OR, 2.35; 95% CI, 1.65-3.36), homosexual kissing or petting (OR, 3.53; 95% CI, 2.22-5.59), homosexual intercourse (OR, 7.70; 95% CI, 4.04-14.66), being the victim (OR, 2.89; 95% CI, 1.98-4.22) or the assailant (OR, 13.55; 95% CI, 6.61-27.78) of sexual assaults, intercourse without any contraception (OR, 1.92; 95% CI, 1.06-3.46), and pregnancy (OR, 5.72; 95% CI, 2.31-14.15) than the normal menarche group. Conclusion Early menarche is associated with risky sexual behaviors among adolescent females; therefore, developing comprehensive sexual health education programs and tools for early intervention are required for children who are expected to experience early menarche. PMID:26512348

  7. Consumption of caffeinated and artificially sweetened soft drinks is associated with risk of early menarche12

    PubMed Central

    Mueller, Noel T; Jacobs, David R; MacLehose, Richard F; Demerath, Ellen W; Kelly, Scott P; Dreyfus, Jill G; Pereira, Mark A

    2015-01-01

    Background: Early menarche has been linked to risk of several chronic diseases. Prospective research on whether the intake of soft drinks containing caffeine, a modulator of the female reproductive axis, is associated with risk of early menarche is sparse. Objective: We examined the hypothesis that consumption of caffeinated soft drinks in childhood is associated with higher risk of early menarche. Design: The National Heart, Lung, and Blood Institute Growth and Health Study recruited and enrolled 2379 (1213 African American, 1166 Caucasian) girls aged 9–10 y (from Richmond, CA; Cincinnati, OH; and Washington, DC) and followed them for 10 y. After exclusions were made, there were 1988 girls in whom we examined prospective associations between consumption of caffeinated and noncaffeinated sugar- and artificially sweetened soft drinks and early menarche (defined as menarche age <11 y). We also examined associations between intakes of caffeine, sucrose, fructose, and aspartame and early menarche. Results: Incident early menarche occurred in 165 (8.3%) of the girls. After adjustment for confounders and premenarcheal percentage body fat, greater consumption of caffeinated soft drinks was associated with a higher risk of early menarche (RR for 1 serving/d increment: 1.47; 95% CI: 1.22, 1.79). Consumption of artificially sweetened soft drinks was also positively associated with risk of early menarche (RR for 1 serving/d increment: 1.43; 95% CI: 1.08, 1.88). Consumption of noncaffeinated soft drinks was not significantly associated with early menarche (RR for 1 serving/d increment: 0.88; 95% CI: 0.62, 1.25); nor was consumption of sugar-sweetened soft drinks (RR for 1 serving/d increment: 1.15; 95% CI: 0.95, 1.39). Consistent with the beverage findings, intakes of caffeine (RR for 1-SD increment: 1.22; 95% CI: 1.08, 1.37) and aspartame (RR for 1-SD increment: 1.20; 95% CI: 1.10, 1.31) were positively associated with risk of early menarche. Conclusion: Consumption of

  8. A new childhood asthma phenotype: obese with early menarche.

    PubMed

    Castro-Rodriguez, Jose A

    2016-03-01

    Three concomitant phenomena occur in the later years of childhood: increases in the incidence of asthma, obesity and early menarche. This article is an overview of the current epidemiologic, basic, genetic and epigenetic evidence about this relationship. As a consequence we propose that obese girls who have an early menarche (≤ 11 years of age) constitute a new asthma phenotype in childhood. Future studies need to be carried out in order to find the best control and treatment of this new asthma phenotype. PMID:26644272

  9. Early age at menarche and wheezing in adolescence. The 1993 Pelotas (Brazil) birth cohort study

    PubMed Central

    Joseph, Gary; Baptista Menezes, Ana Maria; Wehrmeister, Fernando C.

    2015-01-01

    Objective To evaluate the effect of menarche before 11 years of age on the incidence of wheezing/asthma in girls 11 to 18 years of age. Methods The study sample comprised 1,350 girls from a birth cohort that started in 1993 in the urban area of the city of Pelotas, southern Brazil; this cohort was followed until 18 years of age. We assessed wheezing by the question, “Have you ever had wheezing in the chest at any time in the past?,” from the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. Early menarche was defined as occurring before 11 years of age. We estimated the cumulative incidence of wheezing excluding from the analysis all those participants who reported wheezing before age of 11 years. We performed the chi-square test to assess the association between ever wheezing and independent variables. Poisson regression models with robust variance were used to estimate cumulative incidence ratios. Results The average age at menarche in the cohort girls was 12 years (95% CI: 11.1–12.1). The prevalence of early menarche before 11 years of age was 11% (95% CI: 9.7–12.3). The cumulative incidence of wheezing from 11 to 18 years of age was 33.5% (95% CI: 30.9– 36.0). The crude association between ever wheezing in adolescence and early menarche before age 11 was 1.19 (95% CI: 0.96–1.48). After adjusting for early childhood and contemporaneous variables, no significant association for early menarche before 11 years of age and wheezing during adolescence was found (CIR: 1.18; CI95%: 0.93-1.49). Conclusion Early menarche before 11 years of age is not associated with an increased risk of wheezing during adolescence. PMID:26870751

  10. Relation of Early Menarche to Depression, Eating Disorders, Substance Abuse, and Comorbid Psychopathology among Adolescent Girls.

    ERIC Educational Resources Information Center

    Stice, Eric; Presnell, Katherine; Bearman, Sarah Kate

    2001-01-01

    Used interview data from a community study to test whether early menarche partially accounts for increased depression, eating pathology, substance abuse, and comorbid psychopathology among adolescent girls. Found that menarche prior to 11.6 years related to elevated depression and substance abuse. Findings support assertion that early menarche is…

  11. Age at Menarche Is Associated with Divergent Alcohol Use Patterns in Early Adolescence and Early Adulthood

    ERIC Educational Resources Information Center

    Richards, Meghan A.; Oinonen, Kirsten A.

    2011-01-01

    A cross-sectional retrospective design was employed to examine the relationship between age at menarche (AAM) and alcohol use patterns from middle childhood (age 7) to early adulthood in 265 University-aged women. Earlier menarche was associated with: (a) earlier ages at first drink and first intoxication, (b) greater use between ages 9 and 14…

  12. Toward a New Understanding of Early Menarche: The Role of Environmental Stress in Pubertal Timing.

    ERIC Educational Resources Information Center

    Wierson, Michelle; And Others

    1993-01-01

    Examined divorce and interparental conflict in light of theory that environmental stress may trigger early menarche in adolescents. Findings from 71 adolescent females and their mothers revealed that, compared to girls from intact families, those from divorced families had earlier onset of menarche. Higher maternal reports of interparental…

  13. Milk Intake and Total Dairy Consumption: Associations with Early Menarche in NHANES 1999-2004

    PubMed Central

    Wiley, Andrea S.

    2011-01-01

    Background Several components of dairy products have been linked to earlier menarche. Methods/Findings This study assessed whether positive associations exist between childhood milk consumption and age at menarche or the likelihood of early menarche (<12 yrs) in a U.S sample. Data derive from the National Health and Nutrition Examination Survey (NHANES) 1999–2004. Two samples were utilized: 2657 women age 20–49 yrs and 1008 girls age 9–12 yrs. In regression analysis, a weak negative relationship was found between frequency of milk consumption at 5–12 yrs and age at menarche (daily milk intake β = −0.32, P<0.10; “sometimes/variable milk intake” β = −0.38, P<0.06, each compared to intake rarely/never). Cox regression yielded no greater risk of early menarche among those who drank milk “sometimes/varied” or daily vs. never/rarely (HR: 1.20, P<0.42, HR: 1.25, P<0.23, respectively). Among the 9–12 yr olds, Cox regression indicated that neither total dairy kcal, calcium and protein, nor daily milk intake in the past 30 days contributed to early menarche. Girls in the middle tertile of milk intake had a marginally lower risk of early menarche than those in the highest tertile (HR: 0.6, P<0.06). Those in the lowest tertiles of dairy fat intake had a greater risk of early menarche than those in the highest (HR: 1.5, P<0.05, HR: 1.6, P<0.07, lowest and middle tertile, respectively), while those with the lowest calcium intake had a lower risk of early menarche (HR: 0.6, P<0.05) than those in the highest tertile. These relationships remained after adjusting for overweight or overweight and height percentile; both increased the risk of earlier menarche. Blacks were more likely than Whites to reach menarche early (HR: 1.7, P<0.03), but not after controlling for overweight. Conclusions There is some evidence that greater milk intake is associated with an increased risk of early menarche, or a lower age at menarche. PMID:21347271

  14. Very long-term follow-up of girls with early and late menarche.

    PubMed

    Johansson, Therése; Ritzén, E Martin

    2005-01-01

    Short- and long-term psychosocial effects of precocious or early normal puberty are probably more important for individuals than the moderate losses in final height they experience. Despite this, pediatric endocrinologists have focused much more on final height than psychosocial outcomes. As a surrogate for long-term follow-up studies of girls with precocious puberty, we have reviewed the results of a very long-term study of physical and psychosocial development of girls with normal early puberty. Results revealed that at age 15-16, girls with menarche before age 11 (early) were more norm-breaking, including being delinquents. In addition, they had earlier advanced sexual experiences. By adult age, there were no differences in psychosocial adjustment between the early- and late-developed women. Thus, the effects of early pubertal timing for psychosocial problems seem to be adolescent-limited. At ages 27 and 43, early-developed women had lower academic education. Regarding somatic development, at age 43, women with early menarche were shorter and heavier, had worse physical fitness and dieted more frequently compared to other women. There was no difference in quality of life. In searching for reasons for the antisocial behaviors in adolescence and the lower educational levels among early developers, early heterosexual relations seem to be the most crucial. PMID:15722621

  15. Secure Infant-Mother Attachment Buffers the Effect of Early-Life Stress on Age of Menarche.

    PubMed

    Sung, Sooyeon; Simpson, Jeffry A; Griskevicius, Vladas; Kuo, Sally I-Chun; Schlomer, Gabriel L; Belsky, Jay

    2016-05-01

    Prior research indicates that being reared in stressful environments is associated with earlier onset of menarche in girls. In this research, we examined (a) whether these effects are driven by exposure to certain dimensions of stress (harshness or unpredictability) during the first 5 years of life and (b) whether the negative effects of stress on the timing of menarche are buffered by secure infant-mother attachment. Results revealed that (a) exposure to greater harshness (but not unpredictability) during the first 5 years of life predicted earlier menarche and (b) secure infant-mother attachment buffered girls from this effect of harsh environments. By connecting attachment research to its evolutionary foundations, these results illuminate how environmental stressors and relationships early in life jointly affect pubertal timing. PMID:26980153

  16. Birth characteristics and age at menarche: results from the dietary intervention study in children (DISC)

    PubMed Central

    Ruder, Elizabeth H.; Hartman, Terryl J.; Rovine, Michael J.; Dorgan, Joanne F.

    2011-01-01

    Objective To examine whether birth weight, birth length, and gestational age are individually associated with age at menarche. Methods Analyses were conducted using data from n = 278 female participants in the Dietary Intervention Study in Children (DISC). Age at menarche was prospectively collected as part of the original DISC investigation. DISC participants self-reported birth weight, birth length, and gestational age with assistance from their mothers and other records as part of the DISC06 Follow-up Study at ages 25–29. Linear regression was used to estimate the association of birth characteristics and age at menarche. Results Birth weight was positively associated with age at menarche (p ≤ 0.01) in multiple regression analyses after controlling for BMI-for-age percentile, race and DISC treatment group. No statistically significant relationships were detected between either length or gestational age and age at menarche. Conclusions Higher birth weight may be associated with a modest delay in age at menarche. PMID:20495859

  17. Determinants of menarche

    PubMed Central

    2010-01-01

    Menarche is a milestone in a woman's life as it denotes the start of reproductive capacity. Aim of this report is to review the recent developments and the current knowledge in the neuroendocrinology of pubertal onset and the factors, genetic and environmental, that influence menarcheal age. We also review the implications of early or late menarcheal age on a young woman's life. PMID:20920296

  18. Early Menarcheal Age and Risk for Later Depressive Symptomatology: The Role of Childhood Depressive Symptoms

    ERIC Educational Resources Information Center

    Black, Sarah R.; Klein, Daniel N.

    2012-01-01

    Previous research has investigated the relationship between pubertal timing and depression in girls, with most results suggesting that earlier menarche predicts more depression in adolescence. However, few studies have controlled for the potentially confounding effects of childhood depressive symptoms. The current study uses a prospective,…

  19. Trends and correlates of age at menarche in Colombia: Results from a nationally representative survey.

    PubMed

    Jansen, Erica C; Herrán, Oscar F; Villamor, Eduardo

    2015-12-01

    Surveillance of age at menarche could provide useful information on the impact of changing environmental conditions on child health. Nevertheless, nationally representative data are exceedingly rare. The aim of this study was to examine trends and sociodemographic correlates of age at menarche of Colombian girls. The study sample included 15,441 girls born between 1992 and 2000 who participated in the Colombian National Nutrition Survey of 2010. We estimated median menarcheal age using Kaplan-Meier time-to-event analyses. Hazard ratios with 95% confidence intervals were estimated with Cox regression models. The median age at menarche was 12.6 years. There was an estimated decline of 0.54 years/decade (P<0.001) over the birth years; this decline was only observed among girls from urban areas, and was more pronounced among girls from wealthier versus poorer families. Child height and BMI, maternal BMI and education, and family wealth were each inversely associated with menarcheal age whereas food insecurity and number of children in the household were positively associated with age at menarche. In conclusion, a negative trend in age at menarche is ongoing in Colombia, especially in groups most likely to benefit from socioeconomic development. PMID:26398849

  20. Association of age at menarche with metabolic syndrome and its components in rural Bangladeshi women

    PubMed Central

    2012-01-01

    Background Early age at menarche is associated with increased risk of metabolic syndrome in both China and the West. However, little is known about the impact of age at menarche and metabolic syndrome in South Asian women, including those from low-income country, where age at menarche is also falling. The aim of the present study was to investigate whether age at menarche is inversely associated with metabolic syndrome in Bangladeshi women, who are mostly poor and have limited access to and or poor health care facilities. Methods This community-based cross-sectional study was performed using 1423 women aged between 15–75 years from rural Bangladesh in 2009 and 2010. Metabolic syndrome was defined according to standard NCEP-ATP III criteria. Logistic regression was used to estimate the association between age at menarche and metabolic syndrome, with adjustment of potential confounding variables, including age, education, marital status, tobacco users, use of contraceptives and number of pregnancies. Results Early onset of menarche (<12 years) as compared to late onset (>13 years) was found to be associated with a higher prevalence of metabolic syndrome (odds ratio=1.55; 95 % confidence interval =1.05-2.30). Age at onset of menarche was also inversely associated with prevalence of high triglycerides (P for trend <0.01) and low high-density lipoprotein cholesterol (P for trend = 0.01), but positively associated with prevalence of high fasting blood glucose (P for trend =0.02). However, no significant association was found between age at menarche, high blood pressure and elevated waist circumference. Conclusion Early onset of menarche might promote or trigger development of metabolic syndrome. Thus, knowledge of the history of age at onset of menarche may be critical in identifying women at risk of developing metabolic syndrome and those likely to benefit the most from early interventions. PMID:23140264

  1. Reported Early Family Environment Covaries with Menarcheal Age as a Function of Polymorphic Variation in Estrogen Receptor-α (ESR1)

    PubMed Central

    Manuck, Stephen B.; Craig, Anna E.; Flory, Janine D.; Halder, Indrani; Ferrell, Robert E.

    2010-01-01

    Age at menarche, a sentinel index of pubertal maturation, was examined in relation to early family relationships (conflict, cohesion) and polymorphic variation in the gene encoding estrogen receptor-α (ESR1) in a midlife sample of 455 European American women. Consistent with prior literature, women who reported being raised in families characterized by close interpersonal relationships and little conflict tended to reach menarche at a later age than participants reared in families lacking cohesion and prone to discord. Moreover, this association was moderated by ESR1 variation, such that quality of the family environment covaried positively with menarcheal age among participants homozygous for minor alleles of the two ESR1 polymorphisms studied here (rs9304799, rs2234693), but not among women of other ESR1 genotypes. In addition, a) family relationship variables were unrelated to ESR1 variation, and b) genotype-dependent effects of childhood environment on age at menarche could not be accounted for by personality traits elsewhere shown to explain heritable variation in reported family conflict and cohesion. These findings are consistent with theories of differential susceptibility to environmental influence, as well as the more specific hypothesis (by Belsky) that girls differ genetically in their sensitivity to rearing effects on pubertal maturation. PMID:21262040

  2. Education for Menarche.

    ERIC Educational Resources Information Center

    Dashiff, Carol

    1986-01-01

    Education programs to prepare young women for menarche can potentially affect their self-view; peer interaction, decision making; and self-care capabilities. A review of literature on menarche and menarcheal education is presented with implications for program development. (Author/MT)

  3. Decline in menarcheal age among Saudi girls

    PubMed Central

    Alwan, Ibrahim A. Al; Ibrahim, Areej A.; Badri, Motasim A.; Dubayee, Mohammed S. Al; Bin-Abbas, Bassam S.

    2015-01-01

    Objectives: To estimate age at menarche and to assess trends in menarcheal age among Saudi women. Methods: A prospective longitudinal study was conducted among healthy prepubertal female school children and adolescents from September 2006 to July 2012 in Riyadh, Kingdom of Saudi Arabia. Study participants were invited from diverse socioeconomic backgrounds. Tanner stage, height, weight, body mass index, and socioeconomic parameters including parent’s level of education were collected. Age at menarche was compared with maternal age at menarche. Results: The study included 265 girls and mothers. Mean±standard deviation (SD) age at menarche for girls was 13.08 ± 1.1 years, and their distribution category across the ≤10 years was 4 (1.5%), 11-14 years was 239 (90.2%), and ≥15 years was 22 (8.3%) girls. Anthropometric measurements, mother’s level of education, and family income were not statistically significant determining factors associated with age at menarche. Mean ± SD age at menarche for mothers was 13.67 ± 1.4 years, and their distribution category across the ≤10 years was 7 (2.6%), 11-14 years was 172 (64.9%), and ≥15 years was 86 (32.5%). Girls attained menarche at younger age compared with their mothers (p<0.0001). A downward secular trend in age of menarche was observed (Cuzick test for trend = 0.049). Conclusion: Saudi girls attain menarcheal age earlier than their mothers, reflecting a downward secular trend in menarcheal age. PMID:26593166

  4. The Experience of Menarche.

    ERIC Educational Resources Information Center

    Ruble, Diane N.; Brooks-Gunn, Jeanne

    1982-01-01

    Examines reactions to menarche and the subsequent effects of this experience as a function of preparation for and timing of menarche. A questionnaire including measures of responses about first menstruation, current symptoms, and self-image was completed by 639 girls in fifth through twelfth grades. (Author/MP)

  5. Urinary bisphenol A and age at menarche among adolescent girls: Evidence from NHANES 2003–2010

    PubMed Central

    McGuinn, Laura A.; Ghazarian, Armen A.; Su, L. Joseph; Ellison, Gary L.

    2014-01-01

    Background Bisphenol A (BPA) is an environmental estrogen used in the manufacture of polycarbonate plastics and epoxy resins used to make food and beverage packaging. Increasing evidence suggests that BPA mimics estrogens in the body and may be associated with putative markers of breast cancer risk. Objectives We analyzed the National Health and Nutrition Examination Survey (NHANES) 2003–2010 data to investigate the association of BPA with age at menarche in adolescent girls. We hypothesized that urinary BPA, as a surrogate biomarker for BPA exposure, is associated with earlier age at menarche, and that body mass index (BMI) may modulate this association. Methods We conducted cross-sectional analyses of urinary BPA, BMI and age of menarche in a subsample of 987 adolescent girls aged 12–19, using pooled data from the 2003–2010 NHANES. Unconditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI) for the association between urinary BPA and early onset of menarche, with adjustment for sampling design. We additionally assessed interaction of BPA with BMI. Results Adolescent girls with moderate BPA levels appeared to be less likely to have early onset of menarche than those with the lowest levels (OR=0.57; 95% CI=0.30, 1.08) after adjusting for age, race/ethnicity, parental education, country of birth, NHANES cycle, BMI and creatinine. BMI appeared to modify the BPA-menarche association. Conclusions Although a non-significant trend suggests increasing urinary BPA may be associated with delayed menarche in adolescent girls, these results are based on cross-sectional data. Results should be clarified in carefully designed longitudinal cohort studies. PMID:25460659

  6. Prenatal and childhood environmental tobacco smoke exposure and age at menarche.

    PubMed

    Ferris, Jennifer S; Flom, Julie D; Tehranifar, Parisa; Mayne, Susan T; Terry, Mary Beth

    2010-11-01

    Previous studies have reported mixed results regarding the association between age at menarche and environmental tobacco smoke exposure, both prenatally and during early childhood; however, few studies have had data available during both time periods. The present study examined whether exposure to prenatal tobacco smoke (PTS) via maternal smoking during pregnancy or childhood environmental tobacco smoke (ETS) was associated with age at menarche in a multi-ethnic birth cohort. With the uniquely available prospectively collected data on body size and growth at birth and in early life, we further examined whether the association between PTS and ETS exposure and age at menarche was mediated by these variables. From 2001 to 2006, we recruited 262 women born between 1959 and 1963 who were enrolled previously in a New York City site of the National Collaborative Perinatal Project. Mothers who smoked during pregnancy vs. those who did not were more likely to be White, younger, have more education and have lower birthweight babies. Daughters with heavy PTS exposure (≥ 20 cigarettes per day) had a later age at menarche (>12 years vs. ≤ 12 years), odds ratio (OR) =2.1 [95% confidence interval (CI) 0.9, 5.0] compared with daughters with no PTS. Daughters exposed to only childhood ETS had a later age at menarche, OR=2.1 [95% CI 1.0, 4.3], and those exposed to PTS and ETS combined had a statistically significant later age at menarche, OR=2.2 [95% CI 1.1, 4.6] compared with daughters with no PTS and no ETS. These results did not change after further adjustment for birthweight and postnatal growth suggesting that exposure to PTS and ETS is associated with later age at menarche even after considering possible relationships with growth. PMID:20955229

  7. Sugar-sweetened beverage consumption and age at menarche in a prospective study of US girls

    PubMed Central

    Carwile, J.L; Willett, W.C; Spiegelman, D.; Hertzmark, E.; Rich-Edwards, J.; Frazier, A.L; Michels, K.B

    2015-01-01

    STUDY QUESTION Is sugar-sweetened beverage (SSB) consumption associated with age at menarche? SUMMARY ANSWER More frequent SSB consumption was associated with earlier menarche in a population of US girls. WHAT IS KNOWN ALREADY SSB consumption is associated with metabolic changes that could potentially impact menarcheal timing, but direct associations with age at menarche have yet to be investigated. STUDY DESIGN, SIZE, DURATION The Growing up Today Study, a prospective cohort study of 16 875 children of Nurses' Health Study II participants residing in all 50 US states. This analysis followed 5583 girls, aged 9–14 years and premenarcheal at baseline, between 1996 and 2001. During 10 555 person-years of follow-up, 94% (n = 5227) of girls reported their age at menarche, and 3% (n = 159) remained premenarcheal in 2001; 4% (n = 197) of eligible girls were censored, primarily for missing age at menarche. PARTICIPANTS/MATERIALS, SETTING, METHODS Cumulative updated SSB consumption (composed of non-carbonated fruit drinks, sugar-sweetened soda and iced tea) was calculated using annual Youth/Adolescent Food Frequency Questionnaires from 1996 to 1998. Age at menarche was self-reported annually. The association between SSB consumption and age at menarche was assessed using Cox proportional hazards regression. MAIN RESULTS AND THE ROLE OF CHANCE More frequent SSB consumption predicted earlier menarche. At any given age between 9 and 18.5 years, premenarcheal girls who reported consuming >1.5 servings of SSBs per day were, on average, 24% more likely [95% confidence interval (CI): 13, 36%; P-trend: <0.001] to attain menarche in the next month relative to girls consuming ≤2 servings of SSBs weekly, adjusting for potential confounders including height, but not BMI (considered an intermediate). Correspondingly, girls consuming >1.5 SSBs daily had an estimated 2.7-month earlier menarche (95% CI: −4.1, −1.3 months) relative to those consuming ≤2 SSBs weekly. The frequency

  8. The influence of climate on age at menarche: Augmented with the influence of ancestry.

    PubMed

    Sohn, Kitae

    2016-08-01

    Samples representative of South Korea, Indonesia, and Peninsular Malaysia were analyzed and the influence of climate on age at menarche was investigated. The sample size was 24,651 for Korea (birth years 1941-1992), for Indonesia 8331 (birth years 1944-1988) plus 20,519 (birth years 1978-1997), and 2842 for Peninsular Malaysia (birth years 1927-1968). Respondents recalled their age at menarche. The mean age at menarche was calculated for each birth year by country, and for Malaysia, additionally by ancestry. It has been found that mean ages at menarche for the early birth years were much younger in Indonesia than in Korea despite similar levels of socioeconomic conditions (proxied by GDP per capita). For example, for the birth year 1944, the mean age at menarche was 14.45 years for Indonesia and 16.19 years for Korea-a difference of 1.74 years. It was necessary to double the Korean GDP per capita to make the Korean mean age at menarche the same as the Indonesian one. Chinese and Malay women in Peninsular Malaysia were further analyzed, and the results provided indirect evidence that the difference between Korea and Indonesia was not due to ancestry differences. Results in multivariate settings provided consistent results. It has been concluded that climate exerts a significant influence on age at menarche because the relatively easy availability of food in the tropics increases energy intake while the absence of cold weather decreases energy expenditure on maintenance and activity. PMID:27369814

  9. Heterosexual romantic involvement and depressive symptoms in black adolescent girls: effects of menarche and perceived social support.

    PubMed

    Carter, Rona; Caldwell, Cleopatra Howard; Matusko, Niki; Jackson, James S

    2015-04-01

    Research has accumulated to demonstrate that depressive symptoms are associated with heterosexual romantic involvement during adolescence, but relatively little work has linked this body of literature to the existing literature on associations between early pubertal timing and adolescent depressive symptoms. This study extends prior research by examining whether early menarche and heterosexual romantic involvement interact to predict depressive symptoms in a national sample of Black adolescent girls (N = 607; M age = 15 years; 32 % Caribbean Black and 68 % African American). We further examined whether the adverse effects of heterosexual romantic involvement and early menarche would be mediated by perceived social support from mothers, fathers, and peers. Path analysis results indicated that girls who report current involvement in a heterosexual romantic relationship also reported high levels of perceived peer support than girls with no romantic involvement. High levels of perceived peer support, in turn, predicted low levels of depressive symptoms. Romantically involved girls with an early menarche also reported significantly less depressive symptoms than girls not romantically involved with an early menarche. Neither perceived maternal support nor perceived paternal support mediated associations between heterosexual romantic involvement, menarche, and depressive symptoms. The findings suggest that individual and social factors can impede heterosexual romantic involvement effects on depressive symptoms in Black adolescent girls. PMID:25678429

  10. Heterosexual Romantic Involvement and Depressive Symptoms in Black Adolescent Girls: Effects of Menarche and Perceived Social Support

    PubMed Central

    Caldwell, Cleopatra Howard; Matusko, Niki; Jackson, James S.

    2015-01-01

    Research has accumulated to demonstrate that depressive symptoms are associated with heterosexual romantic involvement during adolescence, but relatively little work has linked this body of literature to the existing literature on associations between early pubertal timing and adolescent depressive symptoms. This study extends prior research by examining whether early menarche and heterosexual romantic involvement interact to predict depressive symptoms in a national sample of Black adolescent girls (N = 607; M age = 15 years; 32 % Caribbean Black and 68 % African American). We further examined whether the adverse effects of heterosexual romantic involvement and early menarche would be mediated by perceived social support from mothers, fathers, and peers. Path analysis results indicated that girls who report current involvement in a heterosexual romantic relationship also reported high levels of perceived peer support than girls with no romantic involvement. High levels of perceived peer support, in turn, predicted low levels of depressive symptoms. Romantically involved girls with an early menarche also reported significantly less depressive symptoms than girls not romantically involved with an early menarche. Neither perceived maternal support nor perceived paternal support mediated associations between heterosexual romantic involvement, menarche, and depressive symptoms. The findings suggest that individual and social factors can impede heterosexual romantic involvement effects on depressive symptoms in Black adolescent girls. PMID:25678429

  11. The Cannabinoid Receptor 2 Q63R Variant Modulates the Relationship between Childhood Obesity and Age at Menarche

    PubMed Central

    Torella, Marco; Miraglia del Giudice, Emanuele; Nobili, Bruno; Perrone, Laura; Maione, Sabatino; Rossi, Francesca

    2015-01-01

    Background The ovary is an important site where gene variants modulate pubertal timing. The cannabinoid receptor 2 (CB2) is expressed in the ovary, plays a role in folliculogenesis and ovulation, and can be modulated by estrogens. Obesity is strictly associated with early menarche and is characterized by sex hormone and endocannabinoid derangement. Aim In this study, we investigated the role of the CB2 receptor in determining the age at menarche in obese girls. Methods We studied a cohort of 240 obese girls (age 11.9±3 years; BMI z-score 2.8±0.8). The age at menarche (if it had already occurred) was recorded at the time of the visit or via phonecall. The CNR2 rs35761398 polymorphism, which leads to the CB2 Q63R variant, was detected by the TaqMan assay. Results In total, 105 patients were homozygous for the R63-coding allele (RR), 113 were QR and 22 were QQ. Variance analysis revealed a significantly earlier age of menarche in subjects carrying the Q63 allele, which was also found after adjusting for BMI z-score (11±1.2 vs. 11.6±1.2 years, p = 0.0003). Logistic regression analysis demonstrated that patients homozygous for the Q allele had a 2.2-fold higher risk (odds ratio = 2.2; CI1.1–3.4; p = 0.02) of presenting with an early menarche (age at menarche <12 years). Conclusion We demonstrated for the first time the association between the CB2 Q63R functional variant and the age at menarche in a cohort of Italian obese girls. PMID:26447698

  12. Menarchal Timing in Type 1 Diabetes Through the Last 4 Decades

    PubMed Central

    Schweiger, Bahareh; Klingensmith, Georgeanna J.; Snell-Bergeon, Janet K.

    2010-01-01

    OBJECTIVE We sought to examine whether age at menarche has changed over the past 4 decades by comparing age at menarche by year of diagnosis with type 1 diabetes. RESEARCH DESIGN AND METHODS This work consisted of a cross-sectional study of age at menarche in two cohorts: adolescents (ages 11–24 years, n = 228) and adults (ages 19–55 years, n = 290, enrolled in the Coronary Artery Calcification in Type 1 Diabetes study). RESULTS The adolescent cohort reported a younger age of menarche than the adult women with type 1 diabetes (12.69 ± 0.08 vs. 13.22 ± 0.12 years, mean ± SE, P < 0.001). Age at menarche was later in both adolescent girls and adult women with type 1 diabetes diagnosed before menarche (12.82 ± 1.16 and 13.7 ± 2.23 years) than for individuals diagnosed after menarche (12.12 ± 1.25 and 12.65 ± 1.38 years, P < 0.001 for both). Age at menarche was then examined by decade of type 1 diabetes diagnosis (1970–1979, 1980–1989, 1990–1999, and 2000–2009). Age at menarche significantly declined over the 4 decades (P = 0.0002). However, the delay in menarche among girls diagnosed with type 1 diabetes before menarche compared with those diagnosed after menarche was also significant across all decades (P < 0.0001) and did not change significantly over time (P = 0.41 for interaction of cohort and diagnosis premenarche). CONCLUSIONS Age at menarche has declined over the past 4 decades among girls with type 1 diabetes, but a delay in age at menarche remains among individuals diagnosed before menarche compared with individuals diagnosed after menarche. PMID:20843975

  13. Menarche delay and menstrual irregularities persist in adolescents with type 1 diabetes

    PubMed Central

    2011-01-01

    Background Menarche delay has been reported in adolescent females with type 1 diabetes (T1DM), perhaps due to poor glycemic control. We sought to compare age at menarche between adolescent females with T1DM and national data, and to identify factors associated with delayed menarche and menstrual irregularity in T1DM. Methods This was a cross-sectional study and females ages 12- 24 years (n = 228) with at least one menstrual period were recruited during their outpatient diabetes clinic appointment. The National Health and Nutrition Examination Survey (NHANES) 2001-2006 data (n = 3690) for females 12-24 years were used as a control group. Results Age at menarche was later in adolescent females with T1DM diagnosed prior to menarche (12.81 +/- 0.09 years) (mean+/- SE) (n = 185) than for adolescent females diagnosed after menarche (12.17 0.19 years, p = 0.0015) (n = 43). Average age of menarche in NHANES was 12.27 +/- 0.038 years, which was significantly earlier than adolescent females with T1DM prior to menarche (p < 0.0001) and similar to adolescent females diagnosed after menarche (p = 0.77). Older age at menarche was negatively correlated with BMI z-score (r = -0.23 p = 0.0029) but not hemoglobin A1c (A1c) at menarche (r = 0.01, p = 0.91). Among 181 adolescent females who were at least 2 years post menarche, 63 (35%) reported usually or always irregular cycles. Conclusion Adolescent females with T1DM had a later onset of menarche than both adolescent females who developed T1DM after menarche and NHANES data. Menarche age was negatively associated with BMI z-score, but not A1c. Despite improved treatment in recent decades, menarche delay and high prevalence of menstrual irregularity is still observed among adolescent females with T1DM. PMID:21548955

  14. Earlier Menarche Is Associated with Lower Insulin Sensitivity and Increased Adiposity in Young Adult Women

    PubMed Central

    Wilson, Dyanne A.; Derraik, José G. B.; Rowe, Deborah L.; Hofman, Paul L.; Cutfield, Wayne S.

    2015-01-01

    Objective We aimed to assess whether age at menarche was associated with insulin sensitivity in young adult women. Methods We studied 54 healthy young women aged 20–30 years. Participants were grouped according to age at menarche: Early (≤11.0 years; n=13), Average (>12.0 and ≤13.0 years; n=28), and Late (≥14.0 years, n=13). Primary outcome was insulin sensitivity measured using intravenous glucose tolerance tests and Bergman’s minimal model. Body composition was assessed using whole-body dual-energy X-ray absorptiometry. Results Earlier menarche was associated with lower insulin sensitivity (p=0.015). There was also a continuous increase in adiposity with younger age at menarche, which was associated with increased weight (p=0.001), BMI (p=0.002), total body fat (p=0.049), and truncal fat (p=0.020). Stratified analyses showed that insulin sensitivity in Early women (5.5 x10-4·min-1(mU/l)) was lower than in Average (8.0 x10-4·min-1(mU/l), p=0.021) and Late (8.6 x10-4·min-1(mU/l), p=0.033) groups. Early women (weight=66.1 kg; BMI=24.1 kg/m2) were considerably heavier and fatter than Average (59.0 kg, p=0.004; 21.4 kg/m2, p=0.002) and Late (57.0 kg, p=0.001; 20.8 kg/m2, p=0.0009) women. Conclusions Early menarche is associated with lower insulin sensitivity and increased adiposity in young adulthood, potentially increasing the risk of type 2 diabetes and the metabolic syndrome later in life. PMID:26061526

  15. Age at menarche, total mortality and mortality from ischaemic heart disease and stroke: the Adventist Health Study, 1976–88

    PubMed Central

    Jacobsen, B K; Oda, K; Knutsen, S F; Fraser, G E

    2009-01-01

    Background Little is known about the relationship between age at menarche and total mortality and mortality from ischaemic heart disease and stroke. Methods A cohort study of 19 462 Californian Seventh-Day Adventist women followed-up from 1976 to 1988. A total of 3313 deaths occurred during follow-up, of which 809 were due to ischaemic heart disease and 378 due to stroke. Results An early menarche was associated with increased total mortality (P-value for linear trend <0.001), ischaemic heart disease (P-value for linear trend = 0.01) and stroke (P-value for linear trend = 0.02) mortality. There were, however, also some indications of an increased ischaemic heart disease mortality in women aged 16–18 at menarche (5% of the women). When assessed as a linear relationship, a 1-year delay in menarche was associated with 4.5% (95% CI 2.3–6.7) lower total mortality. The association was stronger for ischaemic heart disease [6.0% (95% CI 1.2–10.6)] and stroke [8.6% (95% CI 1.6–15.1)] mortality. Conclusions The results suggest that there is a linear, inverse relationship between age at menarche and total mortality as well as with ischaemic heart disease and stroke mortality. PMID:19188208

  16. Girls' Understanding and Social Construction of Menarche.

    ERIC Educational Resources Information Center

    Moore, Susan M.

    1995-01-01

    Assessed Australian girls' (n=87) beliefs and feelings about menarche and menstruation. Results revealed limited knowledge about menstruation, accompanied by incorrect and negative myths. Attitudes to menstruation were characterized by embarrassment, discomfort, and ambivalence about growing up. Themes in story completion results reflected these…

  17. The Development of Reproductive Strategy in Females: Early Maternal Harshness [right arrow] Earlier Menarche [right arrow] Increased Sexual Risk Taking

    ERIC Educational Resources Information Center

    Belsky, Jay; Steinberg, Laurence; Houts, Renate M.; Halpern-Felsher, Bonnie L.

    2010-01-01

    To test a proposition central to J. Belsky, L. Steinberg, and P. Draper's (1991) evolutionary theory of socialization--that pubertal maturation plays a role in linking early rearing experience with adolescent sexual risk taking (i.e., frequency of sexual behavior) and, perhaps, other risk taking (e.g., alcohol, drugs, delinquency)--the authors…

  18. The effects of high altitude on age at menarche and menopause

    NASA Astrophysics Data System (ADS)

    Kapoor, A. K.; Kapoor, Satwanti

    1986-03-01

    The age at menarche and menopause of three groups of Bhotia females living at high altitude, Himalayan region — Uttar Pradesh, North India, were studied. The Johari Bhotia women had earliest menarche (¯X=15.1±1.1 years) as compared to Rang Bhotias, settled (¯X=15.6±0.9 years) and Rang Bhotias, migratory (¯X=16.0±1.0 years). The differences between all these three groups for age at menarche were significant. A trend towards increase in age at menarche with an increase in altitude has been observed, but the total fertility period in the three groups remained similar as early menarche has been found to be associated with early onset of menopause and late menarche with late menopause.

  19. Maternal Age of Menarche and Blood Pressure in Adolescence: Evidence from Hong Kong’s “Children of 1997” Birth Cohort

    PubMed Central

    Lai, Tsz Chun; Leung, Gabriel Matthew; Schooling, C. Mary

    2016-01-01

    Background Age of puberty has declined substantially in developed settings and is now declining in the rest of the world with economic development. Early age of puberty is associated with non-communicable diseases in adulthood, and may be a long-term driver of population health with effects over generations. In a non-Western setting, we examined the association of maternal age of menarche with blood pressure in late childhood/adolescence. Methods We used generalised estimating equations to estimate the adjusted association of maternal age of menarche with age-, sex- and height-adjusted blood pressure z-score from 10 to 16 years in Hong Kong’s population-representative birth cohort, “Children of 1997” (n = 8327). We also assessed whether associations were mediated by body mass index (BMI) or pubertal stage. Results Earlier maternal age of menarche was associated with higher systolic blood pressure in adolescence [-0.02 z-score per year older maternal age of menarche, 95% confidence interval (CI) -0.04 to -0.003]. The association of maternal age of menarche with systolic blood pressure was mediated by adiposity and/or pubertal stage at 11 years. Maternal age of menarche was not associated with diastolic blood pressure. Conclusion Earlier maternal age of puberty was associated with higher systolic blood pressure, largely mediated by adiposity, highlighting the importance of tackling childhood obesity as a public health priority in view of the secular trend of declining age of puberty. PMID:27454175

  20. Menarche: Prior Knowledge and Experience.

    ERIC Educational Resources Information Center

    Skandhan, K. P.; And Others

    1988-01-01

    Recorded menstruation information among 305 young women in India, assessing the differences between those who did and did not have knowledge of menstruation prior to menarche. Those with prior knowledge considered menarche to be a normal physiological function and had a higher rate of regularity, lower rate of dysmenorrhea, and earlier onset of…

  1. Age at Menarche: 50-Year Socioeconomic Trends Among US-Born Black and White Women

    PubMed Central

    Kiang, Mathew V.; Kosheleva, Anna; Waterman, Pamela D.; Chen, Jarvis T.; Beckfield, Jason

    2015-01-01

    Objectives. We investigated 50-year US trends in age at menarche by socioeconomic position (SEP) and race/ethnicity because data are scant and contradictory. Methods. We analyzed data by income and education for US-born non-Hispanic Black and White women aged 25 to 74 years in the National Health Examination Survey (NHES) I (1959–1962), National Health Examination and Nutrition Surveys (NHANES) I–III (1971–1994), and NHANES 1999–2008. Results. In NHES I, average age at menarche among White women in the 20th (lowest) versus 80th (highest) income percentiles was 0.26 years higher (95% confidence interval [CI] = −0.09, 0.61), but by NHANES 2005–2008 it had reversed and was −0.33 years lower (95% CI = −0.54, −0.11); no socioeconomic gradients occurred among Black women. The proportion with onset at younger than 11 years increased only among women with low SEP, among Blacks and Whites (P for trend < .05), and high rates of change occurred solely among Black women (all SEP strata) and low-income White women who underwent menarche before 1960. Conclusions. Trends in US age at menarche vary by SEP and race/ethnicity in ways that pose challenges to several leading clinical, public health, and social explanations for early age at menarche and that underscore why analyses must jointly include data on race/ethnicity and socioeconomic position. Future research is needed to explain these trends. PMID:25033121

  2. Brief Report: Autistic-Like Traits in Childhood Predict Later Age at Menarche in Girls

    ERIC Educational Resources Information Center

    Whitehouse, Andrew J. O.; Maybery, Murray T.; Hickey, Martha; Sloboda, Deborah M.

    2011-01-01

    We investigated the relationship between autistic-like traits in early childhood and age at menarche in typically developing girls. Autistic-like symptoms were measured at age 2 years using the Child Behaviour Checklist, and age at menarche (AAM) was determined prospectively using self-report questionnaires at age 8, 10, 14 and 17 years. Girls…

  3. Age of Menarche and Psychosocial Outcomes in a New Zealand Birth Cohort

    ERIC Educational Resources Information Center

    Boden, Joseph M.; Fergusson, David M.; Horwood, L. John

    2011-01-01

    Objective: This study examined associations between age of menarche and psychosocial outcomes in early adulthood, including sexual behavior, mental health, criminal behavior, and education/employment, to identify the possible causal role of earlier age of menarche in increasing risks of adverse outcomes. Method: Data were gathered from 497 female…

  4. Earlier age at menarche is associated with higher diabetes risk and cardiometabolic disease risk factors in Brazilian adults: Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

    PubMed Central

    2014-01-01

    Objectives Early menarche has been linked to higher risk of type 2 diabetes in Western and Asian societies, yet whether age at menarche is associated with diabetes in Latin America, where puberty and diabetes may have different life courses, is unknown. We tested the hypothesis that earlier menarche is associated with higher diabetes risk in Brazilian adults. Methods We used data from 8,075 women aged 35-74 years in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) who had complete information on age at menarche, diabetes status, and covariates. Diabetes was defined based on self-reported physician diagnosis, medication use, and laboratory variables (fasting glucose, 2-hour glucose, and glycated hemoglobin). Poisson regression was used to generate risk ratios (RR) and 95% confidence intervals (CI). Results Menarche onset < 11 years [vs. 13-14 years (referent)] was associated with higher risk of diabetes (RR = 1.34; 95% CI: 1.14-1.57) after adjusting for sociodemographic factors, maternal education, maternal and paternal diabetes, and birth weight. This persisted after further control for BMI at age 20 years and relative leg length. Additionally, among those not taking diabetes medications, earlier menarche [<11 years vs. 13-14 years (referent)] was associated with higher % glycated hemoglobin (p < 0.001), alanine aminotransferase (p < 0.001), triglycerides (p < 0.001), C-reactive protein (p = 0.003), waist circumference (p < 0.001), and BMI measured at baseline exam (p < 0.001). Conclusion These findings support the hypothesis that earlier menarche is associated with greater risk for adult diabetes and cardiometabolic disease in the Brazilian context. PMID:24438044

  5. Age of Onset, Nutritional Determinants, and Seasonal Variations in Menarche in Rural Bangladesh

    PubMed Central

    Rah, Jee H.; Shamim, Abu Ahmed; Arju, Ummeh T.; Labrique, Alain B.; Rashid, Mahbubur

    2009-01-01

    Menarche is an important milestone in the development of female adolescents. The study assessed the age at menarche using recall, its seasonality, and association with marital and nutritional status (using midupper arm circumference [MUAC]) among 3,923 female adolescents aged 12–19 years in a rural area of Bangladesh. At the time of assessment, most (88%) adolescents had attained menarche at the mean (standard deviation [SD]) age of 12.8 (1.4) years. Age of onset of menarche among married adolescents (13%) occurred earlier than in those who were unmarried (12.6±1.3 years vs 12.9±1.4 years, p<0.01). Age at menarche was negatively associated with MUAC after adjusting for age and marital status (β=−0.10, p<0.01). More than 50% of the adolescents had an onset of menarche during winter (χ 2=634.97; p<0.001), with peaks in December and January. In this rural population, the current age at menarche was found to be slightly lower than the previous estimates of 13.0 years in Bangladesh. An early onset of menarche was associated with season and better nutritional status of the female adolescents and may be associated with early marriage. PMID:20099764

  6. Socioeconomic status and age at menarche: An examination of multiple indicators in an ethnically diverse cohort

    PubMed Central

    Deardorff, Julianna; Abrams, Barbara; Ekwaru, J. Paul; Rehkopf, David H.

    2014-01-01

    Purpose Ethnic disparities exist in US girls' ages at menarche. Overweight and low socioeconomic status (SES) may contribute to these disparities but past research has been equivocal. We sought to determine which SES indicators were associated uniquely with menarche, for which ethnic groups, and whether associations operated through overweight. Methods Using National Longitudinal Study of Youth data, we examined associations between SES indicators and age at menarche. Participants were 4851 girls and their mothers. We used survival analyses to examine whether SES, at various time points, was associated with menarche, whether body mass index (BMI) mediated associations, and whether race/ethnicity modified associations. Results Black and Hispanic girls experienced menarche earlier than whites. After adjusting for SES, there was a 50% reduction in the effect estimate for “being Hispanic” and 40% reduction for “being Black” versus “being white” on menarche. SES indicators were associated uniquely with earlier menarche, including mother's unmarried status and lower family income. Associations varied by race/ethnicity. BMI did not mediate associations. Conclusion Racial differences in menarche may in large part be due to SES differences. Future experimental or quasi-experimental studies should examine whether intervening on SES factors could have benefits for delaying menarche among Blacks and Hispanics. PMID:25108688

  7. Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women

    PubMed Central

    Peters, Rosalind M.; Burmeister, Charlotte; Bielak, Lawrence F.; Johnson, Dayna A.

    2016-01-01

    Introduction. Menarche is a critical time point in a woman's reproductive system development; exposures at menarche may influence maternal health. Living in a poorer neighborhood is associated with adult obesity; however, little is known if neighborhood factors at menarche are associated with prepregnancy obesity. Methods. We examined the association of neighborhood-level poverty at menarche with prepregnancy body mass index category in 144 pregnant African-American women. Address at menarche was geocoded to census tract (closest to year of menarche); neighborhood-level poverty was defined as the proportion of residents living under the federal poverty level. Cumulative logistic regression was used to examine the association of neighborhood-level poverty at menarche, in quartiles, with categorical prepregnancy BMI. Results. Before pregnancy, 59 (41%) women were obese. Compared to women in the lowest neighborhood-level poverty quartile, women in the highest quartile had 2.9 [1.2, 6.9] times higher odds of prepregnancy obesity; this was slightly attenuated after adjusting for age, marital status, education, and parity (odds ratio: 2.3 [0.9, 6.3]). Conclusions. Living in a higher poverty neighborhood at menarche is associated with prepregnancy obesity in African-American women. Future studies are needed to better understand the role of exposures in menarche on health in pregnancy. PMID:27418977

  8. Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women.

    PubMed

    Cassidy-Bushrow, Andrea E; Peters, Rosalind M; Burmeister, Charlotte; Bielak, Lawrence F; Johnson, Dayna A

    2016-01-01

    Introduction. Menarche is a critical time point in a woman's reproductive system development; exposures at menarche may influence maternal health. Living in a poorer neighborhood is associated with adult obesity; however, little is known if neighborhood factors at menarche are associated with prepregnancy obesity. Methods. We examined the association of neighborhood-level poverty at menarche with prepregnancy body mass index category in 144 pregnant African-American women. Address at menarche was geocoded to census tract (closest to year of menarche); neighborhood-level poverty was defined as the proportion of residents living under the federal poverty level. Cumulative logistic regression was used to examine the association of neighborhood-level poverty at menarche, in quartiles, with categorical prepregnancy BMI. Results. Before pregnancy, 59 (41%) women were obese. Compared to women in the lowest neighborhood-level poverty quartile, women in the highest quartile had 2.9 [1.2, 6.9] times higher odds of prepregnancy obesity; this was slightly attenuated after adjusting for age, marital status, education, and parity (odds ratio: 2.3 [0.9, 6.3]). Conclusions. Living in a higher poverty neighborhood at menarche is associated with prepregnancy obesity in African-American women. Future studies are needed to better understand the role of exposures in menarche on health in pregnancy. PMID:27418977

  9. Father Absence, Menarche and Interest in Infants among Adolescent Girls

    ERIC Educational Resources Information Center

    Maestripieri, Dario; Roney, James R.; Debias, Nicole; Durante, Kristina M.; Spaepen, Geertrui M.

    2004-01-01

    In this study we examined the relationship between menarche and interest in infants among adolescent girls, and the effects of early environment, particularly of father absence from home, on both variables. Eighty-three girls ranging in age from between 11 and 14 years served as study participants. Interest in infants was assessed through their…

  10. Menarche age in Iran: A meta-analysis

    PubMed Central

    Bahrami, Nasim; Soleimani, Mohammad Ali; Chan, Yiong Huak; Ghojazadeh, Morteza; Mirmiran, Parvin

    2014-01-01

    Background: Research shows that the age at menarche, as an essential element in the reproductive health of women, had been decreasing in the 19th and 20th centuries, and shows a huge variation across different countries. There are numerous studies performed in Iran reporting a range of age at menarche. Thus, this meta-analysis aimed to determine the overall mean age at menarche of the girls in Iran. Materials and Methods: All relevant studies were reviewed using sensitive and standard keywords in the databases from 1950 to 2013. Two raters verified a total of 1088 articles based on the inclusion criteria of this study. Forty-seven studies were selected for this meta-analysis. Cochran test was used for samples’ homogeneity (Tau-square). The mean age at menarche of the girls in Iran with 95% confidence interval (CI) from the random effects was reported. Results: The homogeneity assumption for the 47 reviewed studies was attained (Tau-square = 0.00). The mean (95% CI) menarche age of Iranian girls from the random effects was 12.81 (95% CI: 12.56–13.06) years. Conclusions: The results of this study showed that mean age at menarche was less than that of some European developed countries such as Switzerland, Sweden, and Denmark, more than that reported in some countries such as Greece and Italy, and similar to the values obtained in the United States of America and Colombia. Lower age at menarche in Iran may be largely attributed to the changes in lifestyle and diet of the children. PMID:25400670

  11. Conflictive Engagement, Positive Affect, and Menarche in Families with Seventh-Grade Girls.

    ERIC Educational Resources Information Center

    Holmbeck, Grayson N.; Hill, John P.

    1991-01-01

    Each of 111 families with seventh grade daughters was observed in a family interaction task. Results indicated that conflict with parents, and especially with the mother, was more frequent shortly after menarche than at other times. Withdrawal of positive affect was associated with menarcheal status. (BC)

  12. Psychosocial and Cultural Factors Influencing Expectations of Menarche: A Study on Chinese Premenarcheal Teenage Girls

    ERIC Educational Resources Information Center

    Yeung, Dannii Y. L.; Tang, Catherine So-kum; Lee, Antoinette

    2005-01-01

    This study explored how psychosocial and cultural factors influenced expectations of menarche among 476 Chinese premenarcheal teenage girls. Results showed that participants' expectations of menarche were largely negative and heavily influenced by cultural beliefs about menstruation. Findings of hierarchical regression analyses revealed that…

  13. Association Between Age at Menarche and Risk Factors for Cardiovascular Diseases in Korean Women

    PubMed Central

    Won, Jong Chul; Hong, Jae Won; Noh, Jung Hyun; Kim, Dong-Jun

    2016-01-01

    Abstract Early menarche is strongly associated with adulthood obesity; however, the relationship between age at menarche and cardiovascular disease (CVD) in Korean women remains poorly understood. Here, we investigated the association between early menarche and risk factors for developing CVD during adulthood using a nationwide population database. In total, 12,336 women (weighted n = 17,483,406; weighted age, 45.7 years) who participated in the Korean National Health and Nutrition Examination Survey 2010 to 2013 were included in this study. Participants were scored using the National Cholesterol Education Program Adult Treatment Panel III criteria for metabolic syndrome. Risk of CVD was estimated using the 10-year Framingham Coronary Heart Disease Risk Point Scale (10-year FRS). Early menarche (≤11 years) was reported in 5.2% (weighted n = 917,493) of subjects. The weighted prevalences of metabolic syndrome and ≥20% 10-year FRS were 23.6% [95% confidence interval (95% CI), 22.7–24.6] and 7.7% (7.1–8.3), respectively. Women with early menarche reported a significantly higher body mass index and waist circumference, along with a higher prevalence of hypertension, diabetes, and metabolic syndrome than those with later menarche (≥13 years). Furthermore, the prevalence of women with a ≥10% or ≥20% 10-year FRS was higher in those with early menarche than in other groups after adjusting for age, smoking, education level, and menstruation. Logistic regression analyses controlling for these and other confounding factors revealed odds ratios of 2.29 (95% CI = 1.25–4.19) and 1.78 (0.96–3.30) for ≥10% and ≥20% 10-year FRS in women with early menarche, respectively, compared with those in the latest menarche group (≥17 years). Taken together, this nationwide study revealed that women with early menarche are at increased risks of metabolic syndrome and CVD. Early menarche may therefore represent an important marker for early preventive

  14. The Planck Mission: Early Results

    SciTech Connect

    Marco Bersanelli

    2012-03-07

    The ESA Planck space mission, launched on May 14, 2009, is dedicated to high precision measurements of the cosmic microwave background (CMB), the first light of the universe, both in temperature and polarization. The satellite observes the full sky from a far-Earth orbit with two cryogenic instruments in the 30-850 GHz range at the focal plane of a 1.5-meter telescope. The primary objective of Planck is to measure with unprecedented precision the key cosmological parameters and to provide accurate tests of physics in the early universe. Planck has recently completed the fifth full-sky survey. The data analysis is underway. The first cosmology results are expected in early 2013 while a number of astrophysical results have been recently delivered to the community, including galactic and extragalactic astrophysics and a rich catalogue of radio and infrared sources. These results demonstrate the excellent in-orbit performance of the instruments and give excellent prospects for the forthcoming cosmological results.

  15. Clarifying the Associations between Age at Menarche and Adolescent Emotional and Behavioral Problems

    PubMed Central

    Van Hulle, Carol A.; Beasley, William H.; Rodgers, Joseph L.; D’Onofrio, Brian M.

    2015-01-01

    Better understanding risk factors for the development of adolescent emotional and behavioral problems can help with intervention and prevention efforts. Previous studies have found that an early menarcheal age predicts several adolescent problems, including depressive symptoms, delinquency, and early age at first intercourse. Few studies, nevertheless, have explicitly tested (a) whether the associations with menarcheal age vary across racial/ethnic groups or (b) whether the sources of the associations are within-families (i.e., consistent with a direct, causal link) or only between-families (i.e., due to selection or confounding factors). The current study analyzed data from a nationally representative US Sample of females (N = 5,637). We examined whether race/ethnicity moderated the associations between early menarche and several adolescent problems by using multiple-group analyses and we examined the degree to which genetic and environmental factors shared by family members account for the associations by comparing sisters and cousins with differing menarcheal ages. Menarcheal age predicted subsequent depressive symptoms, delinquency, and early age at first intercourse in the population. The magnitudes of the associations were similar across all racial/ethnic groups for all outcomes. The within-family associations (i.e., when comparing siblings and cousins with different menarcheal age) were large and statistically significant when predicting early intercourse, but not the other outcomes. The findings suggest that selection or confounding factors account for the associations between menarcheal age and subsequent depressive symptoms and delinquency, whereas the independent association between menarcheal age and early age at first intercourse is consistent with a direct, causal effect. PMID:25687264

  16. Malnutrition, menarche, and marriage in rural Bangladesh.

    PubMed

    Chowdhury, A K; Huffman, S L; Curlin, G T

    1977-01-01

    In order to assess the impact of nutritional status on the onset of menarche and the association between age at menarche and age at marriage, a survey of 1155 girls, ages 10 through 20, was conducted in a rural area of Bangladesh in March 1976. In order to obtain an estimated mean of age of menarche, probit analysis was used. The mean age of menarche using this technique is estimated at 15.65 for Muslims and 15.91 for Hindus. It was learned that in recent years the age of menarche has increased in a rural area. This increase seems to be associated with malnutrition caused by the war, postwar inflation, floods and famines during the 1971-75 period. When age is controlled for, the prominent effect of weight on menstrual status is evident. 98% of the girls whose weights were 88 pounds or greater had reached menarche compared to only 1% of those weighing less than 66 pounds. Body weight appears to be 1 of the most important factors for the determination of onset of menarche. There exists a seasonality of onset of menarche with a peak in winter. Age of marriage among this rural population has increased and may be associated with the increasing age of menarche. Since both age of menarche and age of marriage have increased, fertility among females age 15-19 may be expected to decrease in the future if this pattern continues. PMID:607404

  17. Secular trends in age at menarche among Chinese girls from 24 ethnic minorities, 1985 to 2010

    PubMed Central

    Song, Yi; Ma, Jun; Agardh, Anette; Lau, Patrick W.C.; Hu, Peijin; Zhang, Bing

    2015-01-01

    Background Declining age at menarche has been observed in many countries. In China, a decrease of 4.5 months per decade in the average age at menarche among the majority Han girls has recently been reported. However, the trends in age at menarche among ethnic minority girls over the past 25 years remain unknown. Objectives To compare the differences in median age at menarche among girls aged 9–18 years across 24 ethnic minorities in 2010 and to estimate the trends in age at menarche in different ethnic minorities from 1985 to 2010. Design We used data from six cross-sectional Chinese National Surveys on Students’ Constitution and Health (1985, 1991, 1995, 2000, 2005, and 2010). The median age at menarche was estimated by using probit analysis. Results In 2010, the ethnic minorities with the earliest age at menarche were the Koreans (11.79 years), Mongolians (12.44 years), and Zhuang (12.52 years). The three ethnic minorities with the latest age at menarche were the Sala (14.32 years), Yi (13.74 years), and Uighurs (13.67 years). From 1985 to 2010, the age at menarche declined in all 24 minority groups. The Lisu, Kazakh, and Korean minorities showed the largest reductions in age at menarche by 1.79 (p<0.05), 1.69 (p<0.05), and 1.57 (p<0.05) years, respectively, from 1985 to 2010. The Yi, Sala, and Li minorities showed the smallest reductions, with age at menarche declining by only 0.06 (p>0.05), 0.15 (p>0.05), and 0.15 (p>0.05) years, respectively, in the same period. Conclusion A large variation in age at menarche was observed among different ethnic minorities, with the earliest age at menarche found among Korean girls. A reduction in the average age at menarche appeared among most of the ethnic minorities over time, and the largest decrease was observed in Lisu, Kazakh, and Korean girls. Thus, health education should focus on targeting the specific needs of each ethnic minority group. PMID:26220757

  18. Complex relation of HLA-DRB1*1501, age at menarche, and age at multiple sclerosis onset

    PubMed Central

    Chua, Alicia S.; Xia, Zongqi; Chibnik, Lori; De Jager, Philip L.; Chitnis, Tanuja

    2016-01-01

    Objective: To examine the relationship between 2 markers of early multiple sclerosis (MS) onset, 1 genetic (HLA-DRB1*1501) and 1 experiential (early menarche), in 2 cohorts. Methods: We included 540 white women with MS or clinically isolated syndrome (N = 156 with genetic data available) and 1,390 white women without MS but with a first-degree relative with MS (Genes and Environment in Multiple Sclerosis [GEMS]). Age at menarche, HLA-DRB1*1501 status, and age at MS onset were analyzed. Results: In both cohorts, participants with at least 1 HLA-DRB1*1501 allele had a later age at menarche than did participants with no risk alleles (MS: mean difference = 0.49, 95% confidence interval [CI] = [0.03–0.95], p = 0.036; GEMS: mean difference = 0.159, 95% CI = [0.012–0.305], p = 0.034). This association remained after we adjusted for body mass index at age 18 (available in GEMS) and for other MS risk alleles, as well as a single nucleotide polymorphism near the HLA-A region previously associated with age of menarche (available in MS cohort). Confirming previously reported associations, in our MS cohort, every year decrease in age at menarche was associated with a 0.65-year earlier MS onset (95% CI = [0.07–1.22], p = 0.027, N = 540). Earlier MS onset was also found in individuals with at least 1 HLA-DRB1*1501 risk allele (mean difference = −3.40 years, 95% CI = [−6.42 to −0.37], p = 0.028, N = 156). Conclusions: In 2 cohorts, a genetic marker for earlier MS onset (HLA-DRB1*1501) was inversely related to earlier menarche, an experiential marker for earlier symptom onset. This finding warrants broader investigations into the association between the HLA region and hormonal regulation in determining the onset of autoimmune disease. PMID:27504495

  19. Menarcheal and pubertal development and determining factors among schoolgirls in Kumasi, Ghana.

    PubMed

    Opare-Addo, P M; Stowe, M; Ankobea-Kokroe, F; Zheng, T

    2012-02-01

    To determine menarcheal and pubertal ages and possible factors responsible for current pubertal trends in Kumasi, Ghana, a cross-sectional study was conducted among 720 urban and rural Kumasi 7-17-year-old schoolgirls and their mothers in 2008. Heights and weights were measured and additional information obtained by survey. Mantel-Haenzsel, χ(2), ordered logistic regression and probit analyses were used to analyse the data collected. With 40.42% menarcheal prevalence, median menarcheal ages were significantly different: 12.37 ± 1.48 years urban and 13.41 ± 2.25 years rural; 12.89 ± 1.93 years, overall. Obesity (OR = 2.57; p = 0.033) and high socioeconomic status (OR = 2.12; p = 0.008) were predictors of early menarche, while a younger mother was protective against early menarche (OR = 0.32; p = 0.039). Age at menarche among Kumasi schoolgirls has dropped 0.76 years since it was last determined among similarly aged girls in 1986, declining at a rate of about 0.32 years/decade. The predicting factors provide an important opportunity for intervention through school curricula and targeted education of adolescents. PMID:22296429

  20. Genome-wide association study of age at menarche in African-American women

    PubMed Central

    Demerath, Ellen W.; Liu, Ching-Ti; Franceschini, Nora; Chen, Gary; Palmer, Julie R.; Smith, Erin N.; Chen, Christina T.L.; Ambrosone, Christine B.; Arnold, Alice M.; Bandera, Elisa V.; Berenson, Gerald S.; Bernstein, Leslie; Britton, Angela; Cappola, Anne R.; Carlson, Christopher S.; Chanock, Stephen J.; Chen, Wei; Chen, Zhao; Deming, Sandra L.; Elks, Cathy E.; Evans, Michelle K.; Gajdos, Zofia; Henderson, Brian E.; Hu, Jennifer J.; Ingles, Sue; John, Esther M.; Kerr, Kathleen F.; Kolonel, Laurence N.; Le Marchand, Loic; Lu, Xiaoning; Millikan, Robert C.; Musani, Solomon K.; Nock, Nora L.; North, Kari; Nyante, Sarah; Press, Michael F.; Rodriquez-Gil, Jorge L.; Ruiz-Narvaez, Edward A.; Schork, Nicholas J.; Srinivasan, Sathanur R.; Woods, Nancy F.; Zheng, Wei; Ziegler, Regina G.; Zonderman, Alan; Heiss, Gerardo; Gwen Windham, B.; Wellons, Melissa; Murray, Sarah S.; Nalls, Michael; Pastinen, Tomi; Rajkovic, Aleksandar; Hirschhorn, Joel; Adrienne Cupples, L.; Kooperberg, Charles; Murabito, Joanne M.; Haiman, Christopher A.

    2013-01-01

    African-American (AA) women have earlier menarche on average than women of European ancestry (EA), and earlier menarche is a risk factor for obesity and type 2 diabetes among other chronic diseases. Identification of common genetic variants associated with age at menarche has a potential value in pointing to the genetic pathways underlying chronic disease risk, yet comprehensive genome-wide studies of age at menarche are lacking for AA women. In this study, we tested the genome-wide association of self-reported age at menarche with common single-nucleotide polymorphisms (SNPs) in a total of 18 089 AA women in 15 studies using an additive genetic linear regression model, adjusting for year of birth and population stratification, followed by inverse-variance weighted meta-analysis (Stage 1). Top meta-analysis results were then tested in an independent sample of 2850 women (Stage 2). First, while no SNP passed the pre-specified P < 5 × 10−8 threshold for significance in Stage 1, suggestive associations were found for variants near FLRT2 and PIK3R1, and conditional analysis identified two independent SNPs (rs339978 and rs980000) in or near RORA, strengthening the support for this suggestive locus identified in EA women. Secondly, an investigation of SNPs in 42 previously identified menarche loci in EA women demonstrated that 25 (60%) of them contained variants significantly associated with menarche in AA women. The findings provide the first evidence of cross-ethnic generalization of menarche loci identified to date, and suggest a number of novel biological links to menarche timing in AA women. PMID:23599027

  1. Genome-wide association study of age at menarche in African-American women.

    PubMed

    Demerath, Ellen W; Liu, Ching-Ti; Franceschini, Nora; Chen, Gary; Palmer, Julie R; Smith, Erin N; Chen, Christina T L; Ambrosone, Christine B; Arnold, Alice M; Bandera, Elisa V; Berenson, Gerald S; Bernstein, Leslie; Britton, Angela; Cappola, Anne R; Carlson, Christopher S; Chanock, Stephen J; Chen, Wei; Chen, Zhao; Deming, Sandra L; Elks, Cathy E; Evans, Michelle K; Gajdos, Zofia; Henderson, Brian E; Hu, Jennifer J; Ingles, Sue; John, Esther M; Kerr, Kathleen F; Kolonel, Laurence N; Le Marchand, Loic; Lu, Xiaoning; Millikan, Robert C; Musani, Solomon K; Nock, Nora L; North, Kari; Nyante, Sarah; Press, Michael F; Rodriquez-Gil, Jorge L; Ruiz-Narvaez, Edward A; Schork, Nicholas J; Srinivasan, Sathanur R; Woods, Nancy F; Zheng, Wei; Ziegler, Regina G; Zonderman, Alan; Heiss, Gerardo; Gwen Windham, B; Wellons, Melissa; Murray, Sarah S; Nalls, Michael; Pastinen, Tomi; Rajkovic, Aleksandar; Hirschhorn, Joel; Adrienne Cupples, L; Kooperberg, Charles; Murabito, Joanne M; Haiman, Christopher A

    2013-08-15

    African-American (AA) women have earlier menarche on average than women of European ancestry (EA), and earlier menarche is a risk factor for obesity and type 2 diabetes among other chronic diseases. Identification of common genetic variants associated with age at menarche has a potential value in pointing to the genetic pathways underlying chronic disease risk, yet comprehensive genome-wide studies of age at menarche are lacking for AA women. In this study, we tested the genome-wide association of self-reported age at menarche with common single-nucleotide polymorphisms (SNPs) in a total of 18 089 AA women in 15 studies using an additive genetic linear regression model, adjusting for year of birth and population stratification, followed by inverse-variance weighted meta-analysis (Stage 1). Top meta-analysis results were then tested in an independent sample of 2850 women (Stage 2). First, while no SNP passed the pre-specified P < 5 × 10(-8) threshold for significance in Stage 1, suggestive associations were found for variants near FLRT2 and PIK3R1, and conditional analysis identified two independent SNPs (rs339978 and rs980000) in or near RORA, strengthening the support for this suggestive locus identified in EA women. Secondly, an investigation of SNPs in 42 previously identified menarche loci in EA women demonstrated that 25 (60%) of them contained variants significantly associated with menarche in AA women. The findings provide the first evidence of cross-ethnic generalization of menarche loci identified to date, and suggest a number of novel biological links to menarche timing in AA women. PMID:23599027

  2. Nongenetic Determinants of Age at Menarche: A Systematic Review

    PubMed Central

    2014-01-01

    Background. The acceleration of pubertal development is an important medical and social problem, as it may result in increased morbidity and mortality in later life. This systematic review summarizes relevant data about nongenetic factors, which contribute to age at menarche (AAM), and suggests those which may be the most important. Methods. The available literature from 1980 till July 2013 was searched using PubMed and Google Scholar databases. Finally, 154 papers were selected for the analysis. Results. Environmental factors, which may affect AAM, vary in populations of different ethnicity. The prenatal, infancy, and early childhood periods are the most susceptible to these factors. Body weight, high animal protein intake, family stressors (e.g., single parenting), and physical activity seem to influence AAM in most populations. Conclusions. The data about influence of nongenetic factors on AAM are still inconsistent. The factors affecting prenatal and early childhood growth seem to have a larger effect on further sexual maturation. Further studies are needed in order to validate the association between other environmental determinants and AAM in different ethnical groups. PMID:25050345

  3. Flashbulb Memories of Menarche and Adult Menstrual Distress.

    ERIC Educational Resources Information Center

    Pillemer, David B.; And Others

    1987-01-01

    Female college students (N=99) recounted memories of menarche, described menarcheal circumstances, and completed the Menstrual Distress Questionnaire (MDQ). Found inadequate emotional preparation for menstruation to be associated with negative feelings at menarche. Menarcheal circumstances were not strongly predictive of adult MDQ scores. (Author)

  4. ALOHA Cabled Observatory: Early Results

    NASA Astrophysics Data System (ADS)

    Howe, B. M.; Lukas, R.; Duennebier, F. K.

    2011-12-01

    The ALOHA Cabled Observatory (ACO) was installed 6 June 2011, extending power, network communications and timing to a seafloor node and instruments at 4726 m water depth 100 km north of Oahu. The system was installed using ROV Jason operated from the R/V Kilo Moana. Station ALOHA is the field site of the Hawaii Ocean Time-series (HOT) program that has investigated temporal dynamics in biology, physics, and chemistry since 1988. HOT conducts near monthly ship-based sampling and makes continuous observations from moored instruments to document and study climate and ecosystem variability over semi-diurnal to decadal time scales. The cabled observatory system will provide the infrastructure for continuous, interactive ocean sampling enabling new measurements as well as a new mode of ocean observing that integrates ship and cabled observations. The ACO is a prototypical example of a deep observatory system that uses a retired first-generation fiber-optic telecommunications cable. Sensors provide live video, sound from local and distant sources, and measure currents, pressure, temperature, and salinity. Preliminary results will be presented and discussed.

  5. Secular Trends in Menarcheal Age in India-Evidence from the Indian Human Development Survey

    PubMed Central

    Pathak, Praveen Kumar; Tripathi, Niharika; Subramanian, S. V.

    2014-01-01

    Background Evidence from a number of countries in Europe and North America point towards the secular declining trend in menarcheal age with considerable spatial variations over the past two centuries. Similar trends were reported in several developing countries from Asia, Africa and Latin America. However, data corroborating any secular trend in the menarcheal age of the Indian population remained sparse and inadequately verified. Methods We examined secular trends, regional heterogeneity and association of socioeconomic, anthropometric and contextual factors with menarcheal age among ever-married women (15–49 years) in India. Using the pseudo cohort data approach, we fit multiple linear regression models to estimate secular trends in menarcheal age of 91394 ever-married women using the Indian Human Development Survey. Results The mean age at menarche among Indian women was 13.76 years (95 % CI: 13.75, 13.77) in 2005. It declined by three months from 13.83 years (95% CI: 13.81, 13.85) among women born prior to 1955–1964, to nearly 13.62 years (95% CI: 13.58, 13.67) among women born during late 1985–1989. However, these aggregate national figures mask extensive spatial heterogeneity as mean age at menarche varied from 15.0 years in Himachal Pradesh during 1955–1964 (95% CI: 14.89–15.11) to about 12.1 years in Assam (95% CI: 11.63–12.56) during 1985–1989. Conclusion The regression analysis established a reduction of nearly one month per decade, suggesting a secular decline in age at menarche among Indian women. Notably, the menarcheal age was significantly associated with the area of residence, geographic region, linguistic groups, educational attainment, wealth status, caste and religious affiliations among Indian women. PMID:25369507

  6. Age at Menarche and Factors that Influence It: A Study among Female University Students in Tamale, Northern Ghana

    PubMed Central

    Ameade, Evans Paul Kwame; Garti, Helene Akpene

    2016-01-01

    Introduction Age at menarche reflects the health status of a population. This marks the beginning of sexual maturation and is affected by nutritional status and prevailing environmental conditions. This study measured the menarcheal age of female undergraduate students in northern Ghana and explored factors that could impact on the onset of menarche. Method GraphPad 5.01 was used to analyze data collected from 293 randomly selected female university students in a cross-sectional study using a semi-structured questionnaire. Association between different variables was tested using appropriate statistical tests. Results The mean recall age at menarche of participants in this study was 13.66 ±1.87 years for a female population of mean age, 23.04±5.07 years. Compared to female students who lived in rural settings, urban and suburban areas dwellers significantly recorded earlier menarche (p = 0.0006). Again, females from high income earning families experienced menarche earlier than those who were born to or lived with lower income earners (p = 0.003). Lower menarcheal age increased risk of experiencing menstrual pain prior to menses rather than during menstrual flow for dysmenorrhic females. (13.52±2.052 vrs 13.63±1.582 year; χ2 = 7.181, df = 2, p = 0.028). Conclusion Mean menarcheal age of female university students in northern Ghana was 13.66 years. Females from urban areas and high income families had earlier menarche. Compared to the very first Ghanaian study reported in 1989, the menarcheal age decline was 0.11 year per decade. PMID:27171234

  7. Latitude and ultraviolet radiation dose in the birthplace in relation to menarcheal age in a large cohort of French women

    PubMed Central

    Dossus, Laure; Kvaskoff, Marina; Bijon, Anne; Engel, Pierre; Verdebout, Jean; Fervers, Béatrice; Boutron-Ruault, Marie-Christine; Clavel-Chapelon, Françoise; Mesrine, Sylvie

    2013-01-01

    Background Age at menarche is an important determinant of hormonal-related neoplasia and other chronic diseases. Spatial and temporal variations in age at menarche have been observed in industrialised countries and several environmental factors were reported to have an influence. Method We examined geographical variations in self-reported age at menarche and explored the effects of both latitude and ultraviolet radiation (UVR) dose on the onset of menarche in 88 278 women from the French E3N cohort (aged 40–65 years at inclusion). Results The mean age at menarche was 12.8 years. After adjustment for potential confounders (birth cohort, prematurity, birth weight and length, father’s income index, body silhouette in childhood, food deprivation during World War II, population of birthplace, number of siblings, breastfeeding exposure and indoor exposure to passive smoking during childhood), latitude and UVR dose (annual or spring/summer) in county of birth were significantly associated with age at menarche (Ptrend < 0.0001). Women born at lower latitudes or in regions with higher annual or spring/summer UVR dose had a 3- to 4-month earlier menarche than women born at higher latitudes or in regions with lower UVR. On a continuous scale, a 1° increment in latitude resulted in a 0.04-year older age at menarche [95% confidence interval (CI): 0.03, 0.05], whereas a 1-kJ/m2 increment in annual UVR dose resulted in a 0.42-year younger age at menarche (95% CI: −0.55, −0.29). Conclusion These data further suggest that light exposure in childhood may influence sexual maturation in women. PMID:23569194

  8. Black adolescents' emotional response to menarche.

    PubMed Central

    Scott, C. S.; Arthur, D.; Owen, R.; Panizo, M. I.

    1989-01-01

    There has been substantial agreement in the literature that cultural attitudes influence females' reaction to menarche. Recently, growing interest has been shown in the ways cultural traditions affect the response to this event. To date, studies of the emotional impact of menarche have involved primarily white middle class populations. To determine whether the black American experience is similar to or different from that of a white American sample, the questions and measure used previously on a white sample were replicated in a group of middle class black adolescents. Although the black and white mean scores on positive feelings were similar (slightly positive), the blacks indicated somewhat greater negative feelings than did the whites. The black perception of menarche as more negative than positive is in accord with findings from other studies concerning the reaction to this event in this culture. Several explanations are suggested as possible bases for the negative feelings surrounding first menstruation in the United States. PMID:2651677

  9. Age at menarche in relation to nutritional status and critical life events among rural and urban secondary school girls in post-conflict Northern Uganda

    PubMed Central

    2014-01-01

    Background Menarche age is an important indicator of reproductive health of a woman or a community. In industrial societies, age at menarche has been declining over the last 150 years with a secular trend, and similar trends have been reported in some developing countries. Menarche age is affected by genetic and environmental cues, including nutrition. The study was designed to determine the age at menarche and its relation to childhood critical life events and nutritional status in post-conflict northern Uganda. Methods This was a comparative cross-sectional study of rural and urban secondary school girls in northern Uganda. Structured questionnaires were administered to 274 secondary school girls, aged 12 – 18 years to determine the age at menarche in relation to home location, nutritional status, body composition and critical life events. Results The mean age at menarche was 13.6 ± 1.3 for rural and 13.3 ± 1.4 years for urban dwelling girls (t = -1.996, p = 0.047). Among the body composition measures, hip circumference was negatively correlated with the age at menarche (r = -0.109, p = 0.036), whereas height, BMI and waist circumference did not correlate with menarche. Paternal (but not maternal) education was associated with earlier menarche (F = 2.959, p = 0.033). Childhood critical life events were not associated with age at menarche. Conclusions Age at menarche differed among urban and rural dwelling school girls and dependent on current nutritional status, as manifested by the hip circumference. It was not associated with extreme stressful childhood critical life events. PMID:24885913

  10. Anthropometry and Menarcheal Status of Adolescent Nigerian Urban Senior Secondary School Girls

    PubMed Central

    Onyiriuka, Alphonsus Ndidi; Egbagbe, Eruke Elizabeth

    2013-01-01

    Background Age at menarche is a significant indicator of growth and sexual maturation in girls. During adolescence, anthropometry provides a tool for monitoring and evaluating the hormone-mediated changes in growth and reproductive maturation. Objectives We aimed to examine the anthropometric status of pre- and post-menarcheal Nigerian adolescent girls attending senior secondary schools. Materials and Methods In this school-based cross-sectional survey, a pre-tested structured self-administered questionnaire was set for obtaining the socio-demographic data (age at menarche, number of siblings, occupation and educational attainment of their parents, etc.), while the anthropometric status data was obtained by direct measurement of weight and height. The body mass index (BMI) and the ponderal index (PI) of each participant were computed from their respective weight and height values. The study was designed to include all the students in the two schools that were randomly selected. The anthropometric indices of pre- and post-menarcheal girls were compared. Results Out of a total population of 2,166 students, 2,159 (99.7%) participated but 9 questionnaires were incompletely filled and were rejected, leaving 2,150 (510 were pre-menarcheal and 1,640 were post- menarcheal) for further analysis. The mean menarcheal age was 13.44 ± 1.32 years (95% Confidence Interval (CI) = 13.38-13.5). Girls from families with high socio-economic status (SES) attained menarche 8.0 and 9.0 months earlier than their counterparts from families with middle and low SES respectively. Girls from small-size families had a significantly lower menarcheal age than their counterparts from large-size families. A comparison of the anthropometric indices of pre- and post-menarcheal girls showed: weight, 41.1 ± 6.3 kg (95% CI = 40.6-41.6) vs 47.6 ± 7.2 kg (95% CI = 47.3-47.9), P < 0.001; height, 146.2± 5.5 cm (95% CI = 145.7-146.7) vs 153.6 ± 9.9 cm (95% CI = 153.1-154.1), P < 0.001; BMI, 16.4 ± 1

  11. The Social and Psychological Meaning of Menarche.

    ERIC Educational Resources Information Center

    Brooks-Gunn, Jeanne; Ruble, Diane N.

    In order to understand the psychological meaning of menarche it is necessary to examine cultural beliefs, socialization, and actual experience. A sample of 641 fifth to twelfth grade girls, 40% of whom were premenarcheal, completed a modified version of the Moos Menstrual Distress Questionnaire (MDQ). Half of the sample completed the MDQ according…

  12. Association Between Age at Menarche and Risk Factors for Cardiovascular Diseases in Korean Women: The 2010 to 2013 Korea National Health and Nutrition Examination Survey.

    PubMed

    Won, Jong Chul; Hong, Jae Won; Noh, Jung Hyun; Kim, Dong-Jun

    2016-05-01

    Early menarche is strongly associated with adulthood obesity; however, the relationship between age at menarche and cardiovascular disease (CVD) in Korean women remains poorly understood. Here, we investigated the association between early menarche and risk factors for developing CVD during adulthood using a nationwide population database.In total, 12,336 women (weighted n = 17,483,406; weighted age, 45.7 years) who participated in the Korean National Health and Nutrition Examination Survey 2010 to 2013 were included in this study. Participants were scored using the National Cholesterol Education Program Adult Treatment Panel III criteria for metabolic syndrome. Risk of CVD was estimated using the 10-year Framingham Coronary Heart Disease Risk Point Scale (10-year FRS).Early menarche (≤11 years) was reported in 5.2% (weighted n = 917,493) of subjects. The weighted prevalences of metabolic syndrome and ≥20% 10-year FRS were 23.6% [95% confidence interval (95% CI), 22.7-24.6] and 7.7% (7.1-8.3), respectively. Women with early menarche reported a significantly higher body mass index and waist circumference, along with a higher prevalence of hypertension, diabetes, and metabolic syndrome than those with later menarche (≥13 years). Furthermore, the prevalence of women with a ≥10% or ≥20% 10-year FRS was higher in those with early menarche than in other groups after adjusting for age, smoking, education level, and menstruation. Logistic regression analyses controlling for these and other confounding factors revealed odds ratios of 2.29 (95% CI = 1.25-4.19) and 1.78 (0.96-3.30) for ≥10% and ≥20% 10-year FRS in women with early menarche, respectively, compared with those in the latest menarche group (≥17 years).Taken together, this nationwide study revealed that women with early menarche are at increased risks of metabolic syndrome and CVD. Early menarche may therefore represent an important marker for early preventive interventions. PMID

  13. Structured additive regression modeling of age of menarche and menopause in a breast cancer screening program.

    PubMed

    Duarte, Elisa; de Sousa, Bruno; Cadarso-Suarez, Carmen; Rodrigues, Vitor; Kneib, Thomas

    2014-05-01

    Breast cancer risk is believed to be associated with several reproductive factors, such as early menarche and late menopause. This study is based on the registries of the first time a woman enters the screening program, and presents a spatio-temporal analysis of the variables age of menarche and age of menopause along with other reproductive and socioeconomic factors. The database was provided by the Portuguese Cancer League (LPCC), a private nonprofit organization dealing with multiple issues related to oncology of which the Breast Cancer Screening Program is one of its main activities. The registry consists of 259,652 records of women who entered the screening program for the first time between 1990 and 2007 (45-69-year age group). Structured Additive Regression (STAR) models were used to explore spatial and temporal correlations with a wide range of covariates. These models are flexible enough to deal with a variety of complex datasets, allowing us to reveal possible relationships among the variables considered in this study. The analysis shows that early menarche occurs in younger women and in municipalities located in the interior of central Portugal. Women living in inland municipalities register later ages for menopause, and those born in central Portugal after 1933 show a decreasing trend in the age of menopause. Younger ages of menarche and late menopause are observed in municipalities with a higher purchasing power index. The analysis performed in this study portrays the time evolution of the age of menarche and age of menopause and their spatial characterization, adding to the identification of factors that could be of the utmost importance in future breast cancer incidence research. PMID:24615881

  14. Menarchal status and calf circumference predict calcaneal ultrasound measurements in girls

    PubMed Central

    Hergenroeder, Albert C.; Hoelscher, Deanna M.; Day, R. Sue; Kelder, Steven H.; Ward, Jerri L.

    2007-01-01

    Purpose The purpose of this study was to predict calcaneal QUS measurements in healthy adolescent females as a function of anthropometric measures, pubertal stage and menarchal status. Methods This was a secondary data analysis from a two-year intervention designed to increase bone accretion. Simple Pearson correlation and Spearman’s rank correlation analyses, followed by linear stepwise regression analyses were conducted. Setting: 12 middle schools. Participants: 672 female students, baseline; 587 students at 18 months. Main outcome measure: Calcaneal stiffness index (SI) by quantitative ultrasound. Results Eighty percent of the subjects were premenarchal at baseline; 33% at 18 months. Although SI correlated with self-assessed pubic hair (rho = 0.21) and menarchal status (rho = 0.23, p<0.01 for both) at baseline, the model for predicting SI included menarchal status, not pubic hair, and calf circumference, controlling for BMI (R2 = 0.22, P< 0.01). At 18 months, SI correlated with self-assessed pubic hair (rho = 0.21) and menarchal status (rho = 0.25, p<0.01 for both). The best model to predict SI included calf circumference and pubic hair stage (R2 = 0.14, p < 0.01), and not menarchal status as 67% of the subjects at 18 months were postmenarchal. Conclusions In research assessing calcaneal SI in groups of adolescents, assessment of pubertal stage could be replaced with menarchal status and calf circumference when the majority of subjects are premenarchal. When the majority is postmenarchal, pubic hair stage and calf circumference together may be used to assess for pubertal maturation without menstrual status. PMID:17367724

  15. Association of adverse childhood experiences, age of menarche, and adult reproductive behavior: does the androgen receptor gene play a role?

    PubMed

    Jorm, Anthony F; Christensen, Helen; Rodgers, Bryan; Jacomb, Patricia A; Easteal, Simon

    2004-02-15

    Previous research has reported associations between adverse childhood experiences, early menarche, and early sexual activity. One hypothesis to account for these findings is that an X-linked androgen receptor GGC-repeat polymorphism predisposes fathers to behaviors which include family abandonment and their daughters to earlier menarche and sexual activity and less stable relationships. Retrospective data relevant to this theory were examined from a community survey involving 3,702 women in the age groups 20-24, 40-44, and 60-64 years, and another involving 908 women aged 18-79 years. Earlier age of menarche was found to be associated with adverse childhood experiences and earlier sexual activity. However, the androgen receptor gene polymorphism was unrelated to adverse fathering behavior or to marital breakdown. PMID:14755454

  16. Planck early results. VII. The Early Release Compact Source Catalogue

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Ade, P. A. R.; Aghanim, N.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bonaldi, A.; Bonavera, L.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Bucher, M.; Burigana, C.; Butler, R. C.; Cabella, P.; Cantalupo, C. M.; Cappellini, B.; Cardoso, J.-F.; Carvalho, P.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Chary, R.-R.; Chen, X.; Chiang, L.-Y.; Chiang, C.; Christensen, P. R.; Clements, D. L.; Colombi, S.; Couchot, F.; Coulais, A.; Crill, B. P.; Cuttaia, F.; Danese, L.; Davis, R. J.; de Bernardis, P.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dickinson, C.; Diego, J. M.; Dolag, K.; Dole, H.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Finelli, F.; Forni, O.; Fosalba, P.; Frailis, M.; Franceschi, E.; Galeotta, S.; Ganga, K.; Giard, M.; Giraud-Héraud, Y.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Haissinski, J.; Hansen, F. K.; Harrison, D.; Helou, G.; Henrot-Versillé, S.; Hernández-Monteagudo, C.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hornstrup, A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Huynh, M.; Jaffe, A. H.; Jones, W. C.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lamarre, J.-M.; Lasenby, A.; Laureijs, R. J.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; Leonardi, R.; León-Tavares, J.; Leroy, C.; Lilje, P. B.; Linden-Vørnle, M.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; MacTavish, C. J.; Maffei, B.; Maggio, G.; Maino, D.; Mandolesi, N.; Mann, R.; Maris, M.; Marleau, F.; Marshall, D. J.; Martínez-González, E.; Masi, S.; Massardi, M.; Matarrese, S.; Matthai, F.; Mazzotta, P.; McGehee, P.; Meinhold, P. R.; Melchiorri, A.; Melin, J.-B.; Mendes, L.; Mennella, A.; Mitra, S.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; O'Dwyer, I. J.; Osborne, S.; Pajot, F.; Paladini, R.; Partridge, B.; Pasian, F.; Patanchon, G.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Piffaretti, R.; Plaszczynski, S.; Platania, P.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Poutanen, T.; Pratt, G. W.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Rebolo, R.; Reinecke, M.; Renault, C.; Ricciardi, S.; Riller, T.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Sajina, A.; Sandri, M.; Santos, D.; Savini, G.; Schaefer, B. M.; Scott, D.; Seiffert, M. D.; Shellard, P.; Smoot, G. F.; Starck, J.-L.; Stivoli, F.; Stolyarov, V.; Sudiwala, R.; Sunyaev, R.; Sygnet, J.-F.; Tauber, J. A.; Tavagnacco, D.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Türler, M.; Umana, G.; Valenziano, L.; Valiviita, J.; Varis, J.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; White, S. D. M.; Wilkinson, A.; Yvon, D.; Zacchei, A.; Zonca, A.

    2011-12-01

    A brief description of the methodology of construction, contents and usage of the Planck Early Release Compact Source Catalogue (ERCSC), including the Early Cold Cores (ECC) and the Early Sunyaev-Zeldovich (ESZ) cluster catalogue is provided. The catalogue is based on data that consist of mapping the entire sky once and 60% of the sky a second time by Planck, thereby comprising the first high sensitivity radio/submillimetre observations of the entire sky. Four source detection algorithms were run as part of the ERCSC pipeline. A Monte-Carlo algorithm based on the injection and extraction of artificial sources into the Planck maps was implemented to select reliable sources among all extracted candidates such that the cumulative reliability of the catalogue is ≥90%. There is no requirement on completeness for the ERCSC. As a result of the Monte-Carlo assessment of reliability of sources from the different techniques, an implementation of the PowellSnakes source extraction technique was used at the five frequencies between 30 and 143GHz while the SExtractor technique was used between 217 and 857GHz. The 10σ photometric flux density limit of the catalogue at |b| > 30° is 0.49, 1.0, 0.67, 0.5, 0.33, 0.28, 0.25, 0.47 and 0.82 Jy at each of the nine frequencies between 30 and 857GHz. Sources which are up to a factor of ~2 fainter than this limit, and which are present in "clean" regions of the Galaxy where the sky background due to emission from the interstellar medium is low, are included in the ERCSC if they meet the high reliability criterion. The Planck ERCSC sources have known associations to stars with dust shells, stellar cores, radio galaxies, blazars, infrared luminous galaxies and Galactic interstellar medium features. A significant fraction of unclassified sources are also present in the catalogs. In addition, two early release catalogs that contain 915 cold molecular cloud core candidates and 189 SZ cluster candidates that have been generated using

  17. Kepler Mission Development Challenges and Early Results

    NASA Technical Reports Server (NTRS)

    Fanson, J.; Duren, R.; Frerking, M.

    2011-01-01

    Kepler is NASA s first mission capable of detecting Earth-size planets orbiting in the habitable zone of stars other than the Sun. Kepler comprises a space telescope designed to continuously monitor the brightnesses of more than 100,000 target stars, and a ground segment to analyze the measured stellar light curves and detect the signatures of orbiting planets. In order to detect Earth-size planets orbiting Sun-like stars Kepler was designed to provide unprecedented photometric sensitivity and stability. This paper addresses some of the technical challenges encountered during the development of the Kepler mission and the measures taken to overcome them. Early scientific results are summarized.

  18. Kepler Mission Development Challenges and Early Results

    NASA Technical Reports Server (NTRS)

    Fanson, J.

    2011-01-01

    Kepler is NASA`s first mission capable of detecting Earth-size planets orbiting in the habitable zone of stars other than the sun. Kepler comprises a space telescope designed to continuously monitor the brightnesses of more than 100,000 target stars, and a ground segment to analyze the measured stellar light curves and detect the signatures of orbiting planets. In order to detect Earth-size planets orbiting Sun-like stars Kepler was designed to provide unprecedented photometric sensitivity and stability. This paper addresses some of the technical challenges encountered during the development of the Kepler mission and the measures taken to overcome them. Early scientific results are summarized.

  19. Planck early results. I. The Planck mission

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Ade, P. A. R.; Aghanim, N.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Baker, M.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Bennett, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bock, J. J.; Bonaldi, A.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Bradshaw, T.; Bremer, M.; Bucher, M.; Burigana, C.; Butler, R. C.; Cabella, P.; Cantalupo, C. M.; Cappellini, B.; Cardoso, J.-F.; Carr, R.; Casale, M.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Charra, J.; Chary, R.-R.; Chiang, L.-Y.; Chiang, C.; Christensen, P. R.; Clements, D. L.; Colombi, S.; Couchot, F.; Coulais, A.; Crill, B. P.; Crone, G.; Crook, M.; Cuttaia, F.; Danese, L.; D'Arcangelo, O.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Bruin, J.; de Gasperis, G.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dick, J.; Dickinson, C.; Dolag, K.; Dole, H.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Finelli, F.; Foley, S.; Forni, O.; Fosalba, P.; Frailis, M.; Franceschi, E.; Freschi, M.; Gaier, T. C.; Galeotta, S.; Gallegos, J.; Gandolfo, B.; Ganga, K.; Giard, M.; Giardino, G.; Gienger, G.; Giraud-Héraud, Y.; González, J.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Guyot, G.; Haissinski, J.; Hansen, F. K.; Harrison, D.; Helou, G.; Henrot-Versillé, S.; Hernández-Monteagudo, C.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hornstrup, A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Jaffe, A. H.; Jagemann, T.; Jones, W. C.; Juillet, J. J.; Juvela, M.; Kangaslahti, P.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Krassenburg, M.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lamarre, J.-M.; Lange, A. E.; Lasenby, A.; Laureijs, R. J.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; Leonardi, R.; Leroy, C.; Lilje, P. B.; Linden-Vørnle, M.; López-Caniego, M.; Lowe, S.; Lubin, P. M.; Macías-Pérez, J. F.; Maciaszek, T.; MacTavish, C. J.; Maffei, B.; Maino, D.; Mandolesi, N.; Mann, R.; Maris, M.; Martínez-González, E.; Masi, S.; Massardi, M.; Matarrese, S.; Matthai, F.; Mazzotta, P.; McDonald, A.; McGehee, P.; Meinhold, P. R.; Melchiorri, A.; Melin, J.-B.; Mendes, L.; Mennella, A.; Mevi, C.; Miniscalco, R.; Mitra, S.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Morisset, N.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; O'Dwyer, I. J.; Ortiz, I.; Osborne, S.; Osuna, P.; Oxborrow, C. A.; Pajot, F.; Paladini, R.; Partridge, B.; Pasian, F.; Passvogel, T.; Patanchon, G.; Pearson, D.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Pierpaoli, E.; Plaszczynski, S.; Platania, P.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Popa, L.; Poutanen, T.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Rebolo, R.; Reinecke, M.; Reix, J.-M.; Renault, C.; Ricciardi, S.; Riller, T.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Salerno, E.; Sandri, M.; Santos, D.; Savini, G.; Schaefer, B. M.; Scott, D.; Seiffert, M. D.; Shellard, P.; Simonetto, A.; Smoot, G. F.; Sozzi, C.; Starck, J.-L.; Sternberg, J.; Stivoli, F.; Stolyarov, V.; Stompor, R.; Stringhetti, L.; Sudiwala, R.; Sunyaev, R.; Sygnet, J.-F.; Tapiador, D.; Tauber, J. A.; Tavagnacco, D.; Taylor, D.; Terenzi, L.; Texier, D.; Toffolatti, L.; Tomasi, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Türler, M.; Tuttlebee, M.; Umana, G.; Valenziano, L.; Valiviita, J.; Varis, J.; Vibert, L.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; Watson, C.; White, S. D. M.; White, M.; Wilkinson, A.; Yvon, D.; Zacchei, A.; Zonca, A.

    2011-12-01

    The European Space Agency's Planck satellite was launched on 14 May 2009, and has been surveying the sky stably and continuously since 13 August 2009. Its performance is well in line with expectations, and it will continue to gather scientific data until the end of its cryogenic lifetime. We give an overview of the history of Planck in its first year of operations, and describe some of the key performance aspects of the satellite. This paper is part of a package submitted in conjunction with Planck's Early Release Compact Source Catalogue, the first data product based on Planck to be released publicly. The package describes the scientific performance of the Planck payload, and presents results on a variety of astrophysical topics related to the sources included in the Catalogue, as well as selected topics on diffuse emission. Corresponding author: J. A. Tauber, e-mail: jtauber@rssd.esa.int

  20. Precocious puberty presenting with menarche at the age of 6 years - a case report.

    PubMed

    Banu, J; Sultana, P; Chowdhury, M A

    2014-07-01

    Precocious puberty or central precocious puberty can be very confusing and truly unexpected. After all who know children could go into puberty too early? There is treatment for this condition. Present report has stated that central precocious puberty is becoming more frequent. Many factors may contribute to children who exhibit signs of early precocious puberty. Here we are reporting a case of premature menarche of 6 years old girl who initially presented with continuous per vaginal bleeding for 3 months as a onset of menarche later on after clinical examination and investigations she was diagnosed a precocious puberty due to juvenile premature hypothyroidism. After the successful treatment with thyroxin, level of TSH gradually was decreased and subsequently normal. There after per vaginal bleeding stopped and clinically improved. PMID:25178615

  1. Early Results from the Long Wavelength Array

    NASA Astrophysics Data System (ADS)

    Taylor, Gregory B.; LWA Collaboration

    2012-01-01

    The Long Wavelength Array (LWA) will be a new multi-purpose radio telescope operating in the frequency range 10-88 MHz. Scientific programs include pulsars, supernova remnants, general transient searches, radio recombination lines, solar and Jupiter bursts, investigations into the "dark ages" using redshifted hydrogen, and ionospheric phenomena. Upon completion, LWA will consist of 53 phased array "stations” distributed accross a region over 400 km in diameter. Each station consists of 256 pairs of dipole-type antennas whose signals are formed into beams, with outputs transported to a central location for high-resolution aperture synthesis imaging. The resulting image sensitivity is estimated to be a few mJy (5sigma, 8 MHz, 2 polarizations, 1 h, zenith) from 20-80 MHz; with angular resolution of a few arcseconds. Additional information is online at http://lwa.unm.edu. Partners in the LWA project include LANL, JPL, NRAO, NRL, UNM, NMT, and Virginia Tech. The first station of the LWA, called "LWA1", is located near the center of the EVLA and has recently begun scientific operations. The LWA1 images the sky in realtime using the "transient buffer - narrowband” (TBN) system which is operational with 257 dipoles, and a bandwidth of 70 kHz. The LWA1 can also form up to 4 beams on the sky simultaneously with 16 MHz bandwidth in each of two tuning and full polarization. Early results include observations of pulsars, the Sun, and Jupiter.

  2. Depressive Symptomatology among Very Early Maturing Girls.

    ERIC Educational Resources Information Center

    Rierdan, Jill; Koff, Elissa

    1991-01-01

    The relationship between very early menarche and depression was studied in a sample of 488 girls (336 sixth graders and 152 seventh graders), less than 10 percent of whom were very early maturers. Very early menarche was associated with higher levels of depression than was more normative development. (SLD)

  3. Menarche and Interest in Infants: Biological and Social Influences.

    ERIC Educational Resources Information Center

    Goldberg, Susan; And Others

    1982-01-01

    Reports two studies in which 12- to 13-year-old girls, half of whom were premenarcheal and half postmenarcheal, responded to pictures of infants. Concurrent assessments of interest in motherhood, cognitive sophistication about the relationship between menarche and childbearing, attitudes toward menarche, and sex-role self-image did not…

  4. The Menarche Experience in Twenty-Three Foreign Countries.

    ERIC Educational Resources Information Center

    Logan, Deana Dorman

    1980-01-01

    Ninety-five women (18-26 years of age) from 23 countries were interviewed regarding (1) their preparation for menarche, (2) messages from others at the time of menarche, and (3) their emotional responses to the first period. Mothers were the source of information for most girls. Others' reactions were primarily hygiene-centered. Comparisons with…

  5. Menarche and the onset of depression and anxiety in Victoria, Australia.

    PubMed Central

    Patton, G C; Hibbert, M E; Carlin, J; Shao, Q; Rosier, M; Caust, J; Bowes, G

    1996-01-01

    STUDY OBJECTIVE: Psychiatric disorder often begins at adolescence. This study aimed to examine the associations between puberty and social circumstances and the adolescent rise in depression and anxiety. DESIGN: A two stage cluster sampling procedure was used to identify a representative group of Australian secondary school students in years 7 (age 12-13 years), 9 (14-15 years), and 11 (16-17 years) of 45 Victorian schools. The computerised clinical interview schedule (CIS) was used to evaluate psychiatric morbidity. MAIN RESULTS: A total of 2525 subjects completed the survey - an overall participation rate of 83%. Levels of depression and anxiety increased with the secondary school years and girls had significantly higher rates at each school year level. For boys, the clearest independent associations with depression and anxiety were rising school year level and high parental educational achievement. For girls menarchal status emerged as the strongest predictor. Associations with age and school year level, evident on univariate analysis, did not persist when the recency of menarche was taken into account. After addition of measures of perceived social stress to a multivariate model, a significant association between depression/anxiety and parental divorce disappeared but the association with menarche persisted. CONCLUSIONS: Menarche marks a transition in the risk of depression and anxiety in girls. The pattern of findings is consistent with a biological mediation of this association. PMID:9039386

  6. Early Results from Dharmar Planet Survey

    NASA Astrophysics Data System (ADS)

    Ma, Bo; Ge, Jian; Sithajan, Sirinrat; Powell, Scott; Varosi, Frank; Williamson, Michael; Muterspaugh, Matt; Barnes, Rory; Singer, Mickey

    2015-12-01

    The Dharma Planet Survey (DPS) with the TOU optical spectrograph at the 2m AST (soon at the dedicated robotic 50inch on Mt. Lemmon) is designed to detect and characterize sub-Jovian planets with high cadence (100 RVs per target) and high Doppler precision (~1-2 m/s) at the orbital region (~100-450 days) uncovered by previous RV surveys. The ultimate goal is to detect potentially habitable super-Earths to independently measure η⊕ and provide high priority targets for future space direct-imaging missions (such as WFIRST-AFTA and LUVOIR surveyor) to identify possible biomarkers supporting life (Ge et al. 2014). It will initially search for and characterize low mass planets around 100 nearby bright FGK dwarfs (25 late F, 50 G dwarfs and 25 K dwarfs with V<7 and within 25 pc) in 2016-2018, observe more targets and continue to monitor targets with linear trends after 2018. This poster presents our survey plan and early results.

  7. LANDSAT 7: Early on-Orbit Results

    NASA Technical Reports Server (NTRS)

    Williams, D. L.; Irons, J. R.; Barker, J. L.; Markham, B. L.; Pedelty, J, A.

    1999-01-01

    As this article was being submitted in mid-March, 1999, Landsat 7 had been cleared for an official launch date of April, 15, 1999, approximately 4 - 5 weeks prior to the Portland ASPRS conference. Although it is hoped that the presentation in Portland will be the first public status report on the in-orbit performance of the Landsat 7 spacecraft and the ETM+ instrument, it is impossible to discuss "early on-orbit performance" prior to launch. Therefore, we have chosen to summarize the overarching salient features of the Landsat 7 program, and we will point to some web sites where additional information about the program can be found (e.g., http://geo.arc.nasa.gov/sge/landsat/landsat. html). At this time, the Landsat Project Science Office is pleased to report that the performance of the ETM+ instrument appears to be very good. In addition to excellent instrument performance, a robust data acquisition plan has been developed with the goal of acquiring a seasonally-refreshed archive of global land observations at the EROS Data Center annually. A ground processing system is being implemented at EROS that will be capable of capturing, processing and archiving 250 Landsat scenes per day, and delivering 100 scene products to users each day. The cost of a systematically-processed Level 1 product will be less than $600, and there will be no copyright protection on the data. The net result is that the use of remote sensing data in our daily lives is expected to grow dramatically. This growth is expected to benefit all facets of the land remote sensing community.

  8. Role of oestrogen in the regulation of bone turnover at the menarche.

    PubMed

    Eastell, Richard

    2005-05-01

    The rise in oestrogen levels at menarche in girls is associated with a large reduction in bone turnover markers. This reduction reflects the closure of the epiphyseal growth plates, the reduction in periosteal apposition and endosteal resorption within cortical bone, and in bone remodelling within cortical and cancellous bone. Oestrogen promotes these changes, in part, by promoting apoptosis of chondrocytes in the growth plate and osteoclasts within cortical and cancellous bone. The period of early puberty is associated with an increased risk of fracture, particularly of the distal forearm, and this may be related to the high rate of bone turnover. A late menarche is a consistent risk factor for fracture and low bone mineral density in the postmenopausal period; models that might explain this association are considered. PMID:15845915

  9. Menarche, menopause and reproduction in the Kipsigis of Kenya.

    PubMed

    Borgerhoff Mulder, M

    1989-04-01

    Among the Kipsigis, a population of south-western Kenya who do not use contraception, age at menarche and age at last live birth could be determined for a cohort of post-menopausal women, through reference to clitoridectomy ceremonies that can easily be dated. While a woman's age at last live birth was strongly associated with the length of her reproductive lifespan, completed family size was better predicted by age at menarche. The demographic implications of variation in menarcheal age are discussed. PMID:2722914

  10. Menarche and Fatness: Reexamination of the Critical Body Composition Hypothesis

    ERIC Educational Resources Information Center

    Trussell, James

    1978-01-01

    Examines the credibility of the theory that, menarche and fecundity require a certain level of fat in the body. Concludes that the evidence does not totally support this hypothesis and that further investigation is warranted. (GA)

  11. A Longitudinal Assessment of Associations between Adolescent Environment, Adversity Perception, and Economic Status on Fertility and Age of Menarche

    PubMed Central

    Amir, Dorsa; Jordan, Matthew R.; Bribiescas, Richard G.

    2016-01-01

    Purpose Perceptions of environmental adversity and access to economic resources in adolescence can theoretically affect the timing of life history transitions and investment in reproductive effort. Here we present evidence of correlations between variables associated with subjective extrinsic mortality, economic status, and reproductive effort in a nationally representative American population of young adults. Methods We used a longitudinal database that sampled American participants (N ≥ 1,579) at four points during early adolescence and early adulthood to test whether perceptions of environmental adversity and early economic status were associated with reproductive effort. Results We found that subjectively high ratings of environmental danger and low access to economic resources in adolescence were significantly associated with an earlier age of menarche in girls and earlier, more robust fertility in young adulthood. Conclusion While energetics and somatic condition remain as possible sources of variation, the results of this study support the hypothesis that perceptions of adversity early in life and limited access to economic resources are associated with differences in reproductive effort and scheduling. How these factors may covary with energetics and somatic condition merits further investigation. PMID:27249338

  12. Smoking, earlier menarche and low parity as independent risk factors for gynecologic cancers in Japanese: a case-control study.

    PubMed

    Fujita, Megumi; Tase, Toru; Kakugawa, Yoichiro; Hoshi, Shigeko; Nishino, Yoshikazu; Nagase, Satoru; Ito, Kiyoshi; Niikura, Hitoshi; Yaegashi, Nobuo; Minami, Yuko

    2008-12-01

    During recent decades, the incidence of gynecologic cancers, i.e., cancers of the cervix, endometrium and ovary, has increased in Japan. However, risk factors of gynecologic cancers have not been fully clarified in Japan. To investigate common and site-specific risk factors among gynecologic cancers, we conducted a hospital-based case-control study. The cases, i.e., 151 cervical, 103 endometrial and 141 ovarian cancer cases and the controls (n = 2016) were selected from female patients aged 30 and over, who were admitted to a single hospital in Miyagi Prefecture from 1997 to 2003. Information on reproductive factors, exogenous hormone use, and lifestyles including smoking was collected using a self-administered questionnaire. Smoking was significantly associated with an increased risk of cervical cancer. A dose-response relationship with the number of cigarettes per day was also observed (p for trend = 0.004). Older age at menarche was associated with a decreased risk of endometrial and ovarian cancers. For these cancers, the decreased risk was detected with increasing parity number (endometrium, p for trend = 0.0001; ovary, p = 0.0002). There was no significant association between exogenous hormone use and gynecologic cancer risk. The results indicate that smoking is a major risk factor of cervical cancer. In addition, hormonal factors, which are related to early onset of menarche and low parity, are common risk factors for endometrial and ovarian cancers. The increase in female smokers and the decrease in fertility rate may contribute to the increase in gynecologic cancer incidence in Japan. PMID:19060444

  13. Early Results from the DES SN Survey

    NASA Astrophysics Data System (ADS)

    Scolnic, Daniel; Dark Energy Survey

    2016-01-01

    The Dark Energy Survey Supernova program (DES SN) has already discovered over 1000 Type Ia supernovae with well-sampled multi-color light curves in the redshift range 0.1 < z < 1.2. I will present an overview of the survey and show recent advances in our detection, photometry, calibration and spectroscopic follow-up pipelines. I will go over initial results from photometric classification of our sample and discuss methods used to reach measurements of cosmological parameters.

  14. Reduction pneumonoplasty for emphysema. Early results.

    PubMed Central

    Little, A G; Swain, J A; Nino, J J; Prabhu, R D; Schlachter, M D; Barcia, T C

    1995-01-01

    OBJECTIVE: The authors determined the role of Nd:YAG laser reduction pneumonoplasty for selected patients with diffuse emphysema. SUMMARY BACKGROUND DATA: The study is based on the concepts introduced 30 years ago by Brantigan regarding the value of lung reduction surgery in patients with emphysema. The authors used minimally invasive techniques with the hopes of providing appropriate clinical results with the least surgical morbidity. METHODS: Fifty-five patients with advanced symptomatic emphysema were treated with unilateral Nd:YAG laser reduction pneumonoplasty to achieve lung volume reduction. RESULTS: Patients experienced significant improvement in exercise capacity and relief of breathlessness. This correlated with improvement in objective measures of pulmonary function and with reduction in lung volume by radiographic and spirometric measures. Significant associated hospital morbidity and a 5.5% mortality were associated. CONCLUSIONS: These encouraging results with treatment of only one lung will be built on with both sequential lung and simultaneous, bilateral lung treatment protocols. Images Figure 1. Figure 2. PMID:7677465

  15. Early results of the Acclaim elbow replacement.

    PubMed

    Bassi, R S; Simmons, D; Ali, F; Nuttall, D; Birch, A; Trail, I A; Stanley, J K

    2007-04-01

    The Acclaim total elbow replacement is a modular system which allows implantation in both unlinked and linked modes. The results of the use of this implant in primary total elbow replacement in 36 patients, operated on between July 2000 and August 2002, are presented at a mean follow-up of 36 months (24 to 49). Only one patient did not have good relief of pain, but all had improved movement and function. No implant showed clinical or radiological loosening, although one had a lucent area in three of seven humeral zones. The short-term results of the Acclaim total elbow replacement are encouraging. However, 11 patients (30.5%) suffered an intra-operative fracture of the humeral condyle. This did not affect the outcome, or the requirement for further surgery, except in one case where the fracture failed to unite. This problem has hopefully been addressed by redesigning the humeral resection guide. Other complications included three cases of ulnar neuropathy (8.3%) and one of deep infection (2.8%). PMID:17463117

  16. Early Results from AIRS/AMSU/HSB

    NASA Technical Reports Server (NTRS)

    Susskind, Joel; Barnet, Christopher; Blaisdell, John; Iredell, Lena; Keita, Fricky; Kouvaris, Lou

    2003-01-01

    AIRS was launched on EOS Aqua on May 5, 2002, together with AMSU A and HSB, to form a next generation polar orbiting infiared and microwave atmospheric sounding system. The primary products of AIRS/AMSU/HSB are twice daily global fields of atmospheric temperature-humidity profiles, ozone profiles, sea/land surface skin temperature, and cloud related parameters including OLR. The sounding goals of AIRS are to produce 1 km tropospheric layer mean temperatures with an rms error of lK, and layer precipitable water with an rms error of 20%, in cases with up to 80% effective cloud cover. Pre-launch simulation studies indicated that these results should be achievable. Minor modifications have been made to the pre-launch retrieval algorithm as described in this paper. Sample fields of parameters retrieved from AIRS/AMSU/HSB data are presented and validated as a function of retrieved fractional cloud cover. As in simulation, the degradation of retrieval accuracy with increasing cloud cover is small. Select fields are also compared to those contained in the ECMWF analysis, done without the benefit of AIRS data, to demonstrate information that AIRS can add to that already contained in the ECMWF analysis.

  17. Landsat-7 Mission and Early Results

    NASA Technical Reports Server (NTRS)

    Dolan, S. Kenneth; Sabelhaus, Phillip A.; Williams, Darrel L.; Irons, James R.; Barker, John L.; Markham, Brian L.; Bolek, Joseph T.; Scott, Steven S.; Thompson, R. J.; Rapp, Jeffrey J.

    1999-01-01

    The Landsat-7 mission has the goal of acquiring annual data sets of reflective band digital imagery of the landmass of the Earth at a spatial resolution of 30 meters for a period of five years using the Enhanced Thematic Mapper Plus (ETM+) imager on the Landsat-7 satellite. The satellite was launched on April 15, 1999. The mission builds on the 27-year continuous archive of thematic images of the Earth from previous Landsat satellites. This paper will describe the ETM+ instrument, the spacecraft, and the ground processing system in place to accomplish the mission. Results from the first few months in orbit will be given, with emphasis on performance parameters that affect image quality, quantity, and availability. There will also be a discussion of the Landsat Data Policy and the user interface designed to make contents of the archive readily available, expedite ordering, and distribute the data quickly. Landsat-7, established by a Presidential Directive and a Public Law, is a joint program of the National Aeronautics and Space Administration (NASA) Earth Science Enterprise and the United States Geological Survey (USGS) Earth Resources Observing System (EROS) Data Center.

  18. Early Results from the Qweak Experiment

    NASA Astrophysics Data System (ADS)

    Androic, D.; Armstrong, D. S.; Asaturyan, A.; Averett, T.; Balewski, J.; Beaufait, J.; Beminiwattha, R. S.; Benesch, J.; Benmokhtar, F.; Birchall, J.; Carlini, R. D.; Cates, G. D.; Cornejo, J. C.; Covrig, S.; Dalton, M. M.; Davis, C. A.; Deconinck, W.; Diefenbach, J.; Dowd, J. F.; Dunne, J. A.; Dutta, D.; Duvall, W. S.; Elaasar, M.; Falk, W. R.; Finn, J. M.; Forest, T.; Gaskell, D.; Gericke, M. T. W.; Grames, J.; Gray, V. M.; Grimm, K.; Guo, F.; Hoskins, J. R.; Johnston, K.; Jones, D.; Jones, M.; Jones, R.; Kargiantoulakis, M.; King, P. M.; Korkmaz, E.; Kowalski, S.; Leacock, J.; Leckey, J.; Lee, A. R.; Lee, J. H.; Lee, L.; MacEwan, S.; Mack, D.; Magee, J. A.; Mahurin, R.; Mammei, J.; Martin, J.; McHugh, M. J.; Meekins, D.; Mei, J.; Michaels, R.; Micherdzinska, A.; Mkrtchyan, A.; Mkrtchyan, H.; Morgan, N.; Myers, K. E.; Narayan, A.; Ndukum, L. Z.; Nelyubin, V.; Nuruzzaman; van Oers, W. T. H.; Opper, A. K.; Page, S. A.; Pan, J.; Paschke, K.; Phillips, S. K.; Pitt, M. L.; Poelker, M.; Rajotte, J. F.; Ramsay, W. D.; Roche, J.; Sawatzky, B.; Seva, T.; Shabestari, M. H.; Silwal, R.; Simicevic, N.; Smith, G. R.; Solvignon, P.; Spayde, D. T.; Subedi, A.; Subedi, R.; Suleiman, R.; Tadevosyan, V.; Tobias, W. A.; Tvaskis, V.; Waidyawansa, B.; Wang, P.; Wells, S. P.; Wood, S. A.; Yang, S.; Young, R. D.; Zhamkochyan, S.

    2014-03-01

    A subset of results from the recently completed Jefferson Lab Qweak experiment are reported. This experiment, sensitive to physics beyond the Standard Model, exploits the small parity-violating asymmetry in elastic e{{p}} scattering to provide the first determination of the proton's weak charge Q_w^p. The experiment employed a 180 μA longitudinally polarized 1.16 GeV electron beam on a 35 cm long liquid hydrogen target. Scattered electrons in the angular range 6° < θ < 12° corresponding to Q2 = 0.025 GeV2 were detected in eight Cerenkov detectors arrayed symmetrically around the beam axis. The goals of the experiment were to provide a measure of e{{p}} to 4.2% (combined statisstatistical and systematic error), which implies a measure of sin2(θw) at the level of 0.3%, and to help constrain the vector weak quark charges C1u and C1d. The experimental method is described, with particular focus on the challenges associated with the world's highest power LH2 target. The new constraints on C1u and C1d provided by the subset of the experiment's data analyzed to date will also be shown, together with the extracted weak charge of the neutron.

  19. Onset of Disordered Eating Attitudes and Behaviors in Early Adolescence: Interplay of Pubertal Status, Gender, Weight, and Age.

    ERIC Educational Resources Information Center

    O'Dea, Jennifer A.; Abraham, Suzanne

    1999-01-01

    Investigates the interplay of puberty, gender, weight, and age in regard to body image and disordered eating behaviors and attitudes in a sample of early adolescents. Results reveal that after menarche, females had increased personal expectations and were dissatisfied with weight/shape changes. Young males at puberty desired to build up their…

  20. UGT2B4 previously implicated in the risk of breast cancer is associated with menarche timing in Ukrainian females.

    PubMed

    Yermachenko, Anna; Dvornyk, Volodymyr

    2016-09-15

    Age at menarche (AAM) is a multifactorial trait that is regulated by dozens environmental and genetic factors. Recent meta-analysis of GWAS showed significant association of 106 loci with AAM. These polymorphisms need replicating in different ethnic populations in order to confirm their association with menarche timing. This study was aimed to replicate 53 polymorphisms that were previously associated with AAM. DNA samples were collected from 416 Ukrainian young females for further genotyping. After data quality control 47 polymorphisms remained for the association analysis using the linear regression model. SNP rs13111134 located in UGT2B4 showed the most significant association with AAM (0.431years per allele A, padj=0.044 after the Bonferroni correction). Polymorphisms rs7589318 in POMC, rs11724758 in FABP2, rs7753051 in IGF2R, rs2288696 in FGFR1 and rs12444979 in GPRC5B may also contribute to menarche timing. However, none of these associations remained significant after the Bonferroni correction for multiple testing. The obtained results provide evidence that UGT2B4, which was previously associated with predisposition to breast cancer, may play a role in the onset of menarche. PMID:27282283

  1. Memories of Menarche: Age, Preparation, and Prior Knowledge as Determinants of Initial Menstrual Experience.

    ERIC Educational Resources Information Center

    Koff, Elissa; And Others

    1982-01-01

    A retrospective questionnaire administered to 97 women found that the more knowledgeable a girl was prior to menarche, the more adequate she perceived her preparation for menarche to have been; and the older she was at the time of menarche, the more likely she was to report a positive initial experience. (Author/PN)

  2. Childhood Experience and the Onset of Menarche: A Test of a Sociobiological Model.

    ERIC Educational Resources Information Center

    Moffitt, Terrie E.; And Others

    1992-01-01

    Used data from a longitudinal study of 16-year-old girls to test predictions about psychosocial factors in the onset of menarche. Found that family conflict and father's absence in childhood predicted an earlier age of menarche, and these factors in combination with weight showed some evidence of an additive influence on menarche. (Author/GLR)

  3. Nutritional Status and Age at Menarche on Female Students of Junior High School

    ERIC Educational Resources Information Center

    Juliyatmi, Rihul Husnul; Handayani, Lina

    2015-01-01

    Menarche is the first menstrual period as one of the sign of puberty. There are many factors may affect the age at menarche such as nutritional status, genetic, environmental conditions, socioeconomic status, and education. The purpose of this research is to determine the relationship between nutritional status and age of menarche on female…

  4. Early Childhood Teacher Research: From Questions to Results

    ERIC Educational Resources Information Center

    Castle, Kathryn

    2011-01-01

    What is early childhood teacher research and why is it important? How does a teacher researcher formulate a research question and a plan for doing research? How do teachers apply research results to effect change? "Early Childhood Teacher Research" is an exciting new resource that will address the sorts of questions and concerns that pre- and…

  5. Age at Menarche, Level of Education, Parity and the Risk of Hysterectomy: A Systematic Review and Meta-Analyses of Population-Based Observational Studies

    PubMed Central

    Wilson, Louise F.; Mishra, Gita D.

    2016-01-01

    Background Although rates have declined, hysterectomy is still a frequent gynaecological procedure. To date, there has been no systematic quantification of the relationships between early/mid-life exposures and hysterectomy. We performed a systematic review and meta-analyses to quantify the associations between age at menarche, education level, parity and hysterectomy. Methods Eligible studies were identified by searches in PubMed and Embase through March 2015. Study-specific estimates were summarised using random effects meta-analysis. Heterogeneity was explored using sub-group analysis and meta-regression. Results Thirty-two study populations were identified for inclusion in at least one meta-analysis. Each year older at menarche was associated with lower risk of hysterectomy—summary hazard ratio 0.86 (95% confidence interval: 0.78, 0.95; I2 = 0%); summary odds ratio 0.88 (95% confidence interval: 0.82, 0.94; I2 = 61%). Low education levels conferred a higher risk of hysterectomy in the lowest versus highest level meta-analysis (summary hazard ratio 1.87 (95% confidence interval: 1.25, 2.80; I2 = 86%), summary odds ratio 1.51 (95% confidence interval: 1.35, 1.69; I2 = 90%)) and dose-response meta-analysis (summary odds ratio 1.17 (95% confidence interval: 1.12, 1.23; I2 = 85%) per each level lower of education). Sub-group analysis showed that the birth cohort category of study participants, the reference category used for level of education, the year the included article was published, quality of the study (as assessed by the authors) and control for the key variables accounted for the high heterogeneity between studies in the education level meta-analyses. In the meta-analyses of studies of parity and hysterectomy the results were not statistically significant. Conclusions The present meta-analyses suggest that the early life factors of age at menarche and lower education level are associated with hysterectomy, although this evidence should be interpreted with

  6. Hormones and mood: from menarche to menopause and beyond.

    PubMed

    Steiner, Meir; Dunn, Edward; Born, Leslie

    2003-03-01

    The lifetime prevalence of mood disorders in women is approximately twice that of men. The underlying causality of this gender difference is not yet understood. There is increasing scientific attention to the modulation of the neuroendocrine system by fluctuating gonadal hormones. This review attempts to summarize our current state of knowledge on the role and potential relevance of estrogen and other sex steroids to psychiatric disorders specific to women from menarche to menopause. The sudden appearance of higher levels of estrogen in puberty alters the sensitivity of the neurotransmitter systems. Moreover, the constant flux of estrogen and progesterone levels throughout the reproductive years portends constant modification of the neurotransmitter systems. Premenstrual syndromes may be the result of an altered activity or sensitivity of certain neurotransmitter systems. Pregnancy and delivery produce dramatic changes in estrogen and progesterone levels as well as significant suppression along the HPA axis, possibly increasing vulnerability to depression. At menopause, estrogen levels decline while pituitary LH and FSH levels increase. The loss of modulating effects of estrogen and progesterone may underlie the development of perimenopausal mood disorders in vulnerable women. The pattern of neuroendocrine events related to female reproduction is vulnerable to change and is sensitive to psychosocial, environmental, and physiological factors. Further research is needed to be able to identify specific genetic markers which might help us better understand how the balance between estrogen, progesterone, testosterone, and other steroid hormones affect neurotransmitter function. PMID:12646300

  7. Age at menarche: the influence of environmental conditions

    NASA Astrophysics Data System (ADS)

    Saar, E.; Shalev, C.; Dalal, I.; Sod-Moriah, U. A.

    1988-03-01

    Age at menarche was studied by the recollection method in two groups of Causasian Jewish high school girls, inhabitants of two towns in Israel, Safad and Elat. The two towns differ mainly in climatic conditions. The age at menarche was found to be significantly lower ( P<0.02) in the hot town of Elat than in the temperate town of Safad: 13.30±1.21 and 13.58±0.9 years, respectively (mean ±SD). A significant association was found between the age at menarche and the town in which the girls lived. Accordingly, in the hot town of Elat, the percentage of girls who had their first menstrual cycle by the age of 12 years and earlier, was more than double that of the girls in Safad (17.9% and 7.1%, respectively). It is concluded that the environmental temperature, with or without any possible interaction of humidity, is probably responsible for the tendency for an earlier onset of menarche in girls living in the hot town of Elat.

  8. "A Kotex and a Smile": Mothers and Daughters at Menarche

    ERIC Educational Resources Information Center

    Lee, Janet

    2008-01-01

    This article explores the menarche or first-period narratives of 155 young women, focusing on their relationships with their mothers at this time. It finds that maternal scripts are changing as young women of this cohort, most of whom started their periods around the new millennium, recalled supportive mothers who were emotionally engaged with…

  9. Vaginal Microbiota of Adolescent Girls Prior to the Onset of Menarche Resemble Those of Reproductive-Age Women

    PubMed Central

    Hickey, Roxana J.; Zhou, Xia; Settles, Matthew L.; Erb, Julie; Malone, Kristin; Hansmann, Melanie A.; Shew, Marcia L.; Van Der Pol, Barbara

    2015-01-01

    ABSTRACT Puberty is an important developmental stage wherein hormonal shifts mediate the physical and physiological changes that lead to menarche, but until now, the bacterial composition of vaginal microbiota during this period has been poorly characterized. We performed a prospective longitudinal study of perimenarcheal girls to gain insight into the timing and sequence of changes that occur in the vaginal and vulvar microbiota during puberty. The study enrolled 31 healthy, premenarcheal girls between the ages of 10 and 12 years and collected vaginal and vulvar swabs quarterly for up to 3 years. Bacterial composition was characterized by Roche 454 pyrosequencing and classification of regions V1 to V3 of 16S rRNA genes. Contrary to expectations, lactic acid bacteria, primarily Lactobacillus spp., were dominant in the microbiota of most girls well before the onset of menarche in the early to middle stages of puberty. Gardnerella vaginalis was detected at appreciable levels in approximately one-third of subjects, a notable finding considering that this organism is commonly associated with bacterial vaginosis in adults. Vulvar microbiota closely resembled vaginal microbiota but often exhibited additional taxa typically associated with skin microbiota. Our findings suggest that the vaginal microbiota of girls begin to resemble those of adults well before the onset of menarche. PMID:25805726

  10. Early Scientific Results from the Rejuvenated Hubble Space Telescope

    NASA Technical Reports Server (NTRS)

    Niedner, Malcolm

    2010-01-01

    With the complete success of Servicing Mission 4 (SM4) to the Hubble Space Telescope in May, 2009, the Observatory's capabilities are extremely broad and beyond anything it has previously been equipped with. I will present results on the important early science corning out of the telescope and discuss prospects for the future."

  11. Early results from the ultra heavy cosmic ray experiment

    NASA Technical Reports Server (NTRS)

    Osullivan, D.; Thompson, A.; Bosch, J.; Keegan, R.; Wenzel, K.-P.; Jansen, F.; Domingo, C.

    1995-01-01

    Data extraction and analysis of the LDEF Ultra Heavy Cosmic Ray Experiment is continuing. Almost twice the pre LDEF world sample has been investigated and some details of the charge spectrum in the region from Z approximately 70 up to and including the actinides are presented. The early results indicate r process enhancement over solar system source abundances.

  12. Construction and early commissioning results of the AGS Booster

    SciTech Connect

    Weng, W.T.; Ahrens, L.; Damm, R.; McNerney, A.J.

    1991-01-01

    The AGS Booster synchrotron has been designed to accelerate protons from 200 MeV to 1.5 GeV and heavy ions from several MeV per nucleon to several hundred MeV per nucleon for all the nuclei up to gold. The design requirements and measurements results of major accelerator components and systems are presented. The early commissioning results of the injection is also presented. 12 refs., 9 figs., 2 tabs.

  13. Internal carotid pseudo-occlusion: early and late results.

    PubMed

    Pulli, R; Frosini, P; Gatti, M; Narcetti, S; Bernacchi, R; Pratesi, C

    1997-02-01

    Internal carotid pseudo-occlusion (ICP) is a pathology of difficult diagnostic evaluation and treatment in the group of extracranial carotid diseases. The authors report the results of 24 ICP(S) surgically treated in the last five years. No perioperative death was reported. The neurological morbility rate was as low as 4% (1/24), which is quite a good results for this high-risk pathology. Clinical and instrumental follow-up was performed (at 1-3-6-12-24 months from surgery). Six early asymptomatic thromboses (25%) were observed, and the remaining patients showed patent vessels and no symptoms at all. In conclusion surgical treatment of ICP is often able to prevent cerebral ischaemia, and the high rate of early occlusion should not limit surgical indication. PMID:9128116

  14. Early Weak Lensing Results From The Dark Energy Survey

    NASA Astrophysics Data System (ADS)

    Maccrann, Niall; Dark Energy Survey Collaboration

    2016-01-01

    I present the early weak lensing results, including cosmological constraints, from the Dark Energy Survey (DES). Although only 3% of the final survey, DES Science Verification data already constituted a competitive weak lensing dataset, and the thoroughly tested shear catalogs allowed a number of interesting science analyses including cosmology from cosmic shear, mass mapping, combining lensing with galaxy clustering and combining with CMB lensing. I will summarize the main results of these analyses, discuss common systematic effects which need to be addressed to take advantage of the greater statistical power of main survey data, and outline some of improvements at various stages of the analysis pipeline that aim to do this.

  15. Usefulness of monitoring fertility from menarche.

    PubMed

    Vigil, Pilar; Ceric, Francisco; Cortés, Manuel E; Klaus, Hanna

    2006-06-01

    The concept of the ovarian cycle as a continuum considers that all types of ovarian activity encountered during the reproductive life are responses to different environmental conditions in order to ensure the health of the woman. During the normal ovulatory cycle, a series of sequential events have to occur in a highly synchronized manner. Fertility awareness is useful in helping women to identify the different stages of their reproductive life cycle. Fertility awareness is also a valuable tool in helping women to identify gynecological disorders. Persistence of irregularities within the mucus patterns and the menstrual cycle should be of concern to women presenting with these problems. These irregularities may be due to obstetrical, endocrine, gynecological or iatrogenic disorders. Insight into early pregnancy complications, ovulatory dysfunction and pelvic inflammatory disease can be ascertained from abnormalities within the menstrual cycle and mucus pattern. Thus, fertility awareness will also enable the recognition and early treatment of several metabolic, endocrine and infectious diseases. PMID:16731410

  16. [Results of conservative therapy in early breast carcinoma].

    PubMed

    Gatĕk, J; Duben, J; Dudesek, B; Schön, J

    2000-05-01

    The authors present a review on the development of views on breast cancer from the beginning of the century and contemporary views on the problem, its solution world-wide and in the Czech Republic. They base on their own group of 475 patients of 1991-1998, they analyze the development of possible solutions of early breast cancer and their view on the discussed problem. With regard to favourable results they advocate progressive breast preserving operations associated with postoperative radiotherapy and the use of the method of sentinel nodes. PMID:10916438

  17. The Advanced Photon Source: Performance and results from early operation

    SciTech Connect

    Moncton, D.E.

    1997-10-01

    The Advanced Photon Source at Argonne National Laboratory is now providing researchers with extreme-brilliance undulator radiation in the hard x-ray region of the spectrum. All technical facilities and components are operational and have met design specifications. Fourteen research teams, occupying 20 sectors on the APS experiment hall floor, are currently installing beamline instrumentation or actively taking data. An overview is presented for the first operational years of the Advanced Photon Source. Emphasis is on the performance of accelerators and insertion devices, as well as early scientific results and future plans.

  18. Preface: The LAMOST Galactic surveys and early results

    NASA Astrophysics Data System (ADS)

    Liu, Xiao-Wei; Zhao, Gang; Hou, Jin-Liang

    2015-08-01

    By the time of this writing, the ongoing LAMOST Galactic surveys have collected approximately 4.5 million stellar spectra with signal-to-noise ratios better than 10 per pixel. This special issue is devoted to early results from the surveys, mostly based on the LAMOST Data Release 1 (DR1; Luo et al., this volume) that contains data secured by May 2013, the end of the first year of regular surveys, although a few studies have made use of data collected in the second year of regular surveys. LAMOST DR1 was released to the Chinese astronomical community and international partners in August 2013 and made public to the whole world in March 2015. Here we briefly review the scope and motivation, data reduction and release, as well as early results of the surveys. As the project advances, one can expect that these surveys will yield an exquisite description of the distribution, kinematics and chemistry of Galactic stellar populations, especially those within a few kpc of the Sun, a robust measurement of the local dark matter density, and, consequently, shed light on how our Galaxy, and other galaxies in general, form and evolve.

  19. Family Stress, Perception of Pregnancy, and Age of First Menarche among Pregnant Adolescents.

    ERIC Educational Resources Information Center

    Ravert, April A; Martin, Jennifer

    1997-01-01

    Examines family-of-origin stress, age of first menarche, and the perceptions of pregnancy as a life event in 97 pregnant adolescents. Participants' reported high levels of family stress with only a moderate level of impact or stress attributed to the pregnancy. As a group, the girls' first menarche matched national averages. (RJM)

  20. Morningness-Eveningness and Physical Activity in Adolescent Girls: Menarche as a Transition Point.

    PubMed

    Beal, Sarah J; Grimm, Kevin J; Dorn, Lorah D; Susman, Elizabeth J

    2016-07-01

    This study identified trajectories of morningness-eveningness (M-E) and physical activity when chronological (i.e., time since birth) versus gynecological (i.e., time since menarche) age is used to indicate maturation. Piecewise models were fit for girls (N = 262, ages 11-19) using chronological or gynecological age as the time metric. Girls stayed up later (i.e., eveningness) as they approach menarche. After menarche no change in M-E was observed. In contrast, no change in M-E was detected with chronological age. No change in physical activity was observed before menarche, and physical activity declined after menarche. With chronological age, physical activity declined as girls got older. Gynecological age may be more appropriate than chronological age as a metric for understanding changes in M-E and physical activity. PMID:27097124

  1. Skeletal Benefits of Pre-Menarcheal Gymnastics Are Retained After Activity Cessation

    PubMed Central

    Scerpella, Tamara A.; Dowthwaite, Jodi N.; Gero, Nicole M.; Kanaley, Jill A.; Ploutz-Snyder, Robert J.

    2015-01-01

    Mechanical loading during childhood and adolescence may yield skeletal benefits that persist beyond activity cessation and menarche. At 1 year pre- and 2 years post-menarche, non-dominant forearm areal bone mineral density (aBMD), bone mineral content (BMC) and projected area (area) were compared in gymnasts (n=9), ex-gymnasts (n=8) and non-gymnasts (n=13). At both observations, gymnasts and ex-gymnasts had higher forearm aBMD, BMC and area than non-gymnasts. gymnasts had higher post-menarcheal means than ex-gymnasts for all three parameters. Childhood mechanical loading yields skeletal advantages that persist at least 24 months after loading cessation and menarche. Continued post-menarcheal loading yields additional benefit. PMID:20332537

  2. Epidemiology of Uterine Fibroids: From Menarche to Menopause.

    PubMed

    Wise, Lauren A; Laughlin-Tommaso, Shannon K

    2016-03-01

    Uterine leiomyomata (UL) have a substantial impact on women's health, but relatively few studies have identified opportunities for primary prevention of these neoplasms. Most established risk factors are not modifiable, including premenopausal age, African ancestry, age at menarche, and childbearing history. The main challenge in studying UL is that a large proportion of tumors are asymptomatic. Herein, we review the epidemiology of UL from published studies to date. We highlight the advantages of ultrasound screening studies and the ways in which their innovative methods have helped clarify the etiology of disease. We conclude with a discussion of promising new hypotheses. PMID:26744813

  3. Genetic variation at CYP3A is associated with age at menarche and breast cancer risk: a case-control study

    PubMed Central

    2014-01-01

    Introduction We have previously shown that a tag single nucleotide polymorphism (rs10235235), which maps to the CYP3A locus (7q22.1), was associated with a reduction in premenopausal urinary estrone glucuronide levels and a modest reduction in risk of breast cancer in women age ≤50 years. Methods We further investigated the association of rs10235235 with breast cancer risk in a large case control study of 47,346 cases and 47,570 controls from 52 studies participating in the Breast Cancer Association Consortium. Genotyping of rs10235235 was conducted using a custom Illumina Infinium array. Stratified analyses were conducted to determine whether this association was modified by age at diagnosis, ethnicity, age at menarche or tumor characteristics. Results We confirmed the association of rs10235235 with breast cancer risk for women of European ancestry but found no evidence that this association differed with age at diagnosis. Heterozygote and homozygote odds ratios (ORs) were OR = 0.98 (95% CI 0.94, 1.01; P = 0.2) and OR = 0.80 (95% CI 0.69, 0.93; P = 0.004), respectively (Ptrend = 0.02). There was no evidence of effect modification by tumor characteristics. rs10235235 was, however, associated with age at menarche in controls (Ptrend = 0.005) but not cases (Ptrend = 0.97). Consequently the association between rs10235235 and breast cancer risk differed according to age at menarche (Phet = 0.02); the rare allele of rs10235235 was associated with a reduction in breast cancer risk for women who had their menarche age ≥15 years (ORhet = 0.84, 95% CI 0.75, 0.94; ORhom = 0.81, 95% CI 0.51, 1.30; Ptrend = 0.002) but not for those who had their menarche age ≤11 years (ORhet = 1.06, 95% CI 0.95, 1.19, ORhom = 1.07, 95% CI 0.67, 1.72; Ptrend = 0.29). Conclusions To our knowledge rs10235235 is the first single nucleotide polymorphism to be associated with both breast cancer risk and age at menarche consistent with the well-documented association between later age at

  4. DEEP-South: Network Construction, Test Runs and Early Results

    NASA Astrophysics Data System (ADS)

    Moon, Hong-Kyu; Kim, Myung-Jin; Yim, Hong-Suh; Choi, Young-Jun; Bae, Young-Ho; Roh, Dong-Goo; Park, Jintae; Moon, Bora

    2016-01-01

    Korea Microlensing Telescope Network (KMTNet) which consists of three identical 1.6 m wide-field telescopes with 18k × 18k CCDs, is the first optical survey system of its kind. The combination of fast optics and the mosaic CCD delivers seeing limited images over a 4 square degrees field of view. The main science goal of KMTNet is the discovery and characterization of exoplanets, yet it also offers various other science applications including DEep Ecliptic Patrol of SOUTHern sky (DEEP-South). The aim of DEEP-South is to discover and characterize asteroids and comets, including Near Earth Objects (NEOs). We started test runs last February after commissioning, and will return to normal operations in October 2015. A summary of early results from the test runs will be presented.

  5. Early on-orbit calibration results from Aqua MODIS

    NASA Astrophysics Data System (ADS)

    Xiong, Xiaoxiong; Barnes, William L.

    2003-04-01

    Aqua MODIS, also known as the MODIS Flight Model 1 (FM1), was launched on May 4, 2002. It opened its nadir aperture door (NAD) on June 24, 2002, beginning its Earth observing mission. In this paper, we present early results from Aqua MODIS on-orbit calibration and characterization and assess the instrument's overall performance. MODIS has 36 spectral bands located on four focal plane assemblies (FPAs). Bands 1-19, and 26 with wavelengths from 0.412 to 2.1 microns are the reflective solar bands (RSB) that are calibrated on-orbit by a solar diffuser (SD). The degradation of the SD is tracked using a solar diffuser stability monitor (SDSM). The bands 20-25, and 27-36 with wavelengths from 3.75 to 14.5 microns are the thermal emissive bands (TEB) that are calibrated on-orbit by a blackbody (BB). Early results indicate that the on-orbit performance has been in good agreement with the predications determined from pre-launch measurements. Except for band 21, the low gain fire band, band 6, known to have some inoperable detectors from pre-launch characterization, and one noisy detector in band 36, all of the detectors' noise characterizations are within their specifications. Examples of the sensor's short-term and limited long-term responses in both TEB and RSB will be provided to illustrate the sensor's on-orbit stability. In addition, we will show some of the improvements that Aqua MODIS made over its predecessor, Terra MODIS (Protoflight Model - PFM), such as removal of the optical leak into the long-wave infrared (LWIR) photoconductive (PC) bands and reduction of electronic crosstalk and out-of-band (OOB) thermal leak into the short-wave infrared (SWIR) bands.

  6. Early Results of a New Rotating Hinge Knee Implant

    PubMed Central

    Neuhaus, Hans-Joachim; Miehlke, Rolf; Schuh, Reinhard; Kubista, Bernd

    2014-01-01

    Background. Indication for rotating hinge (RH) total knee arthroplasty (TKA) includes primary and revision cases, with contradictory results. The aim of this study was to report prospective early results of a new modular rotating hinge TKA (EnduRo). For this implant several new design features and a new bearing material (carbon-fiber reinforced poly-ether-ether-ketone) have been developed. Furthermore, we tried to establish a new classification of failure modes for revision TKA. Methods. 152 EnduRo rotating-hinge prostheses were implanted in two centers. In 90 patients a primary implantation has been performed and 62 patients were revision cases. Knee Society Score (KSS), Western Ontario and McMaster Osteoarthritis Index (WOMAC), Oxford Knee Score (OKS), and Range of motion (ROM) were assessed before surgery, 3 months postoperatively, 12 months postoperatively, and annually thereafter. We defined 3 types of complications: Type 1, infection; type 2, periprosthetic complications; type 3, implant failures. Results. KSS, WOMAC, OKS, and ROM revealed significant improvements between the preoperative and the follow-up investigations. There were 14 complications (9.2%) leading to revision surgery, predominantly type 2. Conclusion. Our study shows excellent clinical results of the EnduRo TKA. Furthermore, no premature material failure or unusual biological response to the new bearing material could be detected. PMID:25089279

  7. Early results with the cementless Variall hip system.

    PubMed

    Suda, Arnold J; Knahr, Karl

    2009-01-01

    This study presents the early results of the Variall cementless hip system, a further development of the reliable Alloclassic Zweymüller system. In a prospective randomized study, 319 patients (333 hips) underwent the Variall cementless hip system with four different bearings and were scored using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Score and the Short Form-36 health survey form, with a follow-up period of 3 years. The patients were grouped according to age, with those in the age range 23-75 years as group one (n = 285) and those over 75 years of age as group two (n = 48). For both the Short Form-36 and WOMAC scoring, worse function was found in group two (i.e., patients >75 years). In this group, the function scores were worse in patients who received a conventional polyethylene bearing. The clinical and radiological results after 5 or more years will lead to a clearer prediction. PMID:19105776

  8. Planck early results. XIV. ERCSC validation and extreme radio sources

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Ade, P. A. R.; Aghanim, N.; Angelakis, E.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bonaldi, A.; Bonavera, L.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Bucher, M.; Burigana, C.; Cabella, P.; Cappellini, B.; Cardoso, J.-F.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Chary, R.-R.; Chen, X.; Chiang, L.-Y.; Christensen, P. R.; Clements, D. L.; Colombi, S.; Couchot, F.; Coulais, A.; Crill, B. P.; Cuttaia, F.; Danese, L.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Gasperis, G.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dickinson, C.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Finelli, F.; Forni, O.; Frailis, M.; Franceschi, E.; Fuhrmann, L.; Galeotta, S.; Ganga, K.; Giard, M.; Giardino, G.; Giraud-Héraud, Y.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Harrison, D.; Henrot-Versillé, S.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Huynh, M.; Jaffe, A. H.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Krichbaum, T. P.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lamarre, J.-M.; Lasenby, A.; Laureijs, R. J.; Lavonen, N.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; Leonardi, R.; León-Tavares, J.; Linden-Vørnle, M.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; Maffei, B.; Maino, D.; Mandolesi, N.; Mann, R.; Maris, M.; Marleau, F.; Martínez-González, E.; Masi, S.; Massardi, M.; Matarrese, S.; Matthai, F.; Mazzotta, P.; Meinhold, P. R.; Melchiorri, A.; Mendes, L.; Mennella, A.; Mingaliev, M.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Natoli, P.; Nestoras, I.; Netterfield, C. B.; Nieppola, E.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; Osborne, S.; Pajot, F.; Paladini, R.; Partridge, B.; Pasian, F.; Patanchon, G.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Pierpaoli, E.; Plaszczynski, S.; Platania, P.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Poutanen, T.; Prézeau, G.; Procopio, P.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Rebolo, R.; Reinecke, M.; Renault, C.; Ricciardi, S.; Riller, T.; Riquelme, D.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Sajina, A.; Sandri, M.; Savolainen, P.; Scott, D.; Seiffert, M. D.; Sievers, A.; Smoot, G. F.; Sotnikova, Y.; Starck, J.-L.; Stivoli, F.; Stolyarov, V.; Sudiwala, R.; Sygnet, J.-F.; Tammi, J.; Tauber, J. A.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Tornikoski, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Türler, M.; Turunen, M.; Umana, G.; Ungerechts, H.; Valenziano, L.; Varis, J.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; Wilkinson, A.; Yvon, D.; Zacchei, A.; Zensus, J. A.; Zonca, A.

    2011-12-01

    Planck's all-sky surveys at 30-857 GHz provide an unprecedented opportunity to follow the radio spectra of a large sample of extragalactic sources to frequencies 2-20 times higher than allowed by past, large-area, ground-based surveys. We combine the results of the Planck Early Release Compact Source Catalog (ERCSC) with quasi-simultaneous ground-based observations as well as archival data at frequencies below or overlapping Planck frequency bands, to validate the astrometry and photometry of the ERCSC radio sources and study the spectral features shown in this new frequency window opened by Planck. The ERCSC source positions and flux density scales are found to be consistent with the ground-based observations. We present and discuss the spectral energy distributions of a sample of "extreme" radio sources, to illustrate the richness of the ERCSC for the study of extragalactic radio sources. Variability is found to play a role in the unusual spectral features of some of these sources. Corresponding author: B. Partridge, e-mail: bpartrid@haverford.edu

  9. The EOLE experiment: Early results and current objectives

    NASA Technical Reports Server (NTRS)

    Morel, P.; Bandeen, W. R.

    1972-01-01

    The EOLE experiment with 480 constant level balloons released in the Southern Hemisphere is described. Each balloon floating freely at approximately the 200 mb level, is a precise tracer of the horizontal motion of air masses, the accuracy of which is limited only by the laminated structure of the stratospheric flow, within an RMS uncertainty of 1.5 m/sec. The balloons were found after 2 months to distribute at random over the whole hemisphere outside the tropics, irrespective of their original launching site. Early results of Eulerian and Lagrangian averages of the EOLE wind data are given for describing the mean 200 mb zonal and meridional circulations. The effect of the small scale eddies of two-dimensional turbulence has been studied with respect to the relative eddy diffusion of pairs of balloons and the relative dispersion of triangular clusters. New estimates of the RMS divergence of the 200 mb flow are given, together with their scale dependence which was found to be a logarithmic law.

  10. Successful Pregnancy and Delivery After Radiation With Ovarian Shielding for Acute Lymphocytic Leukemia Before Menarche

    PubMed Central

    Maebayashi, Toshiya; Aizawa, Takuya; Sakaguchi, Masakuni; Abe, Osamu; Saito, Tsutomu; Tanaka, Yoshiaki; Chin, Motoaki; Mugishima, Hideo

    2015-01-01

    Total body irradiation is performed as a preconditioning regimen to inhibit graft-versus-host disease after bone marrow transplantation and to eradicate remaining tumor cells. However, these regimens result in delayed secondary sex characteristics and failure of ovarian function recovery, leading to amenorrhea and infertility. Herein, we report a case of an 11-year-old girl diagnosed with acute lymphocytic leukemia who received induction chemotherapy and prophylactic cranial irradiation. For bone marrow transplantation, she received total body irradiation of 12 Gy with uterine and ovarian shielding at 13 years of age. The patient remained in remission and menarche began at 14 years of age. At 23, she became pregnant and delivered a baby naturally with no abnormalities. PMID:25739028

  11. Successful Pregnancy and Delivery After Radiation With Ovarian Shielding for Acute Lymphocytic Leukemia Before Menarche.

    PubMed

    Ishibashi, Naoya; Maebayashi, Toshiya; Aizawa, Takuya; Sakaguchi, Masakuni; Abe, Osamu; Saito, Tsutomu; Tanaka, Yoshiaki; Chin, Motoaki; Mugishima, Hideo

    2015-07-01

    Total body irradiation is performed as a preconditioning regimen to inhibit graft-versus-host disease after bone marrow transplantation and to eradicate remaining tumor cells. However, these regimens result in delayed secondary sex characteristics and failure of ovarian function recovery, leading to amenorrhea and infertility. Herein, we report a case of an 11-year-old girl diagnosed with acute lymphocytic leukemia who received induction chemotherapy and prophylactic cranial irradiation. For bone marrow transplantation, she received total body irradiation of 12 Gy with uterine and ovarian shielding at 13 years of age. The patient remained in remission and menarche began at 14 years of age. At 23, she became pregnant and delivered a baby naturally with no abnormalities. PMID:25739028

  12. The variation in age at menarche: an indicator of historic developmental tempo.

    PubMed

    Lehmann, Andreas; Scheffler, Christiane; Hermanussen, Michael

    2010-01-01

    Ample literature describes the history of the association between the advances in the health and wealth of people, and mortality rates, life expectancy and adult height. Twenty-nine German studies with n > 200 subjects published since 1848 on menarcheal age, were reanalyzed, and 101 studies from various other European and non-European countries. On average, mean age at menarche declined since the mid-19th century. Historic urban samples tended to decline earlier than rural groups, upper class women earlier than working class women. In Germany, minimum values for the age at menarche were seen already between the two World Wars (Leipzig 12.6 years in 1934, Halle 13.3 years in 1939). Values for mean age and SD for age at menarche were strongly associated. With improving historic circumstances, the two parameters declined in parallel. The standard deviation for menarcheal age dropped from over 2.5 years in mid-19" century France to little more or even less than 1 year in most modern countries. In the German studies the correlation between menarcheal age and SD was almost complete with r = 0.96 (y = 0.35x - 3.53). Similar associations between mean age at menarche and SD for age were found in other European countries. The obvious and immediate effects of historic events on menarcheal age, and particularly on the age distribution, indicate that menarche is a sensitive indicator of public health and wealth, and may be an appropriate estimator for the socio-economic background of historic populations. PMID:20954458

  13. Robotic Esophagectomy for Cancer: Early Results and Lessons Learned.

    PubMed

    Cerfolio, Robert J; Wei, Benjamin; Hawn, Mary T; Minnich, Douglas J

    2016-01-01

    Minimally invasive esophagectomy with intrathoracic dissection and anastomosis is increasingly performed. Our objectives are to report our operative technique, early results and lessons learned. This is a retrospective review of 85 consecutive patients who were scheduled for minimally invasive Ivor Lewis esophagectomy (laparoscopic or robotic abdominal and robotic chest) for esophageal cancer. Between 4/2011 and 3/2015, 85 (74 men, median age: 63) patients underwent robotic Ivor Lewis esophageal resection. In all, 64 patients (75%) had preoperative chemoradiotherapy, 99% had esophageal cancer, and 99% had an R0 resection. There were no abdominal or thoracic conversions for bleeding. There was 1 abdominal conversion for the inability to completely staple the gastric conduit. The mean operative time was 6 hours, median blood loss was 35ml (no intraoperative transfusions), median number of resected lymph nodes was 22, and median length of stay was 8 days. Conduit complications (anastomotic leak or conduit ischemia) occurred in 6 patients. The 30 and 90-day mortality were 3/85 (3.5%) and 9/85 (10.6%), respectively. Initial poor results led to protocol changes via root cause analysis: longer rehabilitation before surgery, liver biopsy in patients with history of suspected cirrhosis, and refinements to conduit preparation and anastomotic technique. Robotic Ivor Lewis esophagectomy for cancer provides an R0 resection with excellent lymph node resection. Our preferred port placement and operative techniques are described. Disappointingly high thoracic conduit problems and 30 and 90-day mortality led to lessons learned and implementation of change which are shared. PMID:27568155

  14. The Seismic Effect of Impacts on Asteroids: Early Modeling Results

    NASA Astrophysics Data System (ADS)

    Richardson, J. E.; Melosh, H. J.; Greenberg, R. J.

    2003-12-01

    Crater counts made from the NEAR spacecraft images of the asteroid 433 Eros have revealed a paucity of small craters on this small body. Seismic shaking from impacts has been cited as a potential means of small crater erasure, and we present early results from mathematical, hydrocode, and seismic waveform modeling used to investigate this hypothesis. The seismic effects of an impact on a small body can be divided into two categories: (1) surface shaking due to the passage of discrete seismic pulses shortly after impact, and (2) surface shaking due to reverberations following the dispersion of seismic energy throughout the body. Seismic pulse effects are magnified due to the very low surface gravity of these bodies, with relatively small impacts having global seismic effects. An impact producing a 1 km diameter crater on a 20 km diameter asteroid will generate surface accelerations of over 10 g (where g is the asteroid's surface gravitational acceleration) out to an angular radius of 50 deg from the impact site, more than 2 g accelerations over the remaining surface of the asteroid, with a secondary peak of 2-10 g accelerations near the antipode of the impact. In addition, due to their small size and potentially high seismic quality factors (Q > 3000, based upon the lunar seismic data), asteroids can experience seismic reverberations lasting for several minutes following an impact. These reverberations will cause additional surface shaking, primarily at the peak frequencies injected by the impact (1-200 Hz). Impacts which produce craters in the 0.1-1 km diameter range on a 20 km diameter asteroid are able to generate reverberations of better than 1 g vertical acceleration over the entire surface. This secondary shaking may thus contribute strongly to modification of the surface topography.

  15. Changes in Representation of Body Image as a Function of Menarcheal Status.

    ERIC Educational Resources Information Center

    Koff, Elissa; And Others

    1978-01-01

    The significance of menarche for girls' body image and sexual identification was investigated by assessing human figure drawings produced by 87 adolescent girls on two occasions, six months apart. (Author/MP)

  16. Aquarius Radiometer Performance: Early On-Orbit Calibration and Results

    NASA Technical Reports Server (NTRS)

    Piepmeier, Jeffrey R.; LeVine, David M.; Yueh, Simon H.; Wentz, Frank; Ruf, Christopher

    2012-01-01

    The Aquarius/SAC-D observatory was launched into a 657-km altitude, 6-PM ascending node, sun-synchronous polar orbit from Vandenberg, California, USA on June 10, 2011. The Aquarius instrument was commissioned two months after launch and began operating in mission mode August 25. The Aquarius radiometer meets all engineering requirements, exhibited initial calibration biases within expected error bars, and continues to operate well. A review of the instrument design, discussion of early on-orbit performance and calibration assessment, and investigation of an on-going calibration drift are summarized in this abstract.

  17. A Better 9th Grade: Early Results from an Experimental Study of the Early College High School Model

    ERIC Educational Resources Information Center

    SERVE Center at University of North Carolina at Greensboro, 2010

    2010-01-01

    To increase the number of students graduating from high school prepared for college, North Carolina has established the largest number of Early College High Schools (ECHS) in the United States. Early results from a rigorous, independent study of North Carolina's initiative have shown that these schools have substantial positive impacts on student…

  18. Planck early results. V. The Low Frequency Instrument data processing

    NASA Astrophysics Data System (ADS)

    Zacchei, A.; Maino, D.; Baccigalupi, C.; Bersanelli, M.; Bonaldi, A.; Bonavera, L.; Burigana, C.; Butler, R. C.; Cuttaia, F.; de Zotti, G.; Dick, J.; Frailis, M.; Galeotta, S.; González-Nuevo, J.; Górski, K. M.; Gregorio, A.; Keihänen, E.; Keskitalo, R.; Knoche, J.; Kurki-Suonio, H.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; López-Caniego, M.; Mandolesi, N.; Maris, M.; Matthai, F.; Meinhold, P. R.; Mennella, A.; Morgante, G.; Morisset, N.; Natoli, P.; Pasian, F.; Perrotta, F.; Polenta, G.; Poutanen, T.; Reinecke, M.; Ricciardi, S.; Rohlfs, R.; Sandri, M.; Suur-Uski, A.-S.; Tauber, J. A.; Tavagnacco, D.; Terenzi, L.; Tomasi, M.; Valiviita, J.; Villa, F.; Zonca, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Bartolo, N.; Bedini, L.; Bennett, K.; Binko, P.; Borrill, J.; Bouchet, F. R.; Bremer, M.; Cabella, P.; Cappellini, B.; Chen, X.; Colombo, L.; Cruz, M.; Curto, A.; Danese, L.; Davies, R. D.; Davis, R. J.; de Gasperis, G.; de Rosa, A.; de Troia, G.; Dickinson, C.; Diego, J. M.; Donzelli, S.; Dörl, U.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Falvella, M. C.; Finelli, F.; Franceschi, E.; Gaier, T. C.; Gasparo, F.; Génova-Santos, R. T.; Giardino, G.; Gómez, F.; Gruppuso, A.; Hansen, F. K.; Hell, R.; Herranz, D.; Hovest, W.; Huynh, M.; Jewell, J.; Juvela, M.; Kisner, T. S.; Knox, L.; Lähteenmäki, A.; Lamarre, J.-M.; Leonardi, R.; León-Tavares, J.; Lilje, P. B.; Lubin, P. M.; Maggio, G.; Marinucci, D.; Martínez-González, E.; Massardi, M.; Matarrese, S.; Meharga, M. T.; Melchiorri, A.; Migliaccio, M.; Mitra, S.; Moss, A.; Nørgaard-Nielsen, H. U.; Pagano, L.; Paladini, R.; Paoletti, D.; Partridge, B.; Pearson, D.; Pettorino, V.; Pietrobon, D.; Prézeau, G.; Procopio, P.; Puget, J.-L.; Quercellini, C.; Rachen, J. P.; Rebolo, R.; Robbers, G.; Rocha, G.; Rubiño-Martín, J. A.; Salerno, E.; Savelainen, M.; Scott, D.; Seiffert, M. D.; Silk, J. I.; Smoot, G. F.; Sternberg, J.; Stivoli, F.; Stompor, R.; Tofani, G.; Toffolatti, L.; Tuovinen, J.; Türler, M.; Umana, G.; Vielva, P.; Vittorio, N.; Vuerli, C.; Wade, L. A.; Watson, R.; White, S. D. M.; Wilkinson, A.

    2011-12-01

    We describe the processing of data from the Low Frequency Instrument (LFI) used in production of the Planck Early Release Compact Source Catalogue (ERCSC). In particular, we discuss the steps involved in reducing the data from telemetry packets to cleaned, calibrated, time-ordered data (TOD) and frequency maps. Data are continuously calibrated using the modulation of the temperature of the cosmic microwave background radiation induced by the motion of the spacecraft. Noise properties are estimated from TOD from which the sky signal has been removed using a generalized least square map-making algorithm. Measured 1/f noise knee-frequencies range from ~100 mHz at 30 GHz to a few tens of mHz at 70GHz. A destriping code (Madam) is employed to combine radiometric data and pointing information into sky maps, minimizing the variance of correlated noise. Noise covariance matrices required to compute statistical uncertainties on LFI and Planck products are also produced. Main beams are estimated down to the ≈-10dB level using Jupiter transits, which are also used for geometrical calibration of the focal plane. Corresponding author: A. Zacchei, e-mail: zacchei@oats.inaf.it

  19. Early result of heart transplantation in Japan: Osaka University experience.

    PubMed

    Fukushima, Norihide; Miyamoto, Yuji; Ohtake, Shigeaki; Sawa, Yoshiki; Takahashi, Toshiki; Nishimura, Motonobu

    2004-06-01

    Since the new organ transplantation law was established in 1997, 17 heart transplantations have been performed in Japan, 7 of which were carried out at Osaka University Hospital. Recipient diagnosis was dilated cardiomyopathy in 2, dilated phase of hypertrophic cardiomyopathy in 4, and post-myocarditis cardiomyopathy in 1. Ages ranged from 8 to 49 years with a mean of 35.3 years. Five patients were bridged with a left ventricular assist device. The waiting period was 182-977 days (mean, 643 days). There was no early or late death during follow-up of 1-4.8 years. Under a standard triple-drug regimen using mycophenolate, there were 3 rejection episodes greater than grade 3 in 2 patients, and humoral rejection requiring plasmapheresis in one. A young boy whose donor was a hemodynamically compromised adult developed neurological sequelae after resuscitation following ventricular tachycardia. All patients were discharged and went back to work or their regular daily life. Although the donor shortage is still severe in Japan, the resumption of heart transplantation has been satisfactory, and left ventricular assist devices have played a crucial role. PMID:15213084

  20. Simultaneous hybrid peripheral re-vascularization: early results.

    PubMed

    Yurekli, Ismail; Gokalp, Orhan; Gunes, Tevfik; Yilik, Levent; Gurbuz, Ali

    2013-10-01

    Endovascular and open surgical interventions may be combined in treatment of peripheral arterial disease. In this study, we presented our simultaneous hybrid peripheral interventions under the light of current literature data. Eleven patients who were operated for occlusive peripheral arterial disease without aneurysms between June 2008 and November 2010 at our hybrid operating room were investigated retrospectively. Generally, endovascular intervention was performed initially, and then followed by surgery. After hybrid interventions, control angiograms were held during the same session. None of the patients experienced either stent or graft occlusion during early postoperative period. Primary patency rate was found to be 100% for the postoperative first six months. Ankle-brachial indices (ABI) increased significantly during postoperative period and clinical symptoms were relieved in all patients (mean preoperative ABI: 0.43 ± 0.08, mean postoperative sixth month ABI: 0.87 ± 0.08). Peripheral hybrid interventions may be performed both in separate sessions and also simultaneously by experienced teams if an angiography device is available within the operating room. PMID:23518846

  1. FRONTIER FIELDS: HIGH-REDSHIFT PREDICTIONS AND EARLY RESULTS

    SciTech Connect

    Coe, Dan; Bradley, Larry; Zitrin, Adi

    2015-02-20

    The Frontier Fields program is obtaining deep Hubble and Spitzer Space Telescope images of new ''blank'' fields and nearby fields gravitationally lensed by massive galaxy clusters. The Hubble images of the lensed fields are revealing nJy sources (AB mag > 31), the faintest galaxies yet observed. The full program will transform our understanding of galaxy evolution in the first 600 million years (z > 9). Previous programs have yielded a dozen or so z > 9 candidates, including perhaps fewer than expected in the Ultra Deep Field and more than expected in shallower Hubble images. In this paper, we present high-redshift (z > 6) number count predictions for the Frontier Fields and candidates in three of the first Hubble images. We show the full Frontier Fields program may yield up to ∼70 z > 9 candidates (∼6 per field). We base this estimate on an extrapolation of luminosity functions observed between 4 < z < 8 and gravitational lensing models submitted by the community. However, in the first two deep infrared Hubble images obtained to date, we find z ∼ 8 candidates but no strong candidates at z > 9. We defer quantitative analysis of the z > 9 deficit (including detection completeness estimates) to future work including additional data. At these redshifts, cosmic variance (field-to-field variation) is expected to be significant (greater than ±50%) and include clustering of early galaxies formed in overdensities. The full Frontier Fields program will significantly mitigate this uncertainty by observing six independent sightlines each with a lensing cluster and nearby blank field.

  2. Early Science Results from the Dark Energy Survey

    NASA Astrophysics Data System (ADS)

    Ross, Ashley

    2015-04-01

    The Dark Energy Survey (DES) is a next-generation large galaxy survey designed to unravel the mystery of the nature of the dark energy that powers the current accelerated expansion of the Universe. The DES collaboration built and participated in the installation and commissioning of DECam, a 570 mega-pixel optical and near-infrared camera with a large 3 deg2 field of view, set at the prime focus of the Víctor M. Blanco 4-meter telescope in at the Cerro Tololo Inter-American Observatory in Chile. Using DECam, DES will map 5000 deg2 to a depth IAB ~ 24 and observe designated supernova survey fields at high cadence. These data will allow DES to measure positions, approximate redshifts, and shapes for 300 million galaxies, the light-curves of several thousand supernovae, and the masses of tens of thousands of galaxy clusters. Using these data, DES will use four main probes to study the properties of dark energy: galaxy clustering on large scales, weak gravitational lensing, galaxy-cluster abundance, and supernova distances. I describe the early progress of the survey and provide highlights of the science analyses that have been completed so far. These include: large-scale galaxy clustering measurements; significant detection of a cross-correlation with SPT CMB lensing maps; galaxy-shear and shear-shear correlation function measurements; discoveries of super-luminous supernovae, dozens of strong lenses, and redshift > 6 quasars; and characterization of DES galaxy clusters and SNe1a light-curves.

  3. The Global Precipitation Measurement Mission: NASA Status and Early Results

    NASA Astrophysics Data System (ADS)

    Skofronick-Jackson, Gail; Huffman, G.; Petersen, W.; Kidd, Chris

    capabilities will be presented along with early imagery of GPM’s retrievals of precipitation.

  4. Fiber heart valve prosthesis: Early in vitro fatigue results.

    PubMed

    Vaesken, Antoine; Khoffi, Foued; Heim, Frederic; Dieval, Florence; Chakfe, Nabil

    2016-07-01

    Transcatheter aortic valve replacement has become today a largely considered alternative technique to surgical valve replacement in patients with high risk for open chest surgery. Biological valve tissue used in the transcatheter devices has shown success over 5 years now, but the procedure remains expensive. Moreover, different studies point out potential degradations that the tissue can undergo when folded to lower diameter and released in calcified environment with irregular geometry, which may jeopardize the durability of the device. The use of synthetic materials, like textile in particular, to replace biological valve leaflets would help reducing the procedure costs, and limit the degradations when the valve is crimped. Textile polyester material has been extensively used in the vascular surgery and is characterized by outstanding folding and strength properties combined with proven biocompatibility. However, the friction effects that occur between filaments and between yarns within a fabric under flexure loading could be critical for the resistance of the material on the long term. The purpose of this study was to assess the early fatigue performances of textile valve prototypes under accelerated cyclic loading up to 200 Mio cycles. Durability tests show that the fibrous material undergoes rearrangements between fibrous elements within the textile construction and the mechanical properties are modified on the long term. But testing is not complete with 200 Mio cycles. The material should be tested up to a higher number of cycles in future work to test the effective long-term durability. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 986-992, 2016. PMID:25980361

  5. Ages at menarche- and menopause-related genetic variants in relation to terminal duct lobular unit involution in normal breast tissue.

    PubMed

    Oh, Hannah; Bodelon, Clara; Palakal, Maya; Chatterjee, Nilanjan; Sherman, Mark E; Linville, Laura; Geller, Berta M; Vacek, Pamela M; Weaver, Donald L; Chicoine, Rachael E; Papathomas, Daphne; Patel, Deesha A; Xiang, Jackie; Clare, Susan E; Visscher, Daniel W; Mies, Carolyn; Hewitt, Stephen M; Brinton, Louise A; Storniolo, Anna Maria V; He, Chunyan; Garcia-Closas, Montserrat; Chanock, Stephen J; Gierach, Gretchen L; Figueroa, Jonine D

    2016-07-01

    Reduced levels of terminal duct lobular unit (TDLU) involution, as reflected by higher numbers of TDLUs and acini per TDLU, have been associated with higher breast cancer risk. Younger age at menarche and older age at menopause have been previously related to lower levels of TDLU involution. To determine a possible genetic link, we examined whether single-nucleotide polymorphisms (SNPs) previously established in genome-wide association studies (GWAS) for ages at menarche and menopause are associated with TDLU involution. We conducted a pooled analysis of 862 women from two studies. H&E tissue sections were assessed for numbers of TDLUs and acini/TDLU. Poisson regression models were used to estimate associations of 36 menarche- and 21 menopause-SNPs with TDLU counts, acini counts/TDLU, and the product of these two measures, adjusting for age and study site. Fourteen percent of evaluated SNPs (eight SNPs) were associated with TDLU counts at p < 0.05, suggesting an enrichment of associations with TDLU counts. However, only menopause-SNPs had >50 % that were either significantly or nonsignificantly associated with TDLU measures in the directions consistent with their relationships shown in GWAS. Among ten SNPs that were statistically significantly associated with at least one TDLU involution measure (p < 0.05), seven SNPs (rs466639: RXRG; rs2243803: SLC14A2; rs2292573: GAB2; rs6438424: 3q13.32; rs7606918: METAP1D; rs11668344: TMEM150B; rs1635501: EXO1) were associated in the consistent directions. Our data suggest that the loci associated with ages at menarche and menopause may influence TDLU involution, suggesting some shared genetic mechanisms. However, larger studies are needed to confirm the results. PMID:27342457

  6. Early sexual maturity among Pumé foragers of Venezuela: fitness implications of teen motherhood.

    PubMed

    Kramer, Karen L

    2008-07-01

    Because humans have slow life histories, discussions of the optimal age at first birth have stressed the benefits of delayed reproduction. However, given the diversity of ecological, fertility, and mortality environments in which humans live, reproductive maturity is expected to be highly variable. This article uses reproductive histories to examine a pattern of early menarche and first birth among the Pume, a group of South American foragers. Age at menarche and first birth are constructed using both retrospective and cross-sectional data for females over the age of 10 (n = 83). The objectives are first to define these patterns and then discuss their reproductive consequences. On average, Pume girls reach menarche at age 12.9, and give birth to their first child at age 15.3-15.5 (retrospective and cross-sectional data, respectively). This populational average falls several years prior to what often is considered the human norm. Two questions are then considered. What are the infant mortality costs across a mother's reproductive career? How does surviving fertility vary with age at first birth? Results indicate that the youngest of first-time mothers (<14) are four times more likely to loose their firstborns than older first-time mothers (> or =17). Given parity-specific mortality rates, the optimal strategy to minimize infant mortality and maximize reproductive span is to initiate childbearing in the midteens. Women gain no additional advantage in surviving fertility by delaying childbearing until their late teens. PMID:18386795

  7. Mathematical Rigor vs. Conceptual Change: Some Early Results

    NASA Astrophysics Data System (ADS)

    Alexander, W. R.

    2003-05-01

    Results from two different pedagogical approaches to teaching introductory astronomy at the college level will be presented. The first of these approaches is a descriptive, conceptually based approach that emphasizes conceptual change. This descriptive class is typically an elective for non-science majors. The other approach is a mathematically rigorous treatment that emphasizes problem solving and is designed to prepare students for further study in astronomy. The mathematically rigorous class is typically taken by science majors. It also fulfills an elective science requirement for these science majors. The Astronomy Diagnostic Test version 2 (ADT 2.0) was used as an assessment instrument since the validity and reliability have been investigated by previous researchers. The ADT 2.0 was administered as both a pre-test and post-test to both groups. Initial results show no significant difference between the two groups in the post-test. However, there is a slightly greater improvement for the descriptive class between the pre and post testing compared to the mathematically rigorous course. There was great care to account for variables. These variables included: selection of text, class format as well as instructor differences. Results indicate that the mathematically rigorous model, doesn't improve conceptual understanding any better than the conceptual change model. Additional results indicate that there is a similar gender bias in favor of males that has been measured by previous investigators. This research has been funded by the College of Science and Mathematics at James Madison University.

  8. Materials Adherence Experiment on Mars Pathfinder: Early results

    SciTech Connect

    Landis, G.A.; Jenkins, P.P.; Hunter, G.

    1997-12-31

    The Materials Adherence Experiment (MAE) on the Pathfinder Sojourner rover will measure the dust deposition rate. By August, the Sojourner Rover on Mars Pathfinder will have completed its primary mission, and the experiment will have data on dust deposition during the first three weeks of operation on Mars. This paper will present the initial data from the experiment. This will be the first presentation of the results from the Pathfinder MAE experiment.

  9. Early Results and Spaceflight Implications of the SWAB Flight Experiment

    NASA Technical Reports Server (NTRS)

    Ott, C. Mark; Pierson, Duane L.

    2007-01-01

    Microbial monitoring of spacecraft environments provides key information in the assessment of infectious disease risk to the crew. Monitoring aboard the Mir space station and International Space Station (ISS) has provided a tremendous informational baseline to aid in determining the types and concentrations of microorganisms during a mission. Still, current microbial monitoring hardware utilizes culture-based methodology which may not detect many medically significant organisms, such as Legionella pneumophila. We hypothesize that evaluation of the ISS environment using non-culture-based technologies would reveal microorganisms not previously reported in spacecraft, allowing for a more complete health assessment. To achieve this goal, a spaceflight experiment, operationally designated as SWAB, was designed to evaluate the DNA from environmental samples collected from ISS and vehicles destined for ISS. Results from initial samples indicate that the sample collection and return procedures were successful. Analysis of these samples using denaturing gradient gel electrophoresis and targeted PCR primers for fungal contaminants is underway. The current results of SWAB and their implication for in-flight molecular analysis of environmental samples will be discussed.

  10. Lidar In-space Technology Experiment: Overview and early results

    NASA Technical Reports Server (NTRS)

    McCormick, M. Patrick

    1995-01-01

    The September 1994 Shuttle flight of the Lidar In-space Technology Experiment (LITE) brought to fruition 10 years of effort at NASA's Langley Research Center where it was built. Being the first flight of a spaceborne lidar to measure atmospheric constituents and parameters and surface properties, it culminates the efforts of many worldwide over the last 20 years to usher in this new remote sensing technique from space. This paper will describe the LITE instrument, the in-orbit performance, and initial results. In addition, the global correlative measurements program will be outlined which involved 60 groups in 20 countries who made various simultaneous ground-based or aircraft measurements as LITE flew overhead.

  11. Early Run 2 Hard QCD Results from the ATLAS Collaboration

    NASA Astrophysics Data System (ADS)

    Orlando, Nicola

    2016-07-01

    We provide an overview of hard QCD results based on data collected with the ATLAS detector in proton-proton collision at √s = 13 TeV at the Large Hadron Collider. The production of high transverse momentum jets, photons and photon-pairs were studied; the inclusive jet cross section is found to agree well with the prediction of perturbative QCD calculations performed at next-to-leading accuracy. The production cross sections for W and Z bosons in their e and μ decays was measured; in general, agreement is found with the expectation of next-to-next-to leading order QCD calculations and interesting sensitivities to the proton structure functions are already observed. The top production cross sections were measured in different top decay channels and found to agree with the state of the art QCD predictions.

  12. CMS tracking performance results from early LHC operation

    SciTech Connect

    Khachatryan, Vardan; et al.

    2010-11-24

    The first LHC pp collisions at centre-of-mass energies of 0.9 and 2.36 TeV were recorded by the CMS detector in December 2009. The trajectories of charged particles produced in the collisions were reconstructed using the all-silicon Tracker and their momenta were measured in the 3.8 T axial magnetic field. Results from the Tracker commissioning are presented including studies of timing, efficiency, signal-to-noise, resolution, and ionization energy. Reconstructed tracks are used to benchmark the performance in terms of track and vertex resolutions, reconstruction of decays, estimation of ionization energy loss, as well as identification of photon conversions, nuclear interactions, and heavy-flavour decays.

  13. Early and Late Results Following Choledochoduodenostomy and Choledochojejunostomy

    PubMed Central

    Terpstra, O. T.

    1990-01-01

    Objective —To evaluate the results and complications of choledochoduodenostomy and choledochojejunostomy for benign and malignant disease and to review them in the light of the survival of the underlying disorders. Design —Retrospective analysis of medical records completed by a thorough inquiry for all patients who were lost to follow-up. Setting —Referrals for primary and secondary surgery for obstructive biliary disease to a university hospital from 1974–1987. Patients —After exclusion of patients who underwent a pancreaticoduodenectomy for cancer (Whipple procedure) 113 patients were included in the study (choledochoduodenostomy = CD, N = 64 and choledochojejunostomy = CJ, N = 49). A complete follow-up was achieved in 105 of 113 patients (93%). Interventions —An inquiry was made at the civil registration office if the patients were alive or not. The general practitioners of the patients who had died were contacted about the cause of death and the possible biliary symptoms preceding death and the patients who were still alive received a questionaire which scrutinized all possible complications and side effects of the operation. Endpoints —Cholangitis, recurrence of the underlying disease or death of the patient. Measurements and main results —Operative mortality was 4.7% following CD and 12.2% following CJ. Procedure-related complications were found in 10.9% and 28.6% respectively. Recurrent cholangitis was not seen after CD and in three patients with a CJ (6.1%). Survival following biliodigestive anastomosis for benign obstruction was comparable for age and sex matched survival. Conclusions —Although CD for choledocholithiasis has largely been replaced by endoscopic papillotomy and although the choice between the two procedures in malignant disease is most frequently dictated by the operative findings, we conclude that the choledochoduodenostomy is a relative simple operation with a low risk of cholangitis. PMID:2278911

  14. Early results after surgical treatment of left Ventricular Aneurysm

    PubMed Central

    2012-01-01

    Background Left ventricular aneurysm (LVA) is a serious complication of myocardial infarction and reduces the chances of survival. Controversy still exists regarding the optimal surgical technique for LVA repair. We analyze the efficacy of two techniques, linear vs. endoventricular circular patch plasty, for repair of LVA and the efficacy of surgical ventricular restoration (SVR) on beating heart. Methods This study included 62 patients who underwent SVR from 1086 consecutive patients were subjected to coronary artery bypass grafting (CABG) between 2000 and 2009. All selected patients were divided either into group liner or patch according to the choice of the repair technique depended on factors such as localization, size and dimension of the scar. The patients also were divided either into group beating heart or cardioplegia. The pre-, intra- and postoperative relevant data of all selected patients were analyzed. Results The mortality was not significantly different between linear and patch repair groups, also the actuarial survival rates within 24 months (p= 0.529). Postoperative echocardiographic findings showed significant improvements in left ventricular function in both groups. The beating heart technique reduced postoperative peak release by 27% for Cardiac troponin I (cTnI) compared with the cardioplegia group (0.46 ± 0.06 ng/mL versus 0.63 ± 0.09 ng/mL, p= 0.004), and increased the perioperative survival by 9% (97.2% versus 88.5%), but the actuarial survival rates were not significantly different between the groups from 2 to 24 months (p= 0.151). Conclusions Both techniques (linear and patch) achieved good results with respect to mortality, functional status and survival. The choice of surgical technique should be adapted in each patient. The beating heart technique may to some extent relieve myocardial injury in patients undergoing SVR. PMID:23171698

  15. LSNR Airborne LIDAR Mapping System Design and Early Results (Invited)

    NASA Astrophysics Data System (ADS)

    Shrestha, K.; Carter, W. E.; Slatton, K. C.

    2009-12-01

    Low signal-to-noise ratio (LSNR) detection techniques allow for implementation of airborne light detection and range (LIDAR) instrumentation aboard platforms with prohibitive power, size, and weight restrictions. The University of Florida has developed the Coastal Area Tactical-mapping System (CATS), a prototype LSNR LIDAR system capable of single photon laser ranging. CATS is designed to operate in a fixed-wing aircraft flying 600 m above ground level, producing 532 nm, 480 ps, 3 μJ output pulses at 8 kHz. To achieve continuous coverage of the terrain with 20 cm spatial resolution in a single pass, a 10x10 array of laser beamlets is scanned. A Risley prism scanner (two rotating V-coated optical wedges) allows the array of laser beamlets to be deflected in a variety of patterns, including conical, spiral, and lines at selected angles to the direction of flight. Backscattered laser photons are imaged onto a 100 channel (10x10 segmented-anode) photomultiplier tube (PMT) with a micro-channel plate (MCP) amplifier. Each channel of the PMT is connected to a multi-stop 2 GHz event timer. Here we report on tests in which ranges for known targets were accumulated for repeated laser shots and statistical analyses were applied to evaluate range accuracy, minimum separation distance, bathymetric mapping depth, and atmospheric scattering. Ground-based field test results have yielded 10 cm range accuracy and sub-meter feature identification at variable scan settings. These experiments also show that a secondary surface can be detected at a distance of 15 cm from the first. Range errors in secondary surface identification for six separate trials were within 7.5 cm, or within the timing resolution limit of the system. Operating at multi-photon sensitivity may have value for situations in which high ambient noise precludes single-photon sensitivity. Low reflectivity targets submerged in highly turbid waters can cause detection issues. CATS offers the capability to adjust the

  16. NASA'S Coastal and Ocean Airborne Science Testbed (COAST): Early Results

    NASA Astrophysics Data System (ADS)

    Guild, L. S.; Dungan, J. L.; Edwards, M.; Russell, P. B.; Morrow, J. H.; Kudela, R. M.; Myers, J. S.; Livingston, J.; Lobitz, B.; Torres-Perez, J.

    2012-12-01

    The NASA Coastal and Ocean Airborne Science Testbed (COAST) project advances coastal ecosystems research and ocean color calibration and validation capability by providing a unique airborne payload optimized for remote sensing in the optically complex coastal zone. The COAST instrument suite combines a customized imaging spectrometer, sunphotometer system, and a new bio-optical radiometer package to obtain ocean/coastal/atmosphere data simultaneously in flight for the first time. The imaging spectrometer (Headwall) is optimized in the blue region of the spectrum to emphasize remote sensing of marine and freshwater ecosystems. Simultaneous measurements supporting empirical atmospheric correction of image data is accomplished using the Ames Airborne Tracking Sunphotometer (AATS-14). Coastal Airborne In situ Radiometers (C-AIR, Biospherical Instruments, Inc.), developed for COAST for airborne campaigns from field-deployed microradiometer instrumentation, will provide measurements of apparent optical properties at the land/ocean boundary including optically shallow aquatic ecosystems. Ship-based measurements allowed validation of airborne measurements. Radiative transfer modeling on in-water measurements from the HyperPro and Compact-Optical Profiling System (C-OPS, the in-water companion to C-AIR) profiling systems allows for comparison of airborne and in-situ water leaving radiance measurements. Results of the October 2011 Monterey Bay COAST mission include preliminary data on coastal ocean color products, coincident spatial and temporal data on aerosol optical depth and water vapor column content, as well as derived exact water-leaving radiances.

  17. Early results from ISEE-A electric field measurements

    NASA Technical Reports Server (NTRS)

    Heppner, J. P.; Maynard, N. C.; Aggson, T. L.

    1978-01-01

    In the solar wind and in middle latitude regions of the magnetosphere, spacecraft sheath fields obscure the ambient field under low plasma flux conditions such that valid measurements are confined to periods of moderately intense flux. Initial results show: (1) that the DC electric field is enhanced by roughly a factor of two in a narrow region at the front, increasing B, edge of the bow shock, (2) that scale lengths for large changes in E at the subsolar magnetopause are considerably shorter than scale lengths associated with the magnetic structure of the magnetopause, and (3) that the transverse distribution of B-aligned E-fields between the outer magnetosphere and ionospheric levels must be highly complex to account for the random turbulent appearance of the magnetospheric fields and the lack of corresponding time-space variations at ionospheric levels. Spike-like, non-oscillatory, fields lasting less than 0.2 seconds are occasionally seen at the bow shock and at the magnetopause and also intermittently appear in magnetosheath and plasma sheet regions under highly variable field conditions.

  18. Early Results from the Q{sub weak} Experiment

    SciTech Connect

    Androic, D; Armstrong, D S; Asaturyan, A; Averett, T; Balewski, J; Beaufait, J; Beminiwattha, R S; Benesch, J; Benmokhtar, F; Birchall, J; Carlini, R D; Cates, G D; Cornejo, J C; Covrig, S; Dalton, M M; Davis, C A; Deconinck, W; Diefenbach, J; Dowd, J F; Dunne, J A; Dutta, D; Duvall, W S; Elaasar, M; Falk, W R; Finn, J M; Forest, T; Gaskel, D; Gericke, M T.W.; Grames, J; Gray, V M; Grimm, K; Guo, F; Hoskins, J R; Johnston, K; Jones, D; Jones, M; Jones, R; Kargiantoulakis, M; King, P M; Korkmaz, E; Kowalski, S; Leacock, J; Leckey, J; Lee, A R; Lee, J H; Lee, L; MacEwan, S; Mack, D; Magee, J A; Mahurin, R; Mammei, J; Martin, J; McHugh, M J; Meekins, D; Mei, J; Michaels, R; Micherdzinska, A; Mkrtchyan, A; Mkrtchyan, H; Morgan, N; Myers, K E; Narayan, A; Ndukum, L Z; Nelyubin, V; W T H, Nuruzzaman; Oers, van; Opper, A K; Page, S A; Pan, J; Paschke, K; Phillips, S K; Pitt, M L; Poelker, M; Rajotte, J F; Ramsay, W D; Roche, J; Sawatzky, B; Seva, T; Shabestari, M H; Silwal, R; Simicevic, N; Smith, G R; Solvignon, P; Spayde, D T; Subedi, A; Subedi, R; Suleiman, R; Tadevosyan, V; Tobias, W A; Tvaskis, V; Waidyawansa, B; Wang, P; Wells, S P; Wood, S A; Yang, S; Young, R D; Zhamkochyan, S

    2014-03-01

    A subset of results from the recently completed Jefferson Lab Q{sub weak} experiment are reported. This experiment, sensitive to physics beyond the Standard Model, exploits the small parity-violating asymmetry in elastic {vector e}p scattering to provide the first determination of the protons weak charge Q{sub w}{sup p}. The experiment employed a 180 {micro}A longitudinally polarized 1.16 GeV electron beam on a 35 cm long liquid hydrogen target. Scattered electrons corresponding to Q{sup 2} of 0.025 GeV{sup 2} were detected in eight Cerenkov detectors arrayed symmetrically around the beam axis. The goals of the experiment were to provide a measure of Q{sub w}{sup p} to 4.2 percent (combined statistical and systematic error), which implies a measure of sin2(thetaw) at the level of 0.3 percent, and to help constrain the vector weak quark charges C{sub 1u} and C{sub 1d}. The experimental method is described, with particular focus on the challenges associated with the worlds highest power LH{sub 2} target. The new constraints on C{sub 1u} and C{sub 1d} provided by the subset of the experiments data analyzed to date will also be shown, together with the extracted weak charge of the neutron.

  19. Early Results of Retrograde Transpopliteal Angioplasty of Iliofemoral Lesions

    SciTech Connect

    Saha, Saumitra; Gibson, Matthew; Magee, Timothy R.; Galland, Robert B.; Torrie, E. Peter H.

    2001-12-15

    Purpose: To assess whether the retrograde transpopliteal approach is a safe, practical and effective alternative to femoral puncture for percutaneous transluminal angioplasty (PTA).Methods: Forty PTAs in 38 patients were evaluated. Intentional subintimal recanalization was performed in 13 limbs. Ultrasound evaluation of the popliteal fossa was carried out 30 min and 24 hr post procedurally in the first 10 patients to exclude local complications. All patients had a follow-up of at least 6 weeks.Results: The indication for PTA was critical ischemia in seven limbs and disabling claudication in the remainder.Stenoses (single or multiple) were present in 24 and occlusion in 15.The superficial femoral artery (SFA) was the commonest segment affected(36) followed by common femoral artery (CFA) in four and iliac artery in four. Technical success was achieved in 38 of 39 limbs where angioplasty was carried out. In one limb no lesion was found.Immediate complications were distal embolization in two and thrombosis in one. None of these required immediate surgery. There were no puncture site hematomas or popliteal arteriovenous fistulae.Symptomatic patency at 6 weeks was 85%. Further reconstructive surgery was required in three limbs and amputation in two.Conclusion: The transpopliteal approach has a high technical success rate and a low complication rate with a potential to develop into an outpatient procedure. It should be considered for flush SFA occulsions or iliac disease with tandem CFA/SFA disease where the contralateral femoral approach is often technically difficult.

  20. The Earth Radiation Budget Experiment - Early validation results

    NASA Technical Reports Server (NTRS)

    Smith, G. L.; Barkstrom, B. R.; Harrison, E. F.; Huck, F. O.; Cess, R.; Coakley, J.; Duncan, C.; King, M.; Mecherikunnel, A.; Gruber, A.

    1986-01-01

    The primary techniques used to obtain and validate the data of the Earth Radiation Budget Experiment (ERBE) are described, together with preliminary results of the validation. The ERBE consists of radiometers aboard the ERB Satellite, dedicated to a 57-deg orbit, and each of the two NOAA meteorological spacecraft (NOAA 9 and NOAA G) in near polar orbits. The radiometers include scanning narrow field-of-view (FOV) and nadir-looking wide and medium FOV radiometers, and a solar monitoring channel. Measurements of the solar constant by the solar monitors, and the wide and medium FOV radiometers of the ERB and the NOAA 9 spacecraft agree within a fraction of a percent. Comparison of the wide and medium FOV radiometers with the scanning radiometers showed an agreement of 1 to 4 percent. The multiple ERBE satellites are acquiring the first global measurements of regional scale-diurnal variations in the earth's radiation budget. These were verified by comparison with the high-temporal-resolution geostationary satellite data.

  1. Photodynamic therapy for locally advanced pancreatic cancer: early clinical results

    NASA Astrophysics Data System (ADS)

    Sandanayake, N. S.; Huggett, M. T.; Bown, S. G.; Pogue, B. W.; Hasan, T.; Pereira, S. P.

    2010-02-01

    Pancreatic adenocarcinoma ranks as the fourth most common cause of cancer death in the USA. Patients usually present late with advanced disease, limiting attempted curative surgery to 10% of cases. Overall prognosis is poor with one-year survival rates of less than 10% with palliative chemotherapy and/or radiotherapy. Given these dismal results, a minimally invasive treatment capable of local destruction of tumor tissue with low morbidity may have a place in the treatment of this disease. In this paper we review the preclinical photodynamic therapy (PDT) studies which have shown that it is possible to achieve a zone of necrosis in normal pancreas and implanted tumour tissue. Side effects of treatment and evidence of a potential survival advantage are discussed. We describe the only published clinical study of pancreatic interstitial PDT, which was carried out by our group (Bown et al Gut 2002), in 16 patients with unresectable locally advanced pancreatic adenocarcinoma. All patients had evidence of tumor necrosis on follow-up imaging, with a median survival from diagnosis of 12.5 months. Finally, we outline a phase I dose-escalation study of verteporfin single fibre PDT followed by standard gemcitabine chemotherapy which our group is currently undertaking in patients with locally advanced pancreatic cancer. Randomized controlled studies are also planned.

  2. HUNTING THE COOLEST DWARFS: METHODS AND EARLY RESULTS

    SciTech Connect

    Schneider, A.; Song, Inseok; Melis, Carl; Zuckerman, B. E-mail: song@physast.uga.edu E-mail: ben@astro.ucla.edu

    2011-12-20

    We present the methods and first results of a survey of nearby high proper motion main-sequence stars to probe for cool companions with the Gemini camera at Lick Observatory. This survey uses a sample of old (age > 2 Gyr) stars as targets to probe for companions down to temperatures of 500 K. Multi-epoch observations allow us to discriminate comoving companions from background objects. So far, our survey has successfully rediscovered the wide T8.5 companion to GJ 1263 and has discovered a companion to the nearby M0V star GJ 660.1. The companion to GJ 660.1 (GJ 660.1B) is {approx}4 mag fainter than its host star in the J-band and is located at a projected separation of {approx}120 AU. Known trigonometric parallax and Two Micron All Sky Survey magnitudes for the GJ 660.1 system indicate a spectral type for the companion of M9 {+-} 2.

  3. The earth radiation budget experiment: Early validation results

    NASA Astrophysics Data System (ADS)

    Smith, G. Louis; Barkstrom, Bruce R.; Harrison, Edwin F.

    The Earth Radiation Budget Experiment (ERBE) consists of radiometers on a dedicated spacecraft in a 57° inclination orbit, which has a precessional period of 2 months, and on two NOAA operational meteorological spacecraft in near polar orbits. The radiometers include scanning narrow field-of-view (FOV) and nadir-looking wide and medium FOV radiometers covering the ranges 0.2 to 5 μm and 5 to 50 μm and a solar monitoring channel. This paper describes the validation procedures and preliminary results. Each of the radiometer channels underwent extensive ground calibration, and the instrument packages include in-flight calibration facilities which, to date, show negligible changes of the instruments in orbit, except for gradual degradation of the suprasil dome of the shortwave wide FOV (about 4% per year). Measurements of the solar constant by the solar monitors, wide FOV, and medium FOV radiometers of two spacecraft agree to a fraction of a percent. Intercomparisons of the wide and medium FOV radiometers with the scanning radiometers show agreement of 1 to 4%. The multiple ERBE satellites are acquiring the first global measurements of regional scale diurnal variations in the Earth's radiation budget. These diurnal variations are verified by comparison with high temporal resolution geostationary satellite data. Other principal investigators of the ERBE Science Team are: R. Cess, SUNY, Stoneybrook; J. Coakley, NCAR; C. Duncan, M. King and A Mecherikunnel, Goddard Space Flight Center, NASA; A. Gruber and A.J. Miller, NOAA; D. Hartmann, U. Washington; F.B. House, Drexel U.; F.O. Huck, Langley Research Center, NASA; G. Hunt, Imperial College, London U.; R. Kandel and A. Berroir, Laboratory of Dynamic Meteorology, Ecole Polytechique; V. Ramanathan, U. Chicago; E. Raschke, U. of Cologne; W.L. Smith, U. of Wisconsin and T.H. Vonder Haar, Colorado State U.

  4. Early Results from Swift AGN and Cluster Survey

    NASA Astrophysics Data System (ADS)

    Dai, Xinyu; Griffin, Rhiannon; Nugent, Jenna; Kochanek, Christopher S.; Bregman, Joel N.

    2016-04-01

    The Swift AGN and Cluster Survey (SACS) uses 125 deg^2 of Swift X-ray Telescope serendipitous fields with variable depths surrounding gamma-ray bursts to provide a medium depth (4 × 10^-15 erg cm^-2 s^-1) and area survey filling the gap between deep, narrow Chandra/XMM-Newton surveys and wide, shallow ROSAT surveys. Here, we present the first two papers in a series of publications for SACS. In the first paper, we introduce our method and catalog of 22,563 point sources and 442 extended sources. SACS provides excellent constraints on the AGN and cluster number counts at the bright end with negligible uncertainties due to cosmic variance, and these constraints are consistent with previous measurements. The depth and areal coverage of SACS is well suited for galaxy cluster surveys outside the local universe, reaching z > 1 for massive clusters. In the second paper, we use SDSS DR8 data to study the 203 extended SACS sources that are located within the SDSS footprint. We search for galaxy over-densities in 3-D space using SDSS galaxies and their photometric redshifts near the Swift galaxy cluster candidates. We find 103 Swift clusters with a > 3σ over-density. The remaining targets are potentially located at higher redshifts and require deeper optical follow-up observations for confirmations as galaxy clusters. We present a series of cluster properties including the redshift, BCG magnitude, BCG-to-X-ray center offset, optical richness, X-ray luminosity and red sequences. We compare the observed redshift distribution of the sample with a theoretical model, and find that our sample is complete for z ≤ 0.3 and 80% complete for z ≤ 0.4, consistent with the survey depth of SDSS. These analysis results suggest that our Swift cluster selection algorithm presented in our first paper has yielded a statistically well-defined cluster sample for further studying cluster evolution and cosmology. In the end, we will discuss our ongoing optical identification of z>0.5 cluster

  5. Going through the Rites of Passage: Timing and Transition of Menarche, Childhood Sexual Abuse, and Anxiety Symptoms in Girls

    ERIC Educational Resources Information Center

    Natsuaki, Misaki N.; Leve, Leslie D.; Mendle, Jane

    2011-01-01

    Menarche is a discrete, transitional event that holds considerable personal, social, biological, and developmental significance. The present longitudinal study examined both the transition and timing of menarche on the trajectory of anxiety in girls with histories of childhood maltreatment (N = 93; 63% European American, 14% multiracial, 10%…

  6. Longitudinal Reliability of Self-Reported Age at Menarche in Adolescent Girls: Variability across Time and Setting

    ERIC Educational Resources Information Center

    Dorn, Lorah D.; Sontag-Padilla, Lisa M.; Pabst, Stephanie; Tissot, Abbigail; Susman, Elizabeth J.

    2013-01-01

    Age at menarche is critical in research and clinical settings, yet there is a dearth of studies examining its reliability in adolescents. We examined age at menarche during adolescence, specifically, (a) average method reliability across 3 years, (b) test-retest reliability between time points and methods, (c) intraindividual variability of…

  7. Variability in Hormone Concentrations and Self-Reported Menstrual Histories in Young Adolescents: Menarche as an Integral Part of a Developmental Process.

    ERIC Educational Resources Information Center

    Dorn, Lorah D.; Nottelmann, Editha D.; Susman, Elizabeth J.; Inoff-Germain, Gale; Cutler, Gordon B., Jr.; Chrousos, George P.

    1999-01-01

    Compared hormone concentrations in 52 pre- and postmenarcheal girls to determine if they fit a dichotomous model of pubertal development surrounding menarche and to study methodological issues of variability in self-reports of menarche. Found discrepancies in reporting the age of menarche and great overlap in hormones between pre- and…

  8. Age at menarche and the menstrual pattern of Igbo women of southeast Nigeria.

    PubMed

    Umeora, Ouj; Egwuatu, Ve

    2008-04-01

    This study determines the age at menarche and menstrual pattern of an Igbo population in 12 randomly selected rural communities of Ebonyi State. Information on recalled ages at menarche, menstrual flow duration and cycle length was collected using a semi structured questionnaire over three months. 1209 women of reproductive age were interviewed. The mean age at menarche was 15.0 years and this declined over the years. The mean menstrual flow duration and cycle lengths were 3.3 days and 29.7 days respectively. Only 10.2% had a menstrual cycle length of 28 days. Account should be taken of the average length of 29-30 days in the rural Igbo population when calculating the expected date of delivery and in the family planning clinics. PMID:20695160

  9. A Genome-Wide Linkage Scan for Age at Menarche in Three Populations of European Descent

    PubMed Central

    Anderson, Carl A.; Zhu, Gu; Falchi, Mario; van den Berg, Stéphanie M.; Treloar, Susan A.; Spector, Timothy D.; Martin, Nicholas G.; Boomsma, Dorret I.; Visscher, Peter M.; Montgomery, Grant W.

    2008-01-01

    Context: Age at menarche (AAM) is an important trait both biologically and socially, a clearly defined event in female pubertal development, and has been associated with many clinically significant phenotypes. Objective: The objective of the study was to identify genetic loci influencing variation in AAM in large population-based samples from three countries. Design/Participants: Recalled AAM data were collected from 13,697 individuals and 4,899 pseudoindependent sister-pairs from three different populations (Australia, The Netherlands, and the United Kingdom) by mailed questionnaire or interview. Genome-wide variance components linkage analysis was implemented on each sample individually and in combination. Results: The mean, sd, and heritability of AAM across the three samples was 13.1 yr, 1.5 yr, and 0.69, respectively. No loci were detected that reached genome-wide significance in the combined analysis, but a suggestive locus was detected on chromosome 12 (logarithm of the odds = 2.0). Three loci of suggestive significance were seen in the U.K. sample on chromosomes 1, 4, and 18 (logarithm of the odds = 2.4, 2.2 and 3.2, respectively). Conclusions: There was no evidence for common highly penetrant variants influencing AAM. Linkage and association suggest that one trait locus for AAM is located on chromosome 12, but further studies are required to replicate these results. PMID:18647812

  10. Anterior pituitary gland assessment in sickle cell anaemia patients with delayed menarche.

    PubMed

    Abbiyesuku, F M; Osotimehin, B O

    1999-01-01

    Pituitary gland dysfunction and its contribution to menarcheal delay in sickle cell anaemia patients was investigated. Ten SS patients mean age 17.5 years who had not achieved menarche were recruited and 10 each of AS and AA controls, mean ages 17.4 and 17.7 years were used as controls to study the effect of the heterozygous state. Dynamic studies with LHRH and TRH were performed for 60 minutes and LH, FSH, PRL and TSH assays were done. Median basal values were significantly lower in the SS patients compared with the AS and AA controls for LH, FSH and PRL. LH: 3.0; 7.1; 7.7 U/L, FSH: 2.1: 4.3: 5.1 U/L. PRL: 94.5; 590; 390 U/L, respectively. The median basal TSH values did not show any significant difference between the SS subjects (7.3 U/L) and the AS and AA controls (5.4 U/L) and 5.6 U/L, respectively. The readily releasable pool also showed the same pattern for LH, FSH and PRL as the basal values while the SS subjects had higher median TSH releasable pool values that were significantly different from those of the AA controls. From the prolactin responses three subjects demonstrated maturational delay in menarcheal achievement while seven demonstrated isolated gonadotrophin deficiency. It is concluded that SS patients with delayed menarche have a hypothalamopituitary axis dysfunction that gives rise to delay in menarcheal achievement and metabolic adaptations to stress of illness. The heterozygous state did not delay menarcheal onset. PMID:12953990

  11. Physical activity from menarche to first pregnancy and risk of breast cancer.

    PubMed

    Liu, Ying; Tobias, Deirdre K; Sturgeon, Kathleen M; Rosner, Bernard; Malik, Vasanti; Cespedes, Elizabeth; Joshi, Amit D; Eliassen, A Heather; Colditz, Graham A

    2016-09-15

    Breast tissue is particularly susceptible to exposures between menarche and first pregnancy, and a longer interval between these reproductive events is associated with elevated breast cancer risk. Physical activity during this time period may offset breast cancer risk, particularly for those at highest risk with longer menarche-to-first-pregnancy intervals. We used data from 65,576 parous women in the Nurses' Health Study II free of cancer in 1989 (baseline) and recalled their leisure-time physical activity at ages 12-34 in 1997. Current activity was collected at baseline and over follow-up. Relative risks (RRs) were estimated using multivariable Cox proportional hazards regression models. Between 1989 and 2011, 2,069 invasive breast cancer cases were identified. Total recreational activity between menarche and first pregnancy was not significantly associated with the risk of breast cancer. However, physical activity between menarche and first pregnancy was associated with significantly lower breast cancer risk among women in the highest category of a menarche-to first-pregnancy interval (≥20 years; RR for the highest versus the lowest quartile = 0.73, 95% confidence interval = 0.55-0.97; Ptrend  = 0.045; Pinteraction  = 0.048). This was not observed in women with a shorter interval. Physical activity between menarche and first pregnancy was associated with a lower risk of breast cancer among women with at least 20 years between these reproductive events. This may provide a modifiable factor that women can intervene on to mitigate their breast cancer risk associated with a longer interval. PMID:27130486

  12. [Nutritional status in telarche and menarche in indigenous and non indigenous Chilean adolescents].

    PubMed

    Amigo, Hugo; Costa Machado, Thais; Bustos, Patricia

    2009-09-01

    A compensatory effect of chronic malnutrition that influences excess of weight has been reported. This effect would be more evident in indigenous populations. The aim of this study was to find out the association between ethnic group (mapuche) and body composition in the telarche and menarche of indigenous and non indigenous adolescents. This was a cross sectional design. At the beginning, a screening of 10,121 girls from 168 schools in the Araucania Region, Chile was done. 230 adolescent in telarche (grade II of the development of the mammary gland): 112 indigenous and 118 non indigenous and 239 in menarche (113 indigenous and 126 non indigenous) were identified. Body mass index (BMI), waist circumference (WC), lean mass (LM) and fat mass (FM) were evaluated. BMI, WC and LM were higher in the indigenous adolescent in telarche. For those with menarche, the differences decreased, reaching with higher values for indigenous girls only in BMI and FM (p=0,04 and 0,02, respectively). Belonging to the indigenous group increased the BMI in 0.37 z scores in telarche (95% CI: 0,17-0,58) and 0,44 in menarche (95% CI:0,18-0,70). Being mapuche was also associated to higher WC: 3.33 cm (CI 1,67 - 4,99) in telarche and 3,17 cm (CI 0,73-5,60) in menarche and to higher lean mass only for those adolescents with telarche (1,3 CI: 0,11-2,43) and to fat mass only for those with menarche (2,4 CI: 1,02-3,77). The body composition indicators in indigenous adolescents are of concern and underscores the importance of programs to promote healthy lifestyles that take into account resources from the indigenous communities. PMID:19886510

  13. Age at menarche in Peninsular Malaysia: time trends, ethnic differentials, and association with ages at marriage and at first birth.

    PubMed

    Tan Boon Ann; Othman, R; Butz, W P; Davanzo, J

    1983-12-01

    This study, based on respondent-reported data from the 1976-77 Malaysian Family Life Survey, analyzeed the association between age at menarche and several family-level factors. The data on mean age at menarche for birth cohorts of pre-1929 to post-1955, by ethnic group, indicate substantial declines for Chinese and Indians but virtually no change for Malays. Age at menarche has fallen by 3.25 months/decade for women born in 1926-61. Girls raised in households of higher socioeconomic status tend to experience earlier menarche. In fact, about half of the secular decline in age at menarche is attributable to improvements in socioeconomic level and, to a lesser extent, declines in the proportion of foreign births. In this sample, age at menarche was related to age at 1st marriage and age at 1st birth. Moreover, controlling for age at menarche affects the relationship between demographic and socioeconomic variables on the 1 hand and age at marriage and 1st birth on the other. When ethnicity is controlled, a 1 year delay in menarche is associated with a 3 month delay in age at marriage. When the socioeconomic status and childhood abroad indices are controlled, the coefficient of age at menarche increases by almost 1/3. When ethnicity, birthdate, childhood abroad, and socioeconomic status are controlled, each 1 year delay in menarche is associated, on average, with a 5 month delay in age at marriage. Even when socioeconomic variables are controlled, the relationship between age at menarche and at marriage is much smaller for Chinese women than for Indian or Malay women, perhaps because the average age between these 2 events is greater for Chinese (6.8 years, versus 3.5 years for Malays and 4.6 years for Indians). These findings suggest that studies that look only at the relationship between age at menarche and age at 1st marriage, without controlling for other factors, will underestimate the relationship. In addition, it is noted that the observed trend toward falling age

  14. Secular trend in age at menarche in China: a case study of two rural counties in Anhui Province.

    PubMed

    Graham, M J; Larsen, U; Xu, X

    1999-04-01

    There is increasing evidence that age at menarche has decreased in Europe and the United States during the last century and in Japan over the last several decades. Data from a community-based survey conducted in two rural counties of Anhui Province in China indicate a similar, downward secular trend in age at menarche for Chinese women. The present study shows the mean age at menarche decreased by 2.8 years, from 16.5 to 13.7, over an approximate 40-year time interval. This rapid decrease in age at menarche may partly be due to better nutrition and living standards reflected by the improved socioeconomic standards experienced in China over the past few decades. To test this hypothesis, a number of determinants of age at menarche were assessed; year of birth, literacy status, county of residence, amount of physical labour, general health status, pesticide exposure before age at menarche, and drinking water source were all found to be associated with age at menarche. PMID:10333655

  15. An Exploration of Mothers' Attitudes towards Their Daughters' Menarche

    ERIC Educational Resources Information Center

    Bennett, Clare; Harden, Jane

    2014-01-01

    Menarche is a significant milestone for young women, representing an important juncture between girlhood and maturation. The limited literature that exists suggests that a mother's reaction to her daughter's first periods can shape her experiences and perceptions of menstruation which, in turn, may impact on her self-image and,…

  16. Age at Menarche and Premenstrual Syndrome in Adolescent Girls with Intellectual Disability in Bosnia and Herzegovina

    ERIC Educational Resources Information Center

    Ibralic, Inga; Sinanovic, Osman; Memisevic, Haris

    2010-01-01

    The issues involving menstruation are the topic of many scientific inquires in the fields of medicine, psychology, sociology and anthropology. The aim of this study was to determine the age at menarche and the most common symptoms of premenstrual syndrome (PMS) in adolescent girls with intellectual disability. The main method of data collection…

  17. Frequencies of spontaneous breast development and spontaneous menarche in Turner syndrome in Japan.

    PubMed

    Tanaka, Toshiaki; Igarashi, Yutaka; Ozono, Keiichi; Ohyama, Kenji; Ogawa, Masamichi; Osada, Hisao; Onigata, Kazumichi; Kanzaki, Susumu; Kohno, Hitoshi; Seino, Yoshiki; Takahashi, Hiroaki; Tajima, Toshihiro; Tachibana, Katsuhiko; Tanaka, Hiroyuki; Nishi, Yoshikazu; Hasegawa, Tomonobu; Fujita, Keinosuke; Yorifuji, Tohru; Horikawa, Reiko; Yokoya, Susumu

    2015-10-01

    The Growject® database on human GH treatment in Turner syndrome was analyzed in the Turner Syndrome Research Collaboration, and the relationships of the frequencies of spontaneous breast development and spontaneous menarche with karyotype and GH treatment were investigated. One hundred and three cases started GH treatment with 0.5 IU/kg/ week (0.5 IU group), and their dose was increased to 0.35 mg/kg/wk midway through the treatment course. Another 109 cases started GH at a dose of 0.35 mg/kg/wk (0.35 mg group). Spontaneous breast development was observed in 77 (36.3%) of the 212 patients, and spontaneous menarche occurred in 31 patients (14.6%). The frequency of spontaneous breast development was significantly lower in patients with the 45,X karyotype and significantly higher in patients with a structural abnormality of the second X chromosome. The frequency of spontaneous menarche was significantly higher in patients with mosaicism characterized by X monosomy and a cellular line with no structural abnormality of the X chromosome. No significant differences in frequencies of spontaneous breast development and spontaneous menarche were observed between the two dose groups, indicating that GH treatment does not increase the frequency of spontaneous puberty. PMID:26568657

  18. Frequencies of spontaneous breast development and spontaneous menarche in Turner syndrome in Japan

    PubMed Central

    Tanaka, Toshiaki; Igarashi, Yutaka; Ozono, Keiichi; Ohyama, Kenji; Ogawa, Masamichi; Osada, Hisao; Onigata, Kazumichi; Kanzaki, Susumu; Kohno, Hitoshi; Seino, Yoshiki; Takahashi, Hiroaki; Tajima, Toshihiro; Tachibana, Katsuhiko; Tanaka, Hiroyuki; Nishi, Yoshikazu; Hasegawa, Tomonobu; Fujita, Keinosuke; Yorifuji, Tohru; Horikawa, Reiko; Yokoya, Susumu

    2015-01-01

    Abstract. The Growject® database on human GH treatment in Turner syndrome was analyzed in the Turner Syndrome Research Collaboration, and the relationships of the frequencies of spontaneous breast development and spontaneous menarche with karyotype and GH treatment were investigated. One hundred and three cases started GH treatment with 0.5 IU/kg/ week (0.5 IU group), and their dose was increased to 0.35 mg/kg/wk midway through the treatment course. Another 109 cases started GH at a dose of 0.35 mg/kg/wk (0.35 mg group). Spontaneous breast development was observed in 77 (36.3%) of the 212 patients, and spontaneous menarche occurred in 31 patients (14.6%). The frequency of spontaneous breast development was significantly lower in patients with the 45,X karyotype and significantly higher in patients with a structural abnormality of the second X chromosome. The frequency of spontaneous menarche was significantly higher in patients with mosaicism characterized by X monosomy and a cellular line with no structural abnormality of the X chromosome. No significant differences in frequencies of spontaneous breast development and spontaneous menarche were observed between the two dose groups, indicating that GH treatment does not increase the frequency of spontaneous puberty. PMID:26568657

  19. Interactive Effects of Menarcheal Status and Dating on Dieting and Disordered Eating among Adolescent Girls.

    ERIC Educational Resources Information Center

    Cauffman, Elizabeth; Steinberg, Laurence

    1996-01-01

    Examined effects of three different aspects of heterosocial activity--mixed-sex activities, dating, and physical involvement with boys--on the diet patterns of adolescent girls. Found interaction between dating and menarcheal status in the prediction of dieting and disordered eating, with dating more strongly linked to dieting and disordered…

  20. Menarche in the Severely Disabled Adolescent: School Nurses' Attitudes, Perceptions, and Perceived Teaching Responsibilities.

    ERIC Educational Resources Information Center

    Tse, Alice M.; Opie, Nancy D.

    1986-01-01

    This study examined perceptions of school nurses about their roles as teachers of sex education for children with physical disabilities. Responses to a stimulus story about a female adolescent sent to the school nurse for assistance and instruction on menarche were compared based on variations in the story. (Author/MT)

  1. Adolescent Girls' Sex Role Development: Relationship with Sports Participation, Self-Esteem, and Age at Menarche.

    ERIC Educational Resources Information Center

    Butcher, Janice E.

    1989-01-01

    Investigates development of sex role orientation among adolescent girls, and explores its relationship with sports participation, self-esteem, and age at menarche. Concludes that relationship of sex role orientation with sports participation and self-esteem was not an interactive one, but was reflective of individual differences beginning in late…

  2. The Antecedents of Menarcheal Age: Heredity, Family Environment, and Stressful Life Events.

    ERIC Educational Resources Information Center

    Graber, Julia A.; And Others

    1995-01-01

    Considered variations in pubertal timing, specifically age at menarche, and association with various antecedents, including heredity; weight and weight for height; stressful life events; family relations; absence or presence of adult male in household; and psychological adjustment, in 75 premenarcheal adolescent girls. Found complex interactions…

  3. Family Structure and Age at Menarche: A Children-of-Twins Approach

    ERIC Educational Resources Information Center

    Mendle, Jane; Turkheimer, Eric; D'Onofrio, Brian M.; Lynch, Stacy K.; Emery, Robert E.; Slutske, Wendy S.; Martin, Nicholas G.

    2006-01-01

    Girls who grow up in households with an unrelated adult male reach menarche earlier than peers, a finding hypothesized to be an evolutionary strategy for families under stress. The authors tested the alternative hypothesis that nonrandom selection into stepfathering due to shared environmental and/or genetic predispositions creates a spurious…

  4. Age of menarche in Oaxaca, Mexico, schoolgirls, with comparative data for other areas of Mexico.

    PubMed

    Malina, R M; Chumlea, C; Stepick, C D; Lopez, F G

    1977-11-01

    Status quo menarcheal information was collected for a mixed urban colonia and rural sample of 315 girls in the Valley of Oaxaca, Mexico. Comparative status quo data for girls from four major urban centres in Mexico, and for a rural sample were also analysed. Median age at menarche (estimated by probit analysis) for Oaxaca girls was 14.27 +/- 0.20 years, about 0.5 year later than that for the rural sample from Tampico-Altamira, Tamaulipas (13.79 +/- 0.20 years), and approximately 1.5 years later than that for girls from the four urban centres in Mexico (12.55 +/- 0.10, 12.61 +/- 0.08, 12.75 +/- 0.10, 12.76 +/- 0.07 years). The timing of menarche in Oaxaca girls is similar to that for rural Mayans in Guatemala. Ages at menarche for urban Mexican girls are somewhat lower than those for girls of North-west European ancestry and of North American girls of European ancestry. PMID:596820

  5. Early palaeozoic palaeomagnetism in Australia I. Cambrian results from the Flinders Ranges, South Australia II. Late Early Cambrian results from Kangaroo Island, South Australia III. Middle to early-Late Cambrian results from the Amadeus Basin, Northern Territory

    NASA Astrophysics Data System (ADS)

    Klootwijk, C. T.

    1980-04-01

    I. Cambrian results from the Flinders Ranges, South Australia A total of 460 samples from six sequences spanning the Cambrian succession of the Flinders Ranges (Adelaide "Geosyncline", South Australia) has been analyzed through thermal demagnetization studies. All samples showed a recent field component, generally constituting more than 50% of the initial intensity, which in most cases was removed by 200-400°C. Two characteristic magnetic components have been identified: (A) A secondary magnetic component of Cambro-Ordovician age (S-pole at 75.3°E 26.0°N, α95 = 7.4°, N = 5 localities) interpreted as having been induced by thermochemical activity during a period of enhanced heat flux prior to the Late Cambrian-Early Ordovician diastrophistic phases of the Delamarian Orogeny. (B) A primary magnetic component, which indicates rapid polar motion during the Early Cambrian and a much reduced polar motion during the Middle Cambrian. Representative palaeomagnetic pole positions for the primary component are: (1) Basal Hawker Group (earliest Cambrian): S-pole at 2.3°E 26.7°S, d p = 8.1°, d m = 14.3°, N = 10 (sites). (2) Billy Creek Formation— Wirrealpa Limestone— Aroona Creek Limestone (late Early Cambrian to early Middle Cambrian): S-pole at 20.1°E 37.4°S, d p = 7.2°, dm = 14.4°, N = 11(sites). (3) Basal Lake Frame Group (Middle Cambrian): S-pole at 26.1°E 29.3°S, d p = 6.6°, d m = 13.1°, N =10 (sites). (4) Pantapinna Formation (late Middle Cambrian?): S-pole at 29.2°E 36.4°S, d p = 8.4°, dm = 16.7°, N = 4 (sites). Available data suggest that deposition of the Lake Frome Group beds probably did not continue into the Late Cambrian. II. Late Early Cambrian results from Kangaroo Island, South Australia A total of 108 block samples from a late Early Cambrian red-bed sequence on Kangaroo Island (Adelaide "Geosyncline", South Australia) has been analysed through thermal demagnetization studies. All samples contained a recent field component of

  6. Early palaeozoic palaeomagnetism in Australia I. Cambrian results from the Flinders Ranges, South Australia II. Late Early Cambrian results from Kangaroo Island, South Australia III. Middle to early-Late Cambrian results from the Amadeus Basin, Northern Territory

    NASA Astrophysics Data System (ADS)

    Klootwijk, C. T.

    1980-04-01

    I. Cambrian results from the Flinders Ranges, South Australia A total of 460 samples from six sequences spanning the Cambrian succession of the Flinders Ranges (Adelaide "Geosyncline", South Australia) has been analyzed through thermal demagnetization studies. All samples showed a recent field component, generally constituting more than 50% of the initial intensity, which in most cases was removed by 200-400°C. Two characteristic magnetic components have been identified: (A) A secondary magnetic component of Cambro-Ordovician age (S-pole at 75.3°E 26.0°N, α95 = 7.4°, N = 5 localities) interpreted as having been induced by thermochemical activity during a period of enhanced heat flux prior to the Late Cambrian-Early Ordovician diastrophistic phases of the Delamarian Orogeny. (B) A primary magnetic component, which indicates rapid polar motion during the Early Cambrian and a much reduced polar motion during the Middle Cambrian. Representative palaeomagnetic pole positions for the primary component are: (1) Basal Hawker Group (earliest Cambrian): S-pole at 2.3°E 26.7°S, d p = 8.1°, d m = 14.3°, N = 10 (sites). (2) Billy Creek Formation— Wirrealpa Limestone— Aroona Creek Limestone (late Early Cambrian to early Middle Cambrian): S-pole at 20.1°E 37.4°S, d p = 7.2°, dm = 14.4°, N = 11(sites). (3) Basal Lake Frame Group (Middle Cambrian): S-pole at 26.1°E 29.3°S, d p = 6.6°, d m = 13.1°, N =10 (sites). (4) Pantapinna Formation (late Middle Cambrian?): S-pole at 29.2°E 36.4°S, d p = 8.4°, dm = 16.7°, N = 4 (sites). Available data suggest that deposition of the Lake Frome Group beds probably did not continue into the Late Cambrian. II. Late Early Cambrian results from Kangaroo Island, South Australia A total of 108 block samples from a late Early Cambrian red-bed sequence on Kangaroo Island (Adelaide "Geosyncline", South Australia) has been analysed through thermal demagnetization studies. All samples contained a recent field component of

  7. Final Visual Acuity Results in the Early Treatment for Retinopathy of Prematurity Study

    PubMed Central

    2014-01-01

    Objective To compare visual acuity at 6 years of age in eyes that received early treatment for high-risk prethreshold retinopathy of prematurity (ROP) with conventionally-managed eyes. Methods Infants with symmetrical, high-risk prethreshold ROP (N=317) had one eye randomized to earlier treatment at high-risk prethreshold disease and the other eye managed conventionally, treated if ROP progressed to threshold severity. For asymmetric cases (N=84), the high-risk prethreshold eye was randomized to either early treatment or conventional management. Main Outcome Measures ETDRS visual acuity measured at 6 years of age by masked testers. Retinal structure was assessed as a secondary outcome. Results Analysis of all subjects with high-risk prethreshold ROP showed no statistically significant benefit for early treatment (24.6% v. 29.0% unfavorable outcome, P=0.15). Analysis of 6-year visual acuity results according to the Type 1 and 2 clinical algorithm showed a benefit for Type 1 eyes (25.1% v. 32.8%, P=0.02) treated early, but not Type 2 eyes (23.6% v. 19.4%, P=0.37). Early treated eyes showed a significantly better structural outcome compared with conventionally managed eyes (8.9% v. 15.2% unfavorable outcome, P<0.001), with no greater risk of ocular complications. Conclusion Early treatment for Type 1 high-risk prethreshold eyes improved visual acuity outcomes at 6 years of age. Early treatment for Type 2 high-risk prethreshold eyes did not. Application to Clinical Practice Type 1 eyes, not Type 2 eyes should be treated early. These results are particularly important considering that 52 % of Type 2 high-risk prethreshold eyes underwent regression of ROP without requiring treatment. PMID:20385926

  8. Grating Visual Acuity Results in the Early Treatment for Retinopathy of Prematurity Study

    PubMed Central

    2015-01-01

    Objective To compare grating (resolution) visual acuity at 6 years of age in eyes that received early treatment (ET) for high-risk prethreshold retinopathy of prematurity (ROP) versus eyes that were managed conventionally (CM). Methods In a randomized clinical trial, infants with bilateral, high-risk prethreshold ROP (N=317) had one eye treated early at high-risk prethreshold disease and the other eye managed conventionally, and treated if ROP progressed to threshold severity. For asymmetric cases (N=84), the high-risk prethreshold eye was randomized to either ET or CM. Main Outcome Measures Grating visual acuity measured at 6 years of age by masked testers using Teller acuity cards. Results Monocular grating acuity results were obtained from 317 (86%) of 370 surviving children. Analysis of grating acuity results for all subjects with high-risk prethreshold ROP showed no statistically significant overall benefit for early treatment (18.1% vs 22.8% unfavorable outcome, P=0.08). When the 6-year grating acuity results were analyzed according to a clinical algorithm (high-risk Type 1 and high-risk Type 2 prethreshold ROP), a benefit was seen in Type 1 eyes (16.4% vs 25.2%, P=0.004) that were treated early, but not in Type 2 eyes (21.3% vs 15.9%, P=0.29). Conclusion Early treatment for eyes with Type 1 ROP improved grating acuity outcomes but early treatment for eyes with Type 2 ROP did not. Application to Clinical Medicine Type I eyes should be treated early; however, based on acuity results at age 6 years, Type 2 eyes should be cautiously monitored for progression to Type 1 ROP. Trial Registration NCT00027222 PMID:21746974

  9. Risk factors of early onset of MS in women in reproductive age period: survival analysis approach.

    PubMed

    Mohammadbeigi, Abolfazl; Kazemitabaee, Maryamsadat; Etemadifar, Masoud

    2016-08-01

    The incidence of multiple sclerosis (MS) has doubled in over the last decades in women, whereas it has been almost unchanged in men. The purpose of this study was to investigate the risk factors of early onset multiple sclerosis in women during reproductive years. A retrospective longitudinal study conducted on 200 women aged 15 to 50 years with MS, registered by the MS Society in Isfahan. Data gathering was fulfilled by standard questionnaire including variables about reproductive period, demographic characteristics, and history of diseases. Kaplan-Mayer with log-rank test and Cox regression models were used in predicting of the age of effective factors in onset of MS. P values less than 0.05 were considered statistically significant. The mean age of studied women was 31.77 ± 8.13 years and the mean and median age of onset the symptoms of MS was 26.79 ± 7.77 and 26 years, respectively. Based on the cox results occurring menarche at 15 years and higher increase the risk of MS 2.8-fold than those their menarche occurred at 12 years and lower (HR: 2.81, 95 % CI; 1.58-4.98).In addition, having only one pregnancy is related to higher risk of MS than other parities and increase the risk of MS 4.5-fold comparing to without parities. Age of menarche and parity numbers was the most important reproductive factors of MS in women. Nevertheless, history of autoimmune diseases, animal bite, childhood disease, family history of MS, regional area (tropical), and living in rural area were not related to early onset of MS. PMID:26790684

  10. Factors associated with early sexual debut in Slovenia: results of a general population survey

    PubMed Central

    Klavs, I; Rodrigues, L C; Weiss, H A; Hayes, R

    2006-01-01

    Objectives To investigate time trends in age at first heterosexual intercourse (FHI) and associated factors. Methods Data were collected from a national probability sample of the general population aged 18–49 years. Results Median age at FHI was 17 years for men and 18 years for women, but declined from 18 years to 17 years in men born after the early 1960s and in women born after the early 1970s. Early FHI (before age 16) was reported by 15.2% of men and 7.4% of women, but in recent cohorts (born 1975–82), proportions were similar in both sexes (16.9% and 14.4%, respectively). In women, higher educational level and acquiring most knowledge about sex from parents or in school were associated with later age at FHI. Half the women with early FHI judged the event to have occurred too soon. 4.2% of women with early FHI reported coercion at FHI, compared to 0.9% overall. The main factor associated with early FHI in men was not living with both parents up to the age of 15. Individuals with early FHI were more likely to report higher risk sexual behaviour as well as teenage motherhood and, for men, not having used a condom at FHI and bacterial sexually transmitted infections. Three in four individuals with early FHI thought they had inadequate sexual knowledge at FHI. Many would have liked to have learned more from parents and in school. Conclusions Improved sexual education among young Slovenians should aim to delay FHI until a more mature age and to be better prepared for safer sex. PMID:17151034

  11. Early Blindness Results in Developmental Plasticity for Auditory Motion Processing within Auditory and Occipital Cortex

    PubMed Central

    Jiang, Fang; Stecker, G. Christopher; Boynton, Geoffrey M.; Fine, Ione

    2016-01-01

    Early blind subjects exhibit superior abilities for processing auditory motion, which are accompanied by enhanced BOLD responses to auditory motion within hMT+ and reduced responses within right planum temporale (rPT). Here, by comparing BOLD responses to auditory motion in hMT+ and rPT within sighted controls, early blind, late blind, and sight-recovery individuals, we were able to separately examine the effects of developmental and adult visual deprivation on cortical plasticity within these two areas. We find that both the enhanced auditory motion responses in hMT+ and the reduced functionality in rPT are driven by the absence of visual experience early in life; neither loss nor recovery of vision later in life had a discernable influence on plasticity within these areas. Cortical plasticity as a result of blindness has generally be presumed to be mediated by competition across modalities within a given cortical region. The reduced functionality within rPT as a result of early visual loss implicates an additional mechanism for cross modal plasticity as a result of early blindness—competition across different cortical areas for functional role. PMID:27458357

  12. Early Blindness Results in Developmental Plasticity for Auditory Motion Processing within Auditory and Occipital Cortex.

    PubMed

    Jiang, Fang; Stecker, G Christopher; Boynton, Geoffrey M; Fine, Ione

    2016-01-01

    Early blind subjects exhibit superior abilities for processing auditory motion, which are accompanied by enhanced BOLD responses to auditory motion within hMT+ and reduced responses within right planum temporale (rPT). Here, by comparing BOLD responses to auditory motion in hMT+ and rPT within sighted controls, early blind, late blind, and sight-recovery individuals, we were able to separately examine the effects of developmental and adult visual deprivation on cortical plasticity within these two areas. We find that both the enhanced auditory motion responses in hMT+ and the reduced functionality in rPT are driven by the absence of visual experience early in life; neither loss nor recovery of vision later in life had a discernable influence on plasticity within these areas. Cortical plasticity as a result of blindness has generally be presumed to be mediated by competition across modalities within a given cortical region. The reduced functionality within rPT as a result of early visual loss implicates an additional mechanism for cross modal plasticity as a result of early blindness-competition across different cortical areas for functional role. PMID:27458357

  13. Rare coding variants and X-linked loci associated with age at menarche.

    PubMed

    Lunetta, Kathryn L; Day, Felix R; Sulem, Patrick; Ruth, Katherine S; Tung, Joyce Y; Hinds, David A; Esko, Tõnu; Elks, Cathy E; Altmaier, Elisabeth; He, Chunyan; Huffman, Jennifer E; Mihailov, Evelin; Porcu, Eleonora; Robino, Antonietta; Rose, Lynda M; Schick, Ursula M; Stolk, Lisette; Teumer, Alexander; Thompson, Deborah J; Traglia, Michela; Wang, Carol A; Yerges-Armstrong, Laura M; Antoniou, Antonis C; Barbieri, Caterina; Coviello, Andrea D; Cucca, Francesco; Demerath, Ellen W; Dunning, Alison M; Gandin, Ilaria; Grove, Megan L; Gudbjartsson, Daniel F; Hocking, Lynne J; Hofman, Albert; Huang, Jinyan; Jackson, Rebecca D; Karasik, David; Kriebel, Jennifer; Lange, Ethan M; Lange, Leslie A; Langenberg, Claudia; Li, Xin; Luan, Jian'an; Mägi, Reedik; Morrison, Alanna C; Padmanabhan, Sandosh; Pirie, Ailith; Polasek, Ozren; Porteous, David; Reiner, Alex P; Rivadeneira, Fernando; Rudan, Igor; Sala, Cinzia F; Schlessinger, David; Scott, Robert A; Stöckl, Doris; Visser, Jenny A; Völker, Uwe; Vozzi, Diego; Wilson, James G; Zygmunt, Marek; Boerwinkle, Eric; Buring, Julie E; Crisponi, Laura; Easton, Douglas F; Hayward, Caroline; Hu, Frank B; Liu, Simin; Metspalu, Andres; Pennell, Craig E; Ridker, Paul M; Strauch, Konstantin; Streeten, Elizabeth A; Toniolo, Daniela; Uitterlinden, André G; Ulivi, Sheila; Völzke, Henry; Wareham, Nicholas J; Wellons, Melissa; Franceschini, Nora; Chasman, Daniel I; Thorsteinsdottir, Unnur; Murray, Anna; Stefansson, Kari; Murabito, Joanne M; Ong, Ken K; Perry, John R B

    2015-01-01

    More than 100 loci have been identified for age at menarche by genome-wide association studies; however, collectively these explain only ∼3% of the trait variance. Here we test two overlooked sources of variation in 192,974 European ancestry women: low-frequency protein-coding variants and X-chromosome variants. Five missense/nonsense variants (in ALMS1/LAMB2/TNRC6A/TACR3/PRKAG1) are associated with age at menarche (minor allele frequencies 0.08-4.6%; effect sizes 0.08-1.25 years per allele; P<5 × 10(-8)). In addition, we identify common X-chromosome loci at IGSF1 (rs762080, P=9.4 × 10(-13)) and FAAH2 (rs5914101, P=4.9 × 10(-10)). Highlighted genes implicate cellular energy homeostasis, post-transcriptional gene silencing and fatty-acid amide signalling. A frequently reported mutation in TACR3 for idiopathic hypogonatrophic hypogonadism (p.W275X) is associated with 1.25-year-later menarche (P=2.8 × 10(-11)), illustrating the utility of population studies to estimate the penetrance of reportedly pathogenic mutations. Collectively, these novel variants explain ∼0.5% variance, indicating that these overlooked sources of variation do not substantially explain the 'missing heritability' of this complex trait. PMID:26239645

  14. Parent-of-origin specific allelic associations among 106 genomic loci for age at menarche

    PubMed Central

    Thompson, Deborah J; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I; Esko, Tõnu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q; Corre, Tanguy; Cousminer, Diana L; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D; Kjellqvist, Sanela; Lunetta, Kathryn L; McMahon, George; Nolte, Ilja M; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V; Stolk, Lisette; Teumer, Alexander; Tšernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K; Amin, Najaf; Bierut, Laura J; Byrne, Enda M; Hottenga, Jouke-Jan; Koller, Daniel L; Mangino, Massimo; Pers, Tune H; Yerges-Armstrong, Laura M; Zhao, Jing Hua; Andrulis, Irene L; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E; Bolla, Manjeet K; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collée, J. Margriet; Couch, Fergus J; Couper, David; Coveillo, Andrea D; Cox, Angela; Czene, Kamila; D’adamo, Adamo Pio; Smith, George Davey; De Vivo, Immaculata; Demerath, Ellen W; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K; Dunning, Alison M; Eiriksdottir, Gudny; Eriksson, Johan G; Fasching, Peter A; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E; García-Closas, Montserrat; Geller, Frank; de Geus, Eco EJ; Giles, Graham G; Gudbjartsson, Daniel F; Gudnason, Vilmundur; Guénel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A; Heath, Andrew C; Hofman, Albert; Hooning, Maartje J; Hopper, John L; Hu, Frank B; Hunter, David J; Karasik, David; Kiel, Douglas P; Knight, Julia A; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Mägi, Reedik; Magnusson, Patrik K; Mannermaa, Arto; Martin, Nicholas G; Masson, Gisli; McArdle, Patrick F; McArdle, Wendy L; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A; Oldehinkel, Albertine J; Oostra, Ben A; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul DP; Postma, Dirkje S; Pouta, Anneli; Pylkäs, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K; Southey, Mellissa C; Sovio, Ulla; Stampfer, Meir J; Stöckl, Doris; Storniolo, Anna M; Timpson, Nicholas J; Tyrer, Jonathan; Visser, Jenny A; Vollenweider, Peter; Völzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce HR; Wright, Margaret J; Boomsma, Dorret I; Econs, Michael J; Khaw, Kay-Tee; Loos, Ruth JF; McCarthy, Mark I; Montgomery, Grant W; Rice, John P; Streeten, Elizabeth A; Thorsteinsdottir, Unnur; van Duijn, Cornelia M; Alizadeh, Behrooz Z; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B; Ingelsson, Erik; Järvelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E; Ridker, Paul M; Snieder, Harold; Sørensen, Thorkild IA; Spector, Tim D; Strachan, David P; Uitterlinden, André G; Wareham, Nicholas J; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F

    2014-01-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality1. Studies of rare human disorders of puberty and animal models point to a complex hypothalamic-pituitary-hormonal regulation2,3, but the mechanisms that determine pubertal timing and underlie its links to disease risk remain unclear. Here, using genome-wide and custom-genotyping arrays in up to 182,416 women of European descent from 57 studies, we found robust evidence (P<5×10−8) for 123 signals at 106 genomic loci associated with age at menarche. Many loci were associated with other pubertal traits in both sexes, and there was substantial overlap with genes implicated in body mass index and various diseases, including rare disorders of puberty. Menarche signals were enriched in imprinted regions, with three loci (DLK1/WDR25, MKRN3/MAGEL2 and KCNK9) demonstrating parent-of-origin specific associations concordant with known parental expression patterns. Pathway analyses implicated nuclear hormone receptors, particularly retinoic acid and gamma-aminobutyric acid-B2 receptor signaling, among novel mechanisms that regulate pubertal timing in humans. Our findings suggest a genetic architecture involving at least hundreds of common variants in the coordinated timing of the pubertal transition. PMID:25231870

  15. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche.

    PubMed

    Perry, John R B; Day, Felix; Elks, Cathy E; Sulem, Patrick; Thompson, Deborah J; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I; Esko, Tõnu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q; Corre, Tanguy; Cousminer, Diana L; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D; Kjellqvist, Sanela; Lunetta, Kathryn L; McMahon, George; Nolte, Ilja M; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V; Stolk, Lisette; Teumer, Alexander; Tšernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K; Amin, Najaf; Bierut, Laura J; Byrne, Enda M; Hottenga, Jouke-Jan; Koller, Daniel L; Mangino, Massimo; Pers, Tune H; Yerges-Armstrong, Laura M; Hua Zhao, Jing; Andrulis, Irene L; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E; Bolla, Manjeet K; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collée, J Margriet; Couch, Fergus J; Couper, David; Coviello, Andrea D; Cox, Angela; Czene, Kamila; D'adamo, Adamo Pio; Davey Smith, George; De Vivo, Immaculata; Demerath, Ellen W; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K; Dunning, Alison M; Eiriksdottir, Gudny; Eriksson, Johan G; Fasching, Peter A; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E; García-Closas, Montserrat; Geller, Frank; de Geus, Eco E J; Giles, Graham G; Gudbjartsson, Daniel F; Gudnason, Vilmundur; Guénel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A; Heath, Andrew C; Hofman, Albert; Hooning, Maartje J; Hopper, John L; Hu, Frank B; Hunter, David J; Karasik, David; Kiel, Douglas P; Knight, Julia A; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Mägi, Reedik; Magnusson, Patrik K; Mannermaa, Arto; Martin, Nicholas G; Masson, Gisli; McArdle, Patrick F; McArdle, Wendy L; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A; Oldehinkel, Albertine J; Oostra, Ben A; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul D P; Postma, Dirkje S; Pouta, Anneli; Pylkäs, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K; Southey, Mellissa C; Sovio, Ulla; Stampfer, Meir J; Stöckl, Doris; Storniolo, Anna M; Timpson, Nicholas J; Tyrer, Jonathan; Visser, Jenny A; Vollenweider, Peter; Völzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H R; Wright, Margaret J; Boomsma, Dorret I; Econs, Michael J; Khaw, Kay-Tee; Loos, Ruth J F; McCarthy, Mark I; Montgomery, Grant W; Rice, John P; Streeten, Elizabeth A; Thorsteinsdottir, Unnur; van Duijn, Cornelia M; Alizadeh, Behrooz Z; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B; Ingelsson, Erik; Järvelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E; Ridker, Paul M; Snieder, Harold; Sørensen, Thorkild I A; Spector, Tim D; Strachan, David P; Uitterlinden, André G; Wareham, Nicholas J; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F; Stefansson, Kari; Murabito, Joanne M; Ong, Ken K

    2014-10-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality. Studies of rare human disorders of puberty and animal models point to a complex hypothalamic-pituitary-hormonal regulation, but the mechanisms that determine pubertal timing and underlie its links to disease risk remain unclear. Here, using genome-wide and custom-genotyping arrays in up to 182,416 women of European descent from 57 studies, we found robust evidence (P < 5 × 10(-8)) for 123 signals at 106 genomic loci associated with age at menarche. Many loci were associated with other pubertal traits in both sexes, and there was substantial overlap with genes implicated in body mass index and various diseases, including rare disorders of puberty. Menarche signals were enriched in imprinted regions, with three loci (DLK1-WDR25, MKRN3-MAGEL2 and KCNK9) demonstrating parent-of-origin-specific associations concordant with known parental expression patterns. Pathway analyses implicated nuclear hormone receptors, particularly retinoic acid and γ-aminobutyric acid-B2 receptor signalling, among novel mechanisms that regulate pubertal timing in humans. Our findings suggest a genetic architecture involving at least hundreds of common variants in the coordinated timing of the pubertal transition. PMID:25231870

  16. Rare coding variants and X-linked loci associated with age at menarche

    PubMed Central

    Lunetta, Kathryn L.; Day, Felix R.; Sulem, Patrick; Ruth, Katherine S.; Tung, Joyce Y.; Hinds, David A.; Esko, Tõnu; Elks, Cathy E.; Altmaier, Elisabeth; He, Chunyan; Huffman, Jennifer E.; Mihailov, Evelin; Porcu, Eleonora; Robino, Antonietta; Rose, Lynda M.; Schick, Ursula M.; Stolk, Lisette; Teumer, Alexander; Thompson, Deborah J.; Traglia, Michela; Wang, Carol A.; Yerges-Armstrong, Laura M.; Antoniou, Antonis C.; Barbieri, Caterina; Coviello, Andrea D.; Cucca, Francesco; Demerath, Ellen W.; Dunning, Alison M.; Gandin, Ilaria; Grove, Megan L.; Gudbjartsson, Daniel F.; Hocking, Lynne J.; Hofman, Albert; Huang, Jinyan; Jackson, Rebecca D.; Karasik, David; Kriebel, Jennifer; Lange, Ethan M.; Lange, Leslie A.; Langenberg, Claudia; Li, Xin; Luan, Jian'an; Mägi, Reedik; Morrison, Alanna C.; Padmanabhan, Sandosh; Pirie, Ailith; Polasek, Ozren; Porteous, David; Reiner, Alex P.; Rivadeneira, Fernando; Rudan, Igor; Sala, Cinzia F.; Schlessinger, David; Scott, Robert A.; Stöckl, Doris; Visser, Jenny A.; Völker, Uwe; Vozzi, Diego; Wilson, James G.; Zygmunt, Marek; Forouhi, Nita G.; Kerrison, Nicola D.; Sharp, Stephen J.; Sims, Matt; Barroso, Inês; Deloukas, Panos; McCarthy, Mark I.; Arriola, Larraitz; Balkau, Beverley; Barricarte, Aurelio; Boeing, Heiner; Franks, Paul W.; Gonzalez, Carlos; Grioni, Sara; Kaaks, Rudolf; Key, Timothy J.; Navarro, Carmen; Nilsson, Peter M.; Overvad, Kim; Palli, Domenico; Panico, Salvatore; Quirós, J Ramón; Rolandsson, Olov; Sacerdote, Carlotta; Sánchez, María-José; Slimani, Nadia; Tjonneland, Anne; Tumino, Rosario; van der A, Daphne L.; van der Schouw, Yvonne T.; Riboli, Elio; Smith, Blair H.; Campbell, Archie; Deary, Ian J.; McIntosh, Andrew M.; Boerwinkle, Eric; Buring, Julie E.; Crisponi, Laura; Easton, Douglas F.; Hayward, Caroline; Hu, Frank B.; Liu, Simin; Metspalu, Andres; Pennell, Craig E.; Ridker, Paul M.; Strauch, Konstantin; Streeten, Elizabeth A.; Toniolo, Daniela; Uitterlinden, André G.; Ulivi, Sheila; Völzke, Henry; Wareham, Nicholas J.; Wellons, Melissa; Franceschini, Nora; Chasman, Daniel I.; Thorsteinsdottir, Unnur; Murray, Anna; Stefansson, Kari; Murabito, Joanne M.; Ong, Ken K.; Perry, John R. B.

    2015-01-01

    More than 100 loci have been identified for age at menarche by genome-wide association studies; however, collectively these explain only ∼3% of the trait variance. Here we test two overlooked sources of variation in 192,974 European ancestry women: low-frequency protein-coding variants and X-chromosome variants. Five missense/nonsense variants (in ALMS1/LAMB2/TNRC6A/TACR3/PRKAG1) are associated with age at menarche (minor allele frequencies 0.08–4.6%; effect sizes 0.08–1.25 years per allele; P<5 × 10−8). In addition, we identify common X-chromosome loci at IGSF1 (rs762080, P=9.4 × 10−13) and FAAH2 (rs5914101, P=4.9 × 10−10). Highlighted genes implicate cellular energy homeostasis, post-transcriptional gene silencing and fatty-acid amide signalling. A frequently reported mutation in TACR3 for idiopathic hypogonatrophic hypogonadism (p.W275X) is associated with 1.25-year-later menarche (P=2.8 × 10−11), illustrating the utility of population studies to estimate the penetrance of reportedly pathogenic mutations. Collectively, these novel variants explain ∼0.5% variance, indicating that these overlooked sources of variation do not substantially explain the ‘missing heritability' of this complex trait. PMID:26239645

  17. The results of early physiotherapy on a child with incontinentia pigmenti with encephalocele

    PubMed Central

    Kara, Ozgun Kaya; Mutlu, Akmer; Gunel, Mintaze Kerem

    2010-01-01

    This study aimed to exhibit the effects of early physiotherapy and discusses post-treatment results on a patient with incontinentia pigmenti (IP) with encephalocele. Physiotherapy evaluations of the child included cognitive, fine and gross motor development assessed with the Bayley Scales of Infant and Toddler Development – Third Edition (Bayley-III), disability level with the gross motor function classification system, gross motor function with the gross motor function measurement (GMFM), and tonus evaluation with the Modified Ashworth Scale. The child was included in a physiotherapy and rehabilitation programme based on neurodevelopmental treatment three times a week. Although cognitive and motor development according to Bayley-III improved in the present case, motor and cognitive retardation became more apparent with growth. GMFM results indicated a large improvement from 5.88% to 47.73%. Presentation of this case shows the significance of early physiotherapy in this first study on physiotherapy for IP during the early rehabilitation process. PMID:22767665

  18. Early prenatal androgenization results in diminished ovarian reserve in adult female rhesus monkeys

    PubMed Central

    Dumesic, D.A.; Patankar, M.S.; Barnett, D.K.; Lesnick, T.G.; Hutcherson, B.A.; Abbott, D.H.

    2009-01-01

    BACKGROUND Early prenatal androgenization (PA) accelerates follicle differentiation and impairs embryogenesis in adult female rhesus monkeys (Macaca mulatta) undergoing FSH therapy for IVF. To determine whether androgen excess in utero affects follicle development over time, this study examines whether PA exposure, beginning at gestational days 40–44 (early treated) or 100–115 (late treated), alters the decline in serum anti-Mullerian hormone (AMH) levels with age in adult female rhesus monkeys and perturbs their ovarian response to recombinant human FSH (rhFSH) therapy for IVF. METHODS Thirteen normal (control), 11 early-treated and 6 late-treated PA adult female monkeys had serum AMH levels measured at random times of the menstrual cycle or anovulatory period. Using some of the same animals, basal serum AMH, gonadotrophins and steroids were also measured in six normal, five early-treated and three late-treated PA female monkeys undergoing FSH therapy for IVF during late-reproductive life (>17 years); serum AMH also was measured on day of HCG administration and at oocyte retrieval. RESULTS Serum AMH levels in early-treated PA females declined with age to levels that were significantly lower than those of normal (P ≤ 0.05) and late-treated PA females (P ≤ 0.025) by late-reproductive life. Serum AMH levels positively predicted numbers of total/mature oocytes retrieved, with early-treated PA females having the lowest serum AMH levels, fewest oocytes retrieved and lowest percentage of females with fertilized oocytes that cleaved. CONCLUSIONS Based on these animals, early PA appears to program an exaggerated decline in ovarian reserve with age, suggesting that epigenetically induced hormonal factors during fetal development may influence the cohort size of ovarian follicles after birth. PMID:19740899

  19. Prenatal rapamycin results in early and late behavioral abnormalities in wildtype C57Bl/6 mice

    PubMed Central

    Tsai, Peter T.; Green-Colozzi, Emily; Goto, June; Anderl, Stefanie; Kwiatkowski, David; Sahin, Mustafa

    2012-01-01

    Mammalian target of rapamycin (mTOR) signaling has been shown to be deregulated in a number of genetic, neurodevelopmental disorders including Tuberous Sclerosis Complex, Neurofibromatosis, Fragile X, and Rett syndromes. As a result, mTOR inhibitors, such as rapamycin and its analogs, offer potential therapeutic avenues for these disorders. Some of these disorders – such as Tuberous Sclerosis Complex – can be diagnosed prenatally. Thus, prenatal administration of these inhibitors could potentially prevent the development of the devastating symptoms associated with these disorders. To assess the possible detrimental effects of prenatal rapamycin treatment, we evaluated both early and late behavioral effects of a single rapamycin treatment at embryonic day 16.5 in wildtype C57Bl/6 mice. This treatment adversely impacted early developmental milestones as well as motor function in adult animals. Rapamycin also resulted in anxiety-like behaviors during both early development and adulthood but did not affect adult social behaviors. Together, these results indicate that a single, prenatal rapamycin treatment not only adversely affects early postnatal development but also results in long lasting negative effects, persisting into adulthood. These findings are of importance in considering prenatal administration of rapamycin and related drugs in the treatment of patients with neurogenetic, neurodevelopmental disorders. PMID:23229624

  20. Enhancing Student Services at Owens Community College: Early Results from the Opening Doors Demonstration in Ohio

    ERIC Educational Resources Information Center

    Scrivener, Susan; Pih, Michael

    2007-01-01

    MDRC launched Opening Doors in 2003 to study the effects of community college programs designed to help students persist in school and earn a credential. This report presents early results from the Opening Doors program at Owens Community College in Toledo, Ohio, which operated from 2004 through 2006. The two-semester program served students whose…

  1. Premature menarche without other evidence of precocious puberty.

    PubMed Central

    Heller, M E; Dewhurst, J; Grant, D B

    1979-01-01

    We describe 4 young girls with recurrent vaginal bleeding in the absence of other signs of precocious sexual development. Investigation showed low oestrogen levels in 2 of them, and basal gonadotrophins were in the upper part of the prepubertal range. We believe that the isolated early menstruation in these patients was possibly related to increased sensitivity of the endometrium to oestrogens. PMID:475434

  2. Cardiovascular and selected comorbidities in early arthritis and early spondyloarthritis, a comparative study: results from the ESPOIR and DESIR cohorts

    PubMed Central

    Gherghe, Ana Maria; Dougados, Maxime; Combe, Bernard; Landewé, Robert; Mihai, Carina; Berenbaum, Francis; Mariette, Xavier; Wolterbeek, Ron; van der Heijde, Désirée

    2015-01-01

    Objectives To investigate the prevalence of comorbidities in early rheumatoid arthritis (ERA) and early axial spondyloarthritis (ESpA) versus the general population. Methods Baseline data of 689 patients with ERA from the Etude et Suivi des Polyarthrites Indifférenciées Récentes (ESPOIR) cohort (age 48.2±12.1 years, symptoms duration 14.2±14.5 weeks) and 645 patients with ESpA from Devenir des Spondylarthropathies Indifférenciées Récentes (DESIR; age 32.8±8.4 years, axial symptoms duration 79.0±45.7 weeks) were analysed. Metabolic and cardiovascular diseases (CVD), infections and neoplasia were determined in each cohort. The prevalence (95% CI) of several comorbidities was compared with that in the French general population. For patients without CVD, the 10-year risk of developing CVD was calculated using the Framingham and SCORE equations. The heart age was calculated using the 2008 Framingham points system. Results 42% of patients with ERA and 20.3% of patients with ESpA had at least 1 comorbidity; the most common were arterial hypertension (AHT) and dyslipidaemia. AHT prevalence (95% CI) in ERA (18.2% (15.5% to 21.3%)), but not in ESpA (5.08% (3.57% to 7.14%)), was significantly increased (p<0.05) compared with the general population (7.58%). Prevalence of tuberculosis history was higher in ERA (4.7% (3.3% to 6.6%)), and ESpA (0.99% (0.4% to 2.3%)) than in the general population (0.02%; both p<0.05). No differences were observed in malignancies, coronary heart disease or diabetes. In ERA, among patients without a history of CVD, an intermediate to high CVD risk was found. The heart age exceeded the real age by 4.1±9.6 years in ERA and by 2.1±7.0 years in ESpA (p<0.001). Conclusions We found an increased prevalence of AHT and tuberculosis history in ERA and ESpA, and an increased CVD risk. These results should prompt rheumatologists to check these comorbidities early in the disease. PMID:26535145

  3. Risk factors and therapeutic results of early local recurrence after transcatheter arterial chemoembolization

    PubMed Central

    Rou, Woo Sun; Lee, Byung Seok; Moon, Hee Seok; Lee, Eaum Seok; Kim, Seok Hyun; Lee, Heon Young

    2014-01-01

    AIM: To identify factors affecting early local recurrence after transcatheter arterial chemoembolization (TACE) and investigate treatments and outcomes for local recurrence. METHODS: Early local recurrence and no early local recurrence groups drawn from 134 patients who were initially diagnosed with hepatocellular carcinoma (HCC) and showed a complete response (CR) to TACE treatment between January 1, 2006, and January 31, 2012, were analyzed by univariate and multivariate analyses. Additionally, the subsequent treatment for patients with recurrence was analyzed, and in cases in which TACE had been performed, the cumulative recurrence rates were calculated using the Kaplan-Meier method and compared with those of the primary lesion. RESULTS: The 1-, 2-, and 3-year survival rates were 92.3%, 60.2%, and 39.8%, respectively, in the early local recurrence group, which were significantly lower than those in both the late local and no local recurrence groups (P < 0.001). On multivariate analyses, non-compact lipiodol uptake, large tumor size, and an alpha-fetoprotein > 20 ng/mL after achieving a CR were significant predictors. When TACE was performed for early and late locally recurrent lesions, a CR was observed in 15 patients (41.7%) and 11 patients (78.6%), and the cumulative recurrence rates at 6, 12, and 24 mo were 17.9%, 43.3%, and 71.2%, respectively, which did not differ significantly from those after the first CR of 20.5%, 44.0%, and 58.6%, respectively (P = 0.639). CONCLUSION: Closer monitoring and active treatments must be provided to patients with risk factors for early local recurrence of HCC. PMID:24944494

  4. Early results from Magsat. [studies of near-earth magnetic fields

    NASA Technical Reports Server (NTRS)

    Langel, R. A.; Estes, R. H.; Mayhew, M. A.

    1981-01-01

    Papers presented at the May 27, 1981 meeting of the American Geophysical Union concerning early results from the Magsat satellite program, which was designed to study the near-earth magnetic fields originating in the core and lithosphere, are discussed. The satellite was launched on October 30, 1979 into a sun-synchronous (twilight) orbit, and re-entered the atmosphere on June 11, 1980. Instruments carried included a cesium vapor magnetometer to measure field magnitudes, a fluxgate magnetometer to measure field components and an optical system to measure fluxgate magnetometer orientation. Early results concerned spherical harmonic models, fields due to ionospheric and magnetospheric currents, the identification and interpretation of fields from lithospheric sources. The preliminary results confirm the possibility of separating the measured field into core, crustal and external components, and represent significant developments in analytical techniques in main-field modelling and the physics of the field sources.

  5. Body size in early life and breast cancer risk in African American and European American women

    PubMed Central

    Bandera, Elisa V.; Chandran, Urmila; Zirpoli, Gary; Ciupak, Gregory; Bovbjerg, Dana H.; Jandorf, Lina; Pawlish, Karen; Freudenheim, Jo L.; Ambrosone, Christine B.

    2013-01-01

    Purpose There is growing evidence that body size in early life influences lifetime breast cancer risk, but little is known for African American (AA) women. Methods We evaluated body size during childhood and young adulthood and breast cancer risk among 1,751 cases [979 AA and 772 European American (EA)] and 1,673 controls (958 AA and 715 EA) in the Women’s Circle of Health Study. Odds ratio (OR) and 95% confidence intervals (CI) were computed using logistic regression models while adjusting for potential covariates. Results Among AA women, being shorter at 7–8 y compared to peers was associated with increased postmenopausal breast cancer risk (OR: 1.68, 95% CI: 1.02–2.74), and being heavier at menarche with decreased postmenopausal breast cancer risk, although of borderline significance (OR: 0.45, 95% CI: 0.20–1.02). For EA women, being shorter from childhood through adolescence, particularly at menarche, was associated with reduced premenopausal breast cancer risk (OR: 0.55, 95% CI: 0.31–0.98). After excluding hormone replacement therapy users, an inverse association with postmenopausal breast cancer was found among EA women reporting to be heavier than their peers at menarche (OR: 0.18, 95% CI: 0.04–0.79). The inverse relationship between BMI at age 20 and breast cancer risk was stronger and only statistically significant in EA women. No clear association with weight gain since age 20 was found. Conclusions Findings suggest that the impact of childhood height on breast cancer risk may differ for EA and AA women and confirm the inverse association previously reported in EA populations with adolescent body fatness, in AA women. PMID:24113797

  6. Results from conceptual design study of potential early commercial MHD/steam power plants

    NASA Technical Reports Server (NTRS)

    Hals, F.; Kessler, R.; Swallom, D.; Westra, L.; Zar, J.; Morgan, W.; Bozzuto, C.

    1981-01-01

    This paper presents conceptual design information for a potential early MHD power plant developed in the second phase of a joint study of such plants. Conceptual designs of plant components and equipment with performance, operational characteristics and costs are reported on. Plant economics and overall performance including full and part load operation are reviewed. Environmental aspects and the methods incorporated in plant design for emission control of sulfur and nitrogen oxides are reviewed. Results from reliability/availability analysis conducted are also included.

  7. A full featured handheld LIBS analyzer with early results for defense and security

    NASA Astrophysics Data System (ADS)

    Day, D.; Connors, B.; Jennings, M.; Egan, J.; Derman, K.; Soucy, P.; Moller, S.; Sackett, D.

    2015-06-01

    A handheld LIBS instrument has been designed that includes most features found in large bench-top systems including variable gating, argon purge, high resolution, wide spectral range, sample rastering, and video targeting. In this presentation we will discuss the feature selection, trade-off decisions and new developments that made this kind of size reduction possible. Early results will be presented for elemental presence detection and quantification with specific emphasis on defense and security.

  8. Early MAVEN results on the Mars Upper Atmosphere and Atmospheric Loss to Space

    NASA Astrophysics Data System (ADS)

    Jakosky, B. M.; Grebowsky, J. M.; Luhmann, J. G.

    2015-10-01

    The Mars Atmosphere and Volatile Evolution (MAVEN) spacecraft went into orbit around Mars on 21 September 2014. After a commissioning phase that included science observations of Mars and of Comet Siding Spring during its close approach, its primary science phase began on 16 November 2014 and will run for a full Earth year, until November 2015. Early results on structure, composition and dynamics of the upper atmosphere and on escape to space will be presented.

  9. Results from conceptual design study of potential early commercial MHD/steam power plants

    NASA Astrophysics Data System (ADS)

    Hals, F.; Kessler, R.; Swallom, D.; Westra, L.; Zar, J.; Morgan, W.; Bozzuto, C.

    1981-06-01

    This paper presents conceptual design information for a potential early MHD power plant developed in the second phase of a joint study of such plants. Conceptual designs of plant components and equipment with performance, operational characteristics and costs are reported on. Plant economics and overall performance including full and part load operation are reviewed. Environmental aspects and the methods incorporated in plant design for emission control of sulfur and nitrogen oxides are reviewed. Results from reliability/availability analysis conducted are also included.

  10. Web-Based Training in Early Autism Screening: Results from a Pilot Study

    PubMed Central

    Stone, Wendy L.; Ousley, Opal Y.; Swanson, Amy

    2011-01-01

    Abstract Background Lack of familiarity with early signs of autism by community service providers has resulted in significant delays in children receiving early intervention services necessary to improve long-term outcomes. The Screening Tool for Autism in Toddlers and Young Children (STAT) was specifically developed to identify early behavioral features of autism. Although STAT training has been available for years, access is limited because of few STAT trainers and geographic concerns. This study evaluated the efficacy and acceptability of Web-based training of the STAT as a means of increasing accessibility to this training. Materials and Methods Thirty professionals from three geographic areas participated. Roughly 1 of 3 had little or no training on autism assessment. The tutorial contains a general overview, administration and scoring conventions, and item-specific content and concepts. Participants completed a pretest and then completed the STAT tutorial at their own pace, followed by a post-test and a user satisfaction questionnaire. Results Mean scores on STAT concepts significantly improved after taking the tutorial (p < 0.001). At pretest, only 1 person (3%) obtained correct scores on at least 80% of the items (a priori cutoff for a “pass”), compared with 22 (73%) at post-test (p < 0.001). The majority of trainees enjoyed taking the tutorial, thought it was well organized, relevant, interesting, and useful, and felt it was easy to understand and operate. Discussion Results support Web-based training as a promising method for promoting early identification of autism and may help overcome problems associated with the critical shortage of autism-screening professionals. PMID:21939382

  11. FINAL RESULTS OF THE EARLY TREATMENT FOR RETINOPATHY OF PREMATURITY (ETROP) RANDOMIZED TRIAL

    PubMed Central

    Good, William V

    2004-01-01

    ABSTRACT Purpose To present the final results of the Early Treatment for Retinopathy of Prematurity Study. Methods Infants with bilateral high-risk prethreshold retinopathy of prematurity (ROP) (n = 317) had one eye randomized to early retinal ablative treatment and the fellow eye managed conventionally (control eye). In asymmetric cases (n = 84), the eye with high-risk prethreshold ROP was randomized to early or to conventional management. High risk was determined using a model based on the Cryotherapy for Retinopathy of Prematurity natural history cohort. The primary outcome was visual acuity assessed by masked testers using the Teller acuity card procedure. Structural examinations were performed at 6 and 9 months. Results Grating acuity results showed a reduction in unfavorable visual acuity outcomes with earlier treatment, from 19.8% to 14.3% (P < .005). Unfavorable structural outcomes were reduced from 15.6% to 9.0% (P < .001) at 9 months. Further analysis supported retinal ablative therapy for eyes with type I ROP, defined as zone I, any stage ROP with plus disease; zone I, stage 3 ROP without plus disease; or zone II, stage 2 or 3 with plus disease. The analysis supported a “wait and watch” approach to type II ROP, defined as zone I, stage 1 and 2 without plus disease, or zone II, stage 3 without plus disease. These eyes should be considered for treatment only if they progress to type I ROP or threshold. Conclusion Early treatment of high-risk prethreshold ROP significantly reduced unfavorable outcomes in both primary and secondary (structural) measures. PMID:15747762

  12. Twenty-Year Experience of Heart Transplantation: Early and Long-Term Results

    PubMed Central

    Lee, Jae-Hong; Yeom, Sang Yoon; Hwang, Ho Young; Choi, Jae-Woong; Cho, Hyun-Jai; Lee, Hae-Young; Huh, Jae-Hak; Kim, Ki-Bong

    2016-01-01

    Background We evaluated early and long-term results after heart transplantation (HTPL). Methods One hundred five consecutive patients (male:female=80:25) who underwent HTPL between 1994 and 2013 were enrolled. Based on the changes in immunosuppressive regimen, the study patients were divided into two groups. Early and long-term clinical outcomes were evaluated and compared between the patients who underwent HTPL before (group E, n=41) and after July 2009 (group L, n=64). The group L patients were older (p<0.001), had higher incidence of hypertension (p=0.001) and chronic kidney disease (p<0.001), and more frequently needed preoperative mechanical ventilation (p=0.027) and mechanical circulatory support (p=0.014) than the group E patients. Results Overall operative mortality was 3.8%, and postoperative morbidities included acute kidney injury (n=31), respiratory complications (n=16), reoperation for bleeding (n=15) and wound complications (n=10). There were no significant differences in early results except acute kidney injury between group E and group L patients. Overall survival rates at 1, 5, and 10 years were 83.8%, 67.7%, and 54.9%, respectively, with no significant difference between the two patient groups. Rejection-free rates at 1 and 5 years were 63.0% and 59.7%, respectively; rates were significantly higher in group L than in group E (p<0.001). Conclusion Despite increased preoperative comorbidities, group L patients showed similar early and long-term outcomes and significantly higher rejection-free rates when compared with group E patients. PMID:27525232

  13. Socioeconomic determinants of menarche in rural Polish girls using the decision trees method.

    PubMed

    Matusik, Stanisław; Laska-Mierzejewska, Teresa; Chrzanowska, Maria

    2011-05-01

    The aim of this study was to assess the usefulness of the decision trees method as a research method of multidimensional associations between menarche and socioeconomic variables. The article is based on data collected from the rural area of Choszczno in the West Pomerania district of Poland between 1987 and 2001. Girls were asked about the appearance of first menstruation (a yes/no method). The average menarchal age was estimated by the probit analysis method, using second grade polynomials. The socioeconomic status of the girls' families was determined using five qualitative variables: fathers' and mothers' educational level, source of income, household appliances and the number of children in a family. For classification based on five socioeconomic variables, one of the most effective algorithms CART (Classification and Regression Trees) was used. In 2001 the menarchal age in 66% of examined girls was properly classified, while a higher efficiency of 70% was obtained for girls examined in 1987. The decision trees method enabled the definition of the hierarchy of socioeconomic variables influencing girls' biological development level. The strongest discriminatory power was attributed to the number of children in a family, and the mother's and then father's educational level. Using this method it is possible to detect differences in strength of socioeconomic variables associated with girls' pubescence before 1987 and after 2001 during the transformation of the economic and political systems in Poland. However, the decision trees method is infrequently applied in social sciences and constitutes a novelty; this article proves its usefulness in examining relations between biological processes and a population's living conditions. PMID:21211091

  14. Early Hearing-Impairment Results in Crossmodal Reorganization of Ferret Core Auditory Cortex

    PubMed Central

    Meredith, M. Alex; Allman, Brian L.

    2012-01-01

    Numerous investigations of cortical crossmodal plasticity, most often in congenital or early-deaf subjects, have indicated that secondary auditory cortical areas reorganize to exhibit visual responsiveness while the core auditory regions are largely spared. However, a recent study of adult-deafened ferrets demonstrated that core auditory cortex was reorganized by the somatosensory modality. Because adult animals have matured beyond their critical period of sensory development and plasticity, it was not known if adult-deafening and early-deafening would generate the same crossmodal results. The present study used young, ototoxically-lesioned ferrets (n = 3) that, after maturation (avg. = 173 days old), showed significant hearing deficits (avg. threshold = 72 dB SPL). Recordings from single-units (n = 132) in core auditory cortex showed that 72% were activated by somatosensory stimulation (compared to 1% in hearing controls). In addition, tracer injection into early hearing-impaired core auditory cortex labeled essentially the same auditory cortical and thalamic projection sources as seen for injections in the hearing controls, indicating that the functional reorganization was not the result of new or latent projections to the cortex. These data, along with similar observations from adult-deafened and adult hearing-impaired animals, support the recently proposed brainstem theory for crossmodal plasticity induced by hearing loss. PMID:22888454

  15. Early Results from the NASA Orbiting Carbon Observatory-2 (OCO-2)

    NASA Astrophysics Data System (ADS)

    Crisp, David; Eldering, Annmarie

    2015-04-01

    The Orbiting Carbon Observatory-2 (OCO-2) is NASA's first satellite designed to collect the measurements needed to estimate the column-averaged carbon dioxide (CO2) dry air mole fraction, XCO2, with the sensitivity, accuracy, and resolution needed to characterize the CO2 sources and sinks on regional scales over the globe. OCO-2 was successfully launched from Vandenberg Air Force Base in California on July 2, 2014 and joined the 705-km Afternoon Constellation (A-Train) on August 3, 2014. The three-channel imaging grating spectrometer was then cooled to its operating temperatures and a comprehensive series of characterization and calibration activities were initiated. Since early October 2014, the observatory has been routinely collecting almost 1 million soundings over the sunlit hemisphere each day. Early cloud screening results indicate that 15-30% of these measurements may be sufficiently cloud free to yield precise estimates of XCO2. Initial deliveries of calibrated, geo-located OCO-2 spectra to the NASA Goddard Earth Science Data and Information Services Center (GES DISC) began on December 30, 2014. Preliminary estimates of XCO2 retrieved from these data are currently being validated against observations from the Total Carbon Column Observing Network (TCCON) and other standards. Routine deliveries XCO2 and other products, including surface pressure and chlorophyll fluorescence, to the GES DISC are expected to begin before the end of March, 2015. This presentation will summarize the status of the OCO-2 mission and the coverage, resolution, and accuracy of its early results.

  16. Menstruation, menarche, and sexuality in the public school curriculum: school nurses' perceptions.

    PubMed

    Swenson, I E; Foster, B; Asay, M

    1995-01-01

    Nurses employed by schools and health departments have varying responsibilities for curricula related to menstruation, menarche, and sexuality. Nevertheless, the school nurse is usually a source of information on these subjects whether employed full-time in school health or also participating in other nursing roles in the community. This survey examines the involvement of school nurses in curricula related to human reproduction including contraception. Data about their involvement in these classroom topics provides a basis for evaluating their roles and making recommendations for subsequent continuing education programs for school health nurses. PMID:7484351

  17. Parametric flutter studies of an arrow-wing configuration: Some early results

    NASA Technical Reports Server (NTRS)

    Durham, Michael H.; Cole, Stanley R.; Cazier, F. W., Jr.; Keller, Donald F.; Parker, Ellen C.; Wilkie, W. Keats

    1988-01-01

    Some early experimental results from a combined experimental and analytical study being conducted at NASA-Langley of the transonic flutter characterisitics of a generic arrow wing configuration are presented. The planned study includes the parametric variation of a variety of structural and geometric characteristics. Presented here are flutter results of the basic arrow wing, for the basic wing with the addition of two simulated lower-surface-mounted engine nacelles, and for the basic wing with the addition of both the fin and the engine nacelles.

  18. Early Hyperbaric Oxygen Therapy for Reducing Radiotherapy Side Effects: Early Results of a Randomized Trial in Oropharyngeal and Nasopharyngeal Cancer

    SciTech Connect

    Teguh, David N.; Levendag, Peter C.; Noever, Inge; Voet, Peter; Est, Henrie van der; Rooij, Peter van; Dumans, Antoine G.; Boer, Maarten F. de; Huls, Michiel van der; Sterk, Wouter; Schmitz, Paul

    2009-11-01

    Purpose: Comparison of quality of life (QoL) and side effects in a randomized trial for early hyperbaric oxygen therapy (HBOT) after radiotherapy (RT). Methods and Materials: From 2006, 19 patients with tumor originating from the tonsillar fossa and/or soft palate (15), base of tongue (1), and nasopharynx (3) were randomized to receive HBOT or not. HBOT consisted of 30 sessions at 2.5 ATA (15 msw) with oxygen breathing for 90 min daily, 5 days per week, applied shortly after the RT treatment was completed. As of 2005, all patients received validated questionnaires (i.e., the European Organization for Research and Treatment of Cancer [EORTC] QLQ-C30, EORTC QLQ Head and Neck Cancer Module (H and N35), Performance Status Scale): before treatment; at the start of RT treatment; after 46 Gy; at the end of RT treatment; and 2, 4, and 6 weeks and 3, 6, 12, and 18 months after follow-up. Results: On all QoL items, better scores were obtained in patients treated with hyperbaric oxygen. The difference between HBOT vs. non-HBOT was significant for all parameters: EORTC H and N35 Swallowing (p = 0.011), EORTC H and N35 Dry Mouth (p = 0.009), EORTC H and N35, Sticky Saliva (p = 0.01), PSS Eating in Public (p = 0.027), and Pain in Mouth (visual analogue scale; p < 0.0001). Conclusions: Patients randomized for receiving hyperbaric oxygen after the RT had better QoL scores for swallowing, sticky saliva, xerostomia, and pain in mouth.

  19. The Relationship between Early Development and Psychosexual Behaviors in Adolescent Females.

    ERIC Educational Resources Information Center

    Phinney, Virginia G.; And Others

    1990-01-01

    Investigated relationship between early sexual maturation and psychosexual behaviors of dating and sexual intercourse among national sample of adolescent girls. Found early-maturing girls more likely to have experienced earlier dating and coital onset than late-maturing peers. Blacks experienced menarche and first intercourse at earlier ages, yet…

  20. Early Motherhood in an Intergenerational Perspective: The Experiences of a British Cohort.

    ERIC Educational Resources Information Center

    Manlove, Jennifer

    1997-01-01

    Uses nationally representative, longitudinal data from Great Britain to examine the fertility patterns of daughters (N=2,183) of teen mothers. Explores how early motherhood is reproduced across generations, including an earlier inherited age of menarche, poor family and educational environments, and an early ideal age of childbearing. (RJM)

  1. The Early Result of Cementless Arthroplasty for Femur Neck Fracture in Elderly Patients with Severe Osteoporosis

    PubMed Central

    Seo, Jae-Seong; Shin, Seong-Kee; Jun, Sung-Han; Cho, Chang-Ho

    2014-01-01

    Purpose The purposes of the current study were to assess the early results of cementless hip arthroplasty (HA) for femoral neck fractures in elderly patients with severe osteoporosis and to compare the clinical outcomes between those who underwent total HA (THA) or bipolar hemiarthroplasty (BHA). Materials and Methods From April 2011 to May 2012, we performed 87 cementless HAs for displaced femoral neck fractures in elderly patients (≥65 years) with severe osteoporosis. Among them, we studied 70 hips that were able to be followed-up for >24 months. Of these, 34 underwent THA and 36 underwent BHA. Clinical results were evaluated using the Harris hip score (HHS), Koval classification, and radiographs. Results Only one instance of femoral stem loosening was observed. Additionally, no dislocations were observed and no revision surgeries were required. The mean changes in the functional items of the HHS scores were 2.8 and 5.2 for those who underwent THA and BHA, respectively (P<0.05). According to the Koval classification used for the ambulatory status analysis, the mean perioperative change in the grade was 0.8 (0-4), with no significant differences noted between the THA and BHA groups. Conclusion The early results of cementless HA for femur neck fractures in elderly patients with osteoporosis were satisfactory, and THA was found to have a functional advantage over BHA.

  2. GLOBULAR CLUSTER POPULATIONS: FIRST RESULTS FROM S{sup 4}G EARLY-TYPE GALAXIES

    SciTech Connect

    Zaritsky, Dennis; Aravena, Manuel; Athanassoula, E.; Bosma, Albert; Comerón, Sébastien; Laine, Jarkko; Laurikainen, Eija; Salo, Heikki; Elmegreen, Bruce G.; Erroz-Ferrer, Santiago; Knapen, Johan H.; Gadotti, Dimitri A.; Muñoz-Mateos, Juan Carlos; Hinz, Joannah L.; Ho, Luis C.; Holwerda, Benne; Sheth, Kartik

    2015-02-01

    Using 3.6 μm images of 97 early-type galaxies, we develop and verify methodology to measure globular cluster populations from the S{sup 4}G survey images. We find that (1) the ratio, T {sub N}, of the number of clusters, N {sub CL}, to parent galaxy stellar mass, M {sub *}, rises weakly with M {sub *} for early-type galaxies with M {sub *} > 10{sup 10} M {sub ☉} when we calculate galaxy masses using a universal stellar initial mass function (IMF) but that the dependence of T {sub N} on M {sub *} is removed entirely once we correct for the recently uncovered systematic variation of IMF with M {sub *}; and (2) for M {sub *} < 10{sup 10} M {sub ☉}, there is no trend between N {sub CL} and M {sub *}, the scatter in T {sub N} is significantly larger (approaching two orders of magnitude), and there is evidence to support a previous, independent suggestion of two families of galaxies. The behavior of N {sub CL} in the lower-mass systems is more difficult to measure because these systems are inherently cluster-poor, but our results may add to previous evidence that large variations in cluster formation and destruction efficiencies are to be found among low-mass galaxies. The average fraction of stellar mass in clusters is ∼0.0014 for M {sub *} > 10{sup 10} M {sub ☉} and can be as large as ∼0.02 for less massive galaxies. These are the first results from the S{sup 4}G sample of galaxies and will be enhanced by the sample of early-type galaxies now being added to S{sup 4}G and complemented by the study of later-type galaxies within S{sup 4}G.

  3. Strength and Flexibility in Gymnasts Before and After Menarche.

    ERIC Educational Resources Information Center

    Haywood, Kathleen M.

    Twenty female gymnasts between the ages of twelve and fourteen were tested to determine possible difference in strength and flexibility before and after the development of an active menstrual cycle. Results indicate that females participating in gymnastics on a seriously competitive level tend to be short and light for their ages, as well as to…

  4. The NASA Soil Moisture Active Passive (SMAP) Mission Status and Early Results

    NASA Astrophysics Data System (ADS)

    Entekhabi, D.; Yueh, S. H.; O'Neill, P. E.; Entin, J. K.; Njoku, E. G.; Kellogg, K.

    2015-12-01

    NASA's Soil Moisture Active Passive (SMAP) mission was launched on January 31, 2015. SMAP provides high-resolution, frequent revisit global mapping of soil moisture and freeze/thaw state based on coincident L-band radiometer and L-band radar measurements. The primary science goal of SMAP is to provide new perspectives on how the three fundamental cycles of the Earth system, the water, energy and carbon cycles, are linked together over land. Soil moisture is the key variable that links the three cycles and makes their co-variations synchronous in time. Soil moisture products with varying resolution and coverage are produced from the radiometer alone, radar alone, radiometer-radar combination and data assimilation. In this session the status of the SMAP observatory and early results based on the science data products will be included. The science data acquisition began in May 2015 following several weeks of observatory and instrument commissioning. An intense calibration and validation period followed. Preliminary science products on instrument measurements, soil moisture, landscape frozen or thawed status, and net ecosystem exchange are available at publicly-accessible data archives. The presentation will include early and summary results on the validation of these products. The instrument measurements can also be used to map sea-ice coverage, ocean surface winds and sea surface salinity. Examples of these global retrievals are also presented.

  5. Detection of early bronchial cancer by autofluorescence: results in patients with H&N cancer

    NASA Astrophysics Data System (ADS)

    Gabrecht, Tanja; Radu, Alexandre; Zellweger, Matthieu; Lovisa, Blaise; Goujon, Didier; Grosjean, Pierre; van den Bergh, Hubert; Monnier, Philippe; Wagnières, Georges

    2007-07-01

    Head and neck (H&N) cancer patients have a high incidence of second primary tumours in the tracheobronchial tree. Diagnostic autofluorescence bronchoscopy (DAFE) has shown promising results in the detection of early neoplastic and pre-neoplastic changes in the bronchi. We have investigated the medical impact of DAFE in a population of H&N cancer patients. The bronchoscopies were performed using a modified commercially available DAFE system. Endoscopic imaging of the tissue autofluorescence (AF) was combined with an online image analysis procedure allowing to discriminate between true and false positive results. White light (WL) bronchoscopy was performed as a control. Twenty-one patients with high lung cancer risk factors underwent WL and AF bronchoscopy with this improved system. Forty-one biopsies were taken on macroscopicall suspicious (WL or AF positive) sites. Seven patients were found to have second primary tumours in the bronchi. The sensitivity for the detection of these early lesions with the DAFE was 1.6 times larger than the sensitivity of WL bronchoscopy only. The positive predictive value (PPV) for AF is 79% (33% for WL alone). The PPV of both methods together is 100%. DAFE proved to be efficient for the detection of second primary lesions in H&N cancer patients and can be used as a simple addition to pre-operative work-up or follow-up in this patient population.

  6. Early allograft dysfunction in liver transplantation with donation after cardiac death donors results in inferior survival.

    PubMed

    Lee, David D; Singh, Amandeep; Burns, Justin M; Perry, Dana K; Nguyen, Justin H; Taner, C Burcin

    2014-12-01

    Donation after cardiac death (DCD) liver allografts have been associated with increased morbidity from primary nonfunction, biliary complications, early allograft failure, cost, and mortality. Early allograft dysfunction (EAD) after liver transplantation has been found to be associated with inferior patient and graft survival. In a cohort of 205 consecutive liver-only transplant patients with allografts from DCD donors at a single center, the incidence of EAD was found to be 39.5%. The patient survival rates for those with no EAD and those with EAD at 1, 3, and 5 years were 97% and 89%, 79% and 79%, and 61% and 54%, respectively (P = 0.009). Allograft survival rates for recipients with no EAD and those with EAD at 1, 3, and 5 years were 90% and 75%, 72% and 64%, and 53% and 43%, respectively (P = 0.003). A multivariate analysis demonstrated a significant association between the development of EAD and the cold ischemia time [odds ratio (OR) = 1.26, 95% confidence interval (CI) = 1.01-1.56, P = 0.037] and hepatocellular cancer as a secondary diagnosis in recipients (OR = 2.26, 95% CI = 1.11-4.58, P = 0.025). There was no correlation between EAD and the development of ischemic cholangiopathy. In conclusion, EAD results in inferior patient and graft survival in recipients of DCD liver allografts. Understanding the events that cause EAD and developing preventive or early therapeutic approaches should be the focus of future investigations. PMID:25179581

  7. Review of early clinical results and complications associated with oblique lumbar interbody fusion (OLIF).

    PubMed

    Phan, Kevin; Maharaj, Monish; Assem, Yusuf; Mobbs, Ralph J

    2016-09-01

    Lumbar interbody fusion represents an effective surgical intervention for patients with lumbar degenerative diseases, spondylolisthesis, disc herniation, pseudoarthrosis and spinal deformities. Traditionally, conventional open anterior lumbar interbody fusion and posterior/transforaminal lumbar interbody fusion techniques have been employed with excellent results, but each with their own advantages and caveats. Most recently, the antero-oblique trajectory has been introduced, providing yet another corridor to access the lumbar spine. Termed the oblique lumbar interbody fusion, this approach accesses the spine between the anterior vessels and psoas muscles, avoiding both sets of structures to allow efficient clearance of the disc space and application of a large interbody device to afford distraction for foraminal decompression and endplate preparation for rapid and thorough fusion. This review aims to summarize the early clinical results and complications of this new technique and discusses potential future directions of research. PMID:27349468

  8. Regression model estimation of early season crop proportions: North Dakota, some preliminary results

    NASA Technical Reports Server (NTRS)

    Lin, K. K. (Principal Investigator)

    1982-01-01

    To estimate crop proportions early in the season, an approach is proposed based on: use of a regression-based prediction equation to obtain an a priori estimate for specific major crop groups; modification of this estimate using current-year LANDSAT and weather data; and a breakdown of the major crop groups into specific crops by regression models. Results from the development and evaluation of appropriate regression models for the first portion of the proposed approach are presented. The results show that the model predicts 1980 crop proportions very well at both county and crop reporting district levels. In terms of planted acreage, the model underpredicted 9.1 percent of the 1980 published data on planted acreage at the county level. It predicted almost exactly the 1980 published data on planted acreage at the crop reporting district level and overpredicted the planted acreage by just 0.92 percent.

  9. Early administration of enzyme replacement therapy for Pompe disease: short-term follow-up results.

    PubMed

    Hamdan, M A; Almalik, M H; Mirghani, H M

    2008-12-01

    Pompe disease (glycogen storage disease II, OMIM # 232300), is a hereditary lysosomal disorder. It is characterized by deficiency of acid alpha-glucosidase enzyme (acid maltase, GAA, OMIM *606800, EC 3.1.26.2), secondary to mutations in the GAA gene (HGNC:4065) on chromosome 17q25.2-q25.3. Absent enzyme activity in the infantile form of Pompe disease results in abnormal glycogen deposition in the skeletal, cardiac, and smooth muscles, leading to hypertrophic cardiomyopathy, feeding abnormalities, hypotonia, weakness, respiratory insufficiency, and ultimately death. Prenatal diagnosis is accomplished by enzyme assay, mutation analysis or electron microscopy of amniotic fluid cells or chorionic villus sample. However, these techniques may not always be available, and can result in perinatal morbidity and fetal loss. Early diagnosis of Pompe disease results in early institution of enzyme replacement therapy (ERT), which minimizes morbidity and prolongs survival. We report the case of a 35-week part-of-twin neonate, whose older sibling died earlier because of infantile Pompe disease. At 32 weeks of gestation, fetal echocardiography showed hypertrophic cardiomyopathy in twin 1, which persisted until birth at 35 weeks of gestation. Diagnosis was confirmed after birth by enzyme assay, and mutation analysis showing homozygosity for the sequence change 1327-2A>G (GAA intr 8). Administration of ERT at 18 h of age, resulted in normalization of cardiac abnormalities within 21 weeks of therapy, and normal neurodevelopmental assessment at 46 weeks, using Griffiths Mental Development Scales. To our knowledge, this is the youngest patient reported to receive ERT for Pompe disease, and the first report of prenatal diagnosis of Pompe disease by fetal echocardiography. PMID:19067231

  10. Early Clinical and Radiographic Results of Minimally Invasive Anterior Approach Hip Arthroplasty

    PubMed Central

    Alexandrov, Tamara; Ahlmann, Elke R.; Menendez, Lawrence R.

    2014-01-01

    We present a retrospective review of the early results and complications in a series of 35 consecutive patients with 43 total hip arthroplasties performed through an anterior muscle sparing minimally invasive approach. We found the early complication rates and radiographic outcomes comparable to those reported from arthroplasties performed via traditional approaches. Complications included dislocation (2%), femur fracture (2%), greater trochanteric fracture (12%), postoperative periprosthetic intertrochanteric fracture (2%), femoral nerve palsy (5%), hematoma (2%), and postoperative iliopsoas avulsion (2%). Radiographic analysis revealed average cup anteversion of 19.6° ± 6.6, average cup abduction angle of 48.4° ± 7, stem varus of 0.9° ± 2, and a mean leg length discrepancy of 0.7 mm. The anterior approach to the hip is an attractive alternative to the more traditional approaches. Acceptable component placement with comparable complication rates is possible using a muscle sparing technique which may lead to faster overall recovery. PMID:24715984

  11. Early-life seizures result in deficits in social behavior and learning.

    PubMed

    Lugo, Joaquin N; Swann, John W; Anderson, Anne E

    2014-06-01

    Children with epilepsy show a high co-morbidity with psychiatric disorders and autism. One of the critical determinants of a child's behavioral outcome with autism and cognitive dysfunction is the age of onset of seizures. In order to examine whether seizures during postnatal days 7-11 result in learning and memory deficits and behavioral features of autism we administered the inhalant flurothyl to induce seizures in C57BL/6J mice. Mice received three seizures per day for five days starting on postnatal day 7. Parallel control groups consisted of similarly handled animals that were not exposed to flurothyl and naïve mice. Subjects were then processed through a battery of behavioral tests in adulthood: elevated-plus maze, nose-poke assay, marble burying, social partition, social chamber, fear conditioning, and Morris water maze. Mice with early-life seizures had learning and memory deficits in the training portion of the Morris water maze (p<0.05) and probe trial (p<0.01). Mice with seizures showed no differences in marble burying, the nose-poke assay, or elevated plus-maze testing compared to controls. However, they showed a significant difference in the social chamber and social partition tests. Mice with seizures during postnatal days 7-11 showed a significant decrease in social interaction in the social chamber test and had a significant impairment in social behavior in the social partition test. Together, these results indicate that early life seizures result in deficits in hippocampal-dependent memory tasks and produce long-term disruptions in social behavior. PMID:24685665

  12. Characteristics and Early Science Results of the Virgin Islands Robotic Telescope at the Etelman Observatory

    NASA Astrophysics Data System (ADS)

    Morris, David C.; Neff, J. E.; Hakkila, J. E.

    2014-01-01

    The Virgin Islands Robotic Telescope is an 0.5m robotic telescope located at the easternmost and southernmost optical observatory in the United States at a latitude of 18.5N and longitude of 65W. The observatory is located on the island of St Thomas in the USVI. Astronomers from the College of Charleston and the University of the Virgin Islands collaborate to maintain and operate the facility. Science goals of the facility include optical follow-up of high-energy transients, extra-solar planet observations, and near-Earth asteroid searches. The facility also supports a wide-reaching education and outreach program dedicated to raising the level of STEM engagement and enrichment in the USVI. We detail the characteristics, capabilities, and early results from the observatory. The observatory is growing its staff and science activities and potential topics for collaboration will be discussed.

  13. Surgical hip dislocation in symptomatic cam femoroacetabular impingement: what matters in early good results?

    PubMed Central

    2011-01-01

    In order to assess outcome and possible predictors of early good results, a prospective study on 22 patients who were treated with save surgical hip dislocation for symptomatic isolated cam-type femoroacetabular impingement (FAI) was performed. After a follow-up of 6 and 12 months, standard clinical and radiographic parameters were recorded. A statistically significant improvement of the clinical status according to the Harris hip score could be assessed at six months (p-value = 0.003) and 12 months (p-value = 0.001) post-surgery. By comparing standard clinical and radiographic preoperative parameters with various follow-up outcomes, we revealed no specific parameter with predictive value. These findings are important for centers that have just started to use this surgical technique and are still identifying their learning curve. PMID:21719395

  14. Surgical hip dislocation in symptomatic cam femoroacetabular impingement: what matters in early good results?

    PubMed

    Jäger, M; Bittersohl, B; Zilkens, Christoph; Hosalkar, H S; Stefanovska, K; Kurth, S; Krauspe, R

    2011-05-12

    In order to assess outcome and possible predictors of early good results, a prospective study on 22 patients who were treated with save surgical hip dislocation for symptomatic isolated cam-type femoroacetabular impingement (FAI) was performed. After a follow-up of 6 and 12 months, standard clinical and radiographic parameters were recorded. A statistically significant improvement of the clinical status according to the Harris hip score could be assessed at six months (p-value = 0.003) and 12 months (p-value = 0.001) post-surgery. By comparing standard clinical and radiographic preoperative parameters with various follow-up outcomes, we revealed no specific parameter with predictive value. These findings are important for centers that have just started to use this surgical technique and are still identifying their learning curve. PMID:21719395

  15. Early Scientific Results and Future Prospects for the Rejuvenated Hubble Space Telescope

    NASA Technical Reports Server (NTRS)

    Niedner, Malcolm B.

    2010-01-01

    Following the extraordinarily successful Servicing Mission 4 (SM4) of Hubble Space Telescope (HST) in May of 2009, the Observatory is now fully equipped with a broad array of powerful science instruments that put it at the pinnacle of its scientific power. Relevant to the subject matter of the Beyond 2010 Conference, HST will be well-placed over the next five-plus years to advance our knowledge of the formation of high-redshift galaxies and their growth with cosmic time; the emergence of structure in the early universe via Dark Matter-driven gravitational instability; and the universe's expansion history and any resulting implications for the temporal character of Dark Energy. These are fitting projects for the iconic facility now celebrating its 20th anniversary in orbit.

  16. Two Eyes, 3D Early Results: Stereoscopic vs 2D Representations of Highly Spatial Scientific Imagery

    NASA Astrophysics Data System (ADS)

    Price, Aaron

    2013-06-01

    "Two Eyes, 3D" is a 3-year NSF funded research project to study the educational impacts of using stereoscopic representations in informal settings. The first study conducted as part of the project tested children 5-12 on their ability to perceive spatial elements of slides of scientific objects shown to them in either stereoscopic or 2D format. Children were also tested for prior spatial ability. Early results suggest that stereoscopy does not have a major impact on perceiving spatial elements of an image, but it does have a more significant impact on how the children apply that knowledge when presented with a common sense situation. The project is run by the AAVSO and this study was conducted at the Boston Museum of Science.

  17. Early- to mid-Holocene vegetation development in northern Iceland: project outline and preliminary results

    NASA Astrophysics Data System (ADS)

    Eddudóttir, S.; Erlendsson, E.; Gísladóttir, G.

    2013-12-01

    Iceland is a key site for the study of Holocene vegetation and climate variations due to its location in the North Atlantic. The aim of the project is to reconstruct the history of Holocene vegetation development in Austur-Húnavatnssýsla, northern Iceland. Using pollen and macrofossils, patterns of vegetation change in three locations will be reconstructed, forming a transect from coastal extremes to the highland margin. The palynological and macrofossil data will be combined with a robust regional chronology, constructed by combining tephra layers with radiocarbon-dated macrofossils. Available data covering the vegetation history of Iceland are scarce. This study will improve the understanding of how environmental factors have driven vegetation development during the Holocene. Pollen analysis has been carried out on a section of a lacustrine core from the first study site of this project, a lowland site in Svínadalur valley. The analysed section of the core covers the period from Younger Dryas to the mid-Holocene. The results show a transition from pioneering vegetation during the cold period of Younger Dryas to the birch forests of the Holocene Thermal Maximum. An initial expansion of birch and gradual closing of vegetation cover was halted during early-Holocene, probably due to a period of cooling climate. An age model for the core has yet to be constructed, however this change in vegetation may be the result of cooling during the 8.2 ka event that has previously been recorded in proxies from Icelandic lakes. This cooling event has however not been seen in Icelandic terrestrial biotic palaeorecords before. The impact of this event seen in the Svínadalur core may underscore a vulnerability of the early-Holocene terrestrial ecosystem to climatic fluctuations. The study is funded by the Eimskip University fund, University of Iceland Research Fund and Landsvirkjun's Energy Research Fund, the study is also supported by the INTIMATE EU COST action in the form of a

  18. Early Learning Standards: Results from a National Survey to Document Trends in State-Level Policies and Practices

    ERIC Educational Resources Information Center

    Scott-Little, Catherine; Lesko, Jim; Martella, Jana; Milburn, Penny

    2007-01-01

    Early learning standards--documents that outline what children should know and be able to do before kindergarten entry--are increasingly common in the United States. Data from a national survey are presented to illustrate trends in how states have developed and implemented early learning standards within the past four years. Results indicate that…

  19. Missed Opportunities for Early Infant HIV Diagnosis: Results of A National Study in South Africa

    PubMed Central

    Jackson, Debra; Goga, Ameena E.; Crowley, Siobhan; Doherty, Tanya; Mogashoa, Mary M.; Dinh, Thu-Ha; Sherman, Gayle G.

    2015-01-01

    Background: Services to diagnose early infant HIV infection should be offered at the 6-week immunization visit. Despite high 6-week immunization attendance, the coverage of early infant diagnosis (EID) is low in many sub-Saharan countries. We explored reasons for such missed opportunities at 6-week immunization visits. Methods: We used data from 2 cross-sectional surveys conducted in 2010 in South Africa. A national assessment was undertaken among randomly selected public facilities (n = 625) to ascertain procedures for EID. A subsample of these facilities (n = 565) was revisited to assess the HIV status of 4- to 8-week-old infants receiving 6-week immunization. We examined potential missed opportunities for EID. We used logistic regression to assess factors influencing maternal intention to report for EID at 6-week immunization visits. Results: EID services were available in >95% of facilities and 72% of immunization service points (ISPs). The majority (68%) of ISPs provide EID for infants with reported or documented (on infant's Road-to-Health Chart/booklet—iRtHC) HIV exposure. Only 9% of ISPs offered provider-initiated counseling and testing for infants of undocumented/unknown HIV exposure. Interviews with self-reported HIV-positive mothers at ISPs revealed that only 55% had their HIV status documented on their iRtHC and 35% intended to request EID during 6-week immunization. Maternal nonreporting for EID was associated with fear of discrimination, poor adherence to antiretrovirals, and inadequate knowledge about mother-to-child HIV transmission. Conclusions: Missed opportunities for EID were attributed to poor documentation of HIV status on iRtHC, inadequate maternal knowledge about mother-to-child HIV transmission, fear of discrimination, and the lack of provider-initiated counseling and testing service for undocumented, unknown, or undeclared HIV-exposed infants. PMID:25469521

  20. Early Prefrontal Functional Blockade in Rats Results in Schizophrenia-Related Anomalies in Behavior and Dopamine

    PubMed Central

    Meyer, Francisca; Louilot, Alain

    2012-01-01

    Growing evidence suggests schizophrenia may arise from abnormalities in early brain development. The prefrontal cortex (PFC) stands out as one of the main regions affected in schizophrenia. Latent inhibition, an interesting cognitive marker for schizophrenia, has been found in some studies to be reduced in acute patients. It is generally widely accepted that there is a dopaminergic dysfunctioning in schizophrenia. Moreover, several authors have reported that the psychostimulant, D-amphetamine (D-AMP), exacerbates symptoms in patients with schizophrenia. We explored in rats the effects in adulthood of neonatal transient inactivation of the PFC on behavioral and neurochemical anomalies associated with schizophrenia. Following tetrodotoxin (TTX) inactivation of the left PFC at postnatal day 8, latent inhibition-related dopaminergic responses and dopaminergic reactivity to D-AMP were monitored using in vivo voltammetry in the left core part of the nucleus accumbens in adult freely moving rats. Dopaminergic responses and behavioral responses were followed in parallel. Prefrontal neonatal inactivation resulted in disrupted behavioral responses of latent inhibition and latent inhibition-related dopaminergic responses in the core subregion. After D-AMP challenge, the highest dose (1.5 mg/kg i.p.) induced a greater dopamine increase in the core in rats microinjected with TTX, and a parallel increase in locomotor activity, suggesting that following prefrontal neonatal TTX inactivation animals display a greater behavioral and dopaminergic reactivity to D-AMP. Transitory inactivation of the PFC early in the postnatal developmental period leads to behavioral and neurochemical changes in adulthood that are meaningful for schizophrenia modeling. The data obtained may help our understanding of the pathophysiology of this disabling disorder. PMID:22588351

  1. Early postnatal nociceptive stimulation results in deficits of spatial memory in male rats.

    PubMed

    Amaral, Cristiane; Antonio, Bruno; Oliveira, Maria Gabriela Menezes; Hamani, Clement; Guinsburg, Ruth; Covolan, Luciene

    2015-11-01

    Prematurely-born infants are exposed to multiple invasive procedures while in the intensive care unit. Newborn rats and humans have similar behavioral responses to noxious stimulation. Previous studies have shown that early noxious stimuli may alter dentate gyrus neurogenesis and the behavioral repertoire of adult rats. We evaluated the late effects of noxious stimulation administered during different phases of development on two spatial memory tests; object recognition (OR) and Morris water maze (WM) tests. Noxious stimulation was induced by an intra-plantar injection of complete Freund's adjuvant (CFA) on postnatal (P) day 1 (group P1) or 8 (P8). Control animals were not stimulated. Behavioral tests were conducted on P60 in both male and female animals. In the WM, three domains were evaluated: acquisition, probe trial performance and reversal re-acquisition. The number of Nissl stained cells in the dentate granule cell layer was assessed by stereological counting. The OR test revealed that P1 male rats had poor long-term memory compared to the control and P8 groups. In the WM, no short- or long-term memory differences were detected between early postnatal-stimulated male and female rats and their respective controls. However, the ability to find the hidden platform in a new position was reduced in P1 male rats. The number of dentate granule cells in P8 males was higher than in all other groups. This study demonstrates that noxious stimulation on P1 results in spatial learning deficits in male animals, but does not disrupt the development of the hippocampus-dependent strategies of learning and memory. PMID:26348792

  2. Tangential Radiotherapy Without Axillary Surgery in Early-Stage Breast Cancer: Results of a Prospective Trial

    SciTech Connect

    Wong, Julia S.; Winer, Eric P.

    2008-11-01

    Purpose: To determine the risk of regional-nodal recurrence in patients with early-stage, invasive breast cancer, with clinically negative axillary nodes, who were treated with breast-conserving surgery, 'high tangential' breast radiotherapy, and hormonal therapy, without axillary surgery or the use of a separate nodal radiation field. Methods and Materials: Between September 1998 and November 2003, 74 patients who were {>=}55 years of age with Stage I-II clinically node-negative, hormone-receptor-positive breast cancer underwent tumor excision to negative margins without axillary surgery as a part of a multi-institutional prospective study. Postoperatively, all underwent high-tangential, whole-breast radiotherapy with a boost to the tumor bed, followed by 5 years of hormonal therapy. Results: For the 74 patients enrolled, the median age was 74.5 years, and the median pathologic tumor size was 1.2 cm. Lymphatic vessel invasion was present in 5 patients (7%). At a median follow-up of 52 months, no regional-nodal failures or ipsilateral breast recurrences had been identified (95% confidence interval, 0-4%). Eight patients died, one of metastatic disease and seven of other causes. Conclusion: In this select group of mainly older patients with early-stage hormone-responsive breast cancer and clinically negative axillary nodes, treatment with high-tangential breast radiotherapy and hormonal therapy, without axillary surgery, yielded a low regional recurrence rate. Such patients might be spared more extensive axillary treatment (axillary surgery, including sentinel node biopsy, or a separate nodal radiation field), with its associated time, expense, and morbidity.

  3. Early interruption of exclusive breastfeeding: results from the eight-country MAL-ED study.

    PubMed

    Patil, Crystal L; Turab, Ali; Ambikapathi, Ramya; Nesamvuni, Cebisa; Chandyo, Ram Krishna; Bose, Anuradha; Islam, M Munirul; Ahmed, A M Shamsir; Olortegui, Maribel Paredes; de Moraes, Milena Lima; Caulfield, Laura E

    2015-01-01

    We report the infant feeding experiences in the first month of life for 2,053 infants participating in "Malnutrition and Enteric Infections: Consequences for Child Health and Development" (MAL-ED). Eight sites (in Bangladesh, India, Nepal, Pakistan, Brazil, Peru, South Africa, Tanzania), each followed a cohort of children from birth (by day 17), collecting detailed information on infant feeding practices, diet and illness episodes. Mothers were queried twice weekly regarding health status, breastfeeding and the introduction (or no) of non-breast milk liquids and foods. Here, our goal is to describe the early infant feeding practices in the cohort and evaluate factors associated with termination of exclusive breastfeeding in the first month of life. With data from enrollment to a visit at 28-33 days of life, we characterized exclusive, predominant or partial breastfeeding (using a median of 6-9 visits per child across the sites). Only 6 of 2,053 infants were never breastfed. By one month, the prevalences of exclusive breastfeeding were < 60% in 6 of 8 sites, and of partial breastfeeding (or no) were > 20% in 6 of 8 sites. Logistic regression revealed that prelacteal feeding (given to 4-63% of infants) increased the likelihood of partial breastfeeding (Odds Ratio (OR): 1.48 (95% confidence interval (CI): 1.04, 2.10), as did the withholding of colostrum (2-16% of infants) (OR: 1.63:1.01, 2.62), and being a first-time mother (OR: 1.38:1.10, 1.75). Our results reveal diversity across these sites, but an overall trend of early transition away from exclusive breastfeeding in the first month of life. Interventions which introduce or reinforce the WHO/UNICEF Ten Steps for Successful Breastfeeding are needed in these sites to improve breastfeeding initiation, to reinforce exclusive breastfeeding and delay introduction of non-breast milk foods and/or liquids. PMID:26825923

  4. Early results with the Mutaf technique: a novel off-midline approach in pilonidal sinus surgery

    PubMed Central

    Zorlu, Musa; Zobacı, Ethem; Kocak, Cem; Yastı, Ahmet Çınar; Dolapçı, Mete

    2016-01-01

    Purpose The objective of the present study was to compare different off-midline techniques in terms of their advantages and disadvantages. Methods A total of 81 patients were included in this prospective, controlled, randomized study. Patients in group 1 were treated with the Limberg flap, and patients in group 2 were treated with Mutaf technique. Patients were followed up for 9 months postsurgically and assessed at regular intervals. Results A total of 41 and 40 patients received surgical treatment with Limberg or Mutaf techniques, respectively. The 2 groups were similar in terms of age, gender, body mass index, and Tezel pilonidal sinus classification. Also, the 2 groups were comparable with regard to the frequency of preoperative discharge from the wound site, history of abscess formation, and the resultant antibiotic use. Early results showed similar recurrence rates and surgical-site complications between the 2 groups. Although a lower visual analogue scale score was found in group 2 at postoperative day 1, seroma persistence, time to withdrawal of surgical drains, and wound healing were more prolonged. Conclusion In this study, Mutaf technique was comparable to Limberg flap in the treatment of pilonidal sinus. Therefore, Mutaf technique may be offered as a viable surgical therapeutic option among off-midline closure approaches. PMID:27186571

  5. Planck early results. XIII. Statistical properties of extragalactic radio sources in the Planck Early Release Compact Source Catalogue

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Ade, P. A. R.; Aghanim, N.; Argüeso, F.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bonaldi, A.; Bonavera, L.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Bucher, M.; Burigana, C.; Cabella, P.; Cappellini, B.; Cardoso, J.-F.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Chary, R.-R.; Chen, X.; Chiang, L.-Y.; Christensen, P. R.; Clements, D. L.; Colafrancesco, S.; Colombi, S.; Couchot, F.; Crill, B. P.; Cuttaia, F.; Danese, L.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Gasperis, G.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dickinson, C.; Dole, H.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Finelli, F.; Forni, O.; Frailis, M.; Franceschi, E.; Galeotta, S.; Ganga, K.; Giard, M.; Giardino, G.; Giraud-Héraud, Y.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Hansen, F. K.; Harrison, D.; Henrot-Versillé, S.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Jaffe, A. H.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lasenby, A.; Laureijs, R. J.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; Leonardi, R.; Lilje, P. B.; Linden-Vørnle, M.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; Maffei, B.; Magliocchetti, M.; Maino, D.; Mandolesi, N.; Mann, R.; Maris, M.; Martínez-González, E.; Masi, S.; Massardi, M.; Matarrese, S.; Matthai, F.; Mazzotta, P.; Meinhold, P. R.; Melchiorri, A.; Mendes, L.; Mennella, A.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; O'Dwyer, I. J.; Osborne, S.; Pajot, F.; Paladini, R.; Partridge, B.; Pasian, F.; Patanchon, G.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Pierpaoli, E.; Plaszczynski, S.; Platania, P.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Poutanen, T.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Rebolo, R.; Reinecke, M.; Ricciardi, S.; Riller, T.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Sajina, A.; Sandri, M.; Scott, D.; Seiffert, M. D.; Serjeant, S.; Shellard, P.; Smoot, G. F.; Starck, J.-L.; Stivoli, F.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sygnet, J.-F.; Tauber, J. A.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Türler, M.; Umana, G.; Valenziano, L.; Varis, J.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; Wilkinson, A.; Yvon, D.; Zacchei, A.; Zonca, A.

    2011-12-01

    The data reported in Planck's Early Release Compact Source Catalogue (ERCSC) are exploited to measure the number counts (dN/dS) of extragalactic radio sources at 30, 44, 70, 100, 143 and 217 GHz. Due to the full-sky nature of the catalogue, this measurement extends to the rarest and brightest sources in the sky. At lower frequencies (30, 44, and 70 GHz) our counts are in very good agreement with estimates based on WMAP data, being somewhat deeper at 30 and 70 GHz, and somewhat shallower at 44 GHz. Planck's source counts at 143 and 217 GHz join smoothly with the fainter ones provided by the SPT and ACT surveys over small fractions of the sky. An analysis of source spectra, exploiting Planck's uniquely broad spectral coverage, finds clear evidence of a steepening of the mean spectral index above about 70 GHz. This implies that, at these frequencies, the contamination of the CMB power spectrum by radio sources below the detection limit is significantly lower than previously estimated. Corresponding author: J. González-Nuevo, e-mail: gnuevo@sissa.it

  6. Results of late surgical intervention in children with early-onset bilateral cataracts

    PubMed Central

    Ganesh, Suma; Arora, Priyanka; Sethi, Sumita; Gandhi, Tapan K; Kalia, Amy; Chatterjee, Garga; Sinha, Pawan

    2016-01-01

    Background Cataracts are a major cause of childhood blindness globally. Although surgically treatable, it is unclear whether children would benefit from such interventions beyond the first few years of life, which are believed to constitute `critical' periods for visual development. Aims To study visual acuity outcomes after late treatment of early-onset cataracts and also to determine whether there are longitudinal changes in postoperative acuity. Methods We identified 53 children with dense cataracts with an onset within the first half-year after birth through a survey of over 20 000 rural children in India. All had accompanying nystagmus and were older than 8 years of age at the time of treatment. They underwent bilateral cataract surgery and intraocular lens implantation. We then assessed their best-corrected visual acuity 6 weeks and 6 months after surgery. Results 48 children from the pool of 53 showed improvement in their visual acuity after surgery. Our longitudinal assessments demonstrated further improvements in visual acuity for the majority of these children proceeding from the 6-week to 6-month assessment. Interestingly, older children in our subject pool did not differ significantly from the younger ones in the extent of improvement they exhibit. Conclusions and relevance Our results demonstrate that not only can significant vision be acquired until late in childhood, but that neural processes underlying even basic aspects of vision like resolution acuity remain malleable until at least adolescence. These data argue for the provision of cataract treatment to all children, irrespective of their age. PMID:24879807

  7. Early prenatal exposure to LPS results in anxiety- and depression-related behaviors in adulthood.

    PubMed

    Depino, A M

    2015-07-23

    Maternal immune activation can result in different behavioral abnormalities and brain dysfunction, depending on the nature of the inflammogen and the timing of the challenge. Few studies report the possible link between prenatal exposure to inflammation and mood disorders. Here we aimed to evaluate the effects of a single low lipopolysaccharide (LPS) injection to the dam at gestational day 9 on the offspring behavior and hippocampal function. We found that mice exposed to LPS show anxiety- and depression-related behaviors. Specifically, we found that animals prenatally exposed to LPS avoided the open arms of an elevated plus maze, the center of an open field and the lit side of a light/dark box, and they spent more time immobile in both the forced swimming and tail suspension tests, when compared with offspring of saline-injected dams. In addition, LPS mice had reduced serotonin and noradrenaline levels in the hippocampus and diminished Reelin immunoreactivity in the dentate gyrus, while their adult hippocampal neurogenesis was not affected. Results presented here support specific long-term effects of the response to a bacterial immunogen early in pregnancy, as opposed to different effects previously reported of viral immunogens and/or responses in late pregnancy. Our work adds to recent reports and stresses the relevance of considering prenatal exposure to a maternal immune response as a risk factor for mood disorders. PMID:25943476

  8. The ASTER Global Digital Elevation Model version 2.0 - Early Validation Results

    NASA Astrophysics Data System (ADS)

    Meyer, D. J.; Tachikawa, T.; Abrams, M.; Tsu, H.; Hato, M.; Gesch, D. B.; Crippen, R. E.

    2011-12-01

    The Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra spacecraft is capable of collecting in-track stereo using nadir- and aft looking near infrared cameras. Since 2001, these stereo pairs have been used to produce single-scene (60 x 60 km) digital elevation models having vertical (root-mean-squared-error) accuracies generally between 10 m and 25 m. On June 29, 2009, NASA and the Ministry of Economy, Trade and Industry (METI) of Japan released a Global Digital Elevation Model (GDEM) to users worldwide at no charge as a contribution to the Global Earth Observing System of Systems (GEOSS). This "version 1.0" ASTER GDEM (GDEM v1.0) was compiled from over 1.2 million scene-based DEMs covering land surface between 83°N and 83°S latitudes. This GDEM is a 1 arc-second elevation grid divided and distributed as 1°-by-1° tiles. ** A joint US-Japan validation team assessed the accuracy of the GDEM v1.0, augmented by a team of 20 cooperators selected through an Announcement of Opportunity (AO). In summary, the GDEM v1.0 was found to have an overall accuracy of around 20 meters at the 95% confidence interval. The team also noted several artifacts associated with poor coverage, cloud contamination, water masking issues and the stacking process used to produce the GDEM from individual scene-based DEMs. An independent horizontal resolution study estimated the effective spatial resolution of the GDEM v1.0 to be on the order of 120 meters. ** NASA & METI will release a second version of the ASTER GDEM (v2.0) in mid-October, 2011. The GDEM v2.0 has the same gridding and tile structure as v1.0, but benefits from the inclusion of 300,000 additional scenes to improve coverage, a smaller correlation kernel (5x5 versus 9x9 for v1.0) yielding higher spatial resolution, and improved water masking. This abstract presents early validation results available at the time of submission. Early results indicate: (1) the overall accuracy (both horizontal and

  9. Lack of association between the ESR1 rs9340799 polymorphism and age at menarche: a meta-analysis.

    PubMed

    Wu, H Y; Xing, X K; Wang, K J; Zhang, L

    2016-01-01

    It has been reported that the estrogen receptor alpha (ESR1) rs9340799 polymorphism is associated with age at menarche (AAM). However, recent investigations have generated inconsistent results. This study aimed to establish a more precise estimation of the association between this polymorphism and AAM. A meta-analysis was conducted based on an in silico literature search using PubMed. Six studies presenting continuous data, including ESR1 rs9340799 genotype frequencies, were selected. Effect size was estimated using Hedges' adjusted g with 95% confidence intervals (CIs), which were calculated based on the standardized mean difference between groups of subjects and different genotypes. No evidence of an association between the ESR1 rs9340799 polymorphism and AAM was found in the pooled continuous data under any genotype comparison (AA vs GG+AG: Hedges' g = -0.085, 95%CI = -0.202-0.032, P = 0.156; GG vs AA+AG: Hedges' g = 0.143, 95%CI = -0.041-0.327, P = 0.129; A vs G: Hedges' g = 0.187, 95%CI = -0.032-0.406, P = 0.095). Moreover, a funnel plot generated using this data was found to be symmetrical using the Egger (P = 0.797) and Begg tests (P = 0.851), indicating the absence of publication bias. In summary, our meta-analysis shows that the ESR1 rs9340799 polymorphism is not a significant, independent contributing factor to AAM. To validate this finding, further studies involving larger numbers of participants are needed. PMID:27525849

  10. Intraoperative Radiotherapy in Early-Stage Breast Cancer: Results of the Montpellier Phase II Trial

    SciTech Connect

    Lemanski, Claire; Azria, David; Gourgon-Bourgade, Sophie; Gutowski, Marian; Rouanet, Phillippe; Saint-Aubert, Bernard; Ailleres, Norbert; Fenoglietto, Pascal; Dubois, Jean-Bernard

    2010-03-01

    Purpose: We recently presented the intraoperative radiotherapy (IORT) technique given as a reliable alternative to conventional boost radiation after breast-conserving surgery. The low crude numbers of recurrence in elderly patients led us to investigate the feasibility and the efficacy of this procedure as a sole treatment. Methods and Materials: We included 94 patients older than 65 years in this phase II trial. Among them, 42 patients presented with all the inclusion criteria, i.e., stages pT0 to pT1 and pN0, ductal invasive unifocal carcinoma, and tumor-free margin of >2 mm. IORT was delivered using a dedicated linear accelerator. One 21-Gy fraction was prescribed and specified at the 90% isodose, using electrons. In vivo dosimetry was performed for all patients. The primary endpoint was the quality index. Secondary endpoints were quality of life, local recurrences, cosmetic results, and specific and overall rates of survival. Results: The median follow-up was 30 months (range, 12-49 months), and median age was 72 years (range, 66-80 years). The median tumor diameter was 10 mm. All patients received the total prescribed dose. No acute grade 3 toxicities were observed. Endpoints for all but one patient corresponded to acceptable quality index criteria. Pretreatment quality-of-life scores were maximal, and no significant decrease was observed during follow-up. Cosmesis was good to excellent at 6 months. Two patients experienced recurrence but underwent salvage mastectomy. Conclusion: Our results confirm that exclusive partial-breast IORT is feasible for treating early-stage breast cancer in the elderly. IORT may be considered an alternative treatment for a selected population and offers a safe one-step treatment.

  11. Early life exposure to allergen and ozone results in altered development in adolescent rhesus macaque lungs

    SciTech Connect

    Herring, M.J.; Putney, L.F.; St George, J.A.; Avdalovic, M.V.; Schelegle, E.S.; Miller, L.A.; Hyde, D.M.

    2015-02-15

    In rhesus macaques, previous studies have shown that episodic exposure to allergen alone or combined with ozone inhalation during the first 6 months of life results in a condition with many of the hallmarks of asthma. This exposure regimen results in altered development of the distal airways and parenchyma (Avdalovic et al., 2012). We hypothesized that the observed alterations in the lung parenchyma would be permanent following a long-term recovery in filtered air (FA) housing. Forty-eight infant rhesus macaques (30 days old) sensitized to house dust mite (HDM) were treated with two week cycles of FA, house dust mite allergen (HDMA), ozone (O{sub 3}) or HDMA/ozone (HDMA + O{sub 3}) for five months. At the end of the five months, six animals from each group were necropsied. The other six animals in each group were allowed to recover in FA for 30 more months at which time they were necropsied. Design-based stereology was used to estimate volumes of lung components, number of alveoli, size of alveoli, distribution of alveolar volumes, interalveolar capillary density. After 30 months of recovery, monkeys exposed to HDMA, in either group, had significantly more alveoli than filtered air. These alveoli also had higher capillary densities as compared with FA controls. These results indicate that early life exposure to HDMA alone or HDMA + O{sub 3} alters the development process in the lung alveoli. - Highlights: • Abnormal lung development after postnatal exposure to ozone and allergen • This remodeling is shown as smaller, more numerous alveoli and narrower airways. • Allergen appears to have more of an effect than ozone during recovery. • These animals also have continued airway hyperresponsiveness (Moore et al. 2014)

  12. Planck early results. IV. First assessment of the High Frequency Instrument in-flight performance

    NASA Astrophysics Data System (ADS)

    Planck HFI Core Team; Ade, P. A. R.; Aghanim, N.; Ansari, R.; Arnaud, M.; Ashdown, M.; Aumont, J.; Banday, A. J.; Bartelmann, M.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bock, J. J.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Boulanger, F.; Bradshaw, T.; Bréelle, E.; Bucher, M.; Camus, P.; Cardoso, J.-F.; Catalano, A.; Challinor, A.; Chamballu, A.; Charra, J.; Charra, M.; Chary, R.-R.; Chiang, C.; Church, S.; Clements, D. L.; Colombi, S.; Couchot, F.; Coulais, A.; Cressiot, C.; Crill, B. P.; Crook, M.; de Bernardis, P.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dolag, K.; Dole, H.; Doré, O.; Douspis, M.; Efstathiou, G.; Eng, P.; Filliard, C.; Forni, O.; Fosalba, P.; Fourmond, J.-J.; Ganga, K.; Giard, M.; Girard, D.; Giraud-Héraud, Y.; Gispert, R.; Górski, K. M.; Gratton, S.; Griffin, M.; Guyot, G.; Haissinski, J.; Harrison, D.; Helou, G.; Henrot-Versillé, S.; Hernández-Monteagudo, C.; Hildebrandt, S. R.; Hills, R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Huffenberger, K. M.; Jaffe, A. H.; Jones, W. C.; Kaplan, J.; Kneissl, R.; Knox, L.; Lagache, G.; Lamarre, J.-M.; Lami, P.; Lange, A. E.; Lasenby, A.; Lavabre, A.; Lawrence, C. R.; Leriche, B.; Leroy, C.; Longval, Y.; Macías-Pérez, J. F.; Maciaszek, T.; MacTavish, C. J.; Maffei, B.; Mandolesi, N.; Mann, R.; Mansoux, B.; Masi, S.; Matsumura, T.; McGehee, P.; Melin, J.-B.; Mercier, C.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Mortlock, D.; Murphy, A.; Nati, F.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; North, C.; Noviello, F.; Novikov, D.; Osborne, S.; Paine, C.; Pajot, F.; Patanchon, G.; Peacocke, T.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Piacentini, F.; Piat, M.; Plaszczynski, S.; Pointecouteau, E.; Pons, R.; Ponthieu, N.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Reach, W. T.; Renault, C.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Roudier, G.; Rowan-Robinson, M.; Rusholme, B.; Santos, D.; Savini, G.; Schaefer, B. M.; Shellard, P.; Spencer, L.; Starck, J.-L.; Stassi, P.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sunyaev, R.; Sygnet, J.-F.; Tauber, J. A.; Thum, C.; Torre, J.-P.; Touze, F.; Tristram, M.; van Leeuwen, F.; Vibert, L.; Vibert, D.; Wade, L. A.; Wandelt, B. D.; White, S. D. M.; Wiesemeyer, H.; Woodcraft, A.; Yurchenko, V.; Yvon, D.; Zacchei, A.

    2011-12-01

    The Planck High Frequency Instrument (HFI) is designed to measure the temperature and polarization anisotropies of the cosmic microwave background and Galactic foregrounds in six ~30% bands centered at 100, 143, 217, 353, 545, and 857 GHz at an angular resolution of 10' (100 GHz), 7' (143 GHz), and 5' (217 GHz and higher). HFI has been operating flawlessly since launch on 14 May 2009, with the bolometers reaching 100 mK the first week of July. The settings of the readout electronics, including bolometer bias currents, that optimize HFI's noise performance on orbit are nearly the same as the ones chosen during ground testing. Observations of Mars, Jupiter, and Saturn have confirmed that the optical beams and the time responses of the detection chains are in good agreement with the predictions of physical optics modeling and pre-launch measurements. The Detectors suffer from a high flux of cosmic rays due to historically low levels of solar activity. As a result of the redundancy of Planck's observation strategy, theremoval of a few percent of data contaminated by glitches does not significantly affect the instrumental sensitivity. The cosmic ray flux represents a significant and variable heat load on the sub-Kelvin stage. Temporal variation and the inhomogeneous distribution of the flux results in thermal fluctuations that are a probable source of low frequency noise. The removal of systematic effects in the time ordered data provides a signal with an average noise equivalent power that is 70% of the goal in the 0.6-2.5 Hz range. This is slightly higher than was achieved during the pre-launch characterization but better than predicted in the early phases of the project. The improvement over the goal is a result of the low level of instrumental background loading achieved by the optical and thermal design of the HFI. Corresponding author: J.-M. Lamarre, jean-michel.lamarre@obspm.fr

  13. Differential population synthesis of early-type galaxies. III. Synthesis results

    SciTech Connect

    Pickles, A.J.

    1985-09-15

    Synthesis results are presented for 12 elliptical and five lenticular galaxies which cover nearly a 6 mag range of absolute magnitude in the Fornax cluster (V = 1430 km s ). The results of age, metallicity, and mass-to-light ratio (M/L) determinations are presented differentially as functions of galactic luminosity and morphology. Bright elliptical galaxies are well represented by main-sequence turnoff colors of (V-R)/sub c/roughly-equal0.37 and B-Vroughly-equal0.70, in good agreement with O'Connell's results for bright Virgo ellipticals. The relatively young main-sequence turnoff ages, of 6-10 Gyr for ellipticals of all luminosities, indicate that substantial star formation activity occurred in these galaxies for a period of 6dagger10 Gyr after the epoch of globular cluster formation. There is strong evidence for small amounts of current star formation in at least the brightest ellipticals of all luminosities, indicate that substantial star formation in at least the brightest ellipticals, variation in the amount of which may account for significant dispersion in the cluster U-V versus V color-magnitude relation. A metallicity gradient in (Fe/H) of at least 0.16 dex per absolute magnitude is derived, with the brightest ellipticals being 2 to 3 times more metal-rich than solar. The mean metallicities and turnoff ages of the faintest ellipticals are probably dependent on environment. Distance-independent upper limits to galaxy M/L ratios derived from the syntheses conform well with M/L ratios derived from velocity dispersion measurements and give no evidence for unseen mass in the nuclei of early type galaxies of any luminosity.

  14. A Pilot Clinical Trial of Creatine and Minocycline in Early Parkinson Disease: 18-Month Results

    PubMed Central

    2015-01-01

    Objective To report an 18-month follow-up on creatine and minocycline futility study, the Neuroprotective Exploratory Trials in Parkinson Disease, Futility Study 1 (NET-PD FS-1). Background The NET-PD FS-1 futility study on creatine and minocycline found neither agent futile in slowing down the progression of disability in Parkinson disease (PD) at 12 months using the prespecified futility threshold. An additional 6 months of follow-up aimed to assess safety and potential interactions of the study interventions with anti-parkinsonian therapy. Methods Additional 6 months of follow-up in randomized, blinded phase II trial of creatine (dosage, 10 g/d) and minocycline (dosage, 200 mg/d) in subjects with early PD. Results By 18 months, symptomatic treatment of PD symptoms was required in 61% of creatine, 62% of minocycline, and 60% of placebo-treated subjects. Study treatment was prematurely discontinued in 9%, 23%, and 6% of subjects in the creatine, minocycline, and placebo arms, respectively. Creatine and minocycline did not seem to adversely influence the response to symptomatic therapy nor increase adverse events. Conclusions Data from this small, 18-month phase II trial of creatine and minocycline do not demonstrate safety concerns that would preclude a large, phase III efficacy trial, although the decreased tolerability of minocycline is a concern. PMID:18520981

  15. Adaptive multi-sensor biomimetics for unsupervised submarine hunt (AMBUSH): Early results

    NASA Astrophysics Data System (ADS)

    Blouin, Stéphane

    2014-10-01

    Underwater surveillance is inherently difficult because acoustic wave propagation and transmission are limited and unpredictable when targets and sensors move around in the communication-opaque undersea environment. Today's Navy underwater sensors enable the collection of a massive amount of data, often analyzed offtine. The Navy of tomorrow will dominate by making sense of that data in real-time. DRDC's AMBUSH project proposes a new undersea-surveillance network paradigm that will enable such a real-time operation. Nature abounds with examples of collaborative tasks taking place despite limited communication and computational capabilities. This publication describes a year's worth of research efforts finding inspiration in Nature's collaborative tasks such as wolves hunting in packs. This project proposes the utilization of a heterogeneous network combining both static and mobile network nodes. The military objective is to enable an unsupervised surveillance capability while maximizing target localization performance and endurance. The scientific objective is to develop the necessary technology to acoustically and passively localize a noise-source of interest in shallow waters. The project fulfills these objectives via distributed computing and adaptation to changing undersea conditions. Specific research interests discussed here relate to approaches for performing: (a) network self-discovery, (b) network connectivity self-assessment, (c) opportunistic network routing, (d) distributed data-aggregation, and (e) simulation of underwater acoustic propagation. We present early results then followed by a discussion about future work.

  16. AKARI—Infrared Satellite Mission—Present Status and Early Results

    NASA Astrophysics Data System (ADS)

    Onaka, Takashi

    2009-04-01

    AKARI, formerly known as ASTRO-F, is a satellite mission dedicated to infrared astronomy for the first time in Japan. It has a 685-mm aperture telescope with two focal-plane instruments cooled by liquid helium (LHe) and mechanical coolers on board for observations in the 2-180 μm infrared spectral range. AKARI was launched on 2006 February 21 (UT) into a sun-synchronous polar orbit and started observations in May, 2006. It carried 179 liter LHe that lasted for 550 days and observations with LHe were carried out for more than 15 months. During the LHe holding period, AKARI made all-sky survey observations with six bands from 9 to 160 μm, which surpass the IRAS all-sky survey data in the sensitivity, spatial resolution, and spectral coverage. Together with the all-sky observation, AKARI also made pointing observations for about 10 min at a given position of the sky to execute deep imaging and spectroscopy from near- to far-infrared. Both focal-plane instruments work successfully on orbit and more than 90% of the sky was observed in the all-sky survey. After LHe exhaustion, near-infrared observations are planned to continue. This paper reports the in-orbit performance of AKARI and its early observational results so far obtained.

  17. Early Instrument Performance Results from the Terra/Moderate Resolution Imaging Spectroradiometer (MODIS)

    NASA Technical Reports Server (NTRS)

    Salomonson, V. V.; Guenther, B. W.; Barnes, W. L.; Murphy, R. E.

    2000-01-01

    The Moderate Resolution Imaging Spectroradiometer (MODIS) is a major observational capability flying on the Earth Observing System (EOS) AM-1 "Terra" mission. This mission is to go into orbit in late 1999 or very early 2000. The MODIS was developed to provide improved observations of land, ocean, and atmosphere features relative to "heritage instruments" such as the NOAA Advanced Very High Resolution Radiometer (AVHRR), the Nimbus Coastal Zone Color Scanner (CZCS)and the SeaStar/SeaWiFS instruments, in particular. In addition the MODIS should provide complementary observations to the Landsat-7 Thematic Mapper and the NOAA HIRS instrument. There has been considerable effort to include capabilities or plans to characterize and assure calibration of the instrument data. These efforts include on on-board blackbody (BB), a solar diffuser (SID), a solar diffuser stability monitor (SDSM), and a spectral radiometric calibration assembly (SDSM). These devices, along with careful analyses of scenes acquired during orbit, are expected to allow comparisons with pre-launch expectations regarding spatial performance, spectral performance, and radiometric performance. In addition deep space observations and observations of the moon are to be used to characterize instrument performance. The purpose of this paper is to provide quantitative comparisons, as results become available from the Terra MODIS, to heritage instruments, pre-launch expectations and specifications.

  18. Early results from the Northern Gulf of Mexico Ecosystem Change and Hazard Susceptibility Project

    USGS Publications Warehouse

    Brock, John C.; Lavoie, Dawn L.; Poore, Richard Z.

    2011-01-01

    The northern Gulf of Mexico coastal region and its diverse ecosystems are threatened by population and development pressure and by the impacts of rising sea level and severe storms such as the series of hurricanes that has impacted the northern Gulf in recent years. In response to the complex management issues facing the region, the U.S. Geological Survey (USGS) organized a multidisciplinary research program to coordinate the activities of USGS and other scientists working in the northern Gulf of Mexico region (fig. 1). The Northern Gulf of Mexico (NGOM) Ecosystem Change and Hazard Susceptibility Project aims to develop a thorough understanding of the dynamic coastal ecosystems on the northern Gulf coast, the impact of human activities on these ecosystems, and the vulnerability of ecosystems and human communities to more frequent and more intense hurricanes in the future. A special issue of Geo-Marine Letters published in December 2009 is devoted to early results of studies completed as part of this project. These studies, which have been conducted at sites throughout the northern Gulf region, from the Chandeleur Islands to Apalachicola Bay, have focused on three themes: (1) The underlying geologic framework that exerts controls over coastal processes (2) The impact of human activities on nearshore water quality (3) Hurricanes and associated effects

  19. Overview and Early Results of the Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES)

    NASA Astrophysics Data System (ADS)

    Shiotani, Masato

    2010-05-01

    The Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES) was developed to be aboard the Japanese Experiment Module (JEM) on the International Space Station (ISS) under the cooperation of the Japan Aerospace Exploration Agency (JAXA) and the National Institute of Information and Communication Technology (NICT). SMILES was successfully launched by the H-IIB rocket with the H-II Transfer Vehicle (HTV) on September 11, 2009 and was attached to JEM on September 25. Mission objectives are: i) Space demonstration of 4-K mechanical cooler and super-conductive mixer for the submillimeter limb-emission sounding in the frequency bands of 624.32- 627.32 GHz and 649.12- 650.32 GHz, and ii) global observations of atmospheric minor constituents in the middle atmosphere (O3, HCl, ClO, HO2, HOCl, BrO, O3 isotopes, HNO3, CH3CN, etc), contributing to the atmospheric sciences. SMILES started atmospheric observations on October 12, 2009, and has been making very precise measurements on several radical species crucial to the ozone chemistry with its high-sensitivity. In this presentation, the overview of SMILES and the early results will be shown to demonstrate its high potential to observe the atmospheric minor constituents in the middle atmosphere.

  20. Early intervention and prevention of anxiety disorders in children: results at 2-year follow-up.

    PubMed

    Dadds, M R; Holland, D E; Laurens, K R; Mullins, M; Barrett, P M; Spence, S H

    1999-02-01

    The Queensland Early Intervention and Prevention of Anxiety Project evaluated a child- and family-focused group intervention for preventing anxiety problems in children. This article reports on 12- and 24-month follow-up data to previously reported outcomes at posttreatment and at 6-month follow-up. A total of 1,786 7- to 14-year-olds were screened for anxiety problems using teacher nominations and children's self-report. After diagnostic interviews, 128 children were selected and assigned to either a 10-week school-based child- and parent-focused psychosocial intervention or a monitoring group. Both groups showed improvements immediately at postintervention and at 6-month follow-up; the improvement was maintained in the intervention group only reducing the rate of existing anxiety disorder and preventing the onset of new anxiety disorders. At 12 months, the groups converged, but the superiority of the intervention group was evident again at 2-year follow-up. Severity of pretreatment diagnoses, gender, and parental anxiety predicted poor initial response to intervention, whereas pretreatment severity was the only predictor of chronicity at 24 months. Overall, follow-up results show that a brief school-based intervention for children can produce durable reductions in anxiety problems. PMID:10028219

  1. Spectroscopic Analysis of Metal-poor Stars from LAMOST: Early Results

    NASA Astrophysics Data System (ADS)

    Li, Hai-Ning; Zhao, Gang; Christlieb, Norbert; Wang, Liang; Wang, Wei; Zhang, Yong; Hou, Yonghui; Yuan, Hailong

    2015-01-01

    We report on early results from a pilot program searching for metal-poor stars with LAMOST and follow-up high-resolution observation acquired with the MIKE spectrograph attached to the Magellan II telescope. We performed detailed abundance analysis for eight objects with iron abundances [Fe/H] < -2.0, including five extremely metal-poor (EMP; [Fe/H] < -3.0) stars with two having [Fe/H] < -3.5. Among these objects, three are newly discovered EMP stars, one of which is confirmed for the first time with high-resolution spectral observations. Three program stars are regarded as carbon-enhanced metal-poor (CEMP) stars, including two stars with no enhancement in their neutron-capture elements, which thus possibly belong to the class of CEMP-no stars; one of these objects also exhibits significant enhancement in nitrogen, and is thus a potential carbon and nitrogen-enhanced metal-poor star. The [X/Fe] ratios of the sample stars generally agree with those reported in the literature for other metal-poor stars in the same [Fe/H] range. We also compared the abundance patterns of individual program stars with the average abundance pattern of metal-poor stars and find only one chemically peculiar object with abundances of at least two elements (other than C and N) showing deviations larger than 0.5 dex. The distribution of [Sr/Ba] versus [Ba/H] agrees that an additional nucleosynthesis mechanism is needed aside from a single r-process. Two program stars with extremely low abundances of Sr and Ba support the prospect that both main and weak r-processes may have operated during the early phase of Galactic chemical evolution. The distribution of [C/N] shows that there are two groups of carbon-normal giants with different degrees of mixing. However, it is difficult to explain the observed behavior of the [C/N] of the nitrogen-enhanced unevolved stars based on current data.

  2. Early Results from the Curiosity Rover's SAM Investigation at Gale Crater

    NASA Astrophysics Data System (ADS)

    Mahaffy, Paul; Webster, Chris; Cabane, Michael; Coll, Patrice

    2013-04-01

    The goals of the Mars Science Laboratory Mission (1, 2) are to explore the potential of the Gale Crater landing site to support life either in the distant past or the present. The contribution of the Sample Analysis at Mars (SAM) instrument suite (3) in this exploration of habitability is (A) to search for organic compounds in rocks and soils, (B) to determine the composition of inorganic volatiles compounds in the atmosphere or extracted from solid materials, and (C) to measure the isotopic composition of several of these volatiles. While prime exploration targets of MSL's Curiosity Rover are the layers in the central mound (Mt. Sharp) of Gale crater the initial exploration of region near the landing point has revealed a diverse geology and the early part of the mission has been spent both commissioning the 10 Curiosity instruments and the Rover subsystems and making first time measurements of both atmospheric and solid samples. SAM is located in the interior of MSL's Curiosity rover next to the XRD/XRF CheMin instrument. A variety of imaging, laser induced breakdown spectroscopy, and elemental analysis instrumentation serves to locate sampling sites and interogate candidate materials before solid sample is collected either with a drill or a scoop for delivery to SAM and CheMin. SAM's instruments are a quadrupole mass spectrometer (QMS), a tunable laser spectrometer (TLS), and a 6-column gas chromatograph (GC). These are coupled through a solid sample transport system and a gas processing and enrichment system. The SAM suite is able to measure a suite of light isotopes and to analyze volatiles directly from the atmosphere or thermally released from solid samples. Early results from SAM atmospheric runs include a determination of: new volume mixing ratios for the 5 major isotopic constituents showing Ar approximately equal to N2; an upper limit of 3.5 ppb for the volume mixing ratio of methane; C and O isotope ratios showing both heavier than terrestrial averages

  3. SPECTROSCOPIC ANALYSIS OF METAL-POOR STARS FROM LAMOST: EARLY RESULTS

    SciTech Connect

    Li, Hai-Ning; Zhao, Gang; Wang, Liang; Wang, Wei; Yuan, Hailong; Christlieb, Norbert; Zhang, Yong; Hou, Yonghui E-mail: gzhao@nao.cas.cn

    2015-01-10

    We report on early results from a pilot program searching for metal-poor stars with LAMOST and follow-up high-resolution observation acquired with the MIKE spectrograph attached to the Magellan II telescope. We performed detailed abundance analysis for eight objects with iron abundances [Fe/H] < -2.0, including five extremely metal-poor (EMP; [Fe/H] < -3.0) stars with two having [Fe/H] < -3.5. Among these objects, three are newly discovered EMP stars, one of which is confirmed for the first time with high-resolution spectral observations. Three program stars are regarded as carbon-enhanced metal-poor (CEMP) stars, including two stars with no enhancement in their neutron-capture elements, which thus possibly belong to the class of CEMP-no stars; one of these objects also exhibits significant enhancement in nitrogen, and is thus a potential carbon and nitrogen-enhanced metal-poor star. The [X/Fe] ratios of the sample stars generally agree with those reported in the literature for other metal-poor stars in the same [Fe/H] range. We also compared the abundance patterns of individual program stars with the average abundance pattern of metal-poor stars and find only one chemically peculiar object with abundances of at least two elements (other than C and N) showing deviations larger than 0.5 dex. The distribution of [Sr/Ba] versus [Ba/H] agrees that an additional nucleosynthesis mechanism is needed aside from a single r-process. Two program stars with extremely low abundances of Sr and Ba support the prospect that both main and weak r-processes may have operated during the early phase of Galactic chemical evolution. The distribution of [C/N] shows that there are two groups of carbon-normal giants with different degrees of mixing. However, it is difficult to explain the observed behavior of the [C/N] of the nitrogen-enhanced unevolved stars based on current data.

  4. Early Results of Endovascular Treatment of the Thoracic Aorta Using the Valiant Endograft

    SciTech Connect

    Thompson, Matt Ivaz, Stella; Cheshire, Nicholas; Fattori, Rosella; Rousseau, Herve; Heijmen, Robin; Beregi, Jean-Paul; Thony, Frederic; Horne, Gillian; Morgan, Robert; Loftus, Ian

    2007-11-15

    Endovascular repair of the thoracic aorta has been adopted as the first-line therapy for much pathology. Initial results from the early-generation endografts have highlighted the potential of this technique. Newer-generation endografts have now been introduced into clinical practice and careful assessment of their performance should be mandatory. This study describes the initial experience with the Valiant endograft and makes comparisons with similar series documenting previous-generation endografts. Data were retrospectively collected on 180 patients treated with the Valiant endograft at seven European centers between March 2005 and October 2006. The patient cohort consisted of 66 patients with thoracic aneurysms, 22 with thoracoabdominal aneurysms, 19 with an acute aortic syndrome, 52 with aneurysmal degeneration of a chronic dissection, and 21 patients with traumatic aortic transection. The overall 30-day mortality for the series was 7.2%, with a stroke rate of 3.8% and a paraplegia rate of 3.3%. Subgroup analysis demonstrated that mortality differed significantly between different indications; thoracic aneurysms (6.1%), thoracoabdominal aneurysms (27.3%), acute aortic syndrome (10.5%), chronic dissections (1.9%), and acute transections (0%). Adjunctive surgical procedures were required in 63 patients, and 51% of patients had grafts deployed proximal to the left subclavian artery. Comparison with a series of earlier-generation grafts demonstrated a significant increase in complexity of procedure as assessed by graft implantation site, number of grafts and patient comorbidity. The data demonstrate acceptable results for a new-generation endograft in series of patients with diverse thoracic aortic pathology. Comparison of clinical outcomes between different endografts poses considerable challenges due to differing case complexity.

  5. The JCMT Plane Survey: early results from the ℓ = 30° field

    NASA Astrophysics Data System (ADS)

    Moore, T. J. T.; Plume, R.; Thompson, M. A.; Parsons, H.; Urquhart, J. S.; Eden, D. J.; Dempsey, J. T.; Morgan, L. K.; Thomas, H. S.; Buckle, J.; Brunt, C. M.; Butner, H.; Carretero, D.; Chrysostomou, A.; deVilliers, H. M.; Fich, M.; Hoare, M. G.; Manser, G.; Mottram, J. C.; Natario, C.; Olguin, F.; Peretto, N.; Polychroni, D.; Redman, R. O.; Rigby, A. J.; Salji, C.; Summers, L. J.; Berry, D.; Currie, M. J.; Jenness, T.; Pestalozzi, M.; Traficante, A.; Bastien, P.; diFrancesco, J.; Davis, C. J.; Evans, A.; Friberg, P.; Fuller, G. A.; Gibb, A. G.; Gibson, S.; Hill, T.; Johnstone, D.; Joncas, G.; Longmore, S. N.; Lumsden, S. L.; Martin, P. G.; Lu'o'ng, Q. Nguyê˜n.; Pineda, J. E.; Purcell, C.; Richer, J. S.; Schieven, G. H.; Shipman, R.; Spaans, M.; Taylor, A. R.; Viti, S.; Weferling, B.; White, G. J.; Zhu, M.

    2015-11-01

    We present early results from the JCMT (James Clerk Maxwell Telescope) Plane Survey (JPS), which has surveyed the northern inner Galactic plane between longitudes ℓ = 7° and ℓ = 63° in the 850-μm continuum with SCUBA-2 (Submm Common-User Bolometer Array 2), as part of the JCMT Legacy Survey programme. Data from the ℓ = 30° survey region, which contains the massive-star-forming regions W43 and G29.96, are analysed after approximately 40 per cent of the observations had been completed. The pixel-to-pixel noise is found to be 19 mJy beam-1 after a smooth over the beam area, and the projected equivalent noise levels in the final survey are expected to be around 10 mJy beam-1. An initial extraction of compact sources was performed using the FELLWALKER method, resulting in the detection of 1029 sources above a 5σ surface-brightness threshold. The completeness limits in these data are estimated to be around 0.2 Jy beam-1 (peak flux density) and 0.8 Jy (integrated flux density) and are therefore probably already dominated by source confusion in this relatively crowded section of the survey. The flux densities of extracted compact sources are consistent with those of matching detections in the shallower APEX (Atacama Pathfinder Experiment) Telescope Large Area Survey of the Galaxy (ATLASGAL) survey. We analyse the virial and evolutionary state of the detected clumps in the W43 star-forming complex and find that they appear younger than the Galactic-plane average.

  6. Single-Fraction Intraoperative Radiotherapy for Breast Cancer: Early Cosmetic Results

    SciTech Connect

    Beal, Kathryn McCormick, Beryl; Zelefsky, Michael J.; Borgen, Patrick; Fey, Jane; Goldberg, Jessica; Sacchini, Virgilio

    2007-09-01

    Purpose: To evaluate the cosmetic outcome of patients treated with wide local excision and intraoperative radiotherapy for early-stage breast cancer. Methods and Materials: A total of 50 women were treated on a pilot study to evaluate the feasibility of intraoperative radiotherapy at wide local excision. The eligibility criteria included age >60, tumor size {<=}2.0 cm, clinically negative lymph nodes, and biopsy-established diagnosis. After wide local excision, a custom breast applicator was placed in the excision cavity, and a dose of 20 Gy was prescribed to a depth of 1 cm. After 18 patients were treated, the dose was constrained laterally to 18 Gy. The cosmetic outcome was evaluated by photographs at baseline and at 6 and 12 months postoperatively. Four examiners graded the photographs for symmetry, edema, discoloration, contour, and scarring. The grades were evaluated in relationship to the volume of irradiated tissue, tumor location, and dose at the lateral aspects of the cavity. Results: The median volume of tissue receiving 100% of the prescription dose was 47 cm{sup 3} (range, 20-97 cm{sup 3}). Patients with {<=}47 cm{sup 3} of treated tissue had better cosmetic outcomes than did the women who had >47 cm{sup 3} of treated tissue. Women who had received 18 Gy at the lateral aspects of their cavities had better cosmetic outcomes than did women who had received 20 Gy at the lateral aspects. When comparing the 6- and 12-month results, the scores remained stable for 63%, improved for 17%, and worsened for 20%. Conclusion: Intraoperative radiotherapy appears feasible for selected patients. A favorable cosmetic outcome appears to be related to a smaller treatment volume. The cosmetic outcome is acceptable, although additional follow-up is necessary.

  7. Titan: Preliminary results on surface properties and photometry from VIMS observations of the early flybys

    USGS Publications Warehouse

    Buratti, B.J.; Sotin, C.; Brown, R.H.; Hicks, M.D.; Clark, R.N.; Mosher, J.A.; McCord, T.B.; Jaumann, R.; Baines, K.H.; Nicholson, P.D.; Momary, T.; Simonelli, D.P.; Sicardy, B.

    2006-01-01

    Cassini observations of the surface of Titan offer unprecedented views of its surface through atmospheric windows in the 1-5 ??m region. Images obtained in windows for which the haze opacity is low can be used to derive quantitative photometric parameters such as albedo and albedo distribution, and physical properties such as roughness and particle characteristics. Images from the early Titan flybys, particularly T0, Ta, and T5 have been analyzed to create albedo maps in the 2.01 and 2.73 ??m windows. We find the average normal reflectance at these two wavelengths to be 0.15??0.02 and 0.035??0.003, respectively. Titan's surface is bifurcated into two albedo regimes, particularly at 2.01 ??m. Analysis of these two regimes to understand the physical character of the surface was accomplished with a macroscopic roughness model. We find that the two types of surface have substantially different roughness, with the low-albedo surface exhibiting mean slope angles of ???18??, and the high-albedo terrain having a much more substantial roughness with a mean slope angle of ???34??. A single-scattering phase function approximated by a one-term Henyey-Greenstein equation was also fit to each unit. Titan's surface is back-scattering (g???0.3-0.4), and does not exhibit substantially different backscattering behavior between the two terrains. Our results suggest that two distinct geophysical domains exist on Titan: a bright region cut by deep drainage channels and a relatively smooth surface. The two terrains are covered by a film or a coating of particles perhaps precipitated from the satellite's haze layer and transported by eolian processes. Our results are preliminary: more accurate values for the surface albedo and physical parameters will be derived as more data is gathered by the Cassini spacecraft and as a more complete radiative transfer model is developed from both Cassini orbiter and Huygens Lander measurements. ?? 2006 Elsevier Ltd. All rights reserved.

  8. Annulo-nucleoplasty using Disc-FX in the management of lumbar disc pathology: Early results

    PubMed Central

    Kumar, Aravind; Siddharth M, Shah; Sambhav P, Shah; Tan, Justin

    2014-01-01

    Background Back pain due to Lumbar Disc Disease is a major clinical problem. The treatment options range from physiotherapy to fusion surgery. A number of minimally invasive procedures have also been developed in the recent past for its management. Disc-FX is a new minimally invasive technique that combines percutaneous discectomy, nuclear ablation and annular modification. Literature on its role in the management of lumbar disc pathology is scarce. Methods We included 24 consecutive patients who underwent the Disc-FX for back pain due to lumbar disc pathology non-responsive to non-operative treatment for a period of at least 6 months. Based on Magnetic Resonance Imaging (MRI) these patients fell into 2 groups – those with degenerative disc disease (DDD) (n = 12) and those with a contained lumbar disc herniation (CLDH)(n = 12). They were evaluated using the Visual analogue scale (VAS), Oswestry Disability Index (ODI) and Short Form-36 (SF-36) scores preoperatively and postoperatively. Results The mean age was 37.9 years (21-53 years). There were 17 males and 7 females. One patient in each subgroup was excluded from the final evaluation. Significant improvement was seen in all outcome measures. The overall rate of reintervention for persistent symptoms was 18.18% (4/22); in the CLDH subgroup, it was 36.36% (4/11). Conclusions and level of evidence Early results after the Disc-FX procedure suggest that it s a reasonable treatment option for patients with back pain due to lumbar disc disease, especially for those with DDD who fail conservative treatment. It could be an alternative to procedures like fusion or disc replacement. This study presents Level IV evidence. Clinical relevance We feel that our study establishes Disc-FX as a modality of treating symptomatic lumbar disc disease due to DDD. However, longer term prospective studies are needed to prove this and to evaluate its role in the treatment of patients with CLDH. PMID:25694914

  9. PROBA-V Energetic Particle Telescope instrument and its early science results

    NASA Astrophysics Data System (ADS)

    Cyamukungu, Mathias; O'Brien, Paul; Benck, Sylvie; Evans, Hugh; Nieminen, Petteri; Mazur, Joseph; Daly, Eamonn; Borisov, Stanislav

    The Energetic Particle Telescope (EPT) is a science-class instrument designed to measure contamination-free spectra of electrons (0.5 - 10 MeV), protons (9 - 300 MeV) and He-ions (38 - 1200 MeV) within a 52 deg. Field Of View (FOV) angle and a 149 cm(2) sr aperture geometrical factor. The instrument is modular and it can be in-flight configured so as to provide up to 19 energy channels per particle type. The EPT dimensions are 210 mm x 162 mm x 128 mm, the total mass is 4.6 kgs and its power consumption amounts to 5.6 Watts. The satellite PROBA-V was launched on the 7th May 2013 onto a sun-synchronous circular Low Earth Orbit at 820 km altitude and 98.7 deg. inclination. Its local time at descending node is 10:30. The EPT has been accommodated onto the S/C so as to get its boresight oriented Eastwards during local night time and Westwards during local day time. However, the East/West orientation has been modified during the commissioning phase to allow measurements of Pitch Angle Distribution (PAD). The latters were part of a plan aimed at validating the EPT hardware and the data analysis software. The EPT is currently acquiring data that are used for (i) cross-validation of radiation monitors or spectrometers, (ii) cross-validation of space radiation models, (iii) development of steady-state electron and proton flux models and (iv) space weather studies. The EPT validation results along with early results of the ongoing science studies are presented in this paper.

  10. Survival of Implants in Immediate Extraction Sockets of Anterior Teeth: Early Clinical Results

    PubMed Central

    Sabir, Mohammad

    2015-01-01

    Background The aims and objectives of this study were placement of implants in freshly extracted sockets of anterior teeth and to evaluate the implant stability, peri-implant radiolucency and gingival inflammation around implant over a short period of 30 months. Materials and Methods A total of 12 patients (8 male and 4 female), ranging in the age from 20 to 50 years, from March 2007 to June 2007, were evaluated for immediate implant placement into 22 fresh extraction sockets. Only maxillary and mandibular anterior teeth/roots (central incisors, lateral incisors and canines) were considered for replacement with implants. One piece implant with integrated abutment and integrated surface, non-submerged, threaded and tapered at apical 5 mm, sand-blasted and acid etched surfaced implants (HI-TEC TRX-OP Implants of Life Care Company) were used. Results The mobility was not present in any of the implants at all the follow up visits. There were 2 implants at 6 month, 1 implant at 12 month, 1 implant at 18 month visits, showing peri-implant radiolucency at some sites at bone to implant contact site. Severe gingival inflammation was not observed in any of the implant site. At every follow-up visit, every implant met the criteria of success and none was found to be failed over a 30 months duration i.e. 100% success rate was achieved by implants in immediate extraction socket. Conclusion The success rate of implant survival in this study was found 100%. These implants have fulfilled all the criteria of implant success and based on the defined criteria, the success rate of implants placed in immediate extraction sockets of anterior teeth compared favorably with the conventional implants. The early results of the present study showed that high survival rates with the implants in immediate extraction sockets can be achieved. PMID:26266220

  11. Bulimic Behaviors and Early Substance Use: Findings from a Cotwin-Control Study

    PubMed Central

    Munn-Chernoff, Melissa A.; Grant, Julia D.; Bucholz, Kathleen K.; Agrawal, Arpana; Lynskey, Michael T.; Madden, Pamela A. F.; Heath, Andrew C.; Duncan, Alexis E.

    2015-01-01

    Background Bulimic behaviors (i.e., binge eating and compensatory behaviors) and substance use frequently co-occur. However, the etiology underlying this association is poorly understood. This study evaluated the association between bulimic behaviors and early substance use, controlling for genetic and shared environmental factors. Methods Participants were 3540 young adult women from the Missouri Adolescent Female Twin Study. A telephone adaptation of the Semi-Structured Assessment for the Genetics of Alcoholism interview assessed DSM-IV bulimic behaviors, substance use, and other psychological characteristics. Lifetime bulimic behaviors were examined in twin pairs concordant and discordant for early substance use. Logistic regressions were adjusted for the non-independence of twin data, zygosity, age, body mass index, early menarche (onset before age 12), and early sex (first consensual sexual intercourse before age 15). Results In the entire study population, women who reported early use of alcohol or nicotine were more likely to engage in bulimic behaviors after adjusting for covariates. In 53 pairs of monozygotic twins discordant for alcohol experimentation before age 15, the twin who reported early alcohol experimentation had 3.21 (95% confidence interval=1.54–6.67) times higher odds of reporting bulimic behaviors than the cotwin who did not report early alcohol experimentation, even after adjustment for covariates. Conclusions Findings suggest that early alcohol experimentation may contribute to the development of bulimic behaviors via mechanisms extending beyond shared vulnerability, including individual-specific environmental experiences or causal pathways. PMID:26248308

  12. Confocal microendoscopy: Characterization of imaging bundles, fluorescent contrast agents, and early clinical results

    NASA Astrophysics Data System (ADS)

    Udovich, Joshua Anthony

    Ovarian cancer is the fifth leading cause of cancer related deaths among women. Early detection improves the chances of survival following diagnosis, and new imaging modalities have the potential to reduce deaths due to this disease. The confocal microendoscope (CME) is a non-destructive in-vivo imaging device for visualization of the ovaries that operates in real-time. Two components of the CME system are evaluated in this paper, and initial results from an ongoing clinical trial are presented. Fiber-optic imaging bundles are used in the CME imaging catheter to relay images over distances of up to 20 feet. When detecting fluorescent signals from investigated tissue, any fluorescence in the system can potentially reduce contrast in images. The emission and transmission properties of three commercially available fiber optic imaging bundles were evaluated. Emission maps of fluorescence from bundles were generated at multiple excitation wavelengths to determine the profile and amount of fluorescence present in bundles manufactured by Sumitomo, Fujikura, and Schott. Results are also presented that show the variation of transmittance as a function of illumination angle in these bundles. Users of high-resolution fiber-optic imaging bundles should be aware of these properties and take them into account during system design. Contrast is improved in images obtained with the CME through the application of topical dyes. Acridine orange (AO) and SYTO 16 are two fluorescent stains that are used to show the size, shape, and distribution of cell nuclei. Unfortunately, little is known about the effects of these dyes on living tissues. This study was undertaken to evaluate the effects of dye treatment on peritoneal tissues in mice. Seventy-five Balb/c mice were split into five groups of fifteen and given peritoneal injections of dye or saline. The proportions of negative outcomes for the control and test groups were compared using confidence intervals and the Fisher's exact test

  13. Early Results of Recently Introduced Laparoscopic Adjustable Gastric Banding Procedure for Morbid Obesity in Croatia

    PubMed Central

    Franjic, B. D.; Glavan, E.; Bekavac-Beslin, M.

    2006-01-01

    Introduction: Morbid obesity is a growing medical problem that has become of epidemic proportions. Various dietary and pharmaceutical approaches do not obtain acceptable long-term results. Surgery, however, especially gastric restriction, represents a viable therapeutic solution. Individuals with a body mass index (BMI) >40 kg/m2 or >35 kg/m2 with at least one severe comorbidity are considered morbidly obese and generally qualify for weight-loss surgery. Laparoscopic adjustable gastric banding (LAGB) is currently the most commonly performed procedure, because it is minimally invasive, does not cause metabolic complications, is completely reversible, and is adjustable. In Croatia, the first LAGB was performed in May 2004 at Clinical Hospital “Sestre Milosrdnice.” The aim of this report is to illustrate a newly performed surgical treatment and its results for morbid obesity in Croatia. Methods: Within a 12-month period, the adjustable gastric band was implanted in 15 morbidly obese patients (female, 8; male, 7; mean age, 46.67 years; range, 26 –59 years). The so-called “pars flaccida” technique was used. Results: One operation required conversion to laparotomy due to a gastric lesion, and 1 laparoscopy operation was terminated due to massive postoperative adhesions. The average duration of surgery was 90±30 minutes. Mean length of stay was 4.9 days (range, 3–9). An average BMI at the time of surgery was 52.21 kg/m2 (range, 45.29 to 61.59; mean body weight was 155.58 kg (range, 127 to 204). Throughout 1-, 3-, 6-, 9-, and 12-month follow-ups, an average of 18.71%, 25.06%, 34.37%, 41.23%, and 47.32% of excessive weight loss (EWL) was observed. Good tolerance and a low complication rate were noted. Conclusion: LAGB resulted in good early results and a low complication rate. LAGB appears to be a quality surgical procedure for the management of morbid obesity. PMID:17575750

  14. Acute Vs Delayed ACL Reconstruction. Early Differences and Preliminary Two Year Results

    PubMed Central

    Eriksson, Karl; Barenius, Björn

    2016-01-01

    Objectives: Historically acute ACL reconstruction has been avoided due to reports of early rehabilitation problems with stiffness. Are these reports still valid today with modern arthroscopic techniques? Methods: 70 patients with a high recreational activity level (Tegner ≥6) who presented with a acute ACL injury were randomized to an acute reconstruction within 8 days from the injury or delayed reconstruction after 6-10 weeks. Four surgeons performed the ACL reconstructions with quadrupled semitendinosus tendon grafts and endobutton and metallic interference screw fixation. The rehabilitation training was performed at the same physiotherapy center for all patients. The follow up at 6 and 24 months included ROM, Lachman, Rolimeter, pivot shift, one leg hop, IKDC, KOOS, Lysholm and Tegner activity level. Results: There were no differences between the groups in ROM, IKDC, activity level or laxity at 6 months. Four patients had a combined extension and flexion deficit of more than 15 degrees, two from each group. In the acute group 79% had an objective IKDC grade A or B compared with 73% in the delayed group. The one leg hop index above 90% was found in 50% in the acute group and 24% in the delayed group (p=0.04). Functional data for the 2-year follow up are not available at the time of abstract writing. The median activity level according to Tegner was restored to pre-injury levels in both groups after one year, and was stationary at 2 years. The visual analogue scale (VAS) response to the question “How is your knee working on a scale from 0-100? (100 = best)” revealed 81 in the acute and 71 in the delayed group (p=0.1). To the question “How does your knee affect your activity level on a scale from 0-100? (100 = no affection)” the mean score was 75 in the acute group and 67 in the delayed group (p=0.3). At one and two years the KOOS was statistically similar between the groups but with slightly higher subscale “Sport and recreation” scores, 85 in the

  15. Early clinical and radiographical results of keel-less and shallow keel cervical disc replacement

    PubMed Central

    Ling, Ji Min; Tiruchelvarayan, Rajendra

    2015-01-01

    Background: Cervical disc replacements has been shown to be as effective as fusions in the treatment of radiculopathy or myelopathy due to disc prolapse. Newer implants were designed to reduce the difficulty of end-plate preparation. Since 2010, the authors have started using Discocerv (Alphatec Spine, Carlsbad, USA) a keel-less implant and Activ-C (B. Braun, Sheffield, UK), a shallow keel implant. Aim: The aim of this study was to compare the duration of surgery between cervical disc replacement and anterior cervical discectomy and fusion, and also to evaluate the functional outcome, complications, and radiographic outcome of cervical disc replacement. Results: Fifty patients were included (20 disc replacement and 30 fusion). This was a single surgeon retrospective study, with all surgery performed by the senior author (RT). The mean operation duration for single-level disc replacement was 2.6 h, and for single-level fusion was 2.4 h (P = 0.4684). For 2-levels surgery, the result was 3.5 h for 2-level hybrid surgery (one level disc replacement and one level fusion) and 3.4 h for fusion (P = 0.4489). Disc replacement resulted in preservation of an average of 67% of the angle of motion at the sagittal plane (FFflexion-extension). The average range of motion after disc replacement was 6.1°. The median clinical follow-up duration was 2 years (average 1.8 years). There was no incidence of major complications or significant neurovascular injury in this series of patients. A significant improvement in short form-36 scores was seen as early as 3 months postoperative (from 58 preoperative to 92 at 3 months). The improvement was sustained up to the fourth year of follow-up. Conclusion: Cervical arthroplasty with keel-less and shallow keel implants are safe and relatively easy to perform. The surgical time for disc replacement is not significantly longer than standard fusion surgery. There is reasonably good preservation of motion. The short-term functional improvement is

  16. Neurobiological consequences of early stress and childhood maltreatment: are results from human and animal studies comparable?

    PubMed

    Teicher, Martin H; Tomoda, Akemi; Andersen, Susan L

    2006-07-01

    Recent studies have reported an association between exposure to childhood abuse or neglect and alterations in brain structure or function. One limitation of these studies is that they are correlational and do not provide evidence of a cause-effect relationship. Preclinical studies on the effects of exposure to early life stress can demonstrate causality, and can enrich our understanding of the clinical research if we hypothesize that the consequences of early abuse are predominantly mediated through the induction of stress responses. Exposure to early abuse and early stress has each been associated with the emergence of epileptiform electroencephalogram (EEG) abnormalities, alterations in corpus callosum area, and reduced volume or synaptic density of the hippocampus. Further, there is evidence that different brain regions have unique periods when they are maximally sensitive to the effects of early stress. To date, preclinical studies have guided clinical investigations and will continue to provide important insight into studies on molecular mechanisms and gene-environment interactions. PMID:16891580

  17. Uncertainty and sensitivity analysis of early exposure results with the MACCS Reactor Accident Consequence Model

    SciTech Connect

    Helton, J.C.; Johnson, J.D.; McKay, M.D.; Shiver, A.W.; Sprung, J.L.

    1995-01-01

    Uncertainty and sensitivity analysis techniques based on Latin hypercube sampling, partial correlation analysis and stepwise regression analysis are used in an investigation with the MACCS model of the early health effects associated with a severe accident at a nuclear power station. The primary purpose of this study is to provide guidance on the variables to be considered in future review work to reduce the uncertainty in the important variables used in the calculation of reactor accident consequences. The effects of 34 imprecisely known input variables on the following reactor accident consequences are studied: number of early fatalities, number of cases of prodromal vomiting, population dose within 10 mi of the reactor, population dose within 1000 mi of the reactor, individual early fatality probability within 1 mi of the reactor, and maximum early fatality distance. When the predicted variables are considered collectively, the following input variables were found to be the dominant contributors to uncertainty: scaling factor for horizontal dispersion, dry deposition velocity, inhalation protection factor for nonevacuees, groundshine shielding factor for nonevacuees, early fatality hazard function alpha value for bone marrow exposure, and scaling factor for vertical dispersion.

  18. Early results of pulsed dye laser angioplasty with integral ball-tips in long femoral occlusions

    NASA Astrophysics Data System (ADS)

    Murray, Alan; Mitchell, David C.; Wood, Richard F. M.

    1990-07-01

    A Pulsed Dye laser together with specifically designed integral ball-tipped optical fibres have been used for the primary recanalisation of femoropopliteal vascular disease in 25 limbs of 23 patients. All patients had complete occlusions of the vessels ranging from 8-49cms in length (mean 22cms), having presented with critical ischaemia (18) or severe claudication warranting operative intervention (5). Pedal ulceration was present in 8 limbs and digital gangrene in 4. The laser produced visible light at 480nm in lOOmJ/lus pulses, at a frequency of 10-20Hz. The energy delivery device comprised a smooth atraumatic ball-tip constructed from the glass of the optical fibre, which was loaded retrogradely into a standard balloon angioplasty catheter. The device was introduced through a common femoral artery cutdown. Angiographic recanalisation was achieved in 22 of the 25 limbs with a mean energy of 280J(range 68-727J) and in each case the channel created by the laser fibre was augmented by balloon angioplasty. Technical failure occurred in three cases, caused by a wall dissection, persistent side-branch entry and incomplete lesion penetration respectively. Eighteen of procedures (72%) were clinically successful with marked symptomatic improvement. Of the four angiographic successful but clinical failures, acute occlusion within 48 hours occurred in 2 diabetic patients with very poor run-off and distal gangrene. The third case failed acutely due to a technically inadequate balloon dilatation and the fourth patient failed to improve symptomatically due to widespread with segmental tibial vessel disease below a successful recanalisation. Over a mean follow-up period of 7 months, three patients died of myocardial infarction. Twelve of the 23 patients (52%) remain well with patent vessels. These early results demonstrate the efficacy of pulsed dye laser angioplasty using ball-tipped optical fibres.

  19. Aggressive Surgical Management of Post-Infarction Angina: Results of Myocardial Revascularization Early After Transmural Infarction

    PubMed Central

    Disesa, Verdi J.; O'Neil, Anne C.; Bitran, Dani; Cohn, Lawrence H.; Shemin, Richard J.; Collins, John J.

    1985-01-01

    In our Division of Cardiothoracic Surgery between 1970 and 1982, 110 patients (88 males and 22 females) had coronary artery bypass grafts (CABG) performed for unstable angina pectoris after acute transmural myocardial infarction. Fifty-one patients (mean age 59 years) had CABG within 2 weeks of myocardial infarction (Group 1); and 59 patients (mean age 56 years) (p = NS) within 6 weeks of myocardial infarction (Group 2). The incidence of preoperative arrhythmias, left ventricular ejection fraction, end-diastolic pressure, and the number of vessels diseased were similar in Groups 1 and 2. The incidence of cardiogenic shock was higher in Group 1 (16/51, 31% vs 2/59, 3% [p < 0.001]). This was also the case with the use of the intraaortic balloon (32/51, 63% vs 12/59, 20% [p < 0.001]), and the need for emergency operation (29/51, 57% vs 4/59, 7% [p < 0.001]). The mean number of grafts was 2.8 in Group 1 and 3.0 in Group 2 (p = NS). Operative mortality was 20% (10/51) in Group 1 and 7% (4/59) in Group 2 (p < 0.01). Excluding patients in cardiogenic shock, operative mortality was 0% (0/35) in Group 1 and 5% (3/57) in Group 2 (p = NS). Incidences of late death, recurrent angina, and permanent disability were similar during mean follow-up times of 3.2 years in Group 1 and 4.1 years in Group 2. Actuarial probability of survival was 96% at 1 year and 83% at 5 years. Myocardial revascularization early after transmural myocardial infarction has a low risk, especially in the absence of cardiogenic shock. These results justify an aggressive approach to unstable angina, including patients within 2 weeks of transmural infarction. PMID:15226989

  20. The Hobby-Eberly Telescope Dark Energy Experiment (HETDEX): Description and Early Pilot Survey Results

    NASA Astrophysics Data System (ADS)

    Hill, G. J.; Gebhardt, K.; Komatsu, E.; Drory, N.; MacQueen, P. J.; Adams, J.; Blanc, G. A.; Koehler, R.; Rafal, M.; Roth, M. M.; Kelz, A.; Gronwall, C.; Ciardullo, R.; Schneider, D. P.

    2008-10-01

    The Hobby-Eberly Telescope Dark Energy Experiment (HETDEX) will outfit the 10 m HET with a new wide field and an array of 150 integral-field spectrographs to survey a 420 deg^2 area in the north Galactic cap. Each fiber-coupled unit spectrograph will cover 350-550 nm, simultaneously. This instrument, called VIRUS, will produce ˜34,000 spectra per exposure, and will open up the emission-line universe to large surveys for the first time. The survey will detect 0.8 million Lyman-alpha emitting (LAE) galaxies with 1.9early epoch using baryonic acoustic oscillations and the shape of the power spectrum. The aim of HETDEX is to provide a direct detection of dark energy at z˜3. The measurement will constrain the evolution of dark energy and will also provide 0.1%-level accuracy on the curvature of the Universe, ten times better than current. The prototype of the VIRUS unit spectrograph (VIRUS-P) is a powerful instrument in its own right. Used on the McDonald 2.7~m, it covers the largest area of any integral field spectrograph, and reaches wavelengths down to 340 nm. VIRUS-P is being used for a pilot survey to better measure the properties of LAE galaxies in support of HETDEX. We report initial results from this survey.

  1. Implementing intensity modulated radiotherapy to the prostate bed: Dosimetric study and early clinical results

    SciTech Connect

    Riou, Olivier; Laliberté, Benoit; Azria, David; Menkarios, Cathy; Llacer Moscardo, Carmen; Dubois, Jean-Bernard; Aillères, Norbert; Fenoglietto, Pascal

    2013-07-01

    Salvage intensity modulated radiotherapy (IMRT) to the prostate bed has hardly been studied so far. We present here a feasibility study and early clinical results for 10 patients. These patients were selected on the basis of having either a biochemical relapse or high risk histology after prostatectomy. They were treated using “sliding-window” IMRT to 68 Gy in 34 fractions. Three-dimensional conformal radiotherapy (3D-CRT) plans were generated using the same planning computed tomography data set. Dose coverage of planning target volumes (PTVs) and of organs-at-risk (OAR, namely: rectum, bladder, and femoral heads) were compared. Acute toxicity and chronic toxicity were measured using the Common Toxicity Criteria for Adverse Events version 3.0 scale. IMRT significantly reduces the dose above the prescription dose given to the PTV1 (mean dose: IMRT 67.2 Gy vs 3D-CRT 67.7 Gy (p = 0.0137)), without altering dose coverage for PTV2 (mean dose: IMRT 68.1 Gy vs 3D-CRT 68.0 Gy (p = 0.3750)). Doses to OAR were lower with IMRT and differences were statistically significant (mean dose: IMRT 51.4 Gy vs 3D-CRT 56.6 Gy for rectum (p = 0.002), IMRT 45.1 Gy vs 3D-CRT 53.1 Gy for bladder (p = 0.002), and IMRT 26.1 Gy vs 3D-CRT 28.4 Gy for femoral heads (p = 0.0059)). There was no acute or chronic genitourinary or gastrointestinal toxicity >1 with a median follow-up of 38 months. IMRT to the prostatic fossa is feasible and reduces dose to OAR, with consequential limited toxicity.

  2. Results from early programmatic implementation of Xpert MTB/RIF testing in nine countries

    PubMed Central

    2014-01-01

    Background The Xpert MTB/RIF assay has garnered significant interest as a sensitive and rapid diagnostic tool to improve detection of sensitive and drug resistant tuberculosis. However, most existing literature has described the performance of MTB/RIF testing only in study conditions; little information is available on its use in routine case finding. TB REACH is a multi-country initiative focusing on innovative ways to improve case notification. Methods We selected a convenience sample of nine TB REACH projects for inclusion to cover a range of implementers, regions and approaches. Standard quarterly reports and machine data from the first 12 months of MTB/RIF implementation in each project were utilized to analyze patient yields, rifampicin resistance, and failed tests. Data was collected from September 2011 to March 2013. A questionnaire was implemented and semi-structured interviews with project staff were conducted to gather information on user experiences and challenges. Results All projects used MTB/RIF testing for people with suspected TB, as opposed to testing for drug resistance among already diagnosed patients. The projects placed 65 machines (196 modules) in a variety of facilities and employed numerous case-finding strategies and testing algorithms. The projects consumed 47,973 MTB/RIF tests. Of valid tests, 7,195 (16.8%) were positive for MTB. A total of 982 rifampicin resistant results were found (13.6% of positive tests). Of all tests conducted, 10.6% failed. The need for continuous power supply was noted by all projects and most used locally procured solutions. There was considerable heterogeneity in how results were reported and recorded, reflecting the lack of standardized guidance in some countries. Conclusions The findings of this study begin to fill the gaps among guidelines, research findings, and real-world implementation of MTB/RIF testing. Testing with Xpert MTB/RIF detected a large number of people with TB that routine services failed to

  3. A large-scale candidate-gene association study of age at menarche and age at natural menopause

    PubMed Central

    Kraft, Peter; Chasman, Daniel I.; Buring, Julie E.; Chen, Constance; Hankinson, Susan E.; Paré, Guillaume; Chanock, Stephen; Ridker, Paul M.; Hunter, David J.

    2010-01-01

    Recent genome-wide association (GWA) studies have identified several novel genetic loci associated with age at menarche and age at natural menopause. However, the stringent significance threshold used in GWA studies potentially lead to false negatives and true associations may have been overlooked. Incorporating biologically relevant information, we examined whether common genetic polymorphisms in candidate genes of 9 groups of biologically plausible pathways and related phenotypes are associated with age at menarche and age at natural menopause. A total of 18,862 genotyped and imputed single nucleotide polymorphisms (SNPs) in 278 genes were assessed for their associations with these two traits among a total of 24,341 women from the Nurses’ Health Study (NHS, N=2,287) and the Women’s Genome Health Study (WGHS, N=22,054). Linear regression was used to assess the marginal association of each SNP with each phenotype. We adjusted for multiple testing within each gene to identify statistically significant SNP associations at the gene level. To evaluate the overall evidence for an excess of statistically significant gene associations over the proportion expected by chance, we applied a one-sample test of proportion to each group of candidate genes. The steroid-hormone metabolism and biosynthesis pathway was found significantly associated with both age at menarche and age at natural menopause (p=0.040 and 0.011, respectively). Additionally, the group of genes associated with precocious or delayed puberty was found significantly associated with age at menarche (p=0.013), and the group of genes involved in premature ovarian failure with age at menopause (p=0.025). PMID:20734064

  4. Integrating earth observations and model results provides earlier Famine Early Warning

    NASA Astrophysics Data System (ADS)

    Brown, M. E.; Funk, C. C.; Galu, G.; Choularton, R.

    2007-12-01

    Remote sensing allows us to detect slowly evolving natural hazards such as agricultural drought. Famine early warning systems transform this data into actionable policy information, enabling humanitarian organizations to respond in a timely and appropriate manner. These life saving responses are increasingly important. In 2006, 1 out of 8 people did not have enough to eat, 22 million more people became undernourished, and 22 countries provided 6.5 billion dollars in food aid. The motivation is strong, therefore, to increase the effectiveness of every dollar of food aid provided, ensuring that the assistance arrives sufficiently early to ward off human and economic catastrophe. Properly interpreted remote sensing information reduces the influence of politics in determining the amount and location of aid delivered. In this talk we will review three recent contributions that earth observations have provided to famine early warning: trend identification, increasingly accurate forecasts of food security conditions, and enhanced integration of biophysical and socio-economic data.

  5. Birth characteristics and female sex hormone concentrations during adolescence: results from the Dietary Intervention Study in Children

    PubMed Central

    Hartman, Terryl J.; Rovine, Michael J.; Dorgan, Joanne F.

    2011-01-01

    Background Birth characteristics and adult hormone concentrations influence breast cancer risk, but little is known about the influence of birth characteristics on hormone concentrations, particularly during adolescence. Methods We evaluated the association of birth characteristics (birth weight, birth length, and gestational age) with serum sex hormone concentrations during late childhood and adolescence in 278 female participants of the Dietary Intervention Study in Children. Repeated measures analysis of variance models were used to assess the relationships of birth characteristics and serum estrogens and androgens at five different time points over a mean period of 7 years. Results In analyses that did not take into account time from blood draw until menarche, birth weight was inversely associated with pre-menarche concentrations of estradiol, estrone sulfate, androstenedione, testosterone, and dehydroepiandrosterone sulfate (DHEAS). In the post-menarche analyses, birth weight was not significantly associated with concentration of any of the hormones under investigation. Birth length and gestational age were not associated with hormone concentrations before or after menarche. Conclusion Birth weight is inversely associated with sex hormone concentrations before menarche in the model unadjusted for time from blood draw until menarche. Impact The in utero environment has long-term influences on the hormonal milieu, which could potentially contribute to breast cancer risk. PMID:21327460

  6. Early milk intake, later bone health: results from using the milk history questionnaire.

    PubMed

    Vatanparast, Hassanali; Whiting, Susan J

    2004-06-01

    Milk intake is considered an important determinant of peak bone mass; consequently, its intake early in life may decrease risk of osteoporotic fractures later. Using the milk history questionnaire, many investigators have conducted retrospective cross-sectional studies and have determined a positive effect of milk intake in childhood and adolescence on bone mineral density in adult white women. By contrast, a recent study indicates that early milk intake has no beneficial effect on bone mineral density in black women. The milk history questionnaire can assist in determining diet-bone relationships in various groups. PMID:15291400

  7. Early results on 67P/Churyumov-Gerasimenko observed by Rosetta/OSIRIS

    NASA Astrophysics Data System (ADS)

    Sierks, H.; Tubiana, C.; Snodgrass, C.; Agarwal, J.; Güttler, C.; Oklay, N.; Vincent, J.; Küppers, M.; Barbieri, C.; Lamy, P.; Rickman, H.; Rodrigo, R.; Koschny, D.; Hviid, S.; Mottola, S.; Osiris Team

    2014-07-01

    March/April 2014. At this time, Rosetta will be at about 4 million kilometers from the comet and 67P will still be unresolved. We present results about the early cometary activity based on OSIRIS images. Orange-filter images (central wavelength 649.2 nm) will be used to determine the dust environment of 67P, since this wavelength range is quite free from gas emission lines. Moreover, a series of lightcurves will be taken to compare with the existing ones and look for possible changes in the rotational period due to its last perihelion passage.

  8. Early and Long-Term Results of Subclavian Angioplasty in Aortoarteritis (Takayasu Disease): Comparison with Atherosclerosis

    SciTech Connect

    Tyagi, Sanjay; Verma, Puneet K.; Gambhir, Daljeet S.; Kaul, Upkar A.; Saha, Renuka; Arora, Ramesh

    1998-05-15

    Purpose: To compare the early andlong-term outcomes of subclavian artery angioplasty in patients with aortoarteritis and atherosclerosis. Methods: Sixty-one subclavian artery angioplasties were performed in 55 consecutive patients with aortoarteritis (n= 32) and atherosclerosis (n= 23) between 1986 and 1995. An arch aortogram followed by a selective subclavian artery angiogram was done to profile the site and extent of the lesion, its relation to the vertebral artery, and the distal circulation. Percutaneous transluminal angioplasty (PTA) was performed via the femoral route for 56 stenotic lesions and 5 total occlusions. Results: PTA was successful in 52 (92.8%) stenotic lesions and 3 (60%) total occlusions. Three patients (5.4%) had complications, that could be effectively managed nonsurgically. Compared with atherosclerosis, patients with aortoarteritis were younger (27.4 {+-} 9.3 years vs 54.5 {+-} 10.5 years; p < 0.001), more often female (75% vs 17.4%; p < 0.001), gangrene was uncommon (0% vs 17.4%; p < 0.05), and diffuse involvement was seen more often (43.8% vs 4.4%; p < 0.001). The luminal diameter stenoses were similar before PTA (88.6 {+-} 9.7% vs 89.0 {+-} 9.1%; p= NS). Higher balloon inflation pressure was required to dilate the lesions of aortoarteritis (9.9 {+-} 4.6 ATM vs 5.5 {+-} 1.0 ATM; p < 0.001). This group had more residual stenosis (15.5 {+-} 12.4% vs 8.3 {+-} 9.4%; p < 0.05) after PTA. There were no neurological sequelae, even in PTA of prevertebral lesions. On 3-120 months (mean 43.3 {+-} 28.9 months) follow-up of 40 patients, restenosis was more often observed in patients with aortoarteritis, particularly in those with diffuse arterial narrowing. These lesions could be effectively redilated. Clinical symptoms showed marked improvement after successful angioplasty. Conclusion: Subclavian PTA is safe and can be performed as effectively in aortoarteritis as in atherosclerosis, with good long-term results. Long-term follow-up shows that it

  9. Intervention with African American Premature Infants: Four-Month Results of an Early Intervention Program

    ERIC Educational Resources Information Center

    Teti, Douglas M.; Black, Maureen M.; Viscardi, Rose; Glass, Penny; O'Connell, Melissa A.; Baker, Linda; Cusson, Regina; Reiner Hess, Christine

    2009-01-01

    This study evaluates the efficacy of an early intervention program targeting African American mothers and their premature, low birth weight infants at 3 to 4 months' corrected age from four neonatal intensive care units, 173 families are recruited (84 intervention, 89 control). The 8-session, 20-week intervention consists of a psychoeducational…

  10. Ongoing Proof: Results from the Canton Early College High School Class of 2010

    ERIC Educational Resources Information Center

    Rochford, Joseph A.

    2010-01-01

    In 2005, the Canton City Schools (CCS), Stark College of Technology (SSCT), Canton Professional Educators Association (CPEA) and the Stark Education Partnership (SEP) came together to found Canton's Early College High School (CECHS). The goal of CECHS is to allow students an opportunity to earn both a diploma and an Associate Degree during their…

  11. Early generation selection results from a two year, six location study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In potato breeding programs, early generation selections are rarely evaluated in multiple environments because of limited seed quantities. By the time seed quantities are available, few clones remain from the original population. The purpose of this study was to allow multiple locations to select ...

  12. Effect of Formative and Ability Test Results on Early Learning of Students

    ERIC Educational Resources Information Center

    Kadir, Abdul; Ardi, Muhammad; Nurhayati, B.; Dirawan, Gufran Darma

    2016-01-01

    The objective of this study was to examine the relationship of formative tests to early learning ability of students in the science learning style. This research used an experimental method with a 2 x 2 factorial design. The participants comprised all the students in class VII of the Islamic Junior High School State of Kolaka, a total of 343…

  13. Exercise Effects on Fitness and Bone Mineral Density in Early Postmenopausal Women: 1-Year EFOPS Results.

    ERIC Educational Resources Information Center

    Kemmler, Wolfgang; Engelke, Klaus; Lauber, Dirk; Weineck, Juergen; Hensen, Johannes; Kalender, Willi A.

    2002-01-01

    Investigated the effect of intense exercise training on physical fitness, coronary heart disease, bone mineral density (BMD), and parameters related to quality of life in early postmenopausal women with osteopenia. Data on woman in control and exercise training groups indicated that the intense exercise training program was effective in improving…

  14. The Employment Retention and Advancement Project Early Results from Four Sites

    ERIC Educational Resources Information Center

    Bloom, Dan; Hendra, Richard; Martinson, Karin; Scrivener, Susan

    2005-01-01

    Millions of welfare recipients have entered the labor force in the past decade, but surveys show that many remain in unstable, low-paying jobs that offer few opportunities for advancement. This report presents early evidence on the effectiveness of four diverse programs designed to help current or former welfare recipients work more steadily and…

  15. Model Registry of Early Childhood Visual Impairment: First-Year Results.

    ERIC Educational Resources Information Center

    Hatton, Deborah D.

    2001-01-01

    A study obtained data on 406 children from birth to age 3 with visual impairments at the point of entry into specialized early intervention programs in nine states. The majority were legally blind and had additional disabilities. About a six-month mean lag was found between diagnosis and referral for services. (Contains references.) (Author/CR)

  16. Early MAVEN Results on the Mars Upper Atmosphere and Atmospheric Loss to Space

    NASA Astrophysics Data System (ADS)

    Jakosky, Bruce; Grebowsky, Joseph; Luhmann, Janet

    2015-04-01

    , operations, and calibrations. We also expect to have sufficient data collected to allow us to reach preliminary conclusions about the state of the upper atmosphere, interactions with the solar wind, escape of atmospheric gas to space at the present epoch, and integrated escape to space over time. These early results will be presented.

  17. Enceladus-Mimas paradox: a result of different early evolutions of satellites?

    NASA Astrophysics Data System (ADS)

    Czechowski, Leszek; Witek, Piotr

    2015-04-01

    the coefficient of the heat conduction in the considered layer, i.e.: kconv =Nu k. This approach is used successfully in parameterized theory of convection for SSC in the Earth and other planets (e.g. [3], [4]). Parameterization of liquid state convection (LSC) is even simpler. Ra in molten region is very high (usually higher than 1016). The LSC could be very intensive resulting in almost adiabatic temperature gradient given by: dT-= gαmT-, dr cpm where αm and cpm are thermal expansion coefficient and specific heat in molten region, g is the local gravity. In Enceladus and Mimas the adiabatic gradient is low and therefore LSC region is almost isothermal. 2. Results: Comparison of thermal models of Mimas and Enceladus indicates that conditions favorable for starting tidal heating (interior hot enough) lasted for short time (~107yr) in Mimas and for ~108 yr in Enceladus. This could explain Mimas-Enceladus paradox. 3. Conclusions: The Mimas-Enceladus paradox is probably the result of short time when Mimas was hot enough to allow for substantial tidal heating. The Mimas-Tethys resonance formed later when Mimas was already cool. (see also [1, 4]) The full text of the paper will be published in Acta Geophysica [5]. Acknowledgements: The research is partly supported by National Science Centre (grant 2011/ 01/ B/ ST10/06653). References : [1] Czechowski, L. (2014) Some remarks on the early evolution of Enceladus. Planet. Sp. Sc. 104, 185-199. [2] Merk, R., Breuer, D., Spohn, T. (2002). Numerical modeling of 26Al induced radioactive melting of asteroids concerning accretion. Icarus 199, 183-191. [3] Sharpe, H.N., Peltier, W.R., (1978) Parameterized mantle convection and the Earth's thermal history. Geophys. Res. Lett. 5, 737-740. [4] Czechowski, L. (2006) Parameterized model of convection driven by tidal and radiogenic heating. Adv. Space Res. 38, 788-793. [5] Czechowski, L., Witek, P. (2015) Comparisons of early evolutions of Mimas and Enceladus. Submitted to Acta

  18. Conceptual design study of potential early commercial MHD powerplant. Report of task 2 results

    NASA Astrophysics Data System (ADS)

    Hals, F. A.

    1981-03-01

    The conceptual design of one of the potential early commercial MHD power plants was studied. The plant employs oxygen enrichment of the combustion air and preheating of this oxygen enriched air to an intermediate temperature of 1200 F attainable with a tubular type recuperative heat exchanger. Conceptual designs of plant componets and equipment with performance, operational characteristics, and costs are reported. Plant economics and overall performance including full and part load operation are reviewed. The projected performance and estimated cost of this early MHD plant are compared to conventional power plants, although it does not offer the same high efficiency and low costs as the mature MHD power plant. Environmental aspects and the methods incorporated in plant design for emission control of sulfur and nitrogen are reviewed.

  19. Conceptual design study of potential early commercial MHD powerplant. Report of task 2 results

    NASA Technical Reports Server (NTRS)

    Hals, F. A.

    1981-01-01

    The conceptual design of one of the potential early commercial MHD power plants was studied. The plant employs oxygen enrichment of the combustion air and preheating of this oxygen enriched air to an intermediate temperature of 1200 F attainable with a tubular type recuperative heat exchanger. Conceptual designs of plant componets and equipment with performance, operational characteristics, and costs are reported. Plant economics and overall performance including full and part load operation are reviewed. The projected performance and estimated cost of this early MHD plant are compared to conventional power plants, although it does not offer the same high efficiency and low costs as the mature MHD power plant. Environmental aspects and the methods incorporated in plant design for emission control of sulfur and nitrogen are reviewed.

  20. The Coastal Area Tactical-mapping System (CATS): Early Test Results

    NASA Astrophysics Data System (ADS)

    Carter, W. E.; Shrestha, R. L.; Slatton, K. C.; Shrestha, K.; Cossio, T.

    2006-12-01

    Researchers at the University of Florida (UF) are developing a next generation airborne laser mapping instrument under a contract with the Office of Naval Research. The Coastal Area Tactical-mapping System (CATS) is based on a different paradigm than the commercially developed units currently in wide use. The commercial units achieve a high signal-to-noise ratio (SNR) per pulse by using a relatively long pulse (typically about 10 nanoseconds) infrared laser, illuminating a single small footprint (typically a few decimeters in diameter) with a strong signal (typically on the order of 100 microjoules per pulse). Laser pulse rates of 25 kHz to 100 kHz are common. The detector is a single avalanche photodiode, and the signal is large enough that multiple discrete returns (from vegetation) can be detected sequentially, or the unit can be equipped with a wave form digitizer. The CATS unit uses a short pulse (480 picosecond FWHM) frequency-doubled NdYAG (0.530 micrometer wavelength) micro laser, and illuminates a patch (nominally 2 meters by 2 meters) with a 10 by 10 array of laser beams, each having about 30 nanojoules of energy. The returning signals may be as low as a single photon per channel, and the sensor is a 100 channel photomultiplier tube (PMT). The range electronics have multi-stop capabilities in each channel. Each channel of the CATS instrument has a much lower SNR than the current generation of commercial units, but even operating at pulse rates as low as 8,000 pulses per second, it provides essentially contiguous coverage of the terrain in a single pass, sampling 800,000 points per second—as compared to 100,000 points per second for the leading commercial unit. And the short laser pulse length results in sub-nanosecond inter-pulse dead times. Another anticipated advantage of the CATS design is being able to penetrate water to depths of about 5 meters. The CATS unit is fully assembled and ground testing began in early 2006. Initial testing has focused on

  1. Early infantile Krabbe disease: results of the World-Wide Krabbe Registry.

    PubMed

    Duffner, Patricia K; Barczykowski, Amy; Jalal, Kabir; Yan, Li; Kay, Denise M; Carter, Randy L

    2011-09-01

    New York State began screening for Krabbe disease in 2006 to identify infants with Krabbe disease before symptom onset. Because neither galactocerebrosidase activity nor most genotypes reliably predict phenotype, the World Wide Registry was developed to determine whether other clinical/neurodiagnostic data could predict early infantile Krabbe disease in the newborn screening population. Data on disease course, galactocerebrosidase activity, DNA mutations, and initial neurodiagnostic studies in 67 symptomatic children with early infantile Krabbe disease were obtained from parent questionnaires and medical records. Initial signs included crying/irritability, cortical fisting, and poor head control. Galactocerebrosidase activity was uniformly low. Eight of 17 manifested novel mutations. Ninety-two percent (n = 25) exhibited elevated cerebrospinal fluid protein; 76% (n = 42) demonstrated abnormal magnetic resonance images; 67% (n = 15) exhibited abnormal computed tomography findings; 43% (n = 28) produced abnormal electroencephalogram findings; 100% (n = 5) demonstrated abnormal nerve conduction velocities; 83% (n = 6) produced abnormal brainstem evoked responses; and 50% (n = 6) exhibited abnormal visual evoked responses. One, 2, and 3 year survivals were 60%, 26%, and 14%, respectively. Although most symptomatic patients with the early infantile phenotype manifested abnormal cerebrospinal fluid protein, magnetic resonance imaging, brainstem evoked responses, and nerve conduction velocities, studies of affected children may be normal. Other biomarkers are needed to predict phenotype in the newborn screening population. PMID:21824559

  2. The Mars Science Laboratory Mission: Early Results from Gale Crater Landing Site

    NASA Astrophysics Data System (ADS)

    Flatow, I.; Grotzinger, J. P.; Blake, D.; Crisp, J. A.; Edgett, K. S.; Gellert, R.; Gomez-Elvira, J.; Hassler, D. M.; Mahaffy, P. R.; Malin, M. C.; Meyer, M. A.; Mitrofanov, I.; Vasavada, A. R.; Wiens, R. C.

    2012-12-01

    The Mars Science Laboratory rover, Curiosity, landed at Gale Crater on August 5th (PDT) and initiated an investigation of modern and ancient environments. The 155-km diameter Gale Crater was chosen as Curiosity's field site based on several attributes: the interior Mount Sharp preserves a succession of flat-lying strata extending almost 5 km above the elevation of the landing site; the lower few hundred meters of the mound show a progression with relative age from clay-bearing to sulfate-bearing strata, separated by an unconformity from overlying likely anhydrous strata; the landing ellipse is characterized by a mixture of alluvial fan and high thermal inertia/high albedo stratified deposits; and a number of stratigraphically/geomorphically distinct fluvial features. Gale's regional context and strong evidence for a progression through multiple potentially habitable environments, represented by a stratigraphic record of extraordinary extent, ensure preservation of a rich record of the environmental history of early Mars. Curiosity has an expected lifetime of at least one Mars year (~23 months), and drive capability of at least 20 km. The MSL science payload was specifically assembled to assess habitability and includes a gas chromatograph-mass spectrometer and gas analyzer that will search for organic carbon in rocks, regolith fines, and the atmosphere (SAM); an x-ray diffractometer that will determine mineralogical diversity (CheMin); focusable cameras that can image landscapes and rock/regolith textures in natural color (MAHLI, Mastcam); an alpha-particle x-ray spectrometer for in situ determination of rock and soil chemistry (APXS); a laser-induced breakdown spectrometer to remotely sense the chemical composition of rocks and minerals (ChemCam); an active/passive neutron spectrometer designed to search for water in rocks/regolith (DAN); a weather station to measure modern-day environmental variables (REMS); and a sensor designed for continuous monitoring of

  3. Widespread Magmatism as a Result of Impact Related Decompression Melting on Early Mars

    NASA Astrophysics Data System (ADS)

    Edwards, C. S.; Bandfield, J. L.; Christensen, P. R.; Rogers, D.

    2012-12-01

    Flat-floored craters on Mars have been observed since early spacecraft viewed the surface. Early work characterized these craters as infilled by sedimentary materials [e.g. Christensen, 1983] but later work using THEMIS thermal inertia determined these craters contain some of the rockiest materials on the planet and not sedimentary materials [Edwards et al., 2009]. Here we investigate the distribution, physical properties (morphology and thermal inertia), and composition of these craters over the entire planet. We find the majority of rocky crater floors identified (~3300) are concentrated in the low albedo (0.1-0.17), cratered southern highlands. These craters are associated with the highest thermal inertia values (e.g. > 500 to 2000 J m-2 K-1 s-1/2), some of the most mafic materials on the planet (enriched in olivine/pyroxene vs. high-Si phases/plagioclase, often with >10-15% olivine areal abundance), and formed ~3.5 billion years ago. Based on the properties of the crater fill materials described, three mechanisms are considered for the formation of flat-floored, high thermal inertia crater floors on Mars including: 1) the lithification/induration of sediments, 2) the ponding of crustal melt material related to the heat generated during the impact process, and 3) infilling by volcanic materials. We find the only likely scenario is volcanic infilling through fractures created in the impact event. Furthermore, we find the generation of the primitive magma would be directly sourced from the decompression melting of the martian mantle due to the removal of several kilometers of overlying crustal material by the impactor. As the ancient martian crust was likely thin and the geothermal gradients were significantly higher than present day [e.g. Zuber, 2001], the decompression melting of the mantle [Bertka and Holloway, 1994] would be more likely to occur on early Mars then under present day conditions. This is borne out by the ancient ages (~3-4Ga) of the crater floors

  4. Clinical results of early stage prostatic cancer treated by pelvic lymphadenectomy and /sup 125/I implants

    SciTech Connect

    Kandzari, S.J.; Belis, J.A.; Kim, J.C.; Gnepp, D.R.; Riley, R.S.

    1982-05-01

    Eighty patients with clinically early stage adenocarcinoma of the prostate were treated with pelvic lymphadenectomy and interstitial implantation of /sup 125/I seeds. A new applicator that permits greater accuracy in spacing the seeds has been developed. Postoperative complications were minimal, with urinary irritability being the most common. Multiple transrectal needle biopsies were performed 12 and 18 months after treatment in 46 patients. The prostatic biopsies were negative for carcinoma in 61 per cent and positive in 39 per cent of the patients. Long-term followup is needed to correlate post-treatment biopsies with survival and to determine if patients with positive biopsies should receive further treatment.

  5. Solar Maximum Mission experiment - Early results from the soft X-ray polychromator experiment

    NASA Technical Reports Server (NTRS)

    Gabriel, A. H.; Phillips, K. J. H.; Culhane, J. L.; Bentley, R. D.; Parmar, A. N.; Rapley, C. G.; Acton, L. W.; Leibacher, J. W.; Jordan, C.; Antonucci, E.

    1981-01-01

    It is pointed out that the X-ray polychromator experiment has been in operation on the Solar Maximum Mission satellite for more than three months. Using a number of different modes, the polychromator is observing flares and active regions in the wavelength range 1-23 A. These modes include polychromatic imaging, high resolution line profiles, high dispersion spectra, and light curves with high time-resolution. Data are described and some of the early analysis and interpretation is presented. All the interpretations are based on simple approximate methods; it is noted, however, that in most cases more elaborate and reliable methods are close to being applied.

  6. A Short-Term Longitudinal Study of Pubertal Change, Gender, and Psychological Well-Being of Mexican Early Adolescents.

    ERIC Educational Resources Information Center

    Benjet, Corina; Hernandez-Guzman, Laura

    2002-01-01

    Studied the role of pubertal development on depression, externalizing behavior problems, self-esteem, and body-image of 951 Mexican early adolescents. Findings show that the acute experience of menarche adversely affected the psychological well-being of girls, specifically in terms of depressive symptomatology. Pubertal change in boys did not…

  7. Rewarding Progress, Reducing Debt: Early Results from Ohio's Performance-Based Scholarship Demonstration for Low-Income Parents

    ERIC Educational Resources Information Center

    Cha, Paulette; Patel, Reshma

    2010-01-01

    This report presents early results from a rigorous evaluation of a performance-based scholarship program that was implemented at three community colleges in Ohio during the 2008-2009 academic year. The program in Ohio that is the subject of this report is part of MDRC's national Performance-Based Scholarship (PBS) Demonstration, which was…

  8. Enhancing Student Services at Lorain County Community College: Early Results from the Opening Doors Demonstration in Ohio

    ERIC Educational Resources Information Center

    Scrivener, Susan; Au, Jenny

    2007-01-01

    In 2003, MDRC and a consortium of funders launched the Opening Doors demonstration to test reforms in six community colleges aimed at helping students stay in school and earn credentials. This report presents early results from the Opening Doors program at Lorain County Community College in Elyria, Ohio. The program provided intensive advising and…

  9. Correcting the Results of the Wrong Model: Treatment Effects under Early Detection of Cancer

    PubMed Central

    Lee, Shih-Yuan; Tsodikov, Alex

    2013-01-01

    Early detection of cancer leads to variability of the point of diagnosis advanced by the amount of the so-called lead time, a random variable. Estimated treatment effects by the proportional hazards (PH) model may be biased if this variability is ignored. We study how true and PH-estimated treatment effects differ in screened vs. unscreened populations and offer an approximate correction for the reported PH-based estimate that does not require raw data, targeting a meta-analysis-type application. We rely on a joint cancer incidence and survival model of prostate cancer to furnish key information for the correction. The procedure is applied to a series of prostate cancer data analyses using the PH models reported in the literature. Simulations are used for assessing the quality of the method and sensitivity analyses. PMID:24032001

  10. Percutaneous coronary angioscopy with a new steerable microangioscope: experimental and early clinical results

    NASA Astrophysics Data System (ADS)

    Ramee, Stephen R.; White, Christopher J.; Mesa, Juan E.; Murgo, Joseph P.; Doyle, Andrew T.; McQueen, Colleen L.

    1990-07-01

    We have developed a new, steerable microangioscope for performing percutaneous coronary angioscopy. The angioscopic catheter is made of polyethylene, contains a distal balloon for occlusion of blood flow during imaging, fits through an 8 Fr percutaneous coronary angioplasty (PTCA) guiding catheter and is steerable by means of a guidewire. Initial feasibility was demonstrated in animal studies involving both peripheral and coronary arteries. Angioscopic findings in normal vessels included normal endothelial surface, collateral blood flow, and side branches. Angioscopy was also performed after balloon denudation of the arteries, laser- assisted balloon angioplasty, and stent implantation. In early human clinical trials we have performed percutaneous angioscopy in six patients undergoing percutaneous coronary angioplasty without complications. Findings in these patients include atherosclerotic plaque, thrombus, and dissection. This new device has great potential for use in the research, diagnosis, and treatment of coronary atherosclerosis.

  11. Current status and early result of the ILAS-II onboard the ADEOS-II satellite

    NASA Astrophysics Data System (ADS)

    Nakajima, H.; Sugita, T.; Yokota, T.; Kanzawa, H.; Kobayashi, H.; Sasano, Y.

    2003-04-01

    The Improved Limb Atmospheric Spectrometer-II (ILAS-II) onboard the Advanced Earth Observing Satellite-II (ADEOS-II) was successfully launched on 14 December, 2002 from NASDA's Tanegashima Space Center. ILAS-II is a solar-occultation atmospheric sensor which will measure vertical profiles of O_3, HNO_3, NO_2, N_2O, CH_4, H_2O, ClONO_2, aerosol extinction coefficients etc. with four grating spectrometers. After the initial checkout of the ILAS-II which is scheduled in January-February, 2003, ILAS-II will make routine measurements from early April. A validation campaign is scheduled to be taken place in Kiruna, Sweden in which several balloon-borne measurements are planned. Preliminary data from ILAS-II on both northern and southern polar regions using the latest data retrieval algorithm will be presented.

  12. Exome Sequencing in a Family Identifies RECQL5 Mutation Resulting in Early Myocardial Infarction

    PubMed Central

    Xie, Xiang; Zheng, Ying-Ying; Adi, Dilare; Yang, Yi-Ning; Ma, Yi-Tong; Li, Xiao-Mei; Fu, Zhen-Yan; Ma, Xiang; Liu, Fen; Yu, Zi-Xiang; Chen, You; Huang, Ying

    2016-01-01

    Abstract Coronary artery disease (CAD) including myocardial infarction (MI) is the leading cause of death worldwide and is commonly caused by the interaction between genetic factors and environmental risks. Despite intensive efforts using linkage and candidate gene approaches, the genetic etiology for the majority of families with a multigenerational early CAD /MI predisposition is unknown. In this study, we used whole-exome sequencing of 10 individuals from 1 early MI family, in which 4 siblings were diagnosed with MI before the age of 55, to identify potential predisposing genes. We identified a mutation in the RECQL5 gene, 1 of the 5 members of the RECQ family which are involved in the maintenance of genomic stability. This novel mutation, which is a TG insert at position 73,626,918 on the 13 chromosome and occurs before the last nucleotide of the introns 11 acceptor splice site affecting splicing of RECQL5. RT-PCR suggested the control subject had a full-length mRNA including exon 12, but the patients with RECQL5 mutation had a shorter mRNA form involving splicing of exons 11 to 13 directly, with skipping of exon 12. Quantitative RT-PCR analysis of RECQL5 exon 12 demonstrated that individuals whose genotype is mutant homozygote had only trace amounts of mRNA containing this exon and the family members who carry the heterozygous genotype had a level at 48% to 55% of the control's level. These findings provide insight into both the pathogenesis of MI and the role of RECQL5 gene in human disease. PMID:26844521

  13. THE STELLAR INITIAL MASS FUNCTION IN EARLY-TYPE GALAXIES FROM ABSORPTION LINE SPECTROSCOPY. II. RESULTS

    SciTech Connect

    Conroy, Charlie; Van Dokkum, Pieter G.

    2012-11-20

    The spectral absorption lines in early-type galaxies contain a wealth of information regarding the detailed abundance pattern, star formation history, and stellar initial mass function (IMF) of the underlying stellar population. Using our new population synthesis model that accounts for the effect of variable abundance ratios of 11 elements, we analyze very high quality absorption line spectra of 38 early-type galaxies and the nuclear bulge of M31. These data extend to 1 {mu}m and they therefore include the IMF-sensitive spectral features Na I, Ca II, and FeH at 0.82 {mu}m, 0.86 {mu}m, and 0.99 {mu}m, respectively. The models fit the data well, with typical rms residuals {approx}< 1%. Strong constraints on the IMF and therefore the stellar mass-to-light ratio, (M/L){sub stars}, are derived for individual galaxies. We find that the IMF becomes increasingly bottom-heavy with increasing velocity dispersion and [Mg/Fe]. At the lowest dispersions and [Mg/Fe] values the derived IMF is consistent with the Milky Way (MW) IMF, while at the highest dispersions and [Mg/Fe] values the derived IMF contains more low-mass stars (is more bottom-heavy) than even a Salpeter IMF. Our best-fit (M/L){sub stars} values do not exceed dynamically based M/L values. We also apply our models to stacked spectra of four metal-rich globular clusters in M31 and find an (M/L){sub stars} that implies fewer low-mass stars than a MW IMF, again agreeing with dynamical constraints. We discuss other possible explanations for the observed trends and conclude that variation in the IMF is the simplest and most plausible.

  14. Combined radiation and burn injury results in exaggerated early pulmonary inflammation

    PubMed Central

    Palmer, Jessica L.; Deburghgraeve, Cory R.; Bird, Melanie D.; Hauer-Jensen, Martin; Chen, Michael M.; Yong, Sherri; Kovacs, Elizabeth J.

    2014-01-01

    Events such as a nuclear meltdown accident or nuclear attack have potential for severe radiation injuries. Radiation injury frequently occurs in combination with other forms of trauma, most often burns. Thus far, combined injury studies have focused mainly on skin wound healing and damage to the gut. Since both radiation exposure and remote burn have pulmonary consequences, we examined the early effects of combined injury on the lung. C57BL/6 male mice were subjected to 5 Gy of total body irradiation followed by a 15% total body surface area scald burn. Lungs from surviving animals were examined for evidence of inflammation and pneumonitis. At 48 hours post-injury, pathology of the lungs from combined injury mice showed greater inflammation compared to all other treatment groups, with marked red blood cell and leukocyte congestion of the pulmonary vasculature. There was excessive leukocyte accumulation, primarily neutrophils, in the vasculature and interstitium, with occasional cells in the alveolar space. At 24 and 48 hours post-injury, myeloperoxidase levels in lungs of mice given combined injury were elevated compared to all other treatment groups (p<0.01), confirming histological evidence of neutrophil accumulation. Pulmonary levels of the neutrophil chemoattractant KC (CXCL1) were 3 times above that of either injury alone (p<0.05). Further, monocyte chemotactic protein-1 (MCP-1, CCL2) was increased 2-fold and 3-fold compared to burn injury or radiation injury, respectively (p<0.05). Together, these data suggest that combined radiation and burn injury augments early pulmonary congestion and inflammation.. Currently, countermeasures for this unique type of injury are extremely limited. Further research is needed to elucidate the mechanisms behind the synergistic effects of combined injury in order to develop appropriate treatments. PMID:23899376

  15. Early Results from the Wisconsin H-Alpha Mapper Southern Sky Survey

    NASA Astrophysics Data System (ADS)

    Haffner, L. Matthew; Reynolds, R. J.; Madsen, G. J.; Hill, A. S.; Barger, K. A.; Jaehnig, K. P.; Mierkiewicz, E. J.; Percival, J. W.

    2010-01-01

    After a successful eleven-year campaign at Kitt Peak, we moved the Wisconsin H-Alpha Mapper (WHAM) to Cerro Tololo in early 2009. Here we present some of the early data after the first nine months under southern skies. These maps begin to complete the first all-sky, kinematic survey of the diffuse Hα emission from the Milky Way. Much of this emission arises from the Warm Ionized Medium (WIM), a significant component of the ISM that extends a few kiloparsecs above the Galactic disk. The WHAM instrument consists of a 0.6 m primary lens housed in a steerable siderostat coupled to a 15 cm dual-etalon Fabry-Perot spectrometer. The optical configuration delivers a spatially integrated spectrum from a one-degree beam on the sky covering 200 km/s with 12 km/s spectral resolution. Short, 30-second exposures allow us to cover the observable sky in about two years at sensitivity levels of about 0.1 R (EM 0.2 pc cm-6). While this first look at the data focuses on the Hα survey, WHAM is also capable of observing many other optical emission lines, revealing fascinating trends in the temperature and ionization state of the WIM. Our ongoing studies of the physical conditions of diffuse ionized gas will continue in the south following the Hα survey. In addition, future observations using our survey mode will cover the full velocity range of the Magellanic Stream, Bridge, and Clouds to trace the ionized gas associated with these neighboring systems. WHAM is supported by NSF award AST-0607512 and has made this smooth relocation south due to the excellent staff at KPNO and CTIO.

  16. Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results From a Two-Year Randomized Trial

    PubMed Central

    Eack, Shaun M.; Hogarty, Gerard E.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2013-01-01

    Objective To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia. Method Early course schizophrenia outpatients (N = 58) were randomly assigned to Cognitive Enhancement Therapy (CET) or an Enriched Supportive Therapy (EST) control and treated for two years. Comprehensive data on cognition and employment were collected annually. Results Individuals treated with CET were significantly more likely to be competitively employed, had greater earnings from employment, and were more satisfied with their employment status by the end of treatment compared to EST recipients. Mediator analyses revealed that improvements in both social and non-social cognition mediated the CET effects on employment. Conclusion CET can help facilitate employment in early schizophrenia, by addressing the cognitive impairments that limit functioning in the disorder. Inclusion of cognitive rehabilitation in social work practice can support more optimal functional recovery from schizophrenia. PMID:23885163

  17. Early and Middle Miocene Antarctic Climate and Ice Sheet variability: ANDRILL SMS Project results

    NASA Astrophysics Data System (ADS)

    Harwood, David; Florindo, Fabio; Levy, Richard; Talarico, Franco; Sms Project Science Team Members

    2010-05-01

    The sedimentary archive recovered during the ANDRILL Southern McMurdo Sound Project (SMS) comprises an expanded early and middle Miocene section deposited in a high-accommodation continental margin location, proximal to glacial ice influence from the West Antarctic Ice Sheet, East Antarctic Ice Sheet, and local ice in the Transantarctic Mountains. The AND-2A drillhole reached a total depth of 1138.54 mbsf, and obtained an excellent quality core with 98% recovery through the cored interval. Stratigraphic sequences and facies interpretations reveal a cyclical history of environmental variation influenced by climate, glacial advance/retreat cycles, and water depth variation. These lower and middle Miocene shallow marine sediments were deposited in the subsiding Victoria Land Basin, during a period of relatively steady thermal subsidence, on the coastal plain and continental shelf seaward of the rising Transantarctic Mountains. A well-developed chronostratigraphic framework developed through integrated diatom biostratigraphy, magnetostratigraphy, Sr isotope geochemistry, and radiometric dating of volcanic materials, allows for the comparison of events recognized in this drillcore with events identified in distal proxy records from deep-sea stable isotope studies, and in sea-level reconstructions based on continental shelf sequence stratigraphy. More than 60 sequences recognized in the AND-2A drillcore represent repeating lithological changes in glacimarine, terrigenous, volcanic and biogenic sediments, deposited during a dynamic climate regime, that appear to reflect a variable pace of Milankovitch forcing.

  18. gPhoton: A Time-Tagged Database of Every GALEX Photon and Early Science Results

    NASA Astrophysics Data System (ADS)

    Fleming, Scott W.; Million, Chase; Shiao, Bernie; Thompson, Randy; Tseng, Shui-Ay; Rogers, Anthony; Smith, Myron; White, Richard L.; Levay, Karen

    2014-06-01

    The Galaxy Evolution Explorer (GALEX) mission observed a large fraction of the sky in FUV and NUV at time resolutions of five thousandths of a second, spanning a decade of operation. Due to technical limitations when the data were first archived, the ability to use GALEX data at such high time resolutions was limited: the primary data products were images that were combined into several-minute integrations, along with source catalogs.MAST is pleased to introduce gPhoton, a time-tagged database of every photon event detected by GALEX during its lifetime; some 1.5 trillion events in total. This database is accompanied by both a python-based software package and a web interface. These tools allow users to create calibrated lightcurves, intensity maps, and animated movies from any set of photons selected across any tile. Users can specify custom apertures sizes, coordinates, and time steps down to the level of seconds. We present some early science cases with gPhoton, which include studies of flare stars, Be stars, and unique opportunities with objects in the Kepler field.

  19. Early Performance and Results from the Globe at Night - Sky Brightness Monitoring Network

    NASA Astrophysics Data System (ADS)

    Shibata, Yukiko; Cheung, Sze Leung; Pun, Jason Chun Shing; SO, Chu-wing; Walker, Constance Elaine; Agata, Hidehiko

    2015-08-01

    The Global at Night - Sky Brightness Monitoring Network (GaN-MN) is an international project for long-term monitoring of night sky conditions around the world. The GaN-MN consists of fixed monitoring stations each equipped with a Sky Quality Meter - Lensed Ethernet (SQM-LE), which is a specialized light sensor for night sky brightness (NSB) measurement. NSB data are continuously collected at high sampling frequency throughout the night, and these data will be instantly made available to the general public to provide a real-time snapshot of the global light pollution condition. The huge NSB database accumulated also provides the basis for studies of the temporal and geographical variations of light pollution and its correlation with various natural and artificial factors. In order to ensure the quality of data collected between the monitoring sites, detailed guidelines of setting and location selection are defined, and a user workshop was held in Tokyo, Japan to introduce and discuss the installation procedures and data analysis for participants. In this presentation, the user workshop and early performance of the GaN-MN will be reported. The GaN-MN project is endorsed by the IAU Executive Committee Working Group as a major Cosmic Light program in the International Year of Light.

  20. Early results using an ePTFE membrane for pericardial closure following coronary bypass grafting.

    PubMed

    Bhatnagar, G; Fremes, S E; Christakis, G T; Goldman, B S

    1998-05-01

    A prospective randomized trial was conducted to evaluate the early efficacy and safety of the Gortex surgical membrane. Three hundred two patients (265 males, 37 females) undergoing isolated coronary bypass surgery were randomized to receive a Gortex membrane (GM = 138) or have the pericardium left open (complication [C] = 164). The groups did not differ in age, gender, urgency of procedure, length of procedure, or use of arterial grafts. Two deaths occurred in each group giving an overall mortality of 1.3%. Fifty-three (17%) patients experienced some complication (C = 34, 21%), GM = 19 (14%). Although the combined complication rate was higher in the control group, this was not statistically significant (chi2 = 2.51, p = 0.11). Postoperative ischemic events (C = 8, GM = 4) observed between the groups were not significant (chi2 = 0.05, p = 0.8), and no statistically significant difference was observed between the incidences of infections (C = 7, GM = 5) or mediastinal complications (C = 3, GM = 3). The Gortex surgical membrane can be used safely without increasing the risk of infection or mediastinal complications. The incidence of recurrent myocardial ischemia, a possible indicator of graft compression, was not higher following membrane implantation. Efficacy at injury prevention will need to be determined by a longitudinal follow-up study presently underway. PMID:10193989

  1. The NASA Soil Moisture Active Passive (SMAP) Mission Status and Early Results

    NASA Astrophysics Data System (ADS)

    Entekhabi, Dara; Yueh, Simon; O'Neill, Peggy E.; Wood, Eric F.; Njoku, Eni G.; Entin, Jared K.; Kellogg, Kent H.

    2015-04-01

    The NASA Soil Moisture Active Passive (SMAP) mission is launched in early 2015. The objective of SMAP is to produce global estimates of surface soil moisture at 9 km resolution every 2-3 days. It will also provide the freeze/thaw state of land surface north of 45° N at better than 3 km resolution every two days. The mission science data products are derived from the L-band radar and radiometer on board the SMAP spacecraft. The radar and radiometer share a rotating 6-meter mesh reflector antenna. The instruments operate on-board the SMAP spacecraft in a 685-km Sun-synchronous near-polar orbit, viewing the surface at a constant 40-degree incidence angle across the wide 1000-km swath. The radiometer includes several capabilities based on characteristics of data over time, frequency band, and polarization to detect anthropogenic Radio-Frequency Interference (RFI). This presentation includes: 1) the status of SMAP mission related to radar and radiometer performance, 2) report on detected RFI environment, 3) calibration activities, and 4) preliminary assessment of soil moisture retrieval, freeze/thaw detection and model value-added (root-zone soil moisture and Net Ecosystem Exchange) algorithms.

  2. Planck Early Results. XV. Spectral Energy Distributions and Radio Continuum Spectra of Northern Extragalactic Radio Sources

    NASA Technical Reports Server (NTRS)

    Aatrokoski, J.; Ade, P. A. R.; Aghanim, N.; Aller, H. D.; Aller, M. F.; Angelakis, E.; Amaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoit, A.; Berdyugin, A.; Bernard, J. P.; Bersanelli, M.; Bhatia, R.; Bonaldi, A.; Bonavera, L.; Gehrels, N.

    2011-01-01

    Spectral energy distributions (SEDs) and radio continuum spectra are presented for a northern sample of 104 extragalactic radio sources. based on the Planck Early Release Compact Source Catalogue (ERCSC) and simultaneous multi frequency data. The nine Planck frequencies, from 30 to 857 GHz, are complemented by a set of simultaneous observations ranging from radio to gamma-rays. This is the first extensive frequency coverage in the radio and millimetre domains for an essentially complete sample of extragalactic radio sources, and it shows how the individual shocks, each in their own phase of development, shape the radio spectra as they move in the relativistic jet. The SEDs presented in this paper were fitted with second and third degree polynomials to estimate the frequencies of the synchrotron and inverse Compton (IC) peaks, and the spectral indices of low and high frequency radio data, including the Planck ERCSC data, were calculated. SED modelling methods are discussed, with an emphasis on proper. physical modelling of the synchrotron bump using multiple components. Planck ERCSC data also suggest that the original accelerated electron energy spectrum could be much harder than commonly thought, with power-law index around 1.5 instead of the canonical 2.5. The implications of this are discussed for the acceleration mechanisms effective in blazar shock. Furthermore in many cases the Planck data indicate that gamma-ray emission must originate in the same shocks that produce the radio emission.

  3. Results and survival after photodynamic therapy in early-stage esophageal carcinoma

    NASA Astrophysics Data System (ADS)

    Spinelli, Pasquale; Mancini, Andrea; Dal Fante, Marco; Meroni, Emmanuele; Jasinskas, Algirdas

    1996-01-01

    From January 1985 to December 1994, 23 early stage carcinomas of the esophagus were treated by photodynamic therapy in 21 patients. The stage of the tumors was assessed by esophagoscopy with multiple biopsies, CT scan and, from June 1991, also by endoscopic ultrasonography: 7 lesions were classified as carcinoma in situ (Tis) and 16 as invasive (T1). The photosensitizers used for PDT were hematoporphyrin derivative 3 mg/kg in 4 patients and dihematoporphyrin ether 2 mg/kg in 17. Light irradiation was performed using an Argon-dye laser system at a wavelength of 630 nm with an average energy of 50 J/cm2 and 70 J/cm2 for the treatment of Tis and T1, respectively. A complete response was achieved in 17/23 (74%) tumors, 15/21 (71%) patients. In the follow-up period from 6 to 78 months (median 36 months) 3 recurrences occurred 6, 12, and 14 months after PDT, respectively. Seven patients died due to concomitant diseases, not related to tumor progression. The actuarial survival rate was 95%, 75% and 37% at 1, 3, and 5 years, respectively. Complications included 1 case of sunburn and 2 cases of esophageal stenosis at the treatment site, that gradually responded to endoscopic bougienage.

  4. Laparoscopic cholecystectomy: evolution, early results, and impact on nonsurgical gallstone therapies.

    PubMed

    Brandon, J C; Velez, M A; Teplick, S K; Mueller, P R; Rattner, D W; Broadwater, J R; Lang, N P; Eidt, J F

    1991-08-01

    Laparoscopic cholecystectomy, a surgical technique first performed in France, has gained widespread acceptance among surgeons in the United States. The abdominal cavity is inflated by carbon dioxide, a video monitor is inserted via a laparoscope placed periumbilically, and the gallbladder is freed and removed from the liver bed by using small subcostal ports for access and dissection. Intraoperative cholangiography is routinely performed, but uncertainty exists about how best to manage choledocholithiasis. Compared with traditional cholecystectomy, initial reports describing laparoscopic cholecystectomy cite shorter recovery times because no large incisions are made, thus potentially reducing the cost and morbidity of cholecystectomy. A survey of 614 early cases supports these claims, with a reported complication rate of 1.5% and quick resumption of normal activities by patients. Because of its promise for reduced morbidity, laparoscopic cholecystectomy is challenging open cholecystectomy as the therapeutic gold standard for symptomatic cholelithiasis. Thus, the standard to which the nonsurgical gallstone therapies, such as lithotripsy and contact dissolution, will be compared may shift to laparoscopic cholecystectomy. As the laparoscopic complications are similar to those of traditional cholecystectomy, such as abscesses and bile leaks, their percutaneous treatment should not change. PMID:1830188

  5. Current status and early results of the ILAS-II onboard the ADEOS-II Satellite

    NASA Astrophysics Data System (ADS)

    Nakajima, Hideaki; Sugita, Takafumi; Yokota, Tatsuya; Sasano, Yasuhiro

    2004-02-01

    The Improved Limb Atmospheric Spectrometer-II (ILAS-II) onboard the Advanced Earth Observing Satellite-II (ADEOS-II) was successfully launched on 14 December, 2002 from National Space Development Agency of Japan (NASDA)"s Tanegashima Space Center. ILAS-II is a solar-occupation atmospheric sensor which will measure vertical profiles of O3, HNO3, NO2, N2O, CH4, H2O, ClONO2, aerosol extinction coefficients, etc. with four grating spectrometers. After the checkout period of the ILAS-II which is scheduled in January-February, 2003, ILAS-II will make routine measurements from early April. An initial checkout (ICO) operation was done on 20-23 January, 2003. Data taken during the ICO period suggest that ILAS-II was functioning normally as designed. Signal-to-noise ratio (SNR) for each channel showed good quality of the ILAS-II data except for Ch.3. Preliminary comparison of ILAS-II O3 profiles with ozonesondes showed good agreements. A validation campaign is scheduled to be taken place in Kiruna, Sweden in 2003, when several balloon-borne measurements are planned.

  6. Exposure to Early Life Stress Results in Epigenetic Changes in Neurotrophic Factor Gene Expression in a Parkinsonian Rat Model

    PubMed Central

    Mpofana, Thabisile; Daniels, Willie M. U.; Mabandla, Musa V.

    2016-01-01

    Early life adversity increases the risk of mental disorders later in life. Chronic early life stress may alter neurotrophic factor gene expression including those for brain derived neurotrophic factor (BDNF) and glial cell derived neurotrophic factor (GDNF) that are important in neuronal growth, survival, and maintenance. Maternal separation was used in this study to model early life stress. Following unilateral injection of a mild dose of 6-hydroxydopamine (6-OHDA), we measured corticosterone (CORT) in the blood and striatum of stressed and nonstressed rats; we also measured DNA methylation and BDNF and GDNF gene expression in the striatum using real time PCR. In the presence of stress, we found that there was increased corticosterone concentration in both blood and striatal tissue. Further to this, we found higher DNA methylation and decreased neurotrophic factor gene expression. 6-OHDA lesion increased neurotrophic factor gene expression in both stressed and nonstressed rats but this increase was higher in the nonstressed rats. Our results suggest that exposure to early postnatal stress increases corticosterone concentration which leads to increased DNA methylation. This effect results in decreased BDNF and GDNF gene expression in the striatum leading to decreased protection against subsequent insults later in life. PMID:26881180

  7. Early Results from the Atmospheric Imaging Assembly (AIA) on the Solar Dynamics Observatory (SDO)

    NASA Astrophysics Data System (ADS)

    Tarbell, Theodore D.; AIA Team

    2011-01-01

    SDO was launched on February 11, 2010, and first light was in late March. AIA provides multiple simultaneous high-resolution full-disk images of the corona and transition region up to 0.5 R above the solar limb with 1.5" spatial resolution (0.6" pixels) and 10 second temporal resolution. AIA consists of four telescopes that employ normal incidence multilayer coated optics to provide narrow band imaging of seven EUV band-passes centered on specific lines: Fe XVIII (94 A), Fe VIII, XX, XXIII (131 A), Fe IX (171 A), Fe XII, XXIV (193 A), Fe XIV (211 A), He II (304 A), and Fe XVI (335 A). One telescope observes C IV (1600 A) and the nearby continuum (1700 A), and a filter that observes in the visible enables coalignment with images from other telescopes. The temperature diagnostics of the EUV emissions covers the range from 0.06M °K to 20M °K. Since early April, these images have been taken nearly continuously, usually with a cadence of 12 seconds. Although solar activity has only been increasing slowly in this cycle, there have been a large number of filament ejections that interact with large regions over the solar surface. In addition, because of the rapid cadence of images, a number of new wave phenomena have been discovered associated both with small flares and the interaction of expanding magnetic structures with pre-existing structures. Movies illustrating some of these events will be shown. AIA is supported by NASA (GSFC) contract NNG04EA00C at the Lockheed Martin Advanced Technology Center.

  8. Early identification of cognitive impairment and dementia: Results from four years of the community consultation center.

    PubMed

    Ishiwata, Akiko; Kitamura, Shin; Nomura, Toshiaki; Nemoto, Rumi; Ishii, Chika; Wakamatsu, Naoki; Katayama, Yasuo

    2014-01-01

    The community consultation center was established as the core facility for a project entitled "Community Support Network for Citizens with Mild Cognitive Impairment (MCI) and Dementia." This study reports on our center's activity and user outcomes. Users consulted with medical staff regarding their memory problems and were self-screened using a touch-panel computer assisted screening tool (TPST). Dementia was suspected when the TPST score was 12 points or below, and the Mini-Mental State Examination (MMSE) was conducted by our onsite clinical psychologists, which served as the gold standard. All reports were provided to user's primary care physicians, or a nearby medical institute if users did not have a primary care physician. Patient outcomes were obtained from participating medical institutes. Informed consent was obtained for all users. In the four-year period, 2802 users visited the center. Of them, 1565 registered (men/women=519/1046; mean age, 74 years). Of 1354 people who used TPST, 622 (45.9%) scored 12 points or below. 409 confirmed diagnoses from the medical institutes revealed MCI in 11.2%, Alzheimer's disease in 37.1%, and vascular dementia in 8.0%. Among the 207 users who had no primary care physicians at consultation, 43 (20.8%) were diagnosed with MCI or dementia. Approximately half of the users who took the TPST were suspected of dementia following interview by a clinical psychologist. Both MCI and dementia were confirmed by the medical institutes in 59.6% of users. We conclude that our consultation center plays a pivotal role in early diagnosis of MCI and dementia. PMID:25022712

  9. Loss of transcription factor early growth response gene 1 results in impaired endochondral bone repair

    PubMed Central

    Reumann, Marie K.; Strachna, Olga; Yagerman, Sarah; Torrecilla, Daniel; Kim, Jihye; Doty, Steven B.; Lukashova, Lyudmila; Boskey, Adele L.; Mayer-Kuckuk, Philipp

    2011-01-01

    Transcription factors that play a role in ossification during development are expected to participate in postnatal fracture repair since the endochondral bone formation that occurs in embryos is recapitulated during fracture repair. However, inherent differences exist between bone development and fracture repair, including a sudden disruption of tissue integrity followed by an inflammatory response. This raises the possibility that repair-specific transcription factors participate in bone healing. Here, we assessed the consequence of loss of early growth response gene 1 (EGR-1) on endochondral bone healing because this transcription factor has been shown to modulate repair in vascularized tissues. Model fractures were created in ribs of wild type (wt) and EGR-1−/− mice. Differences in tissue morphology and composition between these two animal groups were followed over 28 post fracture days (PFDs). In wt mice, bone healing occurred in healing phases characteristic of endochondral bone repair. A similar healing sequence was observed in EGR-1−/− mice but was impaired by alterations. A persistent accumulation of fibrin between the disconnected bones was observed on PFD7 and remained pronounced in the callus on PFD14. Additionally, the PFD14 callus was abnormally enlarged and showed increased deposition of mineralized tissue. Cartilage ossification in the callus was associated with hyper-vascularity and -proliferation. Moreover, cell deposits located in proximity to the callus within skeletal muscle were detected on PFD14. Despite these impairments, repair in EGR-1−/− callus advanced on PFD28, suggesting EGR-1 is not essential for healing. Together, this study provides genetic evidence that EGR-1 is a pleiotropic regulator of endochondral fracture repair. PMID:21726677

  10. Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture

    PubMed Central

    Jain, Deepak; Sidhu, Guraziz Singh; Mears, Simon C.; Yamin, Mohammad; Mahindra, Pankaj; Pannu, Harminder Singh

    2015-01-01

    Geriatric hip fractures are a challenging clinical problem throughout the world. Hip fracture services have been shown to shorten time to surgery, decrease the cost of admissions, and improve the outcomes. We instituted a geriatric hip fracture program for comanagement of these injuries by orthopedic and internal medicine teams at our hospital in India. From January 2010 till December 2011, 119 patients with a femoral neck fracture were treated with cemented modular hemiarthroplasty under this program using a cost-effective Indian implant. The cohort included 63 males and 56 females with a mean age of 70.7 years (range 55-98 years). Hypertension (n = 42) and diabetes mellitus (n = 29) were the most common comorbidities. The follow-up period ranged from 12 to 37 months with an average of 24 months. The surgery was performed within 24 hours of admission in 60.5% (n = 72) patients. The use of antiplatelet drugs was the most common reason for delay of surgery. The mean length of hospital stay was 10.4 days (range 3-24 days) with 77% (n = 92) of patients discharged within 1 week of admission. On follow-up, good to excellent Harris hip scores were seen in 88% of patients with 76% of patients returning to the preinjury ambulatory status. The mortality rate was 6% at 6 months follow-up and 10.9% at 2 years. Our study shows that a hip fracture program can be instituted in India. The program helped us in achieving the goal of early surgery, mobilization, and discharge from hospital with decreased mortality. PMID:26246953

  11. The CalNex Los Angeles Experiment: Overview and Early Results

    NASA Astrophysics Data System (ADS)

    Stutz, J.; de Gouw, J. A.; Jimenez, J. L.; Surratt, J.; Seinfeld, J.; CalNex-LA Team

    2010-12-01

    Air quality has considerably improved in the Los Angeles Basin over the past decades. These improvements were driven by some of the most advanced regulations on air pollution in the world. Nevertheless elevated ozone and particulate matter levels in Los Angeles and its surrounding areas persist. In addition recent regulations on greenhouse gases adopted by the State of California pose new challenges on air pollution mitigation in the LA Basin. With its rigorous air pollution mitigation policies Los Angeles offers a glimpse into the future of many other large urban areas which are following many of the strategies adopted in the LA Basin. Motivated by the desire to better understand the processes controlling air quality and greenhouse gas emissions in Southern California the CalNex experiment was performed in Spring 2010. Here we give an overview of the main surface measurement site in the Los Angeles Basin, which was set up on the campus of the California Institute of Technology on the east side of the South Coast Air Basin. The field site was motivated by the desire to better understand the daytime and nighttime chemistry that controls the formation of ozone and particulate matter. Many aspects of this chemistry, for example the removal of trace gases at night, the role of reactive halogens and the formation of secondary organic aerosol remain poorly understood. To address these, and other questions related to urban atmospheric chemistry, a comprehensive set of surface measurements were performed from May 15 - June 15, 2010. Over 30 research groups from a variety of national and international universities and research institutes performed measurements of meteorological parameters, a large number of trace gas-phase species, and detailed physical and chemical properties of aerosol. Here we present an overview of these measurements and discuss the general conditions encountered during the experiment. We will show early highlights from the CalNex-LA field experiment.

  12. Everolimus and Early Calcineurin Inhibitor Withdrawal: 3-Year Results From a Randomized Trial in Liver Transplantation

    PubMed Central

    Sterneck, M; Kaiser, G M; Heyne, N; Richter, N; Rauchfuss, F; Pascher, A; Schemmer, P; Fischer, L; Klein, C G; Nadalin, S; Lehner, F; Settmacher, U; Neuhaus, P; Gotthardt, D; Loss, M; Ladenburger, S; Paulus, E M; Mertens, M; Schlitt, H J

    2014-01-01

    The feasibility of de novo everolimus without calcineurin inhibitor (CNI) therapy following liver transplantation was assessed in a multicenter, prospective, open-label trial. Liver transplant patients were randomized at 4 weeks to start everolimus and discontinue CNI, or continue their current CNI-based regimen. The primary endpoint was adjusted estimated GFR (eGFR; Cockcroft-Gault) at month 11 postrandomization. A 24-month extension phase followed 81/114 (71.1%) of eligible patients to month 35 postrandomization. The adjusted mean eGFR benefit from randomization to month 35 was 10.1 mL/min (95% confidence interval [CI] −1.3, 21.5 mL/min, p = 0.082) in favor of CNI-free versus CNI using Cockcroft-Gault, 9.4 mL/min/1.73 m2 (95% CI −0.4, 18.9, p = 0.053) with Modification of Diet in Renal Disease (four-variable) and 9.5 mL/min/1.73 m2 (95% CI −1.1, 17.9, p = 0.028) using Nankivell. The difference in favor of the CNI-free regimen increased gradually over time due to a small progressive decline in eGFR in the CNI cohort despite a reduction in CNI exposure. Biopsy-proven acute rejection, graft loss and death were similar between groups. Adverse events led to study drug discontinuation in five CNI-free patients and five CNI patients (12.2% vs. 12.5%, p = 1.000) during the extension phase. Everolimus-based CNI-free immunosuppression is feasible following liver transplantation and patients benefit from sustained preservation of renal function versus patients on CNI for at least 3 years. The beneficial effect on renal function achieved by early CNI withdrawal and treatment with everolimus after liver transplantation is still evident after three years. PMID:24502384

  13. Early Results from the Global Precipitation Measurement (GPM) Mission in Japan

    NASA Astrophysics Data System (ADS)

    Kachi, Misako; Kubota, Takuji; Masaki, Takeshi; Kaneko, Yuki; Kanemaru, Kaya; Oki, Riko; Iguchi, Toshio; Nakamura, Kenji; Takayabu, Yukari N.

    2015-04-01

    of gauge-calibrated GSMaP algorithm (Ushio et al., 2013). In addition to those improvements in the algorithms number of passive microwave imagers and/or sounders used in the GPM-GSMaP was increased compared to the previous version. After the early calibration and validation of the products and evaluation that all products achieved the release criteria, all GPM standard products and the GPM-GSMaP product has been released to the public since September 2014. The GPM products can be downloaded via the internet through the JAXA G-Portal (https://www.gportal.jaxa.jp).

  14. Study of the mesosphere using wide-field twilight polarization measurements: Early results beyond the polar circle

    NASA Astrophysics Data System (ADS)

    Ugolnikov, O. S.; Kozelov, B. V.

    2016-07-01

    This paper discusses the results of early measurements of temperature and dust in the mesosphere on the basis of wide-field twilight sky polarimetry, which began in 2015 in Apatity (North of Russia, 67.6° N, 33.4° E) using the original entire-sky camera. These measurements have been performed for the first time beyond the Polar Circle in the winter and early spring period. The general polarization properties of the twilight sky and the procedure for identifying single scattering are described. The key results of the study include the Boltzmann temperature values at altitudes higher than 70 km and the conclusion on a weak effect of dust on scattering properties of the mesosphere during this period.

  15. Microgravity Effects on the Early Events of Biological Nitrogen Fixation in Medicago Truncatula: Results from the SyNRGE Experiment

    NASA Technical Reports Server (NTRS)

    Stutte, Gary W.; Roberts, Michael

    2012-01-01

    SyNRGE (Symbiotic Nodulation in a Reduced Gravity Environment) was a sortie mission on STS-135 in the Biological Research in Canisters (BRIC) hardware to study the effect of microgravity on a plant-microbe symbiosis resulting in biological nitrogen fixation. Medicago truncatula, a model species for th legume family, was inoculated with its bacterial symbiont, Sinorhizobium meliloti, to observe early biomolecular events associated with infection and nodulation in Petri Dish Fixation Units (PDFU's).

  16. The characteristic black hole mass resulting from direct collapse in the early Universe

    NASA Astrophysics Data System (ADS)

    Latif, M. A.; Schleicher, D. R. G.; Schmidt, W.; Niemeyer, J. C.

    2013-12-01

    Black holes of a billion solar masses are observed in the infant Universe a few hundred million years after the big bang. The direct collapse of protogalactic gas clouds in primordial haloes with Tvir ≥ 104 K provides the most promising way to assemble massive black holes. In this study, we aim to determine the characteristic mass scale of seed black holes and the time evolution of the accretion rates resulting from the direct collapse model. We explore the formation of supermassive black holes via cosmological large eddy simulations (LES) by employing sink particles and following their evolution for 20 000 yr after the formation of the first sink. As the resulting protostars were shown to have cool atmospheres in the presence of strong accretion, we assume here that UV feedback is negligible during this calculation. We confirm this result in a comparison run without sinks. Our findings show that black hole seeds with characteristic mass of 105 M⊙ are formed in the presence of strong Lyman-Werner flux which leads to an isothermal collapse. The characteristic mass is about two times higher in LES compared to the implicit large eddy simulations. The accretion rates increase with time and reach a maximum value of 10 M⊙ yr-1 after 104 yr. Our results show that the direct collapse model is clearly feasible as it provides the expected mass of the seed black holes.

  17. Longitudinal Twin Study of Early Reading Development in Three Countries: Preliminary Results.

    ERIC Educational Resources Information Center

    Byrne, Brian; Delaland, Cara; Fielding-Barnsley, Ruth; Quain, Peter; Samuelsson, Stefan; Hoien, Torleiv; Corley, Robin; DeFries, John C.; Wadsworth, Sally; Willcutt, Erik; Olson, Richard K.

    2002-01-01

    Preliminary results from data on 146 Australian, 284 American, and 70 Norwegian preschool twins indicate reliable genetic influences on phonological awareness and memory and learning. Vocabulary, grammar, and morphology showed significant shared environment and negligible genetic effects. A print knowledge composite showed genetic and shared…

  18. Early Marriage, Premarital Fertility, and Marital Dissolution: Results for Blacks and Whites.

    ERIC Educational Resources Information Center

    Teachman, Jay D.

    1983-01-01

    Investigated the impact of age and premarital fertility status on subsequent marital dissolution for Black and White women (N=6,374). Results using multivariate proportional hazards models indicate that premarital births, but not premarital pregnancies, increase risk of marital dissolution, and an increasing age reduces the risk of divorce.…

  19. Results from an Experimental Study about Reinforcements Employed in Early Training

    ERIC Educational Resources Information Center

    Aparicio, Maria Teresa Sanz

    2004-01-01

    The Down's syndrome population presents a social quotient higher than its intelligence quotient, the main characteristic of its personality and because of the pronounced hypotony suffered by them, principally in the first years of life. This report shows the results of a study carried out about differential acquisitions of two groups of trisomy-21…

  20. Competitive Employment for Youth with Autism Spectrum Disorders: Early Results from a Randomized Clinical Trial

    ERIC Educational Resources Information Center

    Wehman, Paul H.; Schall, Carol M.; McDonough, Jennifer; Kregel, John; Brooke, Valerie; Molinelli, Alissa; Ham, Whitney; Graham, Carolyn W.; Riehle, J. Erin; Collins, Holly T.; Thiss, Weston

    2014-01-01

    For most youth with autism spectrum disorders (ASD), employment upon graduation from high school or college is elusive. Employment rates are reported in many studies to be very low despite many years of intensive special education services. This paper presented the preliminary results of a randomized clinical trial of Project SEARCH plus ASD…

  1. Managing Herbicide Drift and Early Results of Simulated Glyphosate Drift to Potato Study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The off target movement of herbicides can injure sensitive crops. Off target movement of spray droplets results from displacement by wind, poor application techniques, or improper settings or operation of application equipment. Applicators should be aware of wind speed and direction, use nozzles and...

  2. E-Journal Bundling and Its Impact on Academic Libraries: Some Early Results.

    ERIC Educational Resources Information Center

    Nabe, Jonathan

    2001-01-01

    Discusses journal bundling for science, technical and medical electronic journals and its impact on academic libraries. Reports results of a survey of the academic libraries in the Boston Library Consortium that investigated reasons for subscribing, including price, content, faculty demand, license agreement, archiving issues, format, and…

  3. Learning Communities for Developmental Education Students: Early Results from Randomized Experiments at Three Community Colleges

    ERIC Educational Resources Information Center

    Weiss, Michael J.; Visher, Mary; Weissman, Evan

    2011-01-01

    This paper presents results from a rigorous random assignment study of Learning Communities programs operated at three of six community colleges participating in the National Center for Postsecondary Research's (NCPR) Learning Communities Demonstration. The demonstration's focus is on determining whether Learning Communities are an effective…

  4. Implementation and Operational Research: Expedited Results Delivery Systems Using GPRS Technology Significantly Reduce Early Infant Diagnosis Test Turnaround Times.

    PubMed

    Deo, Sarang; Crea, Lindy; Quevedo, Jorge; Lehe, Jonathan; Vojnov, Lara; Peter, Trevor; Jani, Ilesh

    2015-09-01

    The objective of this study was to quantify the impact of a new technology to communicate the results of an infant HIV diagnostic test on test turnaround time and to quantify the association between late delivery of test results and patient loss to follow-up. We used data collected during a pilot implementation of Global Package Radio Service (GPRS) printers for communicating results in the early infant diagnosis program in Mozambique from 2008 through 2010. Our dataset comprised 1757 patient records, of which 767 were from before implementation and 990 from after implementation of expedited results delivery system. We used multivariate logistic regression model to determine the association between late result delivery (more than 30 days between sample collection and result delivery to the health facility) and the probability of result collection by the infant's caregiver. We used a sample selection model to determine the association between late result delivery to the facility and further delay in collection of results by the caregiver. The mean test turnaround time reduced from 68.13 to 41.05 days post-expedited results delivery system. Caregivers collected only 665 (37.8%) of the 1757 results. After controlling for confounders, the late delivery of results was associated with a reduction of approximately 18% (0.44 vs. 0.36; P < 0.01) in the probability of results collected by the caregivers (odds ratio = 0.67, P < 0.05). Late delivery of results was also associated with a further average increase in 20.91 days of delay in collection of results (P < 0.01). Early infant diagnosis program managers should further evaluate the cost-effectiveness of operational interventions (eg, GPRS printers) that reduce delays. PMID:26068719

  5. Early aftershocks statistics: first results of prospective test of alarm-based model (EAST)

    NASA Astrophysics Data System (ADS)

    Shebalin, Peter; Narteau, Clement; Holschneider, Matthias; Schorlemmer, Danijel

    2010-05-01

    It was shown recently that the c-value systematically changes across different faulting styles and thus may reflect the state of stress. Hypothesizing that smaller c-values indicate places more vulnerable to moderate and large earthquakes, we suggested a simple alarm-based forecasting model, called EAST, submitted for the test in CSEP in California (3-month, M ≥ 4 class); the official test was started on July 1, 2009. We replaced the c-value by more robust parameter, the geometric average of the aftershock elapsed times (the ea-value). We normalize the ea-value calculated for last 5 years by the value calculated for preceding 25 years. When and where the normalized ea-value exceeds a given threshold, an 'alarm' is issued: an earthquake is expected to occur within the next 3 months. Retrospective tests of the model show good and stable results (even better for targets M ≥ 5). During the first 6 months of the prospective test 22 target earthquakes took place in the testing area. 14 of them (more than 60%) were forecasted with the alarm threshold resulting in only 1% of space-time occupied by alarms (5% if space is normalized by past earthquake frequencies). This highly encouraging result was obtained mostly due to successful forecast of the sequence of 11 earthquakes near Lone Pine in 1-9 October 2009. However, if we disregard aftershocks as targets, then 4 out of 9 main shocks occurred in alarms with normalized ea-value threshold resulting in 2.5% of normalized space-time occupied by alarms, the result is also impossible to get by chance at a significance level 1%. To expand the evaluation of the EAST model relative to larger number of forecast models, we have developed its frequency-based version. We estimate the expected frequency of earthquakes using joint retrospective statistics of targets and the ea-value.

  6. Competitive employment for youth with autism spectrum disorders: early results from a randomized clinical trial.

    PubMed

    Wehman, Paul H; Schall, Carol M; McDonough, Jennifer; Kregel, John; Brooke, Valerie; Molinelli, Alissa; Ham, Whitney; Graham, Carolyn W; Erin Riehle, J; Collins, Holly T; Thiss, Weston

    2014-03-01

    For most youth with autism spectrum disorders (ASD), employment upon graduation from high school or college is elusive. Employment rates are reported in many studies to be very low despite many years of intensive special education services. This paper presented the preliminary results of a randomized clinical trial of Project SEARCH plus ASD Supports on the employment outcomes for youth with ASD between the ages of 18-21 years of age. This model provides very promising results in that the employment outcomes for youth in the treatment group were much higher in non-traditional jobs with higher than minimum wage incomes than for youth in the control condition. Specifically, 21 out of 24 (87.5 %) treatment group participants acquired employment while 1 of 16 (6.25 %) of control group participants acquired employment. PMID:23893098

  7. New St. Jude Medical Portico™ transcatheter aortic valve: features and early results.

    PubMed

    Spence, M S; Lyons, K; McVerry, F; Smith, B; Manoharan, G B; Maguire, C; Doherty, R; Anderson, L; Morton, A; Hughes, S; Hoeritzauer, I; Manoharan, G

    2013-06-01

    Patients with symptomatic aortic valve disease who are inoperable or have high surgery-related risks may be treated with transcatheter aortic valve implantation devices. With this method increasingly applied, device innovations are aimed at achieving improved procedural results and therapeutic outcome. This paper describes the innovations implemented in the St. Jude Medical Portico™ system for transcatheter aortic valve implantation, the application of this system and initial clinical experience. PMID:23681129

  8. A Prospective Study of Early Loaded Single Implant-Retained Mandibular Overdentures: Preliminary One-Year Results

    PubMed Central

    El-Sheikh, Ali M.; Shihabuddin, Omar F.; Ghoraba, Sahar M. F.

    2012-01-01

    Purpose. To investigate the predictability of simplifying mandibular overdenture treatment using one-stage surgery and early prosthetic loading of a single implant. Materials and Methods. Twenty edentulous patients with problematic existing mandibular dentures were treated. A single implant with a chemically modified surface (SLActive, Straumann AG, Basel, Switzerland) was placed into the mandibular midline. The patients were recalled at 3, 6 and 12 months. Clinical assessments and marginal bone loss using standardized radiographs were recorded. All complications, failures and maintenance were noted. Visual analog-scale questionnaires were used to record patient satisfaction in five categories. ANOVA was used to determine differences between means of marginal bone loss and different categories of patient staisfaction (P = 0.05). Results. The 20 early loaded implants were all surviving at the 12-month recall. All implants showed less than 1 mm of marginal bone loss by the end of the 1-year with a significant increase during the follow-up period. Few prosthetic problems were reported. Patient satisfaction was high with a significant increase in all comfort and functional parameters. Conclusions. These preliminary 1-year results indicate that early loading of a single chemically modified surface implant used to retain a mucosa-borne mandibular overdenture is a safe, reliable, and cost-effective treatment. PMID:22505895

  9. Total enbloc spondylectomy for metastatic high grade spinal tumors: Early results

    PubMed Central

    Patil, Sanganagouda S; Nene, Abhay M

    2016-01-01

    Background: High grade metastatic spinal tumors are most common and are invasive. These patients can succumb to disease progression if not treated timely. Although considered as invasive and morbid, total enbloc spondylectomy (TES) in selected cases has better survival rates. The authors describe the results of TES for high grade metastatic spinal tumors. Materials and Methods: Five patients (four females and one male) underwent TES for solitary metastatic vertebral lesion between November 2012 and January 2014. These patients presented to us with spinal instability, unrelenting severe spinal pain and/or with severe progressive radiculopathy. Average age was 46.2 years (range 39–62 years). After complete investigations, computed tomography scan, magnetic resonance imaging scan and positron emission tomography (PET) scan, it was confirmed that these patients had high grade solitary vertebral metastatic tumor. Results: Average duration of followup was 18 months (range 16–20 months). The average preoperative visual analog scale score of 9.4 (range 9–10) improved to 2 (range 1–4) at last followup. Average blood loss was 1440 mL (range 1000–2000 mL). Average duration of surgery was 198 min (range 180–240 min). Significant pain relief was noticed in each patient in the immediate postoperative period and during followups. These patients attained complete functional activities of daily living with in a month. The imaging showed implants in situ, no recurrence of tumor, and no activity on PET scan at the final followup. Conclusion: The present series shows favorable short term results of TES for solitary, metastatic, high grade vertebral body tumors by a team approach. PMID:27512215

  10. Geological questions and significant results provided by early ERTS-1 data

    NASA Technical Reports Server (NTRS)

    Carter, W. D.

    1972-01-01

    There are no author-identified significant results in this report. The organization for evaluating the uses of Earth Resources Technology Satellite data of the United States and foreign areas is described. The implementation of a system to disseminate the data to the geographical areas of interest is discussed. Brief descriptions are included of data received for the following areas: (1) east coast, (2) central United States, (3) western mountain areas, (4) west coast areas, and (5) Alaska. It is concluded that the multiband approach is useful with each of the bands providing unique and useful information. The difficulties in handling the data if all seven bands are used are examined.

  11. Early Results on Energetic Particle Precipitation Observed by the ABOVE Instrument Array

    NASA Astrophysics Data System (ADS)

    Cully, C. M.; Chaddock, D.; Daniel, C.; Davis, E.; Galts, D.; McGuffin, N.; Quinn, C.; Sheldon, A.; Wilson, C.

    2014-12-01

    ABOVE, the Array for Broadband Observations of VLF/ELF Emissions, is a network of radio instruments located across western Canada. The instruments monitor natural and artificial electromagnetic radiation in the frequency range from 200 Hz to 75 kHz. The primary scientific focus is on energetic particle precipitation: we infer precipitation into the atmosphere based on the observed amplitude and phase of remotely transmitted artificial signals, and simultanesouly monitor natural whistler-mode waves (chorus and hiss) that drive the precipitation. Instrument deployment began during the summer of 2014. We report here on the instrument design and the first results.

  12. Early results from a prototype VLBI clock monitoring system. [Deep Space Network

    NASA Technical Reports Server (NTRS)

    Yunck, T. P.; Madrid, G. A.

    1979-01-01

    Four sets of experiments were conducted to measure the relative epoch offsets between atomic clocks in California, Australia, and Spain by means of very long baseline interferometry (VLBI). The experiments were conducted using an incomplete R & D VLBI system with a number of inherent limitations. The results indicate that the measurement objective of epoch offset to 10 nanoseconds will be met. Tables show the measured offset, the residual to fit, and the square root Allan variance. Graphs show the rate change and the rate reset.

  13. Accelerometers for the GOCE Mission: on-ground verification and in-orbit early results

    NASA Astrophysics Data System (ADS)

    Foulon, B.; Christophe, B.; Marque, J.-P.

    2009-04-01

    The six accelerometers of the ESA GOCE mission have been developed by ONERA under contract with ThalesAleniaSpace France as Prime Contractor of the Gradiometer. These instruments are based on a principle similar to the ones flying from several years on board the CHAMP and the twin GRACE satellites but with some technological evolution to improve their resolution by 2 orders of magnitude in order to guarantee a level of noise acceleration lower than 2E-12 ms-2 Hz-1/2 as required by the GOCE mission scientific performance. Their contribution to the mission is double by providing the Satellite with the linear accelerations as input to the continuous drag compensation system and with the scientific data measurements to be on-ground processed. The presentation will first shortly describe the accelerometer together with a summary of on-ground test plan philosophy and results, including free fall tests in the Bremen drop tower. Then, if available at that time, the first and preliminary results of the in orbit performance of the accelerometers will be presented and compared. Such instrument can also contribute to improve the performance of some new geodetic mission by measuring more accurately the non gravitational forces acting on the satellites, as corner-stone instrument in some gradiometer arms or as sensor for drag compensation system of low orbit spacecrafts.

  14. Carbon and Water Flux Observations from AmeriFlux and Fluxnet: Some Early Results

    NASA Astrophysics Data System (ADS)

    Law, B. E.

    2001-12-01

    Flux networks provide a means for scientists to make common measurements of carbon, water, and energy exchange, to share advancements in methods, and synthesize results across the network. AmeriFlux objectives are to: Determine how environmental factors and climate regulate ecosystem CO2 and H2O exchange over the short- and long-term, evaluate impacts of anthropogenic factors, and provide data and new understanding for incorporation into models. AmeriFlux is part of the larger international network, Fluxnet. Among Fluxnet sites, we investigated seasonal and annual CO2 and water vapor exchange, and relations with environmental variables to elucidate generalities within and among biomes. The data showed a strong linkage between carbon gain and water loss, with the highest water-use efficiency values for grasslands, and lowest values for tundra. Ecosystem respiration was only weakly correlated with mean annual temperature across biomes, in spite of sensitivity within site over shorter temporal scales. Mean annual temperature and site water balanced explained much of the variation in gross photosynthesis, whereby water availability limits LAI over the long-term, and inter-annual climate variability limits carbon uptake below the potential of the leaf area available for photosynthesis. We compared BIOME-BGC model results among AmeriFlux coniferous forests, and the model showed that variation in net ecosystem carbon exchange (NEE) is mostly a function of disturbance history, with important secondary effects from site climate, ecophysiology, and changing atmospheric CO2 and nitrogen deposition.

  15. ADEOS-II/GLI ocean-color atmospheric correction: early phase result

    NASA Astrophysics Data System (ADS)

    Fukushima, Hajime; Toratani, Mitsuhiro; Tanaka, Akihiko; Chen, Wen-Zhong; Murakami, Hiroshi; Frouin, Robert J.; Mitchell, B. G.; Kahru, Mati

    2003-11-01

    The paper presents initial results of atmospherically corrected ocean color data from the Global Imager (GLI), a moderate resolution spectrometer launched in December 2002 aboard ADEOS-II satellite. The standard GLI atmospheric correction algorithm, which includes an iterative procedure based on in-water optical modeling is first described, followed by brief description of standard in-water algorithms for output geophysical parameters. Ship/buoy-observed and satellite-derived marine reflectances, or normalized water-leaving radiance, are then compared, under vicarious calibration correction factors based on global GLI-SeaWiFS data comparison. The results, over 15 water-leaving radiance match-up data collected mostly off California and off Baja California, show standard errors in GLI estimate of 0.1 to 0.36 μW/cm2/nm/sr for 412, 443, 490, and 565 nm bands, with improved standard errors of 0.09 to 0.14 μW/cm2/nm/sr if in situ data set is limited to those obtained by in-water radiance measurement. Under provisional de-striping procedure, satellite-derived chlorophyll a estimates compares well with 35 ship-measured data collected off California within one day difference from the satellite observation, showing standard error factor of 1.73 (+73% or -43% error).

  16. Early results of an in vivo trial of ESS in thyroid cancer

    NASA Astrophysics Data System (ADS)

    Rosen, Jennifer E.; Goukassian, Ilona D.; A'Amar, Ousama M.; Bigio, Irving J.; Lee, Stephanie L.

    2012-02-01

    Introduction: Thyroid cancer is the most common endocrine malignancy. The current gold standard for diagnosis, fine-needle aspiration (FNA) biopsy, yields 10-25% of indeterminate cytology results, leading to patients undergoing thyroidectomy for diagnosis. We assessed the technical potential of a miniaturized in vivo ESS (elastic light scattering spectroscopy) probe, built into an FNA needle assembly, to differentiate benign from malignant thyroid nodules. Methods: Under IRB approval, 15 patients in the endocrine clinic undergoing FNAB of a thyroid nodule had collection of ESS data using our novel miniaturized FNA probe. Using final surgical pathology as our gold standard, data post processing and visual inspection was completed. Results: 225 spectra were grouped and analyzed (120 benign, 30 malignant and 75 from indeterminate cytology). ESS probes demonstrated excellent reproducibility in use. Initial analysis of these preliminary data is promising, indicating distinction of spectral ESS features between malignant and benign conditions. Conclusion(s): An in vivo trial of an invasive miniaturized integrated ESS biopsy probe is acceptable to patients, and collection of ESS data is feasible and reliable. With development of a disease-specific algorithm, ESS could potentially be used as an in-situ real time intra-operative diagnostic tool or as a minimally invasive adjunct to conventional FNA cytology.

  17. Ciprofloxacin and furagin in acute cystitis: comparison of early immune and microbiological results.

    PubMed

    Dybowski, Bartosz; Jabłońska, Olga; Radziszewski, Piotr; Gromadzka-Ostrowska, Joanna; Borkowski, Andrzej

    2008-02-01

    Furagin (a nitrofurantoin analogue) has the same efficacy in treating acute cystitis as ciprofloxacin, however the duration of therapy is longer. We established a hypothesis that therapy with ciprofloxacin results in faster resolution of mucosal inflammation in comparison with furagin. Rates of urinary secretion of immunoglobulins class A, M and G and interleukin-8 (IL-8) were evaluated before and after initiation of therapy in adult women presenting with acute cystitis confirmed by urine culture. Women were randomised into two groups receiving either ciprofloxacin 250mg twice a day for 3 days (n=13) or furagin 100mg three times a day for 7 days (n=14). Median lengths of follow-up were 4 days and 5 days in the ciprofloxacin and furagin groups, respectively. Treatment with ciprofloxacin resulted in faster eradication of pathogens. No bacteria or nitrates were detected in the ciprofloxacin group, whilst leukocyte esterase was positive in only one case. In the furagin group there were four positive cultures, seven cases with positive nitrates and five cases with positive esterase. Secretion rates of all four substances dropped significantly, but the changes over time were similar in both groups. PMID:18060746

  18. Early and long-term results of stenting of diffuse coronary artery disease.

    PubMed

    Di Sciascio, G; Patti, G; Nasso, G; Manzoli, A; D'Ambrosio, A; Abbate, A

    2000-12-01

    Diffuse coronary artery disease (CAD) is considered unfavorable for interventional procedures; however, the results of stenting of diffuse CAD have not been completely characterized. We performed stenting in 100 consecutive patients with diffuse CAD, defined as significant stenosis >20 mm (n = 59 patients), multiple significant stenoses in the same artery (n = 23 patients), or significant narrowing involving the whole length of the coronary artery (n = 18 patients). Angiographic success was achieved in 103 arteries (100%) and clinical success was obtained in all 100 patients. There were no deaths; no patient had stent closure, acute myocardial infarction, or required emergency coronary artery bypass surgery. All 100 patients had >6 months follow-up (mean 18 +/- 7 months, range 7 to 31); 77 (77%) remained asymptomatic, and 5 (5%) had acute myocardial infarction, of whom 2 died (2%). In-stent restenosis was observed in 12 patients (12%) and repeat angioplasty was performed in 10. Including those patients who underwent repeat angioplasty, 89 (89%) maintained clinical improvement and 95 (95%) were alive and free of bypass surgery during follow-up. Life-table analysis showed 86% freedom from death, myocardial infarction, and target lesion revascularization at 28 months. Thus, selected patients with diffuse CAD may be treated with satisfactory acute and long-term results by stent implantation. PMID:11090785

  19. Percutaneous Intraductal Radiofrequency Ablation is a Safe Treatment for Malignant Biliary Obstruction: Feasibility and Early Results

    SciTech Connect

    Mizandari, Malkhaz; Pai, Madhava Xi Feng; Valek, Vlastimil; Tomas, Andrasina; Quaretti, Pietro; Golfieri, Rita; Mosconi, Cristina; Ao Guokun; Kyriakides, Charis; Dickinson, Robert; Nicholls, Joanna; Habib, Nagy

    2013-06-15

    Purpose. Previous clinical studies have shown the safety and efficacy of this novel radiofrequency ablation catheter when used for endoscopic palliative procedures. We report a retrospective study with the results of first in man percutaneous intraductal radiofrequency ablation in patients with malignant biliary obstruction. Methods. Thirty-nine patients with inoperable malignant biliary obstruction were included. These patients underwent intraductal biliary radiofrequency ablation of their malignant biliary strictures following external biliary decompression with an internal-external biliary drainage. Following ablation, they had a metal stent inserted. Results. Following this intervention, there were no 30-day mortality, hemorrhage, bile duct perforation, bile leak, or pancreatitis. Of the 39 patients, 28 are alive and 10 patients are dead with a median survival of 89.5 (range 14-260) days and median stent patency of 84.5 (range 14-260) days. One patient was lost to follow-up. All but one patient had their stent patent at the time of last follow-up or death. One patient with stent blockage at 42 days postprocedure underwent percutaneous transhepatic drain insertion and restenting. Among the patients who are alive (n = 28) the median stent patency was 92 (range 14-260) days, whereas the patients who died (n = 10) had a median stent patency of 62.5 (range 38-210) days. Conclusions. In this group of patients, it appears that this new approach is feasible and safe. Efficacy remains to be proven in future, randomized, prospective studies.

  20. SeaWinds on QuikSCAT Mission and Early Science Results

    NASA Technical Reports Server (NTRS)

    Tsai, Wu-Yang; Graf, James E.

    2000-01-01

    SeaWinds on QuikSCAT (QSCAT) is a dedicated satellite remote sensing mission for measuring ocean surface wind speed and direction, using a spinning, pencil-beam Ku-band scatterometer. It is a replacement mission for NASA Scatterometer (NSCAT), which was launched on board of the Japan's Advanced Earth Observation System (ADEOS-1) in August 1996 and returned 10 months of high quality data before the mission was terminated in June, 1997 due to the failure of the ADEOS-1 spacecraft. Since the next NASA scatterometer mission, SeaWinds on ADEOS-2 (SeaWinds), will not be launched until November 2000, NASA decided to fill the data gap by launching the QSCAT mission. Furthermore, after year 2000. the potential exists for using both the QSCAT and SeaWinds to provide approximately 6 hours global coverage of the marine winds. QSCAT is currently scheduled for launch in April, 1999 from Vandenberg Air Force Base, using Titan-II launch vehicle. The purpose of this paper is to first present the mission objectives, the spacecraft and instrument design, ground receiving systems, the science data processing system, and the data products. We will then present the post-launch calibration and verification results of the QSCAT end-to-end sensor system. Finally, we present some of the key results obtained from the first two months of the mission, which include ocean surface wind measurements, ice detection and classification, global snow cover detection, and flood detection.

  1. Maternal Early Life Factors Associated with Hormone Levels and the Risk of Having a Child with an Autism Spectrum Disorder in the Nurses Health Study II

    ERIC Educational Resources Information Center

    Lyall, Kristen; Pauls, David L.; Santangelo, Susan; Spiegelman, Donna; Ascherio, Alberto

    2011-01-01

    It is not known whether reproductive factors early in the mother's life influence risk of autism spectrum disorders (ASD). We assessed maternal age at menarche, menstrual cycle characteristics during adolescence, oral contraceptive use prior to first birth, body shape, and body mass index (BMI) in association with ASD using binomial regression in…

  2. Early results of the Acclaim total elbow replacement in patients with primary osteoarthritis.

    PubMed

    Naqui, S Z; Rajpura, A; Nuttall, D; Prasad, P; Trail, I A

    2010-05-01

    This is a retrospective review of the results of the Acclaim total elbow replacement in 11 older patients aged > or = 65 years with primary osteoarthritis of the elbow, with a mean follow-up of 57.6 months (30 to 86.4). Significant reductions in pain and improvement in range of movement and function were recorded. Radiological review revealed two patients with 1 mm lucencies in a single zone, and one patient with 1 mm lucencies in two zones. No components required revision. There were no deep infections, dislocations or mechanical failures. Complications included one intra-operative medial condylar fracture and one post-operative transient ulnar neuropathy, which resolved. This study demonstrates that the Acclaim prosthesis provides good symptomatic relief and improvement of function in patients with primary osteoarthritis, with low rates of loosening or other complications. This prosthesis can therefore be considered for patients aged > or = 65 years with primary osteoarthritis of the elbow. PMID:20436004

  3. Early Results on the Saturn System from the Composite Infrared Spectrometer

    NASA Technical Reports Server (NTRS)

    Flasar, F. M.

    2005-01-01

    The Composite Infrared Spectrometer (CIRS) is a remote-sensing Fourier Transform Spectrometer on the Cassini orbiter that measures thermal radiation over two decades in wavenumber, from 10 to 1400 /cm (1 mm to 7 microns), with a spectral resolution that can be set from 0.5 to 15.5 /cm. The far infrared portion of the spectrum (10-600 /cm) is measured with a polarizing interferometer having thermopile detectors with a common 4-mrad field of view. The middle infrared portion is measured with a traditional Michelson interferometer having two focal planes (600-1100 /cm, 1100-1400 cm). Each focal plane is composed of a 1x10 array of HgCdTe detectors, each detector having a 0.3-mrad field of view. More complete descriptions of the instrument and investigation are given in and. A brief description of the first results from observations through the Saturn orbital insertion period can be found in.

  4. Early Results From A 1/12 Degree Global Ocean Model

    NASA Astrophysics Data System (ADS)

    Coward, A. C.; de Cuevas, B. A.; Webb, D. J.

    Following recent improvements to the OCCAM global ocean model, we have started on a new run of the model at 1/12 degree resolution. Here we present some results from the first year of the model run concentrating on the Gulf Stream, the Agulhas Current and the Kuroshio. The Gulf Stream shows good separation at Cape Hatteras, a series of eddies generated off North Carolina, which are swept downstream by the current, and evidence of steering of the current by the New England Sea Mounts. The Agulhas Current shows a strong retroflection and generates much smaller Agulhas eddies than the earlier OCCAM runs. The Kuroshio also shows steering by both the Ryukyu Islands and the Iwo Jima Ridge. A weak branch of the boundary current also flows through the Sea of Japan to the Tsugaru Strait.

  5. Overview and early results of the Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES)

    NASA Astrophysics Data System (ADS)

    Kikuchi, Ken-Ichi; Nishibori, Toshiyuki; Ochiai, Satoshi; Ozeki, Hiroyuki; Irimajiri, Yoshihisa; Kasai, Yasuko; Koike, Makoto; Manabe, Takeshi; Mizukoshi, Kazuo; Murayama, Yasuhiro; Nagahama, Tomoo; Sano, Takuki; Sato, Ryota; Seta, Masumichi; Takahashi, Chikako; Takayanagi, Masahiro; Masuko, Harunobu; Inatani, Junji; Suzuki, Makoto; Shiotani, Masato

    2010-12-01

    The Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES) was successfully launched and attached to the Japanese Experiment Module (JEM) on the International Space Station (ISS) on 25 September 2009. It has been making atmospheric observations since 12 October 2009 with the aid of a 4 K mechanical cooler and superconducting mixers for submillimeter limb-emission sounding in the frequency bands of 624.32-626.32 GHz and 649.12-650.32 GHz . On the basis of the observed spectra, the data processing has been retrieving vertical profiles for the atmospheric minor constituents in the middle atmosphere, such as O3 with isotopes, HCl, ClO, HO2, BrO, and HNO3. Results from SMILES have demonstrated its high potential to observe atmospheric minor constituents in the middle atmosphere. Unfortunately, SMILES observations have been suspended since 21 April 2010 owing to the failure of a critical component.

  6. A summary of selected early results from the ERTS-1 menhaden experiment

    NASA Technical Reports Server (NTRS)

    Stevenson, W. H. (Principal Investigator); Kemmerer, A. J.; Benigno, J. A.; Reese, G. B.; Minkler, F. C.

    1973-01-01

    The author has identified the following significant results. Imagery from ERTS-1 satellite was used in conjunction with aerial photographically-sensed menhaden distribution information, sea truth oceanographic measurements, and commercial fishing information from a 8685 square kilometer study area in the north-central portion of the Gulf of Mexico to demonstrate relationships between selected oceanographic parameters and menhaden distribution, ERTS-1 imagery and menhaden distribution, and ERTS-1 imagery and oceanographic parameters. ERTS-1, MSS band 5 imagery density levels correlated with photographically detected menhaden distribution patterns and could be explained based on sea truth Secchi disc transparency and water depth measurements. These two parameters, together with surface salinity, Forel-Ule color, and chlorophyll-a also were found to correlate significantly with menhaden distribution. Eight empirical models were developed which provided menhaden distribution predictions for the study area on combinations of Secchi disc transparency, water depth, surface salinity, and Forel-Ule color measurements.

  7. Early results from SPARO: Instrument characterization and polarimetry of NGC 6334

    NASA Astrophysics Data System (ADS)

    Renbarger, Thomas Kennith

    2002-11-01

    We describe SPARO, the Submillimeter Polarimeter for Antarctic Remote Observations. SPARO measures the state of linear polarization of submillimeter radiation from astrophysical sources. When deployed on the Viper telescope at the Amundsen-Scott Station at the South Pole, SPARO has the greatest sensitivity to degree-scale polarized submillimeter emission of any current instrument. We detail similarities between SPARO and prior instruments and highlight specific design issues that arise for the operation of an instrument in the severe weather conditions of the South Pole winter. We report on the cryogenic, electrical, and optical performance of SPARO and the optical performance of the SPARO/Viper system. We present polarimetric observations of the southern molecular cloud NGC 6334 and compare these observations with higher angular resolution submillimeter polarimetric observations of NGC 6334 made at the Caltech Submillimeter Observatory and the James Clerk Maxwell Telescope. Finally, we give our interpretation of these results.

  8. A Powerful New Imager for HST: Performance and Early Science Results from Wide Field Camera 3

    NASA Technical Reports Server (NTRS)

    Kimble, Randy

    2009-01-01

    Wide Field Camera 3 (WFC3) was installed into the Hubble Space Telescope during the highly successful Servicing Mission 4 in May, 2009. WFC3 offers sensitive, high resolution imaging over a broad wavelength range from the near UV through the visible to the near IR (200nm - 1700nm). Its capabilities in the near UV and near IR ends of that range represent particularly large advances vs. those of previous HST instruments. In this talk, I will review the purpose and design of the instrument, describe its performance in flight, and highlight some of the initial scientific results from the instrument, including its use in deep infrared surveys in search of galaxies at very high redshift, in investigations of the global processes of star formation in nearby galaxies, and in the study of the recent impact on Jupiter.

  9. The Trans-African Hydro-Meteorological Observatory: Early results from the crowd sourcing competition

    NASA Astrophysics Data System (ADS)

    van de Giesen, Nick; Hilkhuijsen, Tanja; Hut, Rolf; Andreini, Marc; Selker, John

    2013-04-01

    The Trans-African Hydro-Meteorological Observatory (www.tahmo.org) is an international initiative with the objective to develop, build, and operate 20,000 hydro-meteorological measurement stations in sub-Saharan Africa. TAHMO tries to integrate science with education. At the same time, we try to make the initiative financially sustainable by developing and rolling out viable business development. Estimated total costs for establishing the network will be in the order of US 20 million, whereas operational costs will be around US 2 million per year. The stations need to be designed in accordance to a set of rules that serves easy deployment and operation, such as absence of moving parts and cavities, self- and cross calibration of sensors, and low cost (€ 200-300 per station). There are some promising first results in this respect. The presentation will focus on recent activities, specifically concerning crowd sourcing activities at African universities. This competition (http://tahmo.info/sensor-design-competition) consists of two rounds. The first round is open to any academic or research group in Africa and asks for the design of an innovative robust sensor in line with the TAHMO design criteria. The top twenty teams with the best designs will receive a "Maker Package" that will allow them to build and test the sensors. The final top ten design teams will meet in Nairobi in August 2013 to tinker and collaborate for one week and to integrate the sensors into a standard weather station. The deadline for the first round is 1 March 2013 and the results from this round will be presented.

  10. The Early Results of a New Health Care Program Implementation in HBV Screening: an Iranian Experience

    PubMed Central

    Sharifian, Afsaneh; Naderi, Nostratollah; Sanati, Azar; Mohebi, Seyed Reza; Azimzadeh, Pedram; Golmohamadi, Ali; Nori, Simin; Khanyaghma, Mahsa; Sheikhesmaeili, Farshad; Zali, Mohamad Reza

    2015-01-01

    BACKGROUND According to the reports of World Health Organization (WHO) and Centers for Disease Control and Prevention, the prevalence of chronic hepatitis B infection in Iran has decreased from 2-7% in 2001 to 1.3-0.8% in children aged 2-14 years. In 2010 the Institute of Medicine recommended more comprehensive screening by primary care physicians (PCPs) for evaluation, vaccination, and management of infected patients for further decrease in the prevalence of chronic HBV infection. Thus, with contribution of the Health Department, we developed a practical flowchart for PCPs to start active screening of hepatitis B virus (HBV) in all visited patients and refer the positive cases for further evaluation and management to Taleghani Hospital. METHODS With collaboration of Health Department of Shahid Beheshti University of Medical Sciences), physicians of health centers were asked to screen all their patients for HBsAg. Positive cases were referred to Taleghani Hospital. They were first registered and educated about their disease, life style, and prevention methods. Their first degree families were screened for HBV infection too and were referred for vaccination if needed. According to the results of lab tests, appropriate management was done by a hepatologist. RESULTS Since implementation of this program, we have encountered a significant rise in patient detection (even in high risk groups). Many of them were not aware of their disease and most of those who were aware of their disease were not managed appropriately. Family screening and vaccination were inadequate and need more emphasis. CONCLUSION Although health system is active about screening of HBV infection in high risk populations, it is not perfect. It seems that health system needs to upgrade the screening and management programs of HBV infection. PMID:26609351

  11. Does the use of extended criteria donors influence early and long-term results of lung transplantation?

    PubMed

    Schiavon, Marco; Falcoz, Pierre-Emmanuel; Santelmo, Nicola; Massard, Gilbert

    2012-02-01

    A best evidence topic was constructed according to a structured protocol. The question addressed was whether the presence of extended criteria donors influences the early and long-term results in patients referred for lung transplantation. Of the 30 papers found using a report search, 14 presented the best evidence to answer the clinical question. The authors, journal, date, country of publication, study type, group studied, relevant outcomes and results of these papers are given. In total, we recorded 10 retrospective studies that considered all the donor criteria for comparing marginal donors (MDs) and standard donors. On the one hand, six of them showed no difference between the two groups in terms of early and long-term results. On the other hand, four studies demonstrated a negative impact of MDs on various early outcomes (mortality, primary graft dysfunction, duration of mechanical ventilation, length of stay in intensive care unit), whereas no significant negative influence on survival has ever been described when screening MD results. More precisely, when analysing the role of individual factors of marginality, as done in two of the 14 studies, a significant negative impact was observed for a low level of PaO(2) at the time of harvesting, positive bronchoscopy and smoking history. More specifically, the first two criteria have been validated by several authors, both in multicentre and cohort studies. Finally, the importance of avoiding the donation of the lung from an MD to a high-risk recipient emerged, whereas the association with single or bilateral transplants remains more controversial. Hence, current evidence suggests that there are no contraindications-given the absence of negative impact on survival-for the use of MDs for the transplant of a proposed standard receiver. However, given the low level of evidence of published studies, caution is necessary in order to avoid organ shortage, despite these encouraging results. PMID:22159257

  12. LEKIDs as mm-Wave Polarisation Analysers: Fabrication, Test Bench and Early Results

    NASA Astrophysics Data System (ADS)

    Tartari, A.; Bélier, B.; Bleurvacq, N.; Calvo, M.; Cammilleri, D.; Decourcelle, T.; Monfardini, A.; Moric, I.; Piat, M.; Prêle, D.; Smoot, G. F.

    2016-07-01

    We have demonstrated in an earlier paper that LEKIDs can be used in a polarisation selective way in a filled array configuration. A polarised response can be achieved by means of thick Nb polarising grids lithographed on the rear side of a 300 microns silicon wafer, on which Al resonators have been previously patterned. In the most interesting scheme that we have investigated, a unit cell formed by 4 pixels (2 by 2) responds simultaneously to two orthogonal (cartesian) polarisation states. To assess the effectiveness of this detection scheme, we have fabricated a first generation of devices (9 small arrays, 20-25 pixels each, on a 4^' ' } Silicon wafer) by using a double-sided mask aligner suitable for a precise positioning of the individual grids in correspondence of each resonator's meander, for the different LEKID geometries. We describe here the realisation of these first devices. The construction of a dedicated polarimetric test bench is also described in this contribution, together with the first characterisation results. We consider this activity as a first and necessary step to evaluate the polarisation purity attainable with polarisation-sensitive pixels whose size is comparable to the wavelength. This is a fundamental information to drive further studies.

  13. Early marriage, premarital fertility, and marital dissolution: results for Blacks and Whites.

    PubMed

    Teachman, J D

    1983-03-01

    Based on data from the marital histories contained in the 1973 National Survey of Family Growth, this research investigates the impact of age at 1st marriage and premarital fertility status on subsequent marital dissolution for both black women and white women 1st married between 1950 and 1970. Results, using multivariate proportional hazards models, indicate that 1) premarital births, but not premarital pregnancies, increase the risk of marital dissolution; 2) an increasing age at the 1st marriage reduces the risk of marital separation and divorce, but not monotonically; 3) blacks differ from whites in that they are less responsive to the effects of a premarital birth or a young age at 1st marriage in increasing the likelihood of marital instability; and 4) an older age at 1st marriage offsets somewhat the destabilizing effects of a premarital birth. Variables used in the analysis include husband/wife age difference at marriage, education at marriage, farm versus nonfarm background, stability of parental marriage, religion, religiosity, work before marriage, number of siblings, urban or rural residence, western versus nonwestern region, 1st marriage cohort, premarital fertility status and age at 1st marriage. Policy implications include reducing the level of premarital births, and establishing support programs for those having a premarital birth without a legitimating marriage which will delay subsequent marriage, especially if the birth occurred at a young age. PMID:12312028

  14. Oral citrulline as arginine precursor may be beneficial in sickle cell disease: early phase two results.

    PubMed Central

    Waugh, W. H.; Daeschner, C. W.; Files, B. A.; McConnell, M. E.; Strandjord, S. E.

    2001-01-01

    L-Arginine may be a conditionally essential amino acid in children and adolescents with sickle cell disease, particularly as required substrate in the arginine-nitric oxide pathway for endogenous nitrovasodilation and vasoprotection. Vasoprotection by arginine is mediated partly by nitric oxide-induced inhibition of endothelial damage and inhibition of adhesion and activation of leukocytes. Activated leukocytes may trigger many of the complications, including vasoocclusive events and intimal hyperplasias. High blood leukocyte counts during steady states in the absence of infection are significant laboratory risk factors for adverse complications. L-Citrulline as precursor amino acid was given orally twice daily in daily doses of approximately 0.1 g/kg in a pilot Phase II clinical trial during steady states in four homozygous sickle cell disease subjects and one sickle cell-hemoglobin C disease patient (ages 10-18). There soon resulted dramatic improvements in symptoms of well-being, raised plasma arginine levels, and reductions in high total leukocyte and high segmented neutrophil counts toward or to within normal limits. Continued L-citrulline supplementation in compliant subjects continued to lessen symptomatology, to maintain plasma arginine concentrations greater than control levels, and to maintain nearly normal total leukocyte and neutrophil counts. Side effects or toxicity from citrulline were not experienced. Oral L-citrulline may portend very useful for palliative therapy in sickle cell disease. Placebo-controlled, long-term trials are now indicated. PMID:11688916

  15. Acute vasculitis resulting in free flap failure: the importance of early recognition and options for management.

    PubMed

    Brennan, P A; Colbert, S; Spedding, A V; Herd, M K; Mellor, T K; Anand, R; McCrae, F

    2012-11-01

    Unusual or unexpected medical causes for free flap failure do occur but are uncommon. We present a rare case of a fibula free flap failure due to an acute vasculitis which was undiagnosed until after the flap had failed. In addition to two successful flap salvages and intravenous heparin, an epoprostenol infusion was commenced but a third salvage was not successful. The vasculitis resulted in marked blood vessel wall thickening, and cutaneous manifestations which presented as late signs. High peri-nuclear anti nuclear cytoplasmic antibody (pANCA) and myeloperoxidase (MOP) titres were subsequently found and histology from several blood vessels showed marked inflammation throughout the wall. A diagnosis of microscopic polyangiitis was made and high dose steroids were subsequently commenced. Interestingly, he had vasculitis several years previously treated with oral steroids but had been discharged from the rheumatology clinic. This rare case illustrates the potential hazards of free flap surgery in the vasculitides and discusses the warning signs and various management options to reduce the likelihood of flap failure in these patients. PMID:22534125

  16. Incorporating bortezomib into upfront treatment for multiple myeloma: early results of total therapy 3.

    PubMed

    Barlogie, Bart; Anaissie, Elias; van Rhee, Frits; Haessler, Jeffrey; Hollmig, Klaus; Pineda-Roman, Mauricio; Cottler-Fox, Michele; Mohiuddin, Abid; Alsayed, Yazan; Tricot, Guido; Bolejack, Vanessa; Zangari, Maurizio; Epstein, Joshua; Petty, Nathan; Steward, Douglas; Jenkins, Bonnie; Gurley, Jennifer; Sullivan, Ellen; Crowley, John; Shaughnessy, John D

    2007-07-01

    Total therapy 3 incorporated bortezomib into a melphalan-based tandem transplant regimen for 303 newly diagnosed patients with myeloma. Induction chemotherapy prior to and consolidation chemotherapy after transplants each consisted of two cycles of VTD-PACE (bortezomib, thalidomide, dexamethasone and 4-d continuous infusions of cis-platin, doxorubicin, cyclophosphamide, etoposide); 3-year maintenance comprised monthly cycles of VTD in the first and TD in the remaining years. The median age was 59 years (age >64 years, 28%). A minimum of 20 x 10(6) CD34 cells/kg was collected in 87% of patients; 83% completed both transplants, and only 5% suffered a treatment-related death. At 24 months, 83% had achieved near-complete remission, which was sustained in 88% at 2 years from its onset. With a median follow-up of 20 months, 2-year estimates of event-free and overall survival were 84% and 86% respectively. The 44 patients who experienced an event more often had a high-risk gene array profile, cytogenetic abnormalities and indicators of high lactate dehydrogenase, beta-2-microglobulin, creatinine and International Staging System stage. Toxicities of grade > 2 included thrombo-embolic events in 27% and peripheral neuropathy in 12%. Results of this phase-2 study demonstrated that bortezomib could be safely combined with multi-agent chemotherapy, effecting near-complete remission status and 2-year survival rates in more than 80% of patients. PMID:17593024

  17. Overview and early results of the Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES)

    NASA Astrophysics Data System (ADS)

    Shiotani, Masato; Takayanagi, Masahiro; Murayama, Yasuhiro

    The Superconducting Submillimeter-Wave Limb-Emission Sounder (SMILES) was developed to be aboard the Japanese Experiment Module (JEM) on the International Space Station (ISS) under the cooperation of the Japan Aerospace Exploration Agency (JAXA) and the National Institute of Information and Communication Technology (NICT). SMILES was successfully launched by the H-IIB rocket with the H-II Transfer Vehicle (HTV) on September 11, 2009 and was attached to JEM on September 25. Mission objectives are: i) Space demonstration of 4-K mechanical cooler and super-conductive mixer for the submillimeter limb-emission sounding in the frequency bands of 624.32-627.32 GHz and 649.12-650.32 GHz, and ii) global observations of atmospheric minor constituents in the middle atmosphere (O3, HCl, ClO, HO2, HOCl, BrO, O3 isotopes, HNO3, CH3CN, etc), contributing to the atmospheric sciences. SMILES started atmospheric observations on October 12, 2009, and has been making very precise measurements on several radical species crucial to the ozone chemistry with its high-sensitivity. In this pre-sentation, the overview of SMILES and the preliminary results will be shown to demonstrate its high potential to observe the atmospheric minor constituents in the middle atmosphere.

  18. Early results of percutaneous laser disc decompression (PLDD) as a treatment of discopathic lumbar pain.

    PubMed

    Sobieraj, Andrzej; Maksymowicz, Wojciech; Barczewska, Monika; Konopielko, Marcin; Mazur, Dariusz

    2004-06-30

    Background. The purpose of this paper is to present the technique of percutaneous laser disc decompression (PLDD), give some indications for its use, and provide a preliminary evaluation of the clinical effectiveness of this procedure in the treatment of low back pain, based on the authors' own experience. Material and methods. We performed a prospective analysis of treatment outcome in 212 patients who received PLDD in our clinic between March 2003 and January 2004, and who reported for the planned follow-up examination. Results. In 79.2% of these cases we achieved resolution or significant reduction of pain, and this effect persisted throughout the observation period of 6 weeks post surgery. In 3.8% of our patients, transient improvement was followed by intensification of low back pain, associated with the appearance of the most common complication after PLDD: inflammation of the disk and adjacent fragments of the elastic lamina of the vertebral bodies. Conclusions. In most cases PLDD is not a genuine alternative to open surgery on lumbar discopathy. It is most often administered to patients who have chronic pain from a slight extrusion of the disc, typically not qualified for surgery as the treatment method of choice. All other patients, even with larger herniations, can be administered PLDD as a last attempt at minimally invasive treatment prior to surgery, provided there are no obvious features of disruption of the posterior longitudinal ligament. PMID:17675983

  19. LEKIDs as mm-Wave Polarisation Analysers: Fabrication, Test Bench and Early Results

    NASA Astrophysics Data System (ADS)

    Tartari, A.; Bélier, B.; Bleurvacq, N.; Calvo, M.; Cammilleri, D.; Decourcelle, T.; Monfardini, A.; Moric, I.; Piat, M.; Prêle, D.; Smoot, G. F.

    2015-12-01

    We have demonstrated in an earlier paper that LEKIDs can be used in a polarisation selective way in a filled array configuration. A polarised response can be achieved by means of thick Nb polarising grids lithographed on the rear side of a 300 microns silicon wafer, on which Al resonators have been previously patterned. In the most interesting scheme that we have investigated, a unit cell formed by 4 pixels (2 by 2) responds simultaneously to two orthogonal (cartesian) polarisation states. To assess the effectiveness of this detection scheme, we have fabricated a first generation of devices (9 small arrays, 20-25 pixels each, on a 4^' ' } Silicon wafer) by using a double-sided mask aligner suitable for a precise positioning of the individual grids in correspondence of each resonator's meander, for the different LEKID geometries. We describe here the realisation of these first devices. The construction of a dedicated polarimetric test bench is also described in this contribution, together with the first characterisation results. We consider this activity as a first and necessary step to evaluate the polarisation purity attainable with polarisation-sensitive pixels whose size is comparable to the wavelength. This is a fundamental information to drive further studies.

  20. Verbal Fluency and Early Memory Decline: Results from the Wisconsin Registry for Alzheimer's Prevention.

    PubMed

    Mueller, Kimberly Diggle; Koscik, Rebecca L; LaRue, Asenath; Clark, Lindsay R; Hermann, Bruce; Johnson, Sterling C; Sager, Mark A

    2015-08-01

    This study examined the relationship between phonemic and semantic (category) verbal fluency and cognitive status in the Wisconsin Registry for Alzheimer's Prevention (WRAP), a longitudinal cohort enriched for family history of Alzheimer's disease. Participants were 283 WRAP subjects (age 53.1[6.5] years at baseline); who had completed three waves of assessment, over ∼6 years and met psychometric criteria either for "cognitively healthy" (CH) or for psychometric amnestic mild cognitive impairment (aMCI) using an approach that did not consider fluency scores. CH and aMCI groups differed significantly on phonemic total scores, category total scores, phonemic switching, and category mean cluster size. These results suggest that measures of both phonemic and semantic fluency yield lower scores in persons with evidence of psychometric aMCI compared with those who are CH. Differences have not previously been reported in a group this young, and provide evidence for the importance of including multiple verbal fluency tests targeting preclinical Alzheimer's disease. PMID:26025231

  1. A comparison of a printed patient summary document with its electronic equivalent: early results.

    PubMed Central

    Thomas, S. M.; Overhage, J. M.; Warvel, J.; McDonald, C. J.

    2001-01-01

    Clinicians are always searching for efficient access to clinical data. The Regenstrief Medical Record System has a printed report that fills this niche: Pocket Rounds. Handheld computers may offer an alternative, but it is unclear how effectively a handheld computer can display such data. We surveyed residents and students on the general medicine services for their opinions regarding Pocket Rounds. Those with handheld computers were given access to an electronic version of Pocket Rounds-e-Rounds. We surveyed the subjects who used e-Rounds for their opinions on the electronic format and how it compared to paper. Users overall satisfaction with Pocket Rounds was 5.8 on a seven-point scale. User s overall satisfaction for e-Rounds was 5.6 on a seven-point scale. The most useful function was retrieval of lab data for both modalities. The results suggest that the electronic format is a viable alternative to paper. Further evaluation is needed, and we plan a prospective controlled trial to study this further. PMID:11825276

  2. Planck early results. XXIV. Dust in the diffuse interstellar medium and the Galactic halo

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Abergel, A.; Ade, P. A. R.; Aghanim, N.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Blagrave, K.; Bock, J. J.; Bonaldi, A.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Boulanger, F.; Bucher, M.; Burigana, C.; Cabella, P.; Cantalupo, C. M.; Cardoso, J.-F.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Chiang, L.-Y.; Chiang, C.; Christensen, P. R.; Clements, D. L.; Colombi, S.; Couchot, F.; Coulais, A.; Crill, B. P.; Cuttaia, F.; Danese, L.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Gasperis, G.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dickinson, C.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Finelli, F.; Forni, O.; Frailis, M.; Franceschi, E.; Galeotta, S.; Ganga, K.; Giard, M.; Giardino, G.; Giraud-Héraud, Y.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Gruppuso, A.; Hansen, F. K.; Harrison, D.; Helou, G.; Henrot-Versillé, S.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Jaffe, A. H.; Joncas, G.; Jones, A.; Jones, W. C.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Kurki-Suonio, H.; Lagache, G.; Lamarre, J.-M.; Lasenby, A.; Laureijs, R. J.; Lawrence, C. R.; Leach, S.; Leonardi, R.; Leroy, C.; Linden-Vørnle, M.; Lockman, F. J.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; MacTavish, C. J.; Maffei, B.; Maino, D.; Mandolesi, N.; Mann, R.; Maris, M.; Marshall, D. J.; Martin, P.; Martínez-González, E.; Masi, S.; Matarrese, S.; Matthai, F.; Mazzotta, P.; McGehee, P.; Meinhold, P. R.; Melchiorri, A.; Mendes, L.; Mennella, A.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Nati, F.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; O'Dwyer, I. J.; Osborne, S.; Pajot, F.; Paladini, R.; Pasian, F.; Patanchon, G.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Pinheiro Gonçalves, D.; Plaszczynski, S.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Poutanen, T.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Reinecke, M.; Renault, C.; Ricciardi, S.; Riller, T.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rowan-Robinson, M.; Rubiño-Martín, J. A.; Rusholme, B.; Sandri, M.; Santos, D.; Savini, G.; Scott, D.; Seiffert, M. D.; Shellard, P.; Smoot, G. F.; Starck, J.-L.; Stivoli, F.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sygnet, J.-F.; Tauber, J. A.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Umana, G.; Valenziano, L.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; Wilkinson, A.; Yvon, D.; Zacchei, A.; Zonca, A.

    2011-12-01

    This paper presents the first results from a comparison of Planck dust maps at 353, 545 and 857GHz, along with IRAS data at 3000 (100 μm) and 5000GHz (60 μm), with Green Bank Telescope 21-cm observations of Hi in 14 fields covering more than 800 deg2 at high Galactic latitude. The main goal of this study is to estimate the far-infrared to sub-millimeter (submm) emissivity of dust in the diffuse local interstellar medium (ISM) and in the intermediate-velocity (IVC) and high-velocity clouds (HVC) of the Galactic halo. Galactic dust emission for fields with average Hi column density lower than 2 × 1020 cm-2 is well correlated with 21-cm emission because in such diffuse areas the hydrogen is predominantly in the neutral atomic phase. The residual emission in these fields, once the Hi-correlated emission is removed, is consistent with the expected statistical properties of the cosmic infrared background fluctuations. The brighter fields in our sample, with an average Hi column density greater than 2 × 1020 cm-2, show significant excess dust emission compared to the Hi column density. Regions of excess lie in organized structures that suggest the presence of hydrogen in molecular form, though they are not always correlated with CO emission. In the higher Hi column density fields the excess emission at 857 GHz is about 40% of that coming from the Hi, but over all the high latitude fields surveyed the molecular mass faction is about 10%. Dust emission from IVCs is detected with high significance by this correlation analysis. Its spectral properties are consistent with, compared to the local ISM values, significantly hotter dust (T ~ 20K), lower submm dust opacity normalized per H-atom, and a relative abundance of very small grains to large grains about four times higher. These results are compatible with expectations for clouds that are part of the Galactic fountain in which there is dust shattering and fragmentation. Correlated dust emission in HVCs is not detected

  3. Results of a multicenter study of the retrievable Tulip vena cava filter: Early clinical experience

    SciTech Connect

    Neuerburg, Joerg M.; Guenther, Rolf W.; Vorwerk, Dierk; Dondelinger, Robert F.; Jaeger, Horst; Lackner, Klaus J.; Schild, Hans H.; Plant, Graham R.; Joffre, Francis G.; Schneider, Pierre A.; Janssen, Johan H. A.

    1997-01-15

    Purpose. To evaluate clinically a new, retrievable vena caval filter in a multicenter study. Methods. The Tulip filter is a stainless steel half-basket that is suitable for antegrade or retrograde insertion via an 8.5 Fr introducer sheath. The filter can be retrieved via the jugular approach using an 11 Fr coaxial retrieval system. Forty-eight filters were implanted via the femoral approach and 38 via the jugular approach in 83 patients. Follow-up examinations (plain films, colorcoded duplex sonography) were performed up to 3 years after filter insertion (mean 136 days) in 75 patients. Twenty-seven patients were screened by colorcoded duplex sonography for insertion site thrombosis. Results. An appropriate filter position was achieved in all cases. Insertion problems occurred in 3 cases; these were not due to the filter design but to an imperfect prototype insertion mechanism that has now been modified (n=2) or a manipulation error (n=1). In 2 of these cases the filters were replaced percutaneously; 1 patient required venotomy for filter removal. No further complications due to filter insertion occurred. Two filters were used as temporary devices and were successfully removed after 6 and 11 days, respectively. There was 1 fatal recurrent pulmonary embolism (PE) and 2 non-fatal PE, 5 complete and 3 partial caval occlusions, and 3 caudal migrations of the filter. Insertion site venous thrombosis was not seen in the 27 patients monitored for this complication. Conclusion. Precise placement of the Tulip filter is feasible by either access route and the device appears mechanically stable. Further observations are needed to confirm that safe filter removal is practical up to 10 days after its insertion.

  4. Radar Rainfall Estimation with an X-Band Polarimetric Radar on Wheels: Early Results

    NASA Astrophysics Data System (ADS)

    Anagnostou, E. N.; Krajewski, W. F.; Anagnostou, M. N.; Kruger, A.; Miriovsky, B.

    2002-05-01

    The main goal of the X-Band Polarimetric Radar on Wheels (XPOW) study is aimed at exploring the advantages of dual-polarized X-band radar systems in radar rainfall estimation. Secondary goals include characterizing the reflectivity variability captured by National Weather Service WSR-88Ds and comparing different types of disdrometers. This investigation was facilitated through field experiments during which high-resolution polarimetric radar data from the National Observatory of Athens (NOA) mobile dual-polarization X-band radar were collected over well-instrumented sites. The XPOW field experiment was conducted in Iowa City, Iowa during October and November 2001. For this experiment, five disdrometers, a vertically pointing Doppler radar, and several dual-gauge tipping bucket rain gauge platforms were deployed in an area about 1.0 km by 1.5 km. These instruments were used to both augment and validate the data collected by the polarimetric radar, which was located approximately 8 km away. In the same area we collected data from some 14 rain gauges located within a high density cluster at the Iowa City Municipal Airport. The five disdrometers included two-dimensional video disdrometer, two optical disdrometers, an impact disdrometer, and a bistatic radar based disdrometer. The area in which these instruments were deployed corresponds to the size of one pixel from the Davenport, IA WSR-88D, located 80 km east of Iowa City, allowing exploration of the variability of reflectivity at scales smaller than a typical radar pixel. We will be presenting quantitative comparisons of rain rates and precipitation microphysical variables retrieved from XPOW and measured by the high-density network of gages and disdrometers. Furthermore, XPOW attenuation correction results will be compared to the un-attenuated WSR-88D reflectivity measurements providing a framework for assessing the deployed algorithm's microphysical retrievals.

  5. CyberKnife-based prostate cancer patient radioablation – early results of irradiation in 200 patients

    PubMed Central

    Napieralska, Aleksandra; Namysł-Kaletka, Agnieszka; Głowacki, Grzegorz; Grabińska, Kinga; Woźniak, Grzegorz; Stąpór-Fudzińska, Małgorzata

    2015-01-01

    Introduction Prostrate cancer (PC) is one of the most common malignancies and is frequently treated with an 8-week course of radiotherapy. CyberKnife (CK) based radioablation enables completion of therapy within 5-9 days. The aim of this study is an evaluation of the effectiveness and tolerance of CyberKnife-based radioablation in prostate cancer patients. Material and methods 200 PC patients (94 low risk [LR], 106 intermediate risk [IR]) underwent CK irradiation every other day (fraction dose [fd] 7.25 Gy, total dose [TD] 36.25 Gy, time 9 days). PSA varied from 1.1 to 19.5 (median 7.7) and T stage from T1c to T2c. The percentage of patients with Androgen Deprivation Therapy (ADT), GI (gastrointestinal) and GU (genitourinary) toxicity (EORTC/RTOG scale), and PSA were checked at 1, 4 and 8 months, and thereafter every 6 months – up to a total of 26 months – post-treatment. Results The percentage of patients without ADT increased from 47.5% to 94.1% after 26 months. The maximum percentage of acute G3 adverse effects was 0.6% for GI, 1% for GU and G2 – 2.1% for GI and 8.5% for GU. No late G3 toxicity was observed. The maximum percentage of late G2 toxicity was 0.7% for GI and 3.4% for GU. Median PSA decreased from 7.7 to 0.1 ng/ml during FU. One patient relapsed and was treated with salvage brachytherapy. Conclusions We conclude that CK-based radioablation in low and intermediate risk PC patients is an effective treatment modality enabling OTT reduction and presents a very low percentage of adverse effects. PMID:26568868

  6. Development and preliminary results of an in vivo Raman probe for early lung cancer detection

    NASA Astrophysics Data System (ADS)

    Short, Michael A.; Lam, Stephen; McWilliams, Annette; Zhao, Jianhua; Lui, Harvey; Zeng, Haishan

    2008-02-01

    Our previous results from Raman spectroscopy studies on ex vivo lung tissue showed the technique had great potential to differentiate between samples with different pathologies. In this work, a fast dispersive-type near-infrared (NIR) Raman spectroscopy system was developed to collect real-time, noninvasive, in vivo human lung spectra. The 785 nm excitation, and the collection of tissue emission were accomplished by using a reusable fiber optic catheter which passed down the instrument channel of a bronchoscope. Filters in two stages blocked laser emission other than 785 nm from reaching the tissue surface, and reduced fiber fluorescence and elastically scattered excitation light from being passed to the spectrometer. The spectrometer itself consisted of one of two holographic gratings with usable frequency ranges of: 700 to 2000 cm -1 and 1500 to 3400 cm -1. The dispersed light was detected by a cooled CCD array consisting of 400 by 1340 pixels. To increase the resolution of the system, while maximizing the throughput, a second fiber bundle, consisting of 54×100 μm diameter fibers connected the catheter to the spectrometer. The fibers in this second bundle were spread out to form a parabolic arc which replaced the conventional entrance slit. This geometry corrected for image aberrations, permitting complete CCD vertical binning, thereby yielding up to a 20-fold improvement in signal-to-noise ratio. The estimated spectral resolution of the system was 9 cm -1 for both gratings. So far we have measured spectra from 20 patients and have seen clear differences between spectra from tumor and normal tissue.

  7. Early results from a terrestrial-marine BGC coupling study in Southeast Alaska

    NASA Astrophysics Data System (ADS)

    Fatland, D. R.; Vermilyea, A.; Spencer, R. G.; Hood, E. W.; Stubbins, A.

    2010-12-01

    In 2010 we began a long-term comparative study of watershed contributions to coastal marine nutrients in the northeast Pacific from a modest deployment of sensors combined with sample analysis. The preliminary results presented here establish a baseline for defining and subsequently tracking physical system parameters relevant to marine productivity over two decades, in two contexts: First in the context of research by Hood and others: Comparing glacier-covered to un-glaciated watershed output in a Lagrangian sense of particle and parcel transport. Second, in a more Eulerian sense: How will impact on coastal marine ecosystems from changing terrestrial freshwater input compare over decades to that of changes in physical parameters like pH, upwelling nutrient supply along the continental shelf and temperature? In our initial efforts we trolled two estuary plumes pulling samples for laboratory analysis and operating in situ sensors in tandem with GPS while other in situ sensors collected data from within source rivers (Eagle River and Peterson Creek near Juneau, AK, in respectively glaciated and forested watersheds). The strategy is to produce comparable synoptic datasets across the freshwater-marine mixing regime of the plume using salinity as a mixing proxy. Initial datasets include CDOM, dissolved oxygen, turbidity, chlorophyll-A, and (from samples) total organic carbon, total nitrogen, absorption spectra and excitation-emission matrices. Future work will expand this list to include mass spectrometer and NMR data. In working with this synoptic dataset we are faced with both curation and interpretation challenges; hence a primary objective of the project is to use the trans-disciplinary and data-intensive nature of the research problem set to motivate technology adoption. We have in mind here the notion of electronic publication (exemplified in this AGU poster) that permits collaborators and readers to reach back into source data and trace the origins and processes

  8. Early-Phase Clinical Trials In The Community: Results From the National Cancer Institute Community Cancer Centers Program Early-Phase Working Group Baseline Assessment

    PubMed Central

    Zaren, Howard A.; Nair, Suresh; Go, Ronald S.; Enos, Rebecca A.; Lanier, Keith S.; Thompson, Michael A.; Zhao, Jinxiu; Fleming, Deborah L.; Leighton, John C.; Gribbin, Thomas E.; Bryant, Donna M.; Carrigan, Angela; Corpening, Jennifer C.; Csapo, Kimberly A.; Dimond, Eileen P.; Ellison, Christie; Gonzalez, Maria M.; Harr, Jodi L.; Wilkinson, Kathy; Denicoff, Andrea M.

    2013-01-01

    Purpose: The National Cancer Institute (NCI) Community Cancer Centers Program (NCCCP) formed an Early-Phase Working Group to facilitate site participation in early-phase (EP) trials. The Working Group conducted a baseline assessment (BA) to describe the sites' EP trial infrastructure and its association with accrual. Methods: EP accrual and infrastructure data for the sites were obtained for July 2010-June 2011 and 2010, respectively. Sites with EP accrual rates at or above the median were considered high-accruing sites. Analyses were performed to identify site characteristics associated with higher accrual onto EP trials. Results: Twenty-seven of the 30 NCCCP sites participated. The median number of EP trials open per site over the course of July 2010-June 2011 was 19. Median EP accrual per site was 14 patients in 1 year. Approximately half of the EP trials were Cooperative Group; most were phase II. Except for having a higher number of EP trials open (P = .04), high-accruing sites (n = 14) did not differ significantly from low-accruing sites (n = 13) in terms of any single site characteristic. High-accruing sites did have shorter institutional review board (IRB) turnaround time by 20 days, and were almost three times as likely to be a lead Community Clinical Oncology Program site (small sample size may have prevented statistical significance). Most sites had at least basic EP trial infrastructure. Conclusion: Community cancer centers are capable of conducting EP trials. Infrastructure and collaborations are critical components of success. This assessment provides useful information for implementing EP trials in the community. PMID:23814525

  9. Quantification of anthropogenic emissions from an urban region: Early results from the Indianapolis Flux Project (INFLUX)

    NASA Astrophysics Data System (ADS)

    Turnbull, J. C.; Sweeney, C.; Guenther, D.; Karion, A.; Davis, K. J.; Miles, N. L.; Richardson, S.; Lauvaux, T.; Shepson, P. B.; Cambaliza, M. L.; Gurney, K. R.; Song, Y.; Razlivanov, I.; Lehman, S. J.; Tans, P. P.

    2011-12-01

    The Indianapolis Flux Project (INFLUX) is a NIST funded project with the goal of developing and assessing methods to quantify greenhouse gas emissions at the urban scale from top-down and bottom-up approaches. Indianapolis was chosen as an ideal test case, since it has relatively straightforward meteorology; a contained, isolated, urban region; and substantial and well-known fossil fuel CO2 emissions. INFLUX incorporates atmospheric measurements of greenhouse and other trace gases from light aircraft (providing high spatial resolution) and from a network of cell phone towers (providing high temporal coverage) surrounding the Indianapolis urban area. Both platforms make in situ measurements of CO2, CH4 and CO are made using cavity ring down spectrometers, and flasks are collected and analyzed for ~55 trace gases and isotopes including CO2, CH4, CO, and 14CO2 (as a proxy for fossil fuel CO2). Bottom-up inventory estimates from Vulcan and Hestia provide perhaps the best-known fossil fuel CO2 emissions of any urban region. Modeling efforts span the range of simple plume models to a high-resolution regional inversion using the WRF and LPDM models. The observations and models are used to estimate the urban greenhouse gas emissions, primarily fossil fuel CO2 and CH4. The top-down results are compared with the bottom-up inventory data, allowing realistic estimates of overall uncertainties in the top-down approach, as well as improvements in the bottom-up inventory data and methods. The latter part of this presentation will focus on experimental design and flask measurements from the towers. The towers were selected to obtain samples both upwind and downwind of the urban region, so that background mixing ratios can be accurately quantified. A newly developed time-integrated flask sampling system is used to provide hourly averaged flask samples, taken in mid-afternoon only on days when the appropriate wind conditions occur. Trace species associated with urban emissions are

  10. The Design of a Remote Sensing Data Acquisition Campaign for Precision Agriculture and Some Early Results

    NASA Technical Reports Server (NTRS)

    Rickmanl, D.; Luvall, J. C.; Wersinger, J. M.; Mask, P.; Kissel, D. E.

    1999-01-01

    harvest! Soil images show significant within field variation in clay, soil brightness and emissivity. Light wind has been found to effect the reflectance and temperature of broad leaf crops, including soybeans, cotton and peanuts. Clearly, this work has already demonstrated some very important results. With continued development of the remote sensing technology there is good reason to believe this research will soon be able to help the individual farmer.

  11. Early Spring in Europe: A Result of More Dominant North-Atlantic Southwesterlies?

    NASA Technical Reports Server (NTRS)

    Otterman, J.; Atlas, R.; Chase, T. N.; Chou, S.-H.; Jusem, J. C.; Pielke, R. A., Sr.; Rogers, J.; Russell, G. L.; Schubert, S. D.; Sud, Y. C.; Einaudi, Franco (Technical Monitor)

    2000-01-01

    Abstract A 1999 study reports an advancement of spring in Europe by 0.2 days per year in the 30 years since 1960. Our analysis indicates that this trend results directly from a change in the late-winter surface winds over the eastern North Atlantic: the southwesterly direction became more dominant, and the speed of these southwesterlies increased slightly. Splitting the 52-year NCEP reanalysis dataset into the First Half, FH (1948-1973)), and the Second Half, SH (1974-1999), we analyze the wind direction for the February mean at three sites at 45N: site A at 30W, site B at 20W, and site C at 10W. The incidence (number of years) of the southwesterlies in SH Vs. (FH) at these sites respectively increased in SH as follows: 24(18), 19(12), 14(l 1); whereas the incidence of northeasterlies decreased: 0(2), 1(2), and 1(6). When the February mean wind is southwesterly, the monthly mean sensible heat flux from the ocean at these sites takes zero or slightly negative values, that is, the surface air is warmer than the ocean. Analyzing the scenario in the warm late winter 1990, we observe that the sensible heat flux from the ocean surface in February 1990 shows a "tongue" of negative values extending southwest from southern England to 7N. This indicates that the source of the maritime air advected into Europe lies to the south of the "tongue." Streamline analysis suggests that the Southwestern or southcentral North Atlantic is the source. For February 1990, we find strong, ascending motions over Europe at 700 mb, up to -0.4 Pa/s as monthly averages. Associated with the unstable low-levels of the troposphere are positive rain and cloud anomalies. Thus, positive in situ feedback over land in late winter (when shortwave absorption is not significant) apparently further enhances the surface temperature through an increase in the greenhouse effect due to increased water vapor and cloudiness.

  12. Planck early results. XXI. Properties of the interstellar medium in the Galactic plane

    NASA Astrophysics Data System (ADS)

    Planck Collaboration; Abergel, A.; Ade, P. A. R.; Aghanim, N.; Arnaud, M.; Ashdown, M.; Aumont, J.; Baccigalupi, C.; Balbi, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bhatia, R.; Bock, J. J.; Bonaldi, A.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Boulanger, F.; Bucher, M.; Burigana, C.; Cabella, P.; Cardoso, J.-F.; Catalano, A.; Cayón, L.; Challinor, A.; Chamballu, A.; Chiang, L.-Y.; Chiang, C.; Christensen, P. R.; Colombi, S.; Couchot, F.; Coulais, A.; Crill, B. P.; Cuttaia, F.; Dame, T. M.; Danese, L.; Davies, R. D.; Davis, R. J.; de Bernardis, P.; de Gasperis, G.; de Rosa, A.; de Zotti, G.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dickinson, C.; Donzelli, S.; Doré, O.; Dörl, U.; Douspis, M.; Dupac, X.; Efstathiou, G.; Enßlin, T. A.; Finelli, F.; Forni, O.; Frailis, M.; Franceschi, E.; Galeotta, S.; Ganga, K.; Giard, M.; Giardino, G.; Giraud-Héraud, Y.; González-Nuevo, J.; Górski, K. M.; Gratton, S.; Gregorio, A.; Grenier, I. A.; Gruppuso, A.; Hansen, F. K.; Harrison, D.; Henrot-Versillé, S.; Herranz, D.; Hildebrandt, S. R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Hovest, W.; Hoyland, R. J.; Huffenberger, K. M.; Jaffe, T. R.; Jaffe, A. H.; Jones, W. C.; Juvela, M.; Keihänen, E.; Keskitalo, R.; Kisner, T. S.; Kneissl, R.; Knox, L.; Kurki-Suonio, H.; Lagache, G.; Lähteenmäki, A.; Lamarre, J.-M.; Lasenby, A.; Laureijs, R. J.; Lawrence, C. R.; Leach, S.; Leonardi, R.; Leroy, C.; Lilje, P. B.; Linden-Vørnle, M.; López-Caniego, M.; Lubin, P. M.; Macías-Pérez, J. F.; MacTavish, C. J.; Maffei, B.; Mandolesi, N.; Mann, R.; Maris, M.; Marshall, D. J.; Martínez-González, E.; Masi, S.; Matarrese, S.; Matthai, F.; Mazzotta, P.; McGehee, P.; Meinhold, P. R.; Melchiorri, A.; Mendes, L.; Mennella, A.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Morgante, G.; Mortlock, D.; Munshi, D.; Murphy, A.; Naselsky, P.; Natoli, P.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; Noviello, F.; Novikov, D.; Novikov, I.; Osborne, S.; Pajot, F.; Paladini, R.; Pasian, F.; Patanchon, G.; Perdereau, O.; Perotto, L.; Perrotta, F.; Piacentini, F.; Piat, M.; Plaszczynski, S.; Pointecouteau, E.; Polenta, G.; Ponthieu, N.; Poutanen, T.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Rachen, J. P.; Reach, W. T.; Rebolo, R.; Reich, W.; Renault, C.; Ricciardi, S.; Riller, T.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Rubiño-Martín, J. A.; Rusholme, B.; Sandri, M.; Santos, D.; Savini, G.; Scott, D.; Seiffert, M. D.; Shellard, P.; Smoot, G. F.; Starck, J.-L.; Stivoli, F.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sygnet, J.-F.; Tauber, J. A.; Terenzi, L.; Toffolatti, L.; Tomasi, M.; Torre, J.-P.; Tristram, M.; Tuovinen, J.; Umana, G.; Valenziano, L.; Varis, J.; Vielva, P.; Villa, F.; Vittorio, N.; Wade, L. A.; Wandelt, B. D.; Wilkinson, A.; Ysard, N.; Yvon, D.; Zacchei, A.; Zonca, A.

    2011-12-01

    Planck has observed the entire sky from 30 GHz to 857GHz. The observed foreground emission contains contributions from different phases of the interstellar medium (ISM). We have separated the observed Galactic emission into the different gaseous components (atomic, molecular and ionised) in each of a number of Galactocentric rings. This technique provides the necessary information to study dust properties (emissivity, temperature, etc.), as well as other emission mechanisms as a function of Galactic radius. Templates are created for various Galactocentric radii using velocity information from atomic (neutral hydrogen) and molecular (12CO) observations. The ionised template is assumed to be traced by free-free emission as observed by WMAP, while 408 MHz emission is used to trace the synchrotron component. Gas emission not traced by the above templates, namely "dark gas", as evidenced using Planck data, is included as an additional template, the first time such a component has been used in this way. These templates are then correlated with each of the Planck frequency bands, as well as with higher frequency data from IRAS and DIRBE along with radio data at 1.4 GHz. The emission per column density of the gas templates allows us to create distinct spectral energy distributions (SEDs) per Galactocentric ring and in each of the gaseous tracers from 1.4 GHz to 25 THz (12μm). The resulting SEDs allow us to explore the contribution of various emission mechanisms to the Planck signal. Apart from the thermal dust and free-free emission, we have probed the Galaxy for anomalous (e.g., spinning) dust as well as synchrotron emission. We find the dust opacity in the solar neighbourhood, τ/NH = 0.92 ± 0.05 × 10-25 cm2 at 250 μm, with no significant variation with Galactic radius, even though the dust temperature is seen to vary from over 25 K to under 14 K. Furthermore, we show that anomalous dust emission is present in the atomic, molecular and dark gas phases throughout the

  13. Early Results for the Geochemistry of Vesta from Gamma Ray and Neutron Spectroscopy

    NASA Astrophysics Data System (ADS)

    Prettyman, T. H.; Toplis, M. J.; Beck, A.; Feldman, W. C.; Forni, O.; Joy, S. P.; Lawrence, D. J.; McCoy, T. J.; McFadden, L. A.; McSween, H. Y.; Mittlefehldt, D. W.; Polanskey, C. A.; Rayman, M. D.; Raymond, C. A.; Reedy, R. C.; Russell, C. T.; Titus, T. N.

    2012-04-01

    ) spectrometer and framing camera (FC). We will present our initial analyses of GRaND data acquired in LAMO. Results from a few weeks of mapping are promising. Strong neutron and gamma ray signatures have been detected that can be analyzed to determine the abundance of H, Fe, Mg, Si, neutron absorption, and average atomic mass. The data acquired by GRaND reinforce the conclusion that Vesta is unusual compared to smaller asteroids, because its surface elemental composition shows considerable variation on a global scale. By this conference, we will be able to answer many of the science questions addressed by Dawn's Geochemistry investigation.1 1Prettyman T.H. et al. (2011), Dawn's Gamma Ray and Neutron Detector, Space Sci. Rev., DOI 10.1007/s11214-011-9862-0.

  14. GPs have key role in early diagnosis of endometriosis.

    PubMed

    Coleman, Laura; Overton, Caroline

    2015-03-01

    Endometriosis is defined as the presence of endometrial-like tissue outside the uterus. Deposits are commonly distributed on the ovaries, uterosacral ligaments, pouch of Douglas, rectum and sigmoid colon, bladder and ureter. Endometriosis is common, affecting 10% of the female adult population and up to 50% of women with infertility. Risk factors include early menarche, late menopause, delayed childbearing, vaginal outflow obstruction and a first-degree relative affected. Women commonly present to their GP with pelvic pain, painful intercourse or subfertility. Classically the pain starts several days before the period which is extremely painful. After the period, symptoms tend to improve until mid-cycle when the pattern repeats again. Patients also complain of fatigue. Abdominal palpation, bimanual and speculum examination are important to identify signs of endometriosis, but also to exclude alternative diagnoses such as fibroid uterus, infection or pregnancy. However, a normal examination does not exclude a diagnosis of endometriosis. Serum CA125 can be raised in endometriosis but is not specific or sensitive for the condition and is therefore not recommended as a screening test. A normal pelvic ultrasound scan does not exclude a diagnosis of endometriosis. The gold standard investigation for endometriosis is laparoscopy and biopsy with histological confirmation. Referral should be considered if pain is not controlled with simple analgesia or the diagnosis is suspected in a woman who is actively trying to conceive. Early referral should be considered in women with abnormal examination findings, or an abnormal ultrasound result. PMID:26062268

  15. A "tropical" Early Eocene marine environment on the Antarctic margin: TEX86 results from IODP expedition 318

    NASA Astrophysics Data System (ADS)

    Bendle, J. A.; Bijl, P.; Toney, J. L.; Pross, J.; Contreras, L.; Schouten, S.; Roehl, U.; Tauxe, L.; Huber, M.; Brinkhuis, H.; Scientific Team of IODP Drilling Leg 318

    2011-12-01

    The early Eocene was characterised by high pCO2 (ca.1,000 to more than 2,000ppm) and mean global temperatures that reached a long-term maximum. Relative to the present day, meridional temperature gradients were unusually low, with warmer equatorial regions and much warmer subtropical Arctic and mid-latitude climates. Yet global climatic conditions during this pre-glacial interval have remained poorly constrained, as only a few temperature records are available portraying the Cenozoic climatic evolution of the high southern latitudes. Here we present dinoflagellate cyst assemblages and organic geochemical tetraether based sea-surface temperature estimates from IODP expedition 318, extracted from bio- and magnetostratigraphically dated, late early to early middle Eocene sediments recovered at Site U1356. For the first time, we reconstruct marine temperatures and ecological conditions from the Eocene Greenhouse world in direct proximity to the Antarctic continent. Early Eocene dinocyst assemblages are dominated by tropical dinocyst genus Apectodinium, whilst TEX86 results indicate persistent and remarkable warmth, with the magnitude of the reconstructed SSTs dependent on the applied calibration: TEX86-L = 20 - 26°C (Av. 23°C); TEX86-H = 27 - 33°C (Av. 32°C). Our marine based proxies are just several strands from multiple independent lines of evidence emerging from the Early Eocene of the Wilkes Land Antarctic margin, including: pollen, terrestrial biomarkers (e.g. MBT/CBT-MAT estimates of 22 - 27°C , Av. 26°C), compound specific plant wax D/H measurements and clay minerals. Taken together, this evidence of very high temperatures, thermophilic fauna, an invigorated hydrological cycle, chemically weathered soils and well developed wetlands gives a very compelling picture of environmental conditions comparable to the modern tropics. These results confirm that exceptionally warm polar-regions are a feature common to reconstructed Greenhouse periods. Such

  16. Brief Report: Effect of Menarcheal Status and Family Structure on Depressive Symptoms and Emotional/Behavioural Problems in Young Adolescent Girls

    ERIC Educational Resources Information Center

    Capron, Christiane; Therond, Carine; Duyme, Michel

    2007-01-01

    The study investigated the relationship between depressive symptoms and emotional/behavioural problems in adolescent girls (N = 553) aged 12-13 years, menarcheal status and family structure, and considered whether the effect of family structure was the same in the presence or absence of menses. The Children's Depression Inventory (CDI) and the…

  17. Randomized Controlled Trial of Forward-Planned Intensity Modulated Radiotherapy for Early Breast Cancer: Interim Results at 2 Years

    SciTech Connect

    Barnett, Gillian C.; Wilkinson, Jennifer S.; Moody, Anne M.; Wilson, Charles B.; Twyman, Nicola; Wishart, Gordon C.; Burnet, Neil G.; Coles, Charlotte E.

    2012-02-01

    Purpose: This single-center randomized trial was designed to investigate whether intensity-modulated radiotherapy (IMRT) reduces late toxicity in patients with early-stage breast cancer. Methods and Materials: The standard tangential plans of 1,145 nonselected patients were analyzed. The patients with inhomogeneous plans were randomized to a simple method of forward-planned IMRT or standard radiotherapy (RT). The primary endpoint was serial photographic assessment of breast shrinkage. Results: At 2 years, no significant difference was found in the development of any photographically assessed breast shrinkage between the patients randomized to the interventional or control group (odds ratio, 1.51; 95% confidence interval, 0.83-1.58; p = .41). The patients in the control group were more likely to develop telangiectasia than those in the IMRT group (odds ratio, 1.68; 95% confidence interval 1.13-2.40; p = .009). Poor baseline surgical cosmesis resulted in poor overall cosmesis at 2 years after RT. In patients who had good surgical cosmesis, those randomized to IMRT were less likely to deteriorate to a moderate or poor overall cosmesis than those in the control group (odds ratio, 0.63; 95% confidence interval, 0.39-1.03, p = .061). Conclusions: IMRT can lead to a significant reduction in telangiectasia at comparatively early follow-up of only 2 years after RT completion. An important component of breast induration and shrinkage will actually result from the surgery and not from the RT. Surgical cosmesis is an important determinant of overall cosmesis and could partially mask the longer term benefits of IMRT at this early stage.

  18. Impairments in an early stage of the decision-making process in patients with ventromedial prefrontal damage: preliminary results.

    PubMed

    Eggen, Céline; Huber, Oswald; Bär, Arlette; Huber, Odilo W; Perrig, Walter J; Müri, René; Gutbrod, Klemens

    2015-01-01

    Lesions of the ventromedial prefrontal cortex can result in a deficient decision-making behavior. So far, most experimental results in the neuropsychological decision-making research have been obtained with gambling tasks. Due to their high complexity, it is difficult to evaluate the underlying processes of the decision-making deficits. The aim of this study was to assess if patients with ventromedial prefrontal damage compared to patients with dorsolateral prefrontal damage and controls show a deficit in an early stage of the decision-making process. Nine patients with ventromedial prefrontal damage, three with dorsolateral prefrontal damage, and eleven healthy controls were tested with a newly developed decision task in which they had to search actively for the information they needed for their decisions. Our results show that patients with ventromedial prefrontal damage compared to the brain-lesioned dorsolateral prefrontal control group and healthy controls searched less for information with regard to risk defusing operators or consequences of their decisions indicating impairment already in the early stage of the decision-making process. PMID:25080839

  19. A Multi-Institutional Study of Feasibility, Implementation, and Early Clinical Results With Noninvasive Breast Brachytherapy for Tumor Bed Boost

    SciTech Connect

    Hamid, Subarna; Rocchio, Kathy; Arthur, Douglas; Vera, Robyn; Sha, Sandra; Jolly, Michele; Cavanaugh, Sean; Wooten, Eric; Benda, Rashmi; Greenfield, Brad; Prestidge, Bradley; Ackerman, Scot; Kuske, Robert; Quiet, Coral; Snyder, Margaret; Wazer, David E.

    2012-08-01

    Purpose: To evaluate the feasibility, implementation, and early results of noninvasive breast brachytherapy (NIBB) for tumor bed boost with whole breast radiation therapy (WBRT). Methods and Materials: NIBB is a commercially available (AccuBoost, Billerica, MA) mammography-based, brachytherapy system in which the treatment applicators are centered on the planning target volume (PTV) to direct {sup 192}Ir emissions along orthogonal axes. A privacy-encrypted online data registry collected information from 8 independent academic and community-based institutions. Data were from 146 consecutive women with early-stage breast cancer after lumpectomy and WBRT receiving boost with NIBB between July 2007 and March 2010. Toxicity and cosmesis were graded according to the Common Toxicity Criteria (v. 3.0) and the Harvard scale. Median follow-up was 6 months (1-39 months). Results: Grade 1-2 skin toxicity was observed in 64%, 48%, and 21% during the acute (1-3 weeks), intermediate (4-26 weeks), and late-intermediate (>26 weeks) periods. There was no Grade 4 toxicity. At 6 months, for the entire cohort, cosmesis was excellent/good in 62%/38%. The subset receiving NIBB before WBRT had cosmetic scores of 32% and 63%, whereas during WBRT, 58% and 37% were rated as excellent and good, respectively. Breast compression was scored as 'uncomfortable' in 12%, 29%, and 59% when NIBB was delivered before, during, or after WBRT. For each patient, the fraction-to-fraction variability in PTV was low. Skin flash was associated with a higher proportion of excellent cosmesis (58% vs. 42%) relative to having the applicator all within breast tissue. Conclusions: These data indicate that NIBB is feasible and can be consistently implemented in a broad array of practice settings. Preliminary evaluation suggests that NIBB is associated with acceptably mild normal tissue toxicity and favorable early cosmesis. The application of NIBB before WBRT may be associated with better patient tolerance at the

  20. From cradle to early grave: juvenile mortality in European shags Phalacrocorax aristotelis results from inadequate development of foraging proficiency.

    PubMed

    Daunt, F; Afanasyev, V; Adam, A; Croxall, J P; Wanless, S

    2007-08-22

    In most long-lived animal species, juveniles survive less well than adults. A potential mechanism is inferior foraging skills but longitudinal studies that follow the development of juvenile foraging are needed to test this. We used miniaturized activity loggers to record daily foraging times of juvenile and adult European shags Phalacrocorax aristotelis from fledging to the following spring. Juveniles became independent from their parents 40 days post-fledging. They compensated for poor foraging proficiency by foraging for approximately 3 h d(-1) longer than adults until constrained by day length in early November. Thereafter, juvenile foraging time tracked shortening day length up to the winter solstice, when foraging time of the two age classes converged and continued to track day length until early February. Few individuals died until midwinter and mortality peaked in January-February, with juvenile mortality (including some of the study birds) five times that of adults. In their last two weeks of life, juveniles showed a marked decline in foraging time consistent with individuals becoming moribund. Our results provide compelling evidence that juveniles compensate for poor foraging proficiency by increasing foraging time, a strategy that is limited by day length resulting in high winter mortality. PMID:17504733

  1. ICESat Laser Altimeter Pointing, Ranging and Timing Calibration from Integrated Residual Analysis: A Summary of Early Mission Results

    NASA Technical Reports Server (NTRS)

    Lutchke, Scott B.; Rowlands, David D.; Harding, David J.; Bufton, Jack L.; Carabajal, Claudia C.; Williams, Teresa A.

    2003-01-01

    On January 12, 2003 the Ice, Cloud and land Elevation Satellite (ICESat) was successfUlly placed into orbit. The ICESat mission carries the Geoscience Laser Altimeter System (GLAS), which consists of three near-infrared lasers that operate at 40 short pulses per second. The instrument has collected precise elevation measurements of the ice sheets, sea ice roughness and thickness, ocean and land surface elevations and surface reflectivity. The accurate geolocation of GLAS's surface returns, the spots from which the laser energy reflects on the Earth's surface, is a critical issue in the scientific application of these data Pointing, ranging, timing and orbit errors must be compensated to accurately geolocate the laser altimeter surface returns. Towards this end, the laser range observations can be fully exploited in an integrated residual analysis to accurately calibrate these geolocation/instrument parameters. Early mission ICESat data have been simultaneously processed as direct altimetry from ocean sweeps along with dynamic crossovers resulting in a preliminary calibration of laser pointing, ranging and timing. The calibration methodology and early mission analysis results are summarized in this paper along with future calibration activities

  2. Lava heating and loading of ice sheets on early Mars: Predictions for meltwater generation, groundwater recharge, and resulting landforms

    NASA Astrophysics Data System (ADS)

    Cassanelli, James P.; Head, James W.

    2016-06-01

    Recent modeling studies of the early Mars climate predict a predominantly cold climate, characterized by the formation of regional ice sheets across the highland areas of Mars. Formation of the predicted "icy highlands" ice sheets is coincident with a peak in the volcanic flux of Mars involving the emplacement of the Late Noachian - Early Hesperian ridged plains unit. We explore the relationship between the predicted early Mars "icy highlands" ice sheets, and the extensive early flood volcanism to gain insight into the surface conditions prevalent during the Late Noachian to Early Hesperian transition period. Using Hesperia Planum as a type area, we develop an ice sheet lava heating and loading model. We quantitatively assess the thermal and melting processes involved in the lava heating and loading process following the chronological sequence of lava emplacement. We test a broad range of parameters to thoroughly constrain the lava heating and loading process and outline predictions for the formation of resulting geological features. We apply the theoretical model to a study area within the Hesperia Planum region and assess the observed geology against predictions derived from the ice sheet lava heating and loading model. Due to the highly cratered nature of the Noachian highlands terrain onto which the volcanic plains were emplaced, we predict highly asymmetrical lava loading conditions. Crater interiors are predicted to accumulate greater thicknesses of lava over more rapid timescales, while in the intercrater plains, lava accumulation occurs over longer timescales and does not reach great thicknesses. We find that top-down melting due to conductive heat transfer from supraglacial lava flows is generally limited when the emplaced lava flows are less than ∼10 m thick, but is very significant at lava flow thicknesses of ∼100 m or greater. We find that bottom-up cryosphere and ice sheet melting is most likely to occur within crater interiors where lavas

  3. Early Antiretroviral Therapy During Primary HIV-1 Infection Results in a Transient Reduction of the Viral Setpoint upon Treatment Interruption

    PubMed Central

    Niederoest, Barbara; Kuster, Herbert; Battegay, Manuel; Bernasconi, Enos; Cavassini, Matthias; Rauch, Andri; Hirschel, Bernard; Vernazza, Pietro; Weber, Rainer; Joos, Beda; Günthard, Huldrych F.

    2011-01-01

    Background Long-term benefits of combination antiretroviral therapy (cART) initiation during primary HIV-1 infection are debated. Methods The evolution of plasma HIV-RNA (432 measurements) and cell-associated HIV-DNA (325 measurements) after cessation of cART (median exposure 18 months) was described for 33 participants from the Zurich Primary HIV Infection Study using linear regression and compared with 545 measurements from 79 untreated controls with clinically diagnosed primary HIV infection, respectively a known date for seroconversion. Results On average, early treated individuals were followed for 37 months (median) after cART cessation; controls had 34 months of pre-cART follow-up. HIV-RNA levels one year after cART interruption were −0.8 log10 copies/mL [95% confidence interval −1.2;−0.4] lower in early treated patients compared with controls, but this difference was no longer statistically significant by year three of follow-up (−0.3 [−0.9; 0.3]). Mean HIV-DNA levels rebounded from 2 log10 copies [1.8; 2.3] on cART to a stable plateau of 2.7 log10 copies [2.5; 3.0] attained 1 year after therapy stop, which was not significantly different from cross-sectional measurements of 9 untreated members of the control group (2.8 log10 copies [2.5; 3.1]). Conclusions The rebound dynamics of viral markers after therapy cessation suggest that early cART may indeed limit reservoir size of latently infected cells, but that much of the initial benefits are only transient. Owing to the non-randomized study design the observed treatment effects must be interpreted with caution. PMID:22102898

  4. Early-onset glaucoma in Axenfeld-Rieger anomaly: long-term surgical results and visual outcome.

    PubMed

    Mandal, A K; Pehere, N

    2016-07-01

    PurposeTo determine the long-term surgical and visual outcomes in Indian children with early-onset glaucoma associated with Axenfeld-Rieger anomaly (ARA).MethodsThis is a retrospective analysis of 44 eyes of 24 consecutive children with early-onset glaucoma (within 3 years of age) and ARA who underwent glaucoma surgery over a 20-year period (1991-2010) by a single surgeon. Main outcome measures were pre- and postoperative intraocular pressures (IOPs), corneal clarity, visual acuities (VAs), refractive errors, success rate, time of surgical failure, and complications.ResultsThe series consisted of 38 primary combined trabeculotomy-trabeculectomy (CTT) and 6 primary trabeculectomy procedures (Schlemm's canal could not be identified in these eyes). There was a statistically significant reduction in IOP postoperatively (27.07±4.88 vs 14.88±3.62 mm Hg; P<0.0001) with a mean reduction of 45.14%. Success probability by Kaplan-Meier survival analysis was 93% till 5 years, and then 88.1%, 82.3%, 70.5%, 56.4%, and 42.3% at year 6, 7, 8, 9, and 10, respectively. Preoperative corneal edema was present in 43/44 eyes (97.72%) and cleared in 42 eyes (97.67%). There was one case each with intraoperative hyphema and with shallow chamber postoperatively and both were successfully managed successfully. There was no incidence of endophthalmitis or any other sight-threatening complication. Data on VA were available in 34 eyes (77.3%). At final follow-up visit, 15 (44.1%) eyes had best corrected VA ⩾6/18.ConclusionsPrimary CTT is safe and effective for early-onset glaucoma associated with ARA. It leads to excellent IOP control and satisfactory visual outcome. PMID:27055677

  5. Cognitive Enhancement Therapy Protects Against Gray Matter Loss in Early Schizophrenia: Results From a Two-Year Randomized Controlled Trial

    PubMed Central

    Eack, Shaun M.; Hogarty, Gerard E.; Cho, Raymond Y.; Prasad, Konasale M. R.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2013-01-01

    Context Cognitive rehabilitation has shown efficacy for improving cognition in patients with schizophrenia, but the underlying neurobiologic changes that occur during these treatments and support cognitive improvement are not well known. Objective To examine differential changes in brain morphology in early schizophrenia during cognitive rehabilitation versus supportive therapy. Design A 2-year, randomized-controlled trial with annual structural magnetic resonance imaging and cognitive assessments. Setting An outpatient research clinic at a university-based medical center providing comprehensive care services for patients with severe mental illness. Patients A total of 53 symptomatically stable, but cognitively disabled outpatients in the early course of schizophrenia or schizoaffective disorder. Interventions Cognitive enhancement therapy is an integrated approach to the remediation of cognitive impairments in schizophrenia that utilizes computer-assisted neurocognitive training and group-based social-cognitive exercises. Enriched supportive therapy is an illness management approach that provides psychoeducation and teaches applied coping strategies. Main Outcome Measures Broad areas of frontal and temporal gray matter change were analyzed using longitudinal voxel-based morphometry methods employing mixed-effects models, followed by volumetric analyses of regions demonstrating significant differential changes between treatment groups. Results Patients receiving cognitive enhancement therapy demonstrated significantly greater preservation of gray matter volume over the course of two years in the left hippocampus, parahippocampal gyrus, and fusiform gyrus, and significantly greater gray matter increases in the left amygdala (all corrected P < .040), compared with those receiving enriched supportive therapy. Less gray matter loss in the left parahippocampal and fusiform gyrus, and greater gray matter increases in the left amygdala were significantly related to

  6. Early Childhood Teachers' Perceived Competence during Transition from Teacher Education to Work: Results from a Longitudinal Study

    ERIC Educational Resources Information Center

    Mischo, Christoph

    2015-01-01

    The transition from education to work is a challenge for early childhood teachers. In this study, competence self-ratings of 348 German early childhood teachers were investigated one year before, at the end of and four months after early childhood teacher education at universities and vocational schools. Perceived competence was assessed by means…

  7. Accelerated Hypofractionated Radiotherapy for Early-Stage Non-Small-Cell Lung Cancer: Long-Term Results

    SciTech Connect

    Soliman, Hany; Cheung, Patrick; Yeung, Latifa; Poon, Ian; Balogh, Judith; Barbera, Lisa; Spayne, Jacqueline; Danjoux, Cyril; Dahele, Max; Ung, Yee

    2011-02-01

    Purpose: To retrospectively review the results of a single-institution series of accelerated hypofractionated radiotherapy for early-stage non-small-cell lung cancer (NSCLC) in patients who are medically inoperable or who refuse surgery. Methods and Materials: Peripherally located T1 to T3 N0 M0 tumors were treated with 48 to 60 Gy in 12 to 15 fractions between 1996 and 2007. No elective nodal irradiation was delivered. Patient, tumor, and treatment information was abstracted from the medical records. Results: A total of 124 tumors were treated in 118 patients (56 male and 62 female). Median age at diagnosis was 76.3 years (range, 49-90 years). In all, 113 patients (95.8%) were not surgical candidates because of medical comorbidities. The 2- and 5-year overall survival (OS) rates were 51.0% and 23.3%, respectively, and the 2- and 5-year cause-specific survival (CSS) rates were 67.6% and 59.8%, respectively. The 2- and 5-year actuarial local control (LC) rates were 76.2% and 70.1%, respectively. Univariate analysis revealed that tumor size less than 3cm compared with greater than 3 cm resulted in significantly improved OS (40.0% vs. 5.0% at 5 years; p = 0.0002), CSS (69.7% vs. 45.1% at 5 years; p = 0.0461), and a trend toward better LC (82.5% vs. 66.9% at 2 years, 76.6% vs. 60.8% at 5 years; p = 0.0685). Treatment was well tolerated and there were no treatment delays because of acute toxicity. Conclusions: Accelerated hypofractionated radiotherapy with 48 to 60 Gy using fractions of 4 Gy per day provides very good results for small tumors in medically inoperable patients with early-stage NSCLC.

  8. Early life exposure to PCB126 results in delayed mortality and growth impairment in the zebrafish larvae.

    PubMed

    Di Paolo, Carolina; Groh, Ksenia J; Zennegg, Markus; Vermeirssen, Etiënne L M; Murk, Albertinka J; Eggen, Rik I L; Hollert, Henner; Werner, Inge; Schirmer, Kristin

    2015-12-01

    The occurrence of chronic or delayed toxicity resulting from the exposure to sublethal chemical concentrations is an increasing concern in environmental risk assessment. The Fish Embryo Toxicity (FET) test with zebrafish provides a reliable prediction of acute toxicity in adult fish, but it cannot yet be applied to predict the occurrence of chronic or delayed toxicity. Identification of sublethal FET endpoints that can assist in predicting the occurrence of chronic or delayed toxicity would be advantageous. The present study characterized the occurrence of delayed toxicity in zebrafish larvae following early exposure to PCB126, previously described to cause delayed effects in the common sole. The first aim was to investigate the occurrence and temporal profiles of delayed toxicity during zebrafish larval development and compare them to those previously described for sole to evaluate the suitability of zebrafish as a model fish species for delayed toxicity assessment. The second aim was to examine the correlation between the sublethal endpoints assessed during embryonal and early larval development and the delayed effects observed during later larval development. After exposure to PCB126 (3-3000ng/L) until 5 days post fertilization (dpf), larvae were reared in clean water until 14 or 28 dpf. Mortality and sublethal morphological and behavioural endpoints were recorded daily, and growth was assessed at 28 dpf. Early life exposure to PCB126 caused delayed mortality (300 ng/L and 3000 ng/L) as well as growth impairment and delayed development (100 ng/L) during the clean water period. Effects on swim bladder inflation and cartilaginous tissues within 5 dpf were the most promising for predicting delayed mortality and sublethal effects, such as decreased standard length, delayed metamorphosis, reduced inflation of swim bladder and column malformations. The EC50 value for swim bladder inflation at 5 dpf (169 ng/L) was similar to the LC50 value at 8 dpf (188 and 202 ng/L in

  9. Biallelic Variants in UBA5 Reveal that Disruption of the UFM1 Cascade Can Result in Early-Onset Encephalopathy.

    PubMed

    Colin, Estelle; Daniel, Jens; Ziegler, Alban; Wakim, Jamal; Scrivo, Aurora; Haack, Tobias B; Khiati, Salim; Denommé, Anne-Sophie; Amati-Bonneau, Patrizia; Charif, Majida; Procaccio, Vincent; Reynier, Pascal; Aleck, Kyrieckos A; Botto, Lorenzo D; Herper, Claudia Lena; Kaiser, Charlotte Sophia; Nabbout, Rima; N'Guyen, Sylvie; Mora-Lorca, José Antonio; Assmann, Birgit; Christ, Stine; Meitinger, Thomas; Strom, Tim M; Prokisch, Holger; Miranda-Vizuete, Antonio; Hoffmann, Georg F; Lenaers, Guy; Bomont, Pascale; Liebau, Eva; Bonneau, Dominique

    2016-09-01

    Via whole-exome sequencing, we identified rare autosomal-recessive variants in UBA5 in five children from four unrelated families affected with a similar pattern of severe intellectual deficiency, microcephaly, movement disorders, and/or early-onset intractable epilepsy. UBA5 encodes the E1-activating enzyme of ubiquitin-fold modifier 1 (UFM1), a recently identified ubiquitin-like protein. Biochemical studies of mutant UBA5 proteins and studies in fibroblasts from affected individuals revealed that UBA5 mutations impair the process of ufmylation, resulting in an abnormal endoplasmic reticulum structure. In Caenorhabditis elegans, knockout of uba-5 and of human orthologous genes in the UFM1 cascade alter cholinergic, but not glutamatergic, neurotransmission. In addition, uba5 silencing in zebrafish decreased motility while inducing abnormal movements suggestive of seizures. These clinical, biochemical, and experimental findings support our finding of UBA5 mutations as a pathophysiological cause for early-onset encephalopathies due to abnormal protein ufmylation. PMID:27545681

  10. Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

    PubMed Central

    Gorham, Gemma

    2014-01-01

    Background. This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children's health behaviors. Methods. We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up. Results. 39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups at baseline, P = 0.001) and ounces of fruit juice decreased at follow-up (11.9 ounces at 4 months compared to 16.0 ounces at baseline, P = 0.036). Sedentary behaviors also improved. Children significantly decreased time spent watching TV on weekdays (P < 0.01) and also reduced weekend TV time. In addition, the number of homes with TV sets in the child's bedroom also decreased (P < 0.0013). Conclusions. The findings indicate that a home-based early childhood obesity prevention intervention is feasible, acceptable and demonstrates short-term effects on dietary and sedentary behaviors of low-income racially/ethnically diverse children. PMID:25405026

  11. Results.

    ERIC Educational Resources Information Center

    Zemsky, Robert; Shaman, Susan; Shapiro, Daniel B.

    2001-01-01

    Describes the Collegiate Results Instrument (CRI), which measures a range of collegiate outcomes for alumni 6 years after graduation. The CRI was designed to target alumni from institutions across market segments and assess their values, abilities, work skills, occupations, and pursuit of lifelong learning. (EV)

  12. Preliminary results of an Earthquake Early Warning System for South Portugal and Southwest of Spain based on Earthworm

    NASA Astrophysics Data System (ADS)

    Romeu, Núria; Jara, Jose Antonio; Colom, Yolanda; Goula, Xavier

    2016-04-01

    The areas of Cape San Vicente (SV) and Gulf of Cádiz (GC), in the SW Iberian Peninsula, are characterized by a significant seismic activity being a source of destructive earthquakes, such as the 1755 Lisbon (Mw=8.5) and the 1969 Cape San Vicente (Mw=7.8). This study presents the development and results of a prototype of an Earthquake Early Warning System (EEWS) applied to South Portugal and Southwest of Spain within the framework of the Alertes-Rim Spanish project. This EEWS, based on the Earthworm (USGS) tools, was implemented to automatically produce location scenarios with an optimized location and estimated magnitude that minimize the warning time. Main functionalities of the system are: real-time data acquisition from broadband stations existing on the area of study, data processing (involving P-waves picking, Pd and τc proxies computation, hypocentral location and magnitude estimation) and data archiving. The last upgrade of the system also incorporates an algorithm to select the suitable proxies to estimate the magnitude and a specific configuration to avoid the detection of events coming from the surround of the study area. Finally, the system has been completed with a "monitoring module" that enables to visualize in real time the evolution of the Early Warning from the detection until the arrival of possible damaging waves. The prototype has been in operation for a stable period launched in November 14, 2014. Since then, only one earthquake of interest (those with moment magnitude above 4) occurred. Location and magnitude results are favorable, comparing to Instituto Geográfico Nacional (IGN) catalog. Coherent results are also obtained for lead times, which are on the order of tens of seconds for most of targets, allowing the feasibility of a regional EEWS in the SW Iberia.

  13. Breast cancer early diagnosis experience in Florence: can a self referral policy achieve the results of service screening?

    PubMed Central

    Giorgi, D; Paci, E; Zappa, M; Rosselli del Turco, M

    1994-01-01

    STUDY OBJECTIVE--To assess the impact of a breast clinic on a specific target population and evaluate early diagnosis performance indicators for breast cancer in the presence of a self referral policy. DESIGN--Women living in Florence between 1980 and 1989 who had undergone mammography at a self referral breast clinic were studied. Main outcome measures were the use of mammography in relation to age, symptoms, and the interval between two subsequent tests, and early diagnosis performance indicators were the detection rate (DR), the prevalence/incidence ratio, and the proportion of early detected cancers. Performance indicators were compared with those from formal screening programmes. SETTING--Florence, Italy. PATIENTS--All mammograms performed at the clinic from 1980-89 in 40-69 year old women living in Florence were examined (n = 42,226). Records included the date of birth and of the examination, the reason for testing (asymptomatic/presence of pain/presence of symptoms other than pain), and the TNM classification for breast cancer cases. MAIN RESULTS--The total number of mammograms performed per annum increased by 70% over the decade, but much of this was routine repeat mammography (54.1% in 1989). Rates of first examinations in asymptomatic women increased in the second half of the decade from 17 per 1000 in 1985 to 31 per 1000 in 1989. Mammographic coverage decreased with increasing age from 12.6% in 40-49 year olds to 6.0% in 60-69 years old. Performance indicators of the activity in asymptomatic women were comparable with those expected in service screening. The proportion of not advanced cancers detected in asymptomatic women was 62.3% with a DR of 5.3 per 1000, and the average prevalence/incidence ratio was 2.9. CONCLUSIONS--High quality mammography performed in a breast clinic in self referred asymptomatic women can achieve as good results as a formal invitation screening service. Only a few of these women will benefit, but those who do are likely to be

  14. Early treatment of a child with NAGS deficiency using N-carbamyl glutamate results in a normal neurological outcome.

    PubMed

    Van Leynseele, Anouk; Jansen, Anna; Goyens, Philippe; Martens, Geert; Peeters, Stefaan; Jonckheere, An; De Meirleir, Linda

    2014-12-01

    Acute hyperammonemia has a variety of etiologies and clinical manifestations. If not treated early in neonates, it leads to irreversible brain damage or death. We present a 7-day-old female patient who was brought to the emergency department with drownsiness and vomiting. Metabolic work-up revealed a blood ammonia level of 290 μmol/L (normal <100 μmol/L in neonates) with a compensated respiratory alkalosis, normal glycaemia and lactate and absence of urinary ketones. Oral feeding was stopped, an infusion of 20 % glucose was started, and sodium benzoate and arginine hydrochloride were given. After a drop of ammonemia within 12 h of treatment, it started rising again. N-carbamylglutamate (NCG) was added resulting in a rapid normalisation of ammonemia. Feedings were progressively reintroduced, the ammonia levels remained low. The results of the metabolic work-up were compatible with carbamyl phosphate synthase 1 (CPS1) or N-acetyl glutamate synthase (NAGS) deficiency. Genetic analysis confirmed the latter diagnosis with a homozygous mutation c. 1450T > C (p.W484R) in exon 6 of the NAGS gene in the patient and a carrier state in both parents. At the age of 9 months, the child is growing well with normal neurological development, under treatment with NCG 100 mg/kg/day and a normal diet. Conclusion: This case highlights the importance of keeping a high index of suspicion and early testing for ammonia levels in neonates/children with unexplained encephalopathy. In neonates with congenital hyperammonemia, NCG should always be started together with the standard management of hyperammonemia until all laboratory investigations are complete or indicate another disease. PMID:24233332

  15. Is the Prediction of Adolescent Outcomes from Early Child Care Moderated by Later Maternal Sensitivity? Results from the NICHD Study of Early Child Care and Youth Development

    ERIC Educational Resources Information Center

    Burchinal, Margaret R.; Lowe Vandell, Deborah; Belsky, Jay

    2014-01-01

    Longitudinal data are used to examine whether effects of early child care are amplified and/or attenuated by later parenting. Analyses tested these interactions using parenting as both a categorical and continuous variable to balance power and flexibility in testing moderation. The most consistent finding was that maternal sensitivity during…

  16. Early Child Care and Children's Development in the Primary Grades: Follow-Up Results from the NICHD Study of Early Child Care

    ERIC Educational Resources Information Center

    American Educational Research Journal, 2005

    2005-01-01

    Associations between early child care and children's functioning though the end of third grade were examined. Some of the relations that had been detected before children's school entry were maintained. Higher-quality child care continued to be linked to higher scores in math, reading, and memory. More time spent in center care was associated with…

  17. Design, deployment, and early results from ACTPol, a millimeter wavelength, polarization sensitive receiver for the Atacama Cosmology Telescope

    NASA Astrophysics Data System (ADS)

    Schmitt, Benjamin; ACTPol Collaboration

    2015-01-01

    deployment and early results will be highlighted, as well as the outlook for full-deployment operations, projected to begin in early-2015.

  18. Associations between Menarcheal Timing and Behavioral Developmental Trajectories for Girls from Age 6 to Age 15

    ERIC Educational Resources Information Center

    DeRose, Laura M.; Shiyko, Mariya P.; Foster, Holly; Brooks-Gunn, Jeanne

    2011-01-01

    Substantial evidence from cross-sectional and short time-span longitudinal studies exists about negative associations between early pubertal maturation on a number of psychological outcomes. The objective of the present study was to assess the association between early maturation and developmental trajectories of social skills and internalizing…

  19. Early results of experimental 222Rn flux campaign carried out at a mountain Spanish region and comparison with available radon flux inventories results

    NASA Astrophysics Data System (ADS)

    Nofuentes, Manel; Grossi, Claudia; Morguí, Josep Anton; Curcoll, Roger; Cañas, Lidia; Occhipinti, Paola; Borràs, Silvia; Vazquez, Eusebi; Rodó, Xavier

    2015-04-01

    The atmospheric concentrations of components impacting the greenhouse effect (CO2, CH4, N2O, O3, and aerosols) have increased significantly in the last two centuries, leading to a direct impact on our climate. These climatic changes deeply affect the geochemistry and the dynamics of the main reservoirs such as the atmosphere, the ocean, and the biosphere. Therefore, reductions of the emissions are needed for all four of the most important anthropogenic GHGs: CO2, CH4, N2O and SF6. Particularly, the relative contribution of human induced CH4 in the atmosphere to the total human direct greenhouse effect is about 25%. Furthermore, the CH4 has the shortest lifetime in the atmosphere (about 9 years), so that emissions reduction measures for CH4 will lead to changes in concentration growth rates, or even a concentration decline, at relatively shor time scales. All these reasons make the CH4 an attractive compound to reduce the greenhouse gas emissions. Nowadays, the study and attribution of categories for GHGs sources is carried out by using bottom-up inventories and top-down techniques. The atmospheric concentrations and the fluxes of the noble and radioactive 222Rn gas are widely used for retriving indirectly GHGs fluxes, improving top-down techniques and analysing different type of sources. In the frame of the "Methane exchange between soil and atmosphere over the Iberian Peninsula" (MIP) project (Reference: CGL2013-46186-R, Spanish Ministry of Economy and Competitiveness) four experimental radon flux campaigns are carried out at mountain as well as at coastal Spanish regions using integrated and continuous monitors. The early results of first radon flux campaign carried out at the Gredos and Iruelas climate station (GIC3) of the Catalan Institute of Climate Science (IC3) are presented and compared with available radon flux inventories maps.

  20. Clinical and MRI responses to etanercept in early non-radiographic axial spondyloarthritis: 48-week results from the EMBARK study

    PubMed Central

    Maksymowych, Walter P; Dougados, Maxime; Sieper, Joachim; Braun, Jürgen; Citera, Gustavo; Van den Bosch, Filip; Logeart, Isabelle; Wajdula, Joseph; Jones, Heather; Marshall, Lisa; Bonin, Randi; Pedersen, Ron; Vlahos, Bonnie; Kotak, Sameer; Bukowski, Jack F

    2016-01-01

    Objective To evaluate the efficacy and safety of etanercept (ETN) after 48 weeks in patients with early active non-radiographic axial spondyloarthritis (nr-axSpA). Methods Patients meeting Assessment of SpondyloArthritis international Society (ASAS) classification criteria for axSpA, but not modified New York radiographic criteria, received double-blind ETN 50 mg/week or placebo (PBO) for 12 weeks, then open-label ETN (ETN/ETN or PBO/ETN). Clinical, health, productivity, MRI and safety outcomes were assessed and the 48-week data are presented here. Results 208/225 patients (92%) entered the open-label phase at week 12 (ETN, n=102; PBO, n=106). The percentage of patients achieving ASAS40 increased from 33% to 52% between weeks 12 and 48 for ETN/ETN and from 15% to 53% for PBO/ETN (within-group p value <0.001 for both). For ETN/ETN and PBO/ETN, the EuroQol 5 Dimensions utility score improved by 0.14 and 0.08, respectively, between baseline and week 12 and by 0.23 and 0.22 between baseline and week 48. Between weeks 12 and 48, MRI Spondyloarthritis Research Consortium of Canada sacroiliac joint (SIJ) scores decreased by −1.1 for ETN/ETN and by −3.0 for PBO/ETN, p<0.001 for both. Decreases in MRI SIJ inflammation and C-reactive protein correlated with several clinical outcomes at weeks 12 and 48. Conclusions Patients with early active nr-axSpA demonstrated improvement from week 12 in clinical, health, productivity and MRI outcomes that was sustained to 48 weeks. Trial registration number NCT01258738. PMID:26269397

  1. Management of Symphysis and Parasymphysis Mandibular Fractures in Children Treated with MacLennan Splint: Stability and Early Results

    PubMed Central

    Bhat, Manohar; Sharma, Anupama; Sharma, Rajesh

    2015-01-01

    ABSTRACT Objective: The aim of this study was to assess the safety and efficiency of MacLennan splint in symphysis and parasymphysis mandibular fractures in children. Study design: Six patients (four boys and two girls, mean age 3 years, range between 2 and 5 years) were operated on parasymphysis fractures of children. The mean follow-up time was 12 months. MacLennan splint was applied in these case upto 3 weeks. Results: Primary healing of the fractured mandible was observed in all patients. Postoperative complications were minor and transient. The outcome of the operation was not endangered. Adverse tissue reaction like infection, malocclusion, swelling and growth restrictions did not occur during observation period. Conclusion: MacLennan splint is having various advantages like faster mobilization and the avoidance of secondary removal operations. Based on this preliminary results MacLennan splints are safe and efficient in the treatment of pediatric mandible fracture. How to cite this article: Khairwa A, Bhat M, Sharma A, Sharma R. Management of Symphysis and Parasymphysis Mandibular Fractures in Children Treated with MacLennan Splint: Stability and Early Results. Int J Clin Pediatr Dent 2015;8(2):127-132. PMID:26379381

  2. Early coronary angioplasty for acute myocardial infarction complicated by cardiogenic shock: have novel therapies led to better results?

    PubMed

    Moreno, R; Garcia, E; Abeytua, M; Soriano, J; Acosta, J; Perez De Isla, L; Lopez De Sa, E; Rubio, R; Lopez-Sendon, J

    2000-12-01

    Patients with acute myocardial infarction (MI) and cardiogenic shock constitute a very high risk subset despite an aggressive management. The objective of this study was to evaluate if the results of early coronary angioplasty in patients with acute myocardial infarction and cardiogenic shock have changed over the last years, and to address which role the recent adjuvant therapies have played in this evolution. From 1991 to April 1999, 94 patients with acute MI and cardiogenic shock were treated with coronary angioplasty within the first 12 hours from the onset of symptoms. Temporal changes of the utilization of adjuvant therapies and operators experience were studied over these years, as well as their impact on the angiographic results and in-hospital outcome. Over the years, a progressive and significant increase on the use of coronary stents and c7E3Fab was observed, as well as an increased number of primary angioplasties performed per month. The proportion of patients treated with intraaortic balloon pump did not changed significantly over the years. An angiographic successful result (< 50% residual stenosis and TIMI flow 2 or 3) and a final TIMI grade 3 flow were obtained in 76 (80.9%) and 61 (64.9%) patients, respectively. The angiographic success rate progressively increased over the years, from 72.3% in patients treated before 1994 to 94.1% in those admitted in 1998Eth 1999 (p for trend 0.0409). The proportion of patients with a final TIMI grade 3 flow also grew progressively over the years: from 36.4% before 1994 to 76.5% after 1997 (p for trend 0. 0209). The overall in-hospital mortality rate was 63.8% (60 patients), and there was no significant change in mortality rate over the years. Therefore, apart from the growing operators experience, we have observed an incremental change in the use of coronary stents and c7E3 Fab (abciximab) in patients with acute myocardial infarction and cardiogenic shock treated with early coronary angioplasty. All these

  3. Factors associated with a bad functional prognosis in early inflammatory back pain: results from the DESIR cohort

    PubMed Central

    Lukas, C; Dougados, M; Combe, B

    2016-01-01

    Background Spondyloarthritis (SpA) is a heterogeneous disease with hardly predictable potential courses. We aimed at determining prognostic factors of bad functional outcome at 2 years in patients with early inflammatory back pain (IBP). Methods Data from patients included in the French multicentre devenir des spondylarthropathies indifférenciées récentes (DESIR) cohort, that is, suffering from IBP starting before 50 years of age and lasting for 3–36 months, were used. A bad functional outcome at 24 months was defined as an increase in bath ankylosing spondylitis functional index (BASFI), or BASFI at 2 years higher than the 75th centile in the cohort. Demographic, clinical, biological and radiological data collected at inclusion were compared in patients with bad functional outcome versus others, by χ2 test, then by a multivariate logistic regression model with stepwise selection of relevant factors. Results 513 patients (54.4% females, 72.2% fulfilling ASAS criteria) were assessed. Of those, 130 (25.3%) fulfilled the aforementioned criteria of a bad functional outcome (BASFI increase ≥4 units or ≥36 at 2 years). Multivariate analysis revealed that not fulfilling ASAS criteria, female sex, age >33 years, lower educational level, active smoking status and high disease activity according to bath ankylosing spondylitis disease activity index (BASDAI) at baseline were independently associated with a bad functional outcome at 24 months. Sensitivity analyses restricted to patients fulfilling ASAS criteria for SpA resulted in similar results. Conclusion We observed, in a large prospective cohort of patients with early IBP, formerly described bad prognostic factors, especially a low educational level, an older age and a high disease activity at onset, and revealed that active smoking status and female sex were also independently associated with a poor outcome. Fulfilment of ASAS criteria, on the other hand, was predictive of a better outcome

  4. Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results from a 2-Year Randomized Trial

    ERIC Educational Resources Information Center

    Eack, Shaun M.; Hogarty, Gerard E.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2011-01-01

    Objective: To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia. Method: Early course schizophrenia outpatients (N = 58) were randomly assigned to cognitive enhancement therapy (CET) or an enriched supportive therapy (EST) control and…

  5. Early results of pediatric appendicitis after adoption of diagnosis-related group-based payment system in South Korea

    PubMed Central

    Moon, Suk-Bae

    2015-01-01

    Purpose As an alternative to the existing fee-for-service (FFS) system, a diagnosis-related group (DRG)-based payment system has been suggested. The aim of this study was to investigate the early results of pediatric appendicitis treatment under the DRG system, focusing on health care expenditure and quality of health care services. Patients and methods The medical records of 60 patients, 30 patients before (FFS group), and 30 patients after adoption of the DRG system (DRG), were reviewed retrospectively. Results Mean hospital stay was shortened, but the complication and readmission rates did not worsen in the DRG. Overall health care expenditure and self-payment decreased from Korean Won (KRW) 2,499,935 and KRW 985,540, respectively, in the FFS group to KRW 2,386,552 and KRW 492,920, respectively, in the DRG. The insurer’s payment increased from KRW 1,514,395 in the FFS group to KRW 1,893,632 in the DRG. For patients in the DRG, calculation by the DRG system yielded greater overall expenditure (KRW 2,020,209 vs KRW 2,386,552) but lower self-payment (KRW 577,803 vs KRW 492,920) than calculation by the FFS system. Conclusion The DRG system worked well in pediatric patients with acute appendicitis in terms of cost-effectiveness over the short term. The gradual burden on the national health insurance fund should be taken into consideration. PMID:26648734

  6. Microgravity Effects on the Early Events of Biological Nitrogen Fixation in Medicago Truncatula: Results from the SyNRGE Experiment

    NASA Astrophysics Data System (ADS)

    Stutte, Gary W.; Roberts, Michael S.

    2013-02-01

    SyNRGE (Symbiotic Nodulation in a Reduced Gravity Environment) was a sortie mission on STS-135 in the Biological Research in Canisters (BRIC) hardware to study the effect of μg on a plant-microbe symbiosis resulting in biological nitrogen fixation. Medicago truncatula, a model species for the legume family, was inoculated with its bacterial symbiont, Sinorhizobium meliloti, to observe early biomolecular events associated with infection and nodulation in Petri Dish Fixation Units (PDFU’s). Two sets of experiments were conducted in orbit and in 24-hour delayed ground controls. Experiments were designed to determine if S. meliloti would infect M. truncatula and initiate biomolecular changes associated with nodule formation and if the μg environment altered the host plant and/or bacteria to induce nodule formation upon return to 1g. Initial analysis results demonstrate that the legumes and bacteria cultivated in μg have potential to develop a symbiotic interaction, but suggest that μg alters their ability to form nodules upon return to 1g. (Research supported by NASA ESMD/ Advance Capabilities Division grant NNX10AR09A)

  7. Past and recent abuse is associated with early cessation of breast feeding: results from a large prospective cohort in Norway

    PubMed Central

    Sørbø, Marie Flem; Brantsæter, Anne-Lise; Grimstad, Hilde

    2015-01-01

    Objective Breast feeding provides a wide range of health benefits for both infants and mothers. Few studies have examined the impact of past and recent abuse of women on breastfeeding behaviour. The aims of our study were to examine whether exposure to past and recent emotional, sexual or physical abuse was associated with early breastfeeding cessation, and to assess whether a potential association differed for known and unknown perpetrators. Design Prospective cohort study. Setting Norway, years 1999–2006. Participants 53 934 mothers participated in the Norwegian Mother and Child Cohort Study. We included mothers with singleton pregnancy who had responded to three questionnaires (weeks 18 and 30 in pregnancy, and 6 months postpartum) and had answered minimum one of the abuse questions in week 30. Main outcome measure ORs were estimated by binary logistic regression with cessation of any (all) breast feeding before 4 months as the outcome, and abuse including subcategories of abuse, as the exposure. Results Nearly all women initiated breast feeding, but 12.1% ceased any breast feeding before 4 months and 38.9% ceased full breast feeding before 4 months, but continued partial breast feeding. Overall, 19% of the women reported any adult abuse and 18% reported any child abuse. The highest risk of any breast feeding cessation before 4 months was seen in women exposed to three types of adult abuse (emotional, sexual or physical), with adjusted OR being 1.47 (95% CI 1.23 to 1.76) compared with no abuse. Recent abuse and exposure from known perpetrator resulted in nearly 40% and 30% increased risk, respectively. The OR of any breast feeding cessation for women exposed to any child abuse was 1.41 (95% CI 1.32 to 1.50) compared with no abuse in childhood. Conclusions Past and recent abuse of women is strongly associated with early cessation of breast feeding. Abused mothers comprise a key group to target for extra support and breastfeeding assistance. PMID

  8. Early Results of Three-Year Monitoring of Red Wood Ants’ Behavioral Changes and Their Possible Correlation with Earthquake Events

    PubMed Central

    Berberich, Gabriele; Berberich, Martin; Grumpe, Arne; Wöhler, Christian; Schreiber, Ulrich

    2013-01-01

    Simple Summary For three years (2009–2012), two red wood ant mounds (Formica rufa-group), located at the seismically active Neuwied Basin (Eifel, Germany), have been monitored 24/7 by high-resolution cameras. Early results show that ants have a well-identifiable standard daily routine. Correlation with local seismic events suggests changes in the ants’ behavior hours before the earthquake: the nocturnal rest phase and daily activity are suppressed, and standard daily routine does not resume until the next day. At present, an automated image evaluation routine is being applied to the video streams. Based on this automated approach, a statistical analysis of the ant behavior will be carried out. Abstract Short-term earthquake predictions with an advance warning of several hours or days are currently not possible due to both incomplete understanding of the complex tectonic processes and inadequate observations. Abnormal animal behaviors before earthquakes have been reported previously, but create problems in monitoring and reliability. The situation is different with red wood ants (RWA; Formica rufa-group (Hymenoptera: Formicidae)). They have stationary mounds on tectonically active, gas-bearing fault systems. These faults may be potential earthquake areas. For three years (2009–2012), two red wood ant mounds (Formica rufa-group), located at the seismically active Neuwied Basin (Eifel, Germany), have been monitored 24/7 by high-resolution cameras with both a color and an infrared sensor. Early results show that ants have a well-identifiable standard daily routine. Correlation with local seismic events suggests changes in the ants’ behavior hours before the earthquake: the nocturnal rest phase and daily activity are suppressed, and standard daily routine does not resume until the next day. At present, an automated image evaluation routine is being applied to the more than 45,000 hours of video streams. Based on this automated approach, a statistical analysis of

  9. Cardiovascular events in early RA are a result of inflammatory burden and traditional risk factors: a five year prospective study

    PubMed Central

    2011-01-01

    Introduction Co-morbidity and mortality due to cardiovascular disease (CVD) are increased in patients with rheumatoid arthritis (RA). Most published studies in this field are retrospective or cross sectional. We investigated the presence of traditional and disease related risk factors for CVD at the onset of RA and during the first five years following diagnosis. We also evaluated their potential for predicting a new cardiovascular event (CVE) during the five-year follow-up period and the modulatory effect of pharmacological treatment. Methods All patients from the four northern-most counties of Sweden with early RA are, since December 1995, consecutively recruited at diagnosis (T0) into a large survey on the progress of the disease. Information regarding cardiovascular co-morbidity and related predictors was collected from clinical records and supplemented with questionnaires. By April 2008, 700 patients had been included of whom 442 patients had reached the five-year follow-up (T5). Results Among the 442 patients who reached T5 during the follow-up period, treatment for hypertension increased from 24.5 to 37.4% (P < 0.001)), diagnosis of diabetes mellitus (DM) from 7.1 to 9.5% (P < 0.01) whilst smoking decreased from 29.8 to 22.4% (P < 0.001) and the BMI from 26.3 to 25.8 (P < 0.05), respectively. By T5, 48 patients had suffered a new CVE of which 12 were fatal. A total of 23 patients died during the follow-up period. Age at disease onset, male sex, a previous CVE, DM, treatment for hypertension, triglyceride level, cumulative disease activity (area under the curve (AUC) disease activity score (DAS28)), extra-articular disease, corticosteroid use, shorter duration of treatment with disease modifying anti-rheumatic drugs (DMARDs) and use of COX-2 inhibitors increased the hazard rate for a new CVE. A raised erythrocyte sedimentation rate (ESR) at inclusion and AUC DAS28 at six months increased the hazard rate of CVE independently whilst DMARD treatment was

  10. Current smoking status is a strong predictor of radiographic progression in early rheumatoid arthritis: results from the SWEFOT trial

    PubMed Central

    Saevarsdottir, Saedis; Rezaei, Hamed; Geborek, Pierre; Petersson, Ingemar; Ernestam, Sofia; Albertsson, Kristina; Forslind, Kristina; van Vollenhoven, Ronald F

    2015-01-01

    Objectives To study clinical predictors for radiographic progression after 1 year in an early rheumatoid arthritis (RA) trial. Methods In the SWEFOT trial population, disease modifying antirheumatic drug (DMARD) naïve RA patients started methotrexate; 3-month responders (DAS28 <3.2) continued (n=147), while non-responders were randomised to addition of sulfasalazine+hydroxychloroquine (n=130) or infliximab (n=128). X-rays were scored by the Sharp-van der Hejde score (SHS) method and radiographic progression was defined as a ≥5 increase after 1 year. Potential baseline predictors of radiographic progression were tested using multivariable logistic regression, adjusted for potential confounders. Results 79 of 311 patients with available radiographs at baseline and follow-up had radiographic progression. The following baseline parameters were independent predictors of radiographic progression at 1 year: baseline erosions (adjusted OR=2.29, 95% CI 1.24 to 4.24), erythrocyte sedimentation rate (adjusted OR per tertile increase=1.72, 95% CI 1.12 to 2.65) and C-reactive protein (adjusted OR per tertile increase=1.52, 95% CI 1.03 to 2.26). Current smoking was an independent predictor of radiographic progression (adjusted OR=2.17, 95% CI 1.06 to 4.45). These results remained after further adjustment for treatment strategy. Three-dimensional matrix including current smoking status, erosions and C-reactive protein tertiles showed a 12–63% risk gradient from patients carrying none compared with all predictors. Rheumatoid factor (RF)/anti-cyclic citrullinated peptide (anti-CCP) positivity did not significantly predict radiographic progression using SHS increase ≥5 as cut-off. In a secondary exploratory analysis using cut-off >1, both RF and anti-CCP positivity were significant predictors in the unadjusted, but not the adjusted analyses. The other parameters also remained significant using this lower cut-off. Conclusions In addition to previously described

  11. Total Hip Arthroplasty Performed Through Direct Anterior Approach Provides Superior Early Outcome: Results of a Randomized, Prospective Study.

    PubMed

    Parvizi, Javad; Restrepo, Camilo; Maltenfort, Mitchell G

    2016-07-01

    Studies suggest that total hip arthroplasty (THA) performed through direct anterior (DA) approach has better functional outcomes than other surgical approaches. The immediate to very early outcomes of DA THA are not known. A prospective, randomized study examined the very early outcome of THA performed through DA versus direct lateral approach. The functional outcomes on day 1, day 2, week 6, week 12, 6 months, and 1 year were measured. Patients receiving DA THA had significantly higher functional scores during the early period following surgery. The difference in functional scores leveled out at 6 months. PMID:27241374

  12. Uptake of platinum by zebrafish (Danio rerio) and ramshorn snail (Marisa cornuarietis) and resulting effects on early embryogenesis.

    PubMed

    Osterauer, Raphaela; Haus, Nadine; Sures, Bernd; Köhler, Heinz-R

    2009-11-01

    Platinum group elements (PGEs), platinum, palladium and rhodium are widely used in automobile catalytic converters. PGEs are emitted into the environment and enter the aquatic ecosystem via runoff rainwater. The present study investigated the bioavailability of platinum chloride for the zebrafish (Danio rerio) and the ramshorn snail (Marisa cornuarietis) and determined the bioaccumulation rate of platinum. Applying the fish early life stage assay for D. rerio (DarT) and the Marisa embryo toxicity test ("Mariett") for M. cornuarietis, effects of platinum chloride on the embryonic development were investigated. Platinum concentrations tested in this study ranged from environmentally relevant concentrations of 38 ng L(-1) up to a concentration of 74.2 microg L(-1) for D. rerio and of 200 ngL(-1) up to 98.7 microg L(-1) for M. cornuarietis. Platinum was found to be accumulated in both organisms. Bioaccumulation factors (BAFs) were in the range of 5-55 for D. rerio and of 218.4-723.9 for M. cornuarietis, depending on the tested Pt concentrations. During the embryonic development, platinum was shown to alter the heart rate of both organisms already at the lowest tested concentration. At higher concentrations, platinum decelerated the hatching rate of the embryos of both species. Additionally, a retardation of the general development and a loss of weight due to platinum exposure was observed in M. cornuarietis. Results of this study contribute important data on the ecotoxicity of a rarely studied element. PMID:19796790

  13. Early Cretaceous rifting and exposure of periodotite on the Galicia continental margin: preliminary results of ocean drilling program Leg 103

    SciTech Connect

    Winterer, E.; Boillot, G.; Meyer, A.; Applegate, J.; Baltuck, M.; Bergen, J.; Comas, M.; Davies, T.; Dunham, K.; Evans, C.; Girardeau, J.

    1985-01-01

    Results of drilling near the ocean-continent boundary on the Galicia margin of Iberia shed new light on the timing of rifting and demonstrate the presence at the foot of the margin of a ridge of foliated, lineated, sheared and serpentinized harzburgite, probably representing oceanic mantle. Fifty km east of the periodotite ridge, on a continental fault block, the stratigraphic section sampled during Leg 103 above Hercynian basement comprises: (1) at least 250m of Upper Jurassic and possibly lowest Cretaceous limestone, dolomite and minor sandstone and claystone deposited in relatively shallow water before rifting began; (2) about 20m of Valanginian calpionellid marlstone, probably deposited in moderate depths at the onset of rifting; (3) from about 500 to 1500m of Valanginian and Hauterivian turbidite sandstone rich in terrestrial plant debris, and Barremian and Aptian( ) claystone and marlstone deposited in deeper water during rifting; and (4) about 700m of sediments deposited after Aptian time, when rifting ceased and oceanic spreading between Iberia and Newfoundland began. The lithology and seismic stratigraphy of the wedges of clastic sediments laid down during rifting show the progressive filling of basins that formed by episodic listric faulting that began very early in the Cretaceous and continued for about 25 my. The Lower Cretaceous turbidite sandstone cored on the Galicia margin correlates with thick Lower Cretaceous turbidites cored off Morocco during DSDP Leg 50, and with Wealden deltaic and fluviatile deposits on both sides of the Atlantic.

  14. Early carotid atherosclerosis in women: results of an ultrasonographic study measuring carotid artery intima-media thickness.

    PubMed

    Santo Signorelli, Salvatore; Pia Costa, Maria; Digrandi, Daniele; Di Pino, Luigi; Celotta, Gabriella; Pennisi, Giuseppe; Marchese, Giuseppe; Guardo, Paola; Virgilio, Vittorio; Torrisi, Benedetto

    2005-01-01

    Ultrasonography (US) is a useful diagnostic tool in detecting early vascular diseases in women and is particularly relevant in the elderly population. Increased carotid artery intima-media thickness (IMT) is a predictive marker of onset of atherosclerosis and is associated with vascular events. The objective of the present study was to determine carotid artery IMT in asymptomatic women of different age classes and to correlate the results with metabolic and coagulative parameters, age, and menopause. A total of 1200 women age 29-73 years selected from the electoral list of the city of Catania, Italy consented to participate in the US study to determine IMT. The percentage of IMT values exceeding an IMT cutoff value of < 1.3 mm observed in our study groups was significant. Correlations were observed between IMT and total cholesterol (r = .157), high-density lipoprotein (HDL) cholesterol (r = .87), low-density lipoprotein (LDL) cholesterol (r = .149), and fibrinogen (r = .140) values. Increased ultrasonographic markers showing onset of carotid artery remodeling can be observed in asymptomatic women of all ages. Some cardiovascular risk factors are linked to the initial stages of atherosclerosis. We recommend US screening in healthy populations to identify subjects who could develop vascular disease. PMID:17904019

  15. A Gene Trap Knockout of the Tiam-1 Protein Results in Malformation of the Early Embryonic Brain

    PubMed Central

    Yoo, Sooyeon; Kim, Yujin; Lee, Haeryung; Park, Sungjeong; Park, Soochul

    2012-01-01

    Tiam-1 has been implicated in the development of the central nervous system. However, the in vivo function of Tiam-1 has not been fully determined in the developing mouse brain. In this study, we generated Tiam-1 knockout mice using a Tiam-1 gene-trapped embryonic stem cell line. Insertion of a gene trap vector into a genomic site downstream of exon 5 resulted in a mutant allele encoding a truncated protein fused with the β-geo LacZ gene. Primary mouse embryonic fibroblasts lacking Tiam-1 revealed a significant decrease in Rac activity and cell proliferation. In addition, whole-mount embryonic LacZ expression analysis demonstrated that Tiam-1 is specifically expressed in regions of the developing brain, such as the caudal telencephalon and rostral diencephalon. More importantly, mouse embryos deficient in Tiam-1 gene expression displayed a severe defect in embryonic brain development, including neural tube closure defects or a dramatic decrease in brain size. These findings suggest that embryonic Tiam-1 expression plays a critical role during early brain development in mice. PMID:22661025

  16. Early Results of Clinical Application of Autologous Whole Bone Marrow Stem Cell Transplantation for Critical Limb Ischemia with Buerger's Disease.

    PubMed

    Heo, Seon-Hee; Park, Yoong-Seok; Kang, Eun-Suk; Park, Kwang-Bo; Do, Young-Soo; Kang, Kyung-Sun; Kim, Dong-Ik

    2016-01-01

    Our goal was to evaluate early results of the clinical application of autologous whole bone marrow stem cell transplantation (AWBMSCT) for critical limb ischemia (CLI) in patients with Buerger's disease. We retrospectively analyzed the data of 58 limbs of 37 patients (mean age, 43.0 years; range, 28-63 years; male, 91.9%) with Buerger's disease with CLI who were treated with AWBMSCT from March 2013 to December 2014. We analyzed Rutherford category, pain score, pain-free walking time (PFWT), total walking time (TWT), ankle brachial pressure index (ABPI), and toe brachial pressure index (TBPI), and investigated wound healing and occurrence of unplanned amputations. The mean follow-up duration was 11.9 ± 7.2 months (range, 0.9-23.9 months) and 100%, 72.4%, and 74.1% of patients were available to follow-up 1, 3 and 6 months after AWBMST, respectively. At 6 months, patients demonstrated significant improvements in Rutherford category (P < 0.0001), pain score (P < 0.0001), PFWT (P < 0.0001) and TBPI (P < 0.0001). ABPI was increased compared to baseline, but the difference was not significant. A total of 76.5% ischemic wounds achieved complete or improved healing. AWBMSCT is a safe and effective alternative or adjunctive treatment modality to achieve clinical improvement in patients with CLI. PMID:26791280

  17. Long-term results of forward intensity-modulated radiation therapy for patients with early-stage breast cancer

    PubMed Central

    Ha, Boram; Lee, Jihae; Lee, Kyung-Ja; Lee, Rena; Moon, Byung In

    2013-01-01

    Purpose To observe long-term clinical outcomes for patients with early-stage breast cancer treated with forward intensity-modulated radiation therapy (IMRT), including local control and clinical toxicities. Materials and Methods We retrospectively analyzed a total of 214 patients with stage I-II breast cancer who were treated with breast conserving surgery followed by adjuvant breast radiation therapy between 2001 and 2008. All patients were treated using forward IMRT. The whole breast was irradiated to a dose of 50 to 50.4 Gy followed by an 8 to 12 Gy electron boost to the surgical bed. Results The median age was 46 years (range, 21 to 82 years) and the medial follow-up time was 7.3 years (range, 2.4 to 11.7 years). Stage T1 was 139 (65%) and T2 was 75 (35%), respectively. Ipsilateral breast recurrence was observed in 3 patients. The 5- and 10-year local control rates were 99.1% and 97.8%, respectively. The cosmetic outcome was evaluated according to the Harvard scale and 89.4% of patients were scored as excellent or good. Conclusion The whole breast radiation therapy as an adjuvant treatment using a forward IMRT technique showed excellent long-term local control as well as favorable outcomes of toxicity and cosmesis. PMID:24501706

  18. Early Results of Three-Year Monitoring of Red Wood Ants' Behavioral Changes and Their Possible Correlation with Earthquake Events.

    PubMed

    Berberich, Gabriele; Berberich, Martin; Grumpe, Arne; Wöhler, Christian; Schreiber, Ulrich

    2013-01-01

    Short-term earthquake predictions with an advance warning of several hours or days are currently not possible due to both incomplete understanding of the complex tectonic processes and inadequate observations. Abnormal animal behaviors before earthquakes have been reported previously, but create problems in monitoring and reliability. The situation is different with red wood ants (RWA; Formica rufa-group (Hymenoptera: Formicidae)). They have stationary mounds on tectonically active, gas-bearing fault systems. These faults may be potential earthquake areas. For three years (2009-2012), two red wood ant mounds (Formica rufa-group), located at the seismically active Neuwied Basin (Eifel, Germany), have been monitored 24/7 by high-resolution cameras with both a color and an infrared sensor. Early results show that ants have a well-identifiable standard daily routine. Correlation with local seismic events suggests changes in the ants' behavior hours before the earthquake: the nocturnal rest phase and daily activity are suppressed, and standard daily routine does not resume until the next day. At present, an automated image evaluation routine is being applied to the more than 45,000 hours of video streams. Based on this automated approach, a statistical analysis of the ants' behavior will be carried out. In addition, other parameters (climate, geotectonic and biological), which may influence behavior, will be included in the analysis. PMID:26487310

  19. Results Obtained with Various Antifungal Susceptibility Testing Methods Do Not Predict Early Clinical Outcome in Patients with Cryptococcosis

    PubMed Central

    Dannaoui, E.; Abdul, M.; Arpin, M.; Michel-Nguyen, A.; Piens, M. A.; Favel, A.; Lortholary, O.; Dromer, F.

    2006-01-01

    The in vitro susceptibilities of Cryptococcus neoformans isolates from consecutive human immunodeficiency virus-positive and -negative patients to the antifungal agents fluconazole, amphotericin B, and flucytosine were determined by different techniques, including the CLSI method, Etest, and broth microdilution in yeast nitrogen base (YNB) medium, during a multicenter prospective study in France. The relationship between the in vitro data and the clinical outcome 2 weeks after the initiation of antifungal therapy was assessed. In addition, the correlation between the strain serotype and the in vitro activities of the antifungals was determined, and the susceptibility results obtained with the different techniques were also compared. Thirty-seven patients received a combination of amphotericin B with flucytosine as first-line therapy, 22 were treated with amphotericin B alone, and 15 received fluconazole alone. Whatever the antifungal tested, there was no trend toward higher MICs for strains isolated from patients who failed to respond to a given therapy compared to those from patients who did not with either the CLSI method, Etest, or broth microdilution in YNB medium. The MICs obtained by the CLSI or Etest method were significantly lower for serotype D strains than for serotype A strains for both fluconazole and amphotericin B, while flucytosine MICs were not different according to serotype. These findings suggest that the in vitro antifungal susceptibility of C. neoformans, as determined with the techniques used, is not able to predict the early clinical outcome in patients with cryptococcosis. PMID:16801427

  20. Design, layout, and early results of a feasibility experiment for sodium-layer laser-guide-star adaptive optics

    SciTech Connect

    Max, C.E.; Avicola, K.; Brase, J.M.

    1994-02-01

    The authors describe the design and the early results of a feasibility experiment for sodium-layer laser-guide-star adaptive optics. Copper-vapor-laser-pumped dye lasers from Lawrence Livermore National Laboratory`s Atomic Vapor Laser Isotope Separation program are used to create the guide star. The laser beam is projected upward from a beam director that is located {approximately}5 m from a 0.5-m telescope and forms an irradiance spot {approximately} 2 m in diameter at the atmospheric-sodium layer (at an altitude of 95 km). The laser guide star is approximately fifth magnitude and is visible to the naked eye at the top of the Rayleigh-scattered laser beam. To date, the authors have made photometric measurements and open-loop wave-front-sensor measurements of the laser guide star. They give an overview of the experiment`s design and the laser systems, describe the experimental setup, show preliminary photometric and open-loop wave-front-sensor data on the guide star, and present predictions of closed-loop adaptive-optics performance based on these experimental data. The long-term goal of this effort is to develop laser guide stars and adaptive optics for use with large astronomical telescopes. 26 refs., 17 figs., 2 tabs.

  1. Computerized detection of vertebral compression fractures on lateral chest radiographs: Preliminary results with a tool for early detection of osteoporosis

    SciTech Connect

    Kasai, Satoshi; Li Feng; Shiraishi, Junji; Li Qiang; Doi, Kunio

    2006-12-15

    Vertebral fracture (or vertebral deformity) is a very common outcome of osteoporosis, which is one of the major public health concerns in the world. Early detection of vertebral fractures is important because timely pharmacologic intervention can reduce the risk of subsequent additional fractures. Chest radiographs are used routinely for detection of lung and heart diseases, and vertebral fractures can be visible on lateral chest radiographs. However, investigators noted that about 50% of vertebral fractures visible on lateral chest radiographs were underdiagnosed or under-reported, even when the fractures were severe. Therefore, our goal was to develop a computerized method for detection of vertebral fractures on lateral chest radiographs in order to assist radiologists' image interpretation and thus allow the early diagnosis of osteoporosis. The cases used in this study were 20 patients with severe vertebral fractures and 118 patients without fractures, as confirmed by the consensus of two radiologists. Radiologists identified the locations of fractured vertebrae, and they provided morphometric data on the vertebral shape for evaluation of the accuracy of detecting vertebral end plates by computer. In our computerized method, a curved search area, which included a number of vertebral end plates, was first extracted automatically, and was straightened so that vertebral end plates became oriented horizontally. Edge candidates were enhanced by use of a horizontal line-enhancement filter in the straightened image, and a multiple thresholding technique, followed by feature analysis, was used for identification of the vertebral end plates. The height of each vertebra was determined from locations of identified vertebral end plates, and fractured vertebrae were detected by comparison of the measured vertebral height with the expected height. The sensitivity of our computerized method for detection of fracture cases was 95% (19/20), with 1.03 (139/135) false

  2. Age-Adjusted PSA Levels in Prostate Cancer Prediction: Updated Results of the Tyrol Prostate Cancer Early Detection Program

    PubMed Central

    Heidegger, Isabel; Fritz, Josef; Klocker, Helmut; Pichler, Renate

    2015-01-01

    Objective To reduce the number of unnecessary biopsies in patients with benign prostatic disease, however, without missing significant PCa the present study re-evaluates the age-dependent PSA cut-offs in the Tyrol Prostate Cancer (PCa) early detection program. Patients and Methods The study population included 2225 patients who underwent prostate biopsy due to elevated PSA levels at our department. We divided our patient collective into four age groups: ≤49 years (n = 178), 50-59 years (n = 597), 60-69 years (n = 962) and ≥70 years (n = 488). We simulated different scenarios for PSA cut-off values between 1.25 and 6 ng/mL and fPSA% between 15 and 21% for all four age groups and calculated sensitivity, specificity, confidence intervals and predictive values. Results PCa was detected in 1218 men (54.7%). We found that in combination with free PSA ≤21% the following PSA cut-offs had the best cancer specificity: 1.75 ng/ml for men ≤49 years and 50-59 years, 2.25 ng/ml for men aged 60-69 years and 3.25 ng/ml for men ≥70 years. Using these adjusted PSA cut-off values all significant tumors are recognized in all age groups, yet the number of biopsies is reduced. Overall, one biopsy is avoided in 13 to 14 men (number needed to screen = 13.3, reduction of biopsies = 7.5%) when decision regarding biopsy is done according to the “new” cut-off values instead of the “old” ones. For the different age groups the number needed to screen to avoid one biopsy varied between 9.2 (≤49 years) and 17.4 (50-59 years). Conclusion With “new”, fine-tuned PSA cut-offs we detect all relevant PCa with a significant reduction of biopsies compared to the “old” cut-off values. Optimization of age-specific PSA cut-offs is one step towards a smarter strategy in the Tyrol PCa Early Detection Program. PMID:26218594

  3. The VLA Low Band Project: Early Commissioning Results and Vision for a Primary Focus-based Commensal Observing system

    NASA Astrophysics Data System (ADS)

    Kassim, Namir E.; Clarke, T. E.; Hicks, B.; Peters, W. M.; Wilson, T. L.; Cutchin, S.; Owen, F. N.; Perley, R. A.; Durand, S.; Kutz, C.; Harden, P.; Intema, H.; Brisken, W.; Subrahmanyan, R.; Taylor, G. B.; Lazio, T. J.

    2013-01-01

    We present an update on the Jansky Very Large Array Low Band (VLA-LB) project, currently undergoing scientific commissioning and expected to be fully available in 2013. VLA-LB is a joint NRL and NRAO initiative to equip the VLA with broadband low frequency receivers that cover the spectrum between 66 and 470 MHz. The current system can already access the 66 to 86 MHz and 230 to 436 MHz sub-bands by working with existing 74 and 330 MHz feeds, respectively. The bandwidth at 74 MHz will increase by more than an order of magnitude while the 330 MHz bandwidth increases by approximately a factor of 6. The improved bandwidth and system temperature, coupled with the power of the WIDAR correlator, promise significantly enhanced performance compared to past VLA capabilities. Early commissioning results at “P band” (330 MHz) with a handful of antennas accessing the larger bandwidth indicate sensitivity rivaling that of the legacy 27-antenna, narrow-band old VLA capability. New feeds that can exploit a larger fraction of the available receiver bandwidth are being explored. While VLA-LB is useful as a conventional system, we are looking to enhance its power by leveraging the VLA’s capability to detect radiation at its prime and Cassegrain foci simultaneously. The ability to observe with more than one band in parallel is a powerful multiplier of a telescope’s function, and many instruments (e.g. the GMRT, WSRT and VLA) offer this. A variant is being explored for VLA-LB: observing from the prime focus during all normal Cassegrain observations. This proposed VLA-LB commensal system would piggyback normal VLA observing time to survey at low frequencies with relatively large field of views. Shared fields with other multi-beaming, dipole-based arrays that view the same sky with the VLA, e.g. the first station of the Long Wavelength Array (LWA1), would be possible. The collected data will be assembled into a database of spectra and wide-field images, suitable for studies of

  4. Genetic Variants Associated with Methotrexate Efficacy and Toxicity in Early Rheumatoid Arthritis: Results from the Treatment of Early Aggressive Rheumatoid Arthritis Trial

    PubMed Central

    Aslibekyan, Stella; Brown, Elizabeth E.; Reynolds, Richard J.; Redden, David T.; Morgan, Sarah; Baggott, Joseph; Sha, Jin; Moreland, Larry W.; O’Dell, James R.; Curtis, Jeffrey R.; Mikuls, Ted R.; Bridges, S. Louis; Arnett, Donna K.

    2013-01-01

    Methotrexate (MTX) has emerged as first-line therapy for early moderate to severe rheumatoid arthritis (RA), but individual variation in treatment response remains unexplained. We tested the associations between 863 known pharmacogenetic variants and MTX response in 471 TEAR Trial participants with early RA. Efficacy and toxicity were modeled using multiple regression, adjusted for demographic and clinical covariates. Penalized regression models were used to test joint associations of markers and/or covariates with the outcomes. The strongest genetic associations with efficacy were in CHST11 (five markers with P <0.003), encoding carbohydrate (chondroitin 4) sulfotransferase 11. Top markers associated with MTX toxicity were in the cytochrome p450 genes CYP20A1 and CYP39A1, solute carrier genes SLC22A2 and SLC7A7, and the mitochondrial aldehyde dehydrogenase gene ALDH2. The selected markers explained a consistently higher proportion of variation in toxicity than efficacy. These findings could inform future development of personalized therapeutic approaches. PMID:23545897

  5. Early Significant Tumor Volume Reduction After Radiosurgery in Brain Metastases From Renal Cell Carcinoma Results in Long-Term Survival

    SciTech Connect

    Kim, Wook Ha; Kim, Dong Gyu; Han, Jung Ho; Paek, Sun Ha; Chung, Hyun-Tai; Park, Chul-Kee; Kim, Chae-Yong; Kim, Yong Hwy; Kim, Jin Wook; Jung, Hee-Won

    2012-04-01

    Purpose: To retrospectively evaluate survival of patients with brain metastasis from renal cell carcinoma (RCC) after radiosurgery. Patients and Methods: Between 1998 and 2010, 46 patients were treated with radiosurgery, and the total number of lesions was 99. The mean age was 58.9 years (range, 33-78 years). Twenty-six patients (56.5%) had a single brain metastasis. The mean tumor volume was 3.0 cm{sup 3} (range, 0.01-35.1 cm{sup 3}), and the mean marginal dose prescribed was 20.8 Gy (range, 12-25 Gy) at the 50% isodose line. A patient was classified into the good-response group when the sum of the volume of the brain metastases decreased to less than 75% of the original volume at a 1-month follow-up evaluation using MRI. Results: As of December 28, 2010, 39 patients (84.8%) had died, and 7 (15.2%) survived. The overall median survival time was 10.0 {+-} 0.4 months (95% confidence interval, 9.1-10.8). After treatment, local tumor control was achieved in 72 (84.7%) of the 85 tumors assessed using MRI after radiosurgery. The good-response group survived significantly longer than the poor-response group (median survival times of 18.0 and 9.0 months, respectively; p = 0.025). In a multivariate analysis, classification in the good-response group was the only independent prognostic factor for longer survival (p = 0.037; hazard ratio = 0.447; 95% confidence interval, 0.209-0.953). Conclusions: Radiosurgery seems to be an effective treatment modality for patients with brain metastases from RCC. The early significant tumor volume reduction observed after radiosurgery seems to result in long-term survival in RCC patients with brain metastases.

  6. Mutations in Tetratricopeptide Repeat Domain 7A Result in a Severe Form of Very Early Onset Inflammatory Bowel Disease

    PubMed Central

    Avitzur, Yaron; Guo, Conghui; Mastropaolo, Lucas A; Bahrami, Ehsan; Chen, Hannah; Zhao, Zhen; Elkadri, Abdul; Dhillon, Sandeep; Murchie, Ryan; Fattouh, Ramzi; Huynh, Hien; Walker, Jennifer L; Wales, Paul W; Cutz, Ernest; Kakuta, Yoichi; Dudley, Joel; Kammermeier, Jochen; Powrie, Fiona; Shah, Neil; Walz, Christoph; Nathrath, Michaela; Kotlarz, Daniel; Puchaka, Jacek; Krieger, John; Racek, Tomas; Kirchner, Thomas; Walters, Thomas D; Brumell, John H; Griffiths, Anne M; Rezaei, Nima; Rashtian, Parisa; Najafi, Mehri; Monajemzadeh, Maryam; Pelsue, Stephen; McGovern, Dermot PB; Uhlig, Holm H; Schadt, Eric; Klein, Christoph; Snapper, Scott B; Muise, Aleixo M

    2014-01-01

    Background & Aims Very early onset inflammatory bowel diseases (VEOIBD), including infant disorders, are a diverse group of diseases found in children less than 6 years of age. They have been associated with several gene variants. We aimed to identify genes that cause VEOIBD. Methods We performed whole-exome sequencing of DNA from 1 infants with severe enterocolitis and her parents. Candidate gene mutations were validated in 40 pediatric patients and functional studies were carried out using intestinal samples and human intestinal cell lines. Results We identified compound heterozygote mutations in the tetratricopeptide repeat domain 7 (TTC7A) gene in an infant from non-consanguineous parents with severe exfoliative apoptotic enterocolitis; we also detected the mutations in 2 unrelated families, each with 2 affected siblings. TTC7A interacts with EFR3 homolog B (EFR3B) to regulate phosphatidylinositol 4-kinase (PI4KA) at the plasma membrane. Functional studies demonstrated that TTC7A is expressed in human enterocytes. The mutations we identified in TTC7A result in either mislocalization or reduced expression of TTC7A. PI4KA was found to co-immunoprecipitate with TTC7A; the identified TTC7A mutations reduced this binding. Knockdown of TTC7A in human intestinal-like cell lines reduced their adhesion, increased apoptosis, and decreased production of phosphatidylinositol 4-phosphate. Conclusion In a genetic analysis, we identified loss of function mutations in TTC7A in 5 infants with VEOIBD. Functional studies demonstrated that the mutations cause defects in enterocytes and T cells that lead to severe apoptotic enterocolitis. Defects in the PI4KA–TTC7A–EFR3B pathway are involved in the pathogenesis of VEOIBD. PMID:24417819

  7. Early Life Ozone Exposure Results in Dysregulated Innate Immune Function and Altered microRNA Expression in Airway Epithelium

    PubMed Central

    Gerriets, Joan E.; Wang, Theodore T.; Postlethwait, Edward M.; Evans, Michael J.; Fontaine, Justin H.; Miller, Lisa A.

    2014-01-01

    Exposure to ozone has been associated with increased incidence of respiratory morbidity in humans; however the mechanism(s) behind the enhancement of susceptibility are unclear. We have previously reported that exposure to episodic ozone during postnatal development results in an attenuated peripheral blood cytokine response to lipopolysaccharide (LPS) that persists with maturity. As the lung is closely interfaced with the external environment, we hypothesized that the conducting airway epithelium of neonates may also be a target of immunomodulation by ozone. To test this hypothesis, we evaluated primary airway epithelial cell cultures derived from juvenile rhesus macaque monkeys with a prior history of episodic postnatal ozone exposure. Innate immune function was measured by expression of the proinflammatory cytokines IL-6 and IL-8 in primary cultures established following in vivo LPS challenge or, in response to in vitro LPS treatment. Postnatal ozone exposure resulted in significantly attenuated IL-6 mRNA and protein expression in primary cultures from juvenile animals; IL-8 mRNA was also significantly reduced. The effect of antecedent ozone exposure was modulated by in vivo LPS challenge, as primary cultures exhibited enhanced cytokine expression upon secondary in vitro LPS treatment. Assessment of potential IL-6-targeting microRNAs miR-149, miR-202, and miR-410 showed differential expression in primary cultures based upon animal exposure history. Functional assays revealed that miR-149 is capable of binding to the IL-6 3′ UTR and decreasing IL-6 protein synthesis in airway epithelial cell lines. Cumulatively, our findings suggest that episodic ozone during early life contributes to the molecular programming of airway epithelium, such that memory from prior exposures is retained in the form of a dysregulated IL-6 and IL-8 response to LPS; differentially expressed microRNAs such as miR-149 may play a role in the persistent modulation of the epithelial innate

  8. Do Effects of Early Child Care Extend to Age 15 Years? Results From the NICHD Study of Early Child Care and Youth Development

    PubMed Central

    Vandell, Deborah Lowe; Belsky, Jay; Burchinal, Margaret; Vandergrift, Nathan; Steinberg, Laurence

    2010-01-01

    Relations between nonrelative child care (birth to 4 ½ years) and functioning at age 15 were examined (N = 1364). Both quality and quantity of child care were linked to adolescent functioning. Effects were similar in size as those observed at younger ages. Higher quality care predicted higher cognitive-academic achievement at age 15, with escalating positive effects at higher levels of quality. The association between quality and achievement was mediated, in part, by earlier child care effects on achievement. Higher quality early child care also predicted youth reports of less externalizing behavior. More hours of nonrelative care predicted greater risk taking and impulsivity at age 15, relations that were partially mediated by earlier child care effects on externalizing behaviors. PMID:20573102

  9. Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study

    PubMed Central

    2011-01-01

    Background Geographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services at tertiary hospitals. To demonstrate how reforms at Makerere University College of Health Sciences (MakCHS) can lead to making systemic changes that can improve maternal health services, a demand and supply side strategy was developed by working with local communities and national stakeholders. Methods This quasi-experimental trial is conducted in two districts in Eastern Uganda. The supply side component includes health worker refresher training and additions of minimal drugs and supplies, whereas the demand side component involves vouchers given to pregnant women for motorcycle transport and the payment to service providers for antenatal, delivery, and postnatal care. The trial is ongoing, but early analysis from routine health information systems on the number of services used is presented. Results Motorcyclists in the community organized themselves to accept vouchers in exchange for transport for antenatal care, deliveries and postnatal care, and have become actively involved in ensuring that women obtain care. Increases in antenatal, delivery, and postnatal care were demonstrated, with the number of safe deliveries in the intervention area immediately jumping from <200 deliveries/month to over 500 deliveries/month in the intervention arm. Voucher revenues have been used to obtain needed supplies to improve quality and to pay health workers, ensuring their availability at a time when workloads are increasing. Conclusions Transport and service vouchers appear to be a viable strategy for rapidly increasing maternal care

  10. Burden and predictors of hypertension in India: results of SEEK (Screening and Early Evaluation of Kidney Disease) study

    PubMed Central

    2014-01-01

    Background Hypertension (HTN) is one of the major causes of cardiovascular morbidity and mortality. The objective of the study was to investigate the burden and predictors of HTN in India. Methods 6120 subjects participated in the Screening and Early Evaluation of Kidney disease (SEEK), a community-based screening program in 53 camps in 13 representative geographic locations in India. Of these, 5929 had recorded blood pressure (BP) measurements. Potential predictors of HTN were collected using a structured questionnaire for SEEK study. Results HTN was observed in 43.5% of our cohort. After adjusting for center variation (p < 0.0001), predictors of a higher prevalence of HTN were older age ≥40 years (p < 0.0001), BMI of ≥ 23 Kg/M2 (p < 0.0004), larger waist circumference (p < 0.0001), working in sedentary occupation (p < 0.0001), having diabetes mellitus (p < 0.0001), having proteinuria (p < 0.0016), and increased serum creatinine (p < 0.0001). High school/some college education (p = 0.0016), versus less than 9th grade education, was related with lower prevalence of HTN. Of note, proteinuria and CKD were observed in 19% and 23.5% of HTN subjects. About half (54%) of the hypertensive subjects were aware of their hypertension status. Conclusions HTN was common in this cohort from India. Older age, BMI ≥ 23 Kg/M2, waist circumference, sedentary occupation, education less, diabetes mellitus, presence of proteinuria, and raised serum creatinine were significant predictors of hypertension. Our data suggest that HTN is a major public health problem in India with low awareness, and requires aggressive community-based screening and education to improve health. PMID:24602391

  11. Elevated Early Callose Deposition Results in Complete Penetration Resistance to Powdery Mildew in Arabidopsis1[C][W][OA

    PubMed Central

    Ellinger, Dorothea; Naumann, Marcel; Falter, Christian; Zwikowics, Claudia; Jamrow, Torsten; Manisseri, Chithra; Somerville, Shauna C.; Voigt, Christian A.

    2013-01-01

    A common response by plants to fungal attack is deposition of callose, a (1,3)-β-glucan polymer, in the form of cell wall thickenings called papillae, at site of wall penetration. While it has been generally believed that the papillae provide a structural barrier to slow fungal penetration, this idea has been challenged in recent studies of Arabidopsis (Arabidopsis thaliana), where fungal resistance was found to be independent of callose deposition. To the contrary, we show that callose can strongly support penetration resistance when deposited in elevated amounts at early time points of infection. We generated transgenic Arabidopsis lines that express POWDERY MILDEW RESISTANT4 (PMR4), which encodes a stress-induced callose synthase, under the control of the constitutive 35S promoter. In these lines, we detected callose synthase activity that was four times higher than that in wild-type plants 6 h post inoculation with the virulent powdery mildew Golovinomyces cichoracearum. The callose synthase activity was correlated with enlarged callose deposits and the focal accumulation of green fluorescent protein-tagged PMR4 at sites of attempted fungal penetration. We observed similar results from infection studies with the nonadapted powdery mildew Blumeria graminis f. sp. hordei. Haustoria formation was prevented in resistant transgenic lines during both types of powdery mildew infection, and neither the salicylic acid-dependent nor jasmonate-dependent pathways were induced. We present a schematic model that highlights the differences in callose deposition between the resistant transgenic lines and the susceptible wild-type plants during compatible and incompatible interactions between Arabidopsis and powdery mildew. PMID:23335625

  12. Mindfulness-Oriented Recovery Enhancement for Chronic Pain and Prescription Opioid Misuse: Results from an Early Stage Randomized Controlled Trial

    PubMed Central

    Garland, Eric L.; Manusov, Eron G.; Froeliger, Brett; Kelly, Amber; Williams, Jaclyn M.; Howard, Matthew O.

    2014-01-01

    Objective Opioid pharmacotherapy is now the leading treatment for chronic pain, a problem that affects nearly one-third of the United States population. Given the dramatic rise in prescription opioid misuse and opioid-related mortality, novel behavioral interventions are needed. The purpose of this study was to conduct an early stage randomized controlled trial of Mindfulness-Oriented Recovery Enhancement (MORE), a multimodal intervention designed to simultaneously target mechanisms underpinning chronic pain and opioid misuse. Method Chronic pain patients (N=115; mean age = 48±14; 68% female) were randomized to 8 weeks of MORE or a Support Group (SG). Outcomes were measured at pre- and post-treatment, and at 3-month follow-up. The Brief Pain Inventory assessed changes in pain severity and interference. Changes in opioid use disorder status were measured by the Current Opioid Misuse Measure. Desire for opioids, stress, nonreactivity, reinterpretation of pain sensations, and reappraisal were also evaluated. Results MORE participants reported significantly greater reductions in pain severity (p = .038) and interference (p = .003) than SG participants, which were maintained by 3-month follow-up and mediated by increased nonreactivity and reinterpretation of pain sensations. Compared with SG participants, participants in MORE evidenced significantly less stress arousal (p = .034) and desire for opioids (p = .027), and were significantly more likely to no longer meet criteria for opioid use disorder immediately following treatment (p = .05); however, these effects were not sustained at follow-up. Conclusions Findings demonstrate preliminary feasibility and efficacy of MORE as a treatment for co-occurring prescription opioid misuse and chronic pain. PMID:24491075

  13. Early results from an angiosome-directed open surgical technique for venous arterialization in patients with critical lower limb ischemia

    PubMed Central

    Houlind, Kim; Christensen, Johnny; Hallenberg, Christian; Jepsen, Jørn M.

    2013-01-01

    Background Patients with critical lower limb ischemia without patent pedal arteries cannot be treated by the conventional arterial reconstruction. Venous arterialization has been suggested to improve limb salvage in this subgroup of patients but has not gained wide acceptance. We report our early experience after implementing deep and superficial venous arterialization of the lower limb. Materials and methods Ten patients with critical ischemia and without crural or pedal arteries available for conventional bypass surgery or angioplasty were treated with distal venous arterialization. Inflow was from the most distal unobstructed segment. Run-off was the dorsal pedal venous arch (n=5), the dorsal pedal venous arch and a concomitant vein of the posterior tibial artery (n=3), or the dorsal pedal venous arch and a concomitant vein of the common plantar artery (n=2) depending on the location of the ischemic lesion. Venous valves were destroyed using antegrade valvulotomes, guide wires, knob needles, or retrograde valvulotomes via an extra incision. Results Seven of the operated limbs were amputated after 23 (1–256) days (median [range]). The main reasons for amputation were lack of healing of either the original wound, of incisional wounds on the foot, or persisting pain at rest. In three cases, the bypass was open at the time of amputation. Two patients experienced complete wound healing after 231 and 342 days, respectively. By the end of follow-up, the last patient was ambulating with slow wound healing but without pain 309 days after surgery. Conclusion Venous arterialization may be used as a treatment of otherwise unsalveable limbs. The success rate is, however, limited. Technical optimization of the technique is warranted. PMID:24358432

  14. Reengaging High School Dropouts: Early Results of the National Guard Youth ChalleNGe Program Evaluation. Executive Summary

    ERIC Educational Resources Information Center

    Bloom, Dan; Gardenhire-Crooks, Alissa; Mandsager, Conrad

    2009-01-01

    The ChalleNGe model grew out of a project by the Center for Strategic and International Studies in the late 1980s and early 1990s that sought to develop new approaches for out-of-school youth. The project's final report concluded that aspects of the military structure could be beneficial for disadvantaged youth. The report also concluded that the…

  15. Kindergarten Teachers' Use of Developmentally Appropriate Practices: Results from the Early Childhood Longitudinal Study, Kindergarten Class of 1998-1999.

    ERIC Educational Resources Information Center

    Rathbun, Amy H.; Walston, Jill T.; Hausken, Elvira Germino

    This longitudinal study examined the extent to which developmentally appropriate practices of teaching and evaluation are accepted and implemented in primary schools and the relationship of teacher educational background and experience with the use of these practices. Data were obtained from the Early Childhood Longitudinal Study kindergarten…

  16. Early Predictors of Sexually Intimate Behaviors in an Urban Sample of Young Girls

    PubMed Central

    Hipwell, Alison E.; Keenan, Kate; Loeber, Rolf; Battista, Deena

    2009-01-01

    In recent years, concern has been raised about girls’ involvement in sexual activity at progressively younger ages. Little is known about the prevalence of emerging intimate behaviors, the psychosocial factors associated with these behaviors, or the moderating effects of race on these associations in early adolescence. In the current prospective study, we examine the prevalence and predictors of sexually intimate behaviors at age 12 years in an urban community sample of 1,116 racially diverse girls. Cluster analysis revealed three groups at age 12: none, mild (e.g. holding hands) and moderate (e.g. laying together). Minority group girls reported higher rates of both mild and moderate sexually intimate behaviors compared with European American girls. After controlling for the significant effects of age 11 intimate behaviors, lifetime alcohol use, poor parent-child communication, deviant peer behavior, onset of menarche, and interactions between race and impulsivity, social self-worth and depression uniquely increased the odds of engaging in moderately intimate behaviors at age 12 years. Parenting characteristics increased the likelihood of moderate, relative to mild, behaviors. For European American girls only, high levels of impulsivity and low social self-worth were associated with a higher likelihood of engaging in moderate intimate behaviors, whereas high levels of depressive symptoms reduced the odds. The results suggest that early prevention efforts need to incorporate awareness of different social norms relating to sexual behavior. PMID:20210496

  17. Randomised trial of early tapping in neonatal posthaemorrhagic ventricular dilatation: results at 30 months. Ventriculomegaly Trial Group.

    PubMed Central

    1994-01-01

    One hundred and fifty seven infants with progressive ventricular dilatation after intraventricular haemorrhage were randomised to either early repeated cerebrospinal fluid tapping or conservative management. Thirty two (20%) infants died and 13 (8%) were lost to follow up. One hundred and twelve children (90% of survivors) were examined at 30 months by a single experienced examiner. Overall, 54 (48%) scored less than 70 on the Griffiths developmental scales, 101 (90%) had neuromotor impairment, and 85 (76%) had marked disability; 63 (56%) had multiple impairments. Vision was severely affected in 10 (9%) and 30 (27%) had a field defect. Six per cent (seven children) had sensorineural hearing loss and 16 (14%) were taking regular anticonvulsant drugs. Although early cerebrospinal fluid tapping reduced the rate of ventricular and head expansion, there was no statistically significant difference (at the 5% level) between the treatment groups in the prevalence of neuromotor impairments, non-neuromotor impairments, nor multiple impairments at 30 months. These findings were consistent regardless of the presence or absence of a parenchymal cerebral lesion at entry to the trial. In the light of these findings and the 7% risk of cerebrospinal fluid infection associated with repeated tapping, this form of early intervention cannot be recommended. PMID:7512322

  18. Rapid and reliable seismic source characterization in earthquake early warning systems: current methodologies, results, and new perspectives

    NASA Astrophysics Data System (ADS)

    Colombelli, Simona; Zollo, Aldo

    2016-04-01

    In the present paper, we provided a review of the main principles and methodologies on which the current earthquake early warning systems are grounded and will also provide a perspective view for next future developments and improvements. First, we introduce the standard methodologies for the source characterization in earthquake early warning, with a special focus on the real-time earthquake magnitude determination. We discuss the suitability of existent methodologies and empirical regression laws for very large events. We then present the different approaches for the rapid prediction of the ground shaking and of the potential damaged zone, both based on traditional seismic data and on the use of continuous GPS data. Finally, the last part of the paper provides the perspective view toward a next generation of early warning systems, linking new research achievements about the earthquake rupture nucleation and the development of new methods/technologies aimed at a fast and high-resolution, real-time modeling of the ongoing source process and accurate prediction of the quake shaking at the regional and local scale.

  19. Some characteristics and correlates of blood lead in early childhood: preliminary results from the Port Pirie study

    SciTech Connect

    Baghurst, P.; Oldfield, R.; Wigg, N.; McMichael, A.; Robertson, E.; Vimpani, G.

    1985-10-01

    In 1979 the recruiting of pregnant women for a prospective study of pregnancy outcome and early childhood growth and development was commenced in the South Australian town of Port Pirie. The Port Pirie community has been exposed over many years to an accumulation of lead and other heavy metals, because of the operation of Australia's largest lead smelter on the immediate periphery of the town. The basic aim of the study was to relate early childhood growth and development to cumulative lead exposure. Other specific aims included studying the relationship between childhood lead burden and various behavioral, dietary, socioeconomic, and environmental factors thought likely to influence lead exposure. This paper relates, in a simple cross-sectional manner, the observed blood lead concentrations at 6, 15, and 24 months to the supplementary information obtained by questionnaire and interview with the mother at the times the blood samples were taken. The relationship between blood lead concentration and free erythrocyte protoporphyrin (FeP) at each age is also examined. 12 references, 1 figure, 2 tables.

  20. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis.

    PubMed Central

    Moore, F A; Feliciano, D V; Andrassy, R J; McArdle, A H; Booth, F V; Morgenstein-Wagner, T B; Kellum, J M; Welling, R E; Moore, E E

    1992-01-01

    This two-part meta-analysis combined data from eight prospective randomized trials designed to compare the nutritional efficacy of early enteral (TEN) and parenteral (TPN) nutrition in high-risk surgical patients. The combined data gave sufficient patient numbers (TEN, n = 118; TPN, n = 112) to adequately address whether route of substrate delivery affected septic complication incidence. Phase I (dropouts excluded) meta-analysis confirmed data homogeneity across study sites, that TEN and TPN groups were comparable, and that significantly fewer TEN patients experienced septic complications (TEN, 18%; TPN, 35%; p = 0.01). Phase II meta-analysis, an intent-to-treat analysis (dropouts included), confirmed that fewer TEN patients developed septic complications. Further breakdown by patient type showed that all trauma and blunt trauma subgroups had the most significant reduction in septic complications when fed enterally. In conclusion, this meta-analysis attests to the feasibility of early postoperative TEN in high-risk surgical patients and that these patients have reduced septic morbidity rates compared with those administered TPN. PMID:1386982

  1. BioSense/SR-BioSpectra demonstrations of wide area/early warning for bioaerosol threats: program description and early test and evaluation results

    NASA Astrophysics Data System (ADS)

    Simard, Jean-Robert; Buteau, Sylvie; Lahaie, Pierre; Mathieu, Pierre; Roy, Gilles; Nadeau, Denis; McFee, John; Ho, Jim; Rowsell, Susan; Ho, Nicolas; Babin, François; Cantin, Daniel; Healey, Dave; Robinson, Jennifer; Wood, Scott; Hsu, Jack

    2011-11-01

    Threats associated with bioaerosol weapons have been around for several decades and have been mostly associated with terrorist activities or rogue nations. Up to the turn of the millennium, defence concepts against such menaces relied mainly on point or in-situ detection technologies. Over the last 10 years, significant efforts have been deployed by multiple countries to supplement the limited spatial coverage of a network of one or more point bio-detectors using lidar technology. The addition of such technology makes it possible to detect within seconds suspect aerosol clouds over area of several tens of square kilometers and track their trajectories. These additional capabilities are paramount in directing presumptive ID missions, mapping hazardous areas, establishing efficient counter-measures and supporting subsequent forensic investigations. In order to develop such capabilities, Defence Research and Development Canada (DRDC) and the Chemical, Biological, Radiological-Nuclear, and Explosives Research and Technology Initiative (CRTI) have supported two major demonstrations based on spectrally resolved Laser Induced Fluorescence (LIF) lidar: BioSense, aimed at defence military missions in wide open spaces, and SR-BioSpectra, aimed at surveillance of enclosed or semienclosed wide spaces common to defence and public security missions. This article first reviews briefly the modeling behind these demonstration concepts. Second, the lidar-adapted and the benchtop bioaerosol LIF chambers (BSL1), developed to challenge the constructed detection systems and to accelerate the population of the library of spectral LIF properties of bioaerosols and interferents of interest, will be described. Next, the most recent test and evaluation (T&E) results obtained with SR-BioSpectra and BioSense are reported. Finally, a brief discussion stating the way ahead for a complete defence suite is provided.

  2. Menarche, menopause, and breast cancer risk: individual participant meta-analysis, including 118 964 women with breast cancer from 117 epidemiological studies

    PubMed Central

    2012-01-01

    Summary Background Menarche and menopause mark the onset and cessation, respectively, of ovarian activity associated with reproduction, and affect breast cancer risk. Our aim was to assess the strengths of their effects and determine whether they depend on characteristics of the tumours or the affected women. Methods Individual data from 117 epidemiological studies, including 118 964 women with invasive breast cancer and 306 091 without the disease, none of whom had used menopausal hormone therapy, were included in the analyses. We calculated adjusted relative risks (RRs) associated with menarche and menopause for breast cancer overall, and by tumour histology and by oestrogen receptor expression. Findings Breast cancer risk increased by a factor of 1·050 (95% CI 1·044–1·057; p<0·0001) for every year younger at menarche, and independently by a smaller amount (1·029, 1·025–1·032; p<0·0001), for every year older at menopause. Premenopausal women had a greater risk of breast cancer than postmenopausal women of an identical age (RR at age 45–54 years 1·43, 1·33–1·52, p<0·001). All three of these associations were attenuated by increasing adiposity among postmenopausal women, but did not vary materially by women's year of birth, ethnic origin, childbearing history, smoking, alcohol consumption, or hormonal contraceptive use. All three associations were stronger for lobular than for ductal tumours (p<0·006 for each comparison). The effect of menopause in women of an identical age and trends by age at menopause were stronger for oestrogen receptor-positive disease than for oestrogen receptor-negative disease (p<0·01 for both comparisons). Interpretation The effects of menarche and menopause on breast cancer risk might not be acting merely by lengthening women's total number of reproductive years. Endogenous ovarian hormones are more relevant for oestrogen receptor-positive disease than for oestrogen receptor-negative disease and for lobular than

  3. LANDSAT-4 Science Characterization Early Results. Volume 4: Applications. [agriculture, soils land use, geology, hydrology, wetlands, water quality, biomass identification, and snow mapping

    NASA Technical Reports Server (NTRS)

    Barker, J. L. (Editor)

    1985-01-01

    The excellent quality of TM data allows researchers to proceed directly with applications analyses, without spending a significant amount of time applying various corrections to the data. The early results derived of TM data are discussed for the following applications: agriculture, land cover/land use, soils, geology, hydrology, wetlands biomass, water quality, and snow.

  4. Cholestatic hepatitis as a result of severe cortisol deficiency in early infancy: report of two cases and review of literature.

    PubMed

    Gönç, E Nazli; Kandemir, Nurgün; Andiran, Nesibe; Ozön, Alev; Yordam, Nurşen

    2006-01-01

    Cholestatic hepatitis is identified as one of the features of hypopituitarism in the newborn, but the exact etiology of cholestasis in these cases has not been well established yet. We report here two infants, one with isolated glucocorticoid deficiency and the other with multiple pituitary hormone deficiency, indicating primary and central adrenal insufficiency, respectively, who presented with recurrent hypoglycemic seizures and cholestatic hepatitis. Severe cortisol deficiency in these cases was suggested to be the cause of cholestatic hepatitis. Review of the literature and our cases showed that the cortisol deficiency in both primary and central adrenal insufficiency occurring only during neonatal and early infancy period cause cholestatic hepatitis. The severity and the age of onset of cortisol deficiency are suggested to be the important predictors of cholestatic hepatitis in childhood. PMID:17290578

  5. Documenting the conversion from traditional to Studio Physics formats at the Colorado School of Mines: Process and early results

    NASA Astrophysics Data System (ADS)

    Kohl, Patrick B.; Kuo, H. Vincent; Ruskell, Todd G.

    2008-10-01

    The Colorado School of Mines (CSM) has taught its first-semester introductory physics course using a hybrid lecture/Studio Physics format for several years. Over the past year we have converted the second semester of our calculus-based introductory physics course (Physics II) to a Studio Physics format, starting from a traditional lecture-based format. In this paper, we document the early stages of this conversion in order to better understand which features succeed and which do not, and in order to develop a model for switching to Studio that keeps the time and resource investment manageable. We describe the recent history of the Physics II course and of Studio at Mines, discuss the PER-based improvements that we are implementing, and characterize our progress via several metrics, including pre/post Conceptual Survey of Electricity and Magnetism (CSEM) scores, Colorado Learning About Science Survey scores (CLASS), solicited student comments, failure rates, and exam scores.

  6. Brief Report: HIV Drug Resistance in Adults Failing Early Antiretroviral Treatment: Results From the HIV Prevention Trials Network 052 Trial.

    PubMed

    Fogel, Jessica M; Hudelson, Sarah E; Ou, San-San; Hart, Stephen; Wallis, Carole; Morgado, Mariza G; Saravanan, Shanmugam; Tripathy, Srikanth; Hovind, Laura; Piwowar-Manning, Estelle; Sabin, Devin; McCauley, Marybeth; Gamble, Theresa; Zhang, Xinyi C; Eron, Joseph J; Gallant, Joel E; Kumwenda, Johnstone; Makhema, Joseph; Kumarasamy, Nagalingeswaran; Chariyalertsak, Suwat; Hakim, James; Badal-Faesen, Sharlaa; Akelo, Victor; Hosseinipour, Mina C; Santos, Breno R; Godbole, Sheela V; Pilotto, Jose H; Grinsztejn, Beatriz; Panchia, Ravindre; Mayer, Kenneth H; Chen, Ying Q; Cohen, Myron S; Eshleman, Susan H

    2016-07-01

    Early initiation of antiretroviral treatment (ART) reduces HIV transmission and has health benefits. HIV drug resistance can limit treatment options and compromise use of ART for HIV prevention. We evaluated drug resistance in 85 participants in the HIV Prevention Trials Network 052 trial who started ART at CD4 counts of 350-550 cells per cubic millimeter and failed ART by May 2011; 8.2% had baseline resistance and 35.3% had resistance at ART failure. High baseline viral load and less education were associated with emergence of resistance at ART failure. Resistance at ART failure was observed in 7 of 8 (87.5%) participants who started ART at lower CD4 cell counts. PMID:26859828

  7. [Access to high-risk families through selected actors of the health care system. Results of an explorative questioning of early childhood intervention pilot projects].

    PubMed

    Renner, I

    2010-10-01

    A requirement for preventive child protection is an early and systematic access to high-risk families. Actors of the health care system, in particular doctors in private practice and midwives, are highly accepted within the population and therefore offer perfect requirements to provide this access. For this reason the aim in the context of early childhood intervention is a close cooperation of the Child and Youth Services with doctors and midwives. To what extent can these service providers of the health care system fulfill these expectations? The National Centre on Early Prevention tried to find an answer to this question with the support of 10 pilot projects which were set up within the framework of the action program "Early Prevention and Intervention for Parents and Children and Social Warning Systems". The comprehensive project presentation of selected results, insights and experiences concerning cooperation between agents of the Child and Youth Services and doctors in private practice and midwives is based on explorative written questioning of the 10 projects. The study shows from the point of view of the pilot projects that the cooperation with freelance midwives is promising. In contrast, the cooperation with doctors in private practice does not yet meet the hopes and expectations. To achieve an improvement of this situation, conditions have to be supported which promote a stronger commitment of the medical profession to early childhood intervention. PMID:20936448

  8. Early life exposure to environmental tobacco smoke alters immune response to asbestos via a shift in inflammatory phenotype resulting in increased disease development.

    PubMed

    Brown, Traci Ann; Holian, Andrij; Pinkerton, Kent E; Lee, Joong Won; Cho, Yoon Hee

    2016-07-01

    Asbestos in combination with tobacco smoke exposure reportedly leads to more severe physiological consequences than asbestos alone; limited data also show an increased disease risk due to environmental tobacco smoke (ETS) exposure. Environmental influences during gestation and early lung development can result in physiological changes that alter risk for disease development throughout an individual's lifetime. Therefore, maternal lifestyle may impact the ability of offspring to subsequently respond to environmental insults and alter overall disease susceptibility. In this study, we examined the effects of exposure to ETS in utero and during early postnatal development on asbestos-related inflammation and disease in adulthood. ETS exposure in utero appeared to shift inflammation towards a Th2 phenotype, via suppression of Th1 inflammatory cytokine production. This effect was further pronounced in mice exposed to ETS in utero and during early postnatal development. In utero ETS exposure led to increased collagen deposition, a marker of fibrotic disease, when the offspring was later exposed to asbestos, which was further increased with additional ETS exposure during early postnatal development. These data suggest that ETS exposure in utero alters the immune responses and leads to greater disease development after asbestos exposure, which is further exacerbated when exposure to ETS continues during early postnatal development. PMID:27138493

  9. Effects of Low-Dose Estrogen Replacement During Childhood on Pubertal Development and Gonadotropin Concentrations in Patients With Turner Syndrome: Results of a Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed Central

    Wan, Xiaohai; Garg, Sipi; Kowal, Karen; Cutler, Gordon B.; Ross, Judith L.

    2014-01-01

    Context: The optimal approach to estrogen replacement in girls with Turner syndrome has not been determined. Objective: The aim of the study was to assess the effects of an individualized regimen of low-dose ethinyl estradiol (EE2) during childhood from as early as age 5, followed by a pubertal induction regimen starting after age 12 and escalating to full replacement over 4 years. Design: This study was a prospective, randomized, double-blind, placebo-controlled clinical trial. Setting: The study was conducted at two US pediatric endocrine centers. Subjects: Girls with Turner syndrome (n = 149), aged 5.0–12.5 years, were enrolled; data from 123 girls were analyzable for pubertal onset. Intervention(s): Interventions comprised placebo or recombinant GH injections three times a week, with daily oral placebo or oral EE2 during childhood (25 ng/kg/d, ages 5–8 y; 50 ng/kg/d, ages >8–12 y); after age 12, all patients received escalating EE2 starting at a nominal dosage of 100 ng/kg/d. Placebo/EE2 dosages were reduced by 50% for breast development before age 12 years, vaginal bleeding before age 14 years, or undue advance in bone age. Main Outcome Measures: The main outcome measures for this report were median ages at Tanner breast stage ≥2, median age at menarche, and tempo of puberty (Tanner 2 to menarche). Patterns of gonadotropin secretion and impact of childhood EE2 on gonadotropins also were assessed. Results: Compared with recipients of oral placebo (n = 62), girls who received childhood low-dose EE2 (n = 61) had significantly earlier thelarche (median, 11.6 vs 12.6 y, P < 0.001) and slower tempo of puberty (median, 3.3 vs 2.2 y, P = 0.003); both groups had delayed menarche (median, 15.0 y). Among childhood placebo recipients, girls who had spontaneous breast development before estrogen exposure had significantly lower median FSH values than girls who did not. Conclusions: In addition to previously reported effects on cognitive measures and GH

  10. Trends and determinants for early initiation of and exclusive breastfeeding under six months in Vietnam: results from the Multiple Indicator Cluster Surveys, 2000–2011

    PubMed Central

    Bui, Quyen Thi-Tu; Lee, Hwa-Young; Le, Anh Thi-Kim; Van Dung, Do; Vu, Lan Thi-Hoang

    2016-01-01

    Background There is strong evidence that breastfeeding (BF) significantly benefits mothers and infants in various ways. Yet the proportion of breastfed babies in Vietnam is low and continues to decline. This study fills an important evidence gap in BF practices in Vietnam. Objective This paper examines the trend of early initiation of BF and exclusive BF from 2000 to 2011 in Vietnam and explores the determinants at individual and contextual levels. Design Data from three waves of the Multiple Indicator Cluster Survey were combined to estimate crude and adjusted trends over time for two outcomes – early initiation of BF and exclusive BF. Three-level logistic regressions were fitted to examine the impacts of both individual and contextual characteristics on early initiation of BF and exclusive BF in the 2011 data. Results Both types of BF showed a decreasing trend over time after controlling for individual-level characteristics but this trend was more evident for early initiation of BF. Apart from child's age, individual-level characteristics were not significant predictors of the BF outcomes, but provincial characteristics had a strong association. When controlling for individual-level characteristics, mothers living in provinces with a higher percentage of mothers with more than three children were more likely to have initiated early BF (odds ratio [OR]: 1.06; confidence interval [CI]: 1.02–1.11) but less likely to exclusively breastfeed their babies (OR: 0.94; CI: 0.88–1.01). Mothers living in areas with a higher poverty rate were more likely to breastfeed exclusively (OR: 1.07; CI: 1.02–1.13), and those who delivered by Caesarean section were less likely to initiate early BF. Conclusions Our results suggest that environmental factors are becoming more important for determining BF practices in Vietnam. Intervention programs should therefore not only consider individual factors, but should also consider the potential impact of contextual factors on BF

  11. Mitochondrial carbonic anhydrase VA deficiency resulting from CA5A alterations presents with hyperammonemia in early childhood.

    PubMed

    van Karnebeek, Clara D; Sly, William S; Ross, Colin J; Salvarinova, Ramona; Yaplito-Lee, Joy; Santra, Saikat; Shyr, Casper; Horvath, Gabriella A; Eydoux, Patrice; Lehman, Anna M; Bernard, Virginie; Newlove, Theresa; Ukpeh, Henry; Chakrapani, Anupam; Preece, Mary Anne; Ball, Sarah; Pitt, James; Vallance, Hilary D; Coulter-Mackie, Marion; Nguyen, Hien; Zhang, Lin-Hua; Bhavsar, Amit P; Sinclair, Graham; Waheed, Abdul; Wasserman, Wyeth W; Stockler-Ipsiroglu, Sylvia

    2014-03-01

    Four children in three unrelated families (one consanguineous) presented with lethargy, hyperlactatemia, and hyperammonemia of unexplained origin during the neonatal period and early childhood. We identified and validated three different CA5A alterations, including a homozygous missense mutation (c.697T>C) in two siblings, a homozygous splice site mutation (c.555G>A) leading to skipping of exon 4, and a homozygous 4 kb deletion of exon 6. The deleterious nature of the homozygous mutation c.697T>C (p.Ser233Pro) was demonstrated by reduced enzymatic activity and increased temperature sensitivity. Carbonic anhydrase VA (CA-VA) was absent in liver in the child with the homozygous exon 6 deletion. The metabolite profiles in the affected individuals fit CA-VA deficiency, showing evidence of impaired provision of bicarbonate to the four enzymes that participate in key pathways in intermediary metabolism: carbamoylphosphate synthetase 1 (urea cycle), pyruvate carboxylase (anaplerosis, gluconeogenesis), propionyl-CoA carboxylase, and 3-methylcrotonyl-CoA carboxylase (branched chain amino acids catabolism). In the three children who were administered carglumic acid, hyperammonemia resolved. CA-VA deficiency should therefore be added to urea cycle defects, organic acidurias, and pyruvate carboxylase deficiency as a treatable condition in the differential diagnosis of hyperammonemia in the neonate and young child. PMID:24530203

  12. Endoscopic Plantar Fasciotomy Improves Early Postoperative Results: A Retrospective Comparison of Outcomes After Endoscopic Versus Open Plantar Fasciotomy.

    PubMed

    Chou, Andrew Chia Chen; Ng, Sean Yung Chuan; Koo, Kevin Oon Thien

    2016-01-01

    Plantar fasciotomy is offered to patients with recalcitrant plantar fasciitis. Few studies have characterized the functional outcomes over time for the endoscopic approach compared with the open approach. We hypothesized that patients undergoing endoscopic surgery will have better postoperative functional outcomes early in the postoperative period but equivalent long-term outcomes compared with patients undergoing open surgery. We analyzed the prospectively collected data of all patients undergoing plantar fasciotomy at our institution from December 2007 to August 2014. A total of 42 feet of 38 patients were included in the analysis. The clinical data were collected preoperatively and at 3 and 6 months and 1 year. The functional outcomes analyzed included the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot scale, the Medical Outcomes Study, Short-Form, 36-item Health Survey, and patient satisfaction and expectations. Patients undergoing endoscopic surgery had significantly greater American Orthopaedic Foot and Ankle Society Ankle-Hindfoot and SF-36 Health Survey scores and lower pain scores at the 3-month period. They were also significantly more likely to be satisfied with and have had their expectations met by surgery. Compared with the open approach, the patients who had undergone endoscopic plantar fasciotomy experienced significantly greater improvements in the subjective and objective functional outcomes, with less pain and greater satisfaction, and had had their expectations met earlier in the recovery period, with equivalent long-term outcomes, compared with the patients who had undergone open plantar fasciotomy. PMID:26007627

  13. Elemental abundance analysis of the early-type members of the open cluster M6: Preliminary results

    NASA Astrophysics Data System (ADS)

    Kııçoǧlu, T.; Monier, R.; Fossati, L.

    2014-11-01

    Differences in chemical composition among main sequence stars within a given cluster are probably due to differences in their masses and other effects such as radiative diffusion, magnetic field, rotation, mixing mechanisms, mass loss, accretion and multiplicity. The early type main-sequence members of open clusters of different ages support studies of the competition between radiative diffusion and mixing mechanisms. We have analysed low- and high-resolution spectra covering the spectral range λ 4500-5840 Å of late B-, A- and F-type members of the open cluster M6 (age ˜100 Myr). The spectra were obtained with the FLAMES/GIRAFFE spectrograph mounted at UT2, the 8-m VLT telescope. The effective temperatures, surface gravities and microturbulent velocities of the stars were derived from both photometric and spectral methods. We have also performed a chemical abundance analysis using synthetic spectra. Abundances were determined for the elements C, O, Mg, Si, Ca, Sc, Ti, Cr, Mn, Fe, Ni, Y and Ba. The star-to-star variations in element abundances among the members of M6 are discussed.

  14. Mitochondrial Carbonic Anhydrase VA Deficiency Resulting from CA5A Alterations Presents with Hyperammonemia in Early Childhood

    PubMed Central

    van Karnebeek, Clara D.; Sly, William S.; Ross, Colin J.; Salvarinova, Ramona; Yaplito-Lee, Joy; Santra, Saikat; Shyr, Casper; Horvath, Gabriella A.; Eydoux, Patrice; Lehman, Anna M.; Bernard, Virginie; Newlove, Theresa; Ukpeh, Henry; Chakrapani, Anupam; Preece, Mary Anne; Ball, Sarah; Pitt, James; Vallance, Hilary D.; Coulter-Mackie, Marion; Nguyen, Hien; Zhang, Lin-Hua; Bhavsar, Amit P.; Sinclair, Graham; Waheed, Abdul; Wasserman, Wyeth W.; Stockler-Ipsiroglu, Sylvia

    2014-01-01

    Four children in three unrelated families (one consanguineous) presented with lethargy, hyperlactatemia, and hyperammonemia of unexplained origin during the neonatal period and early childhood. We identified and validated three different CA5A alterations, including a homozygous missense mutation (c.697T>C) in two siblings, a homozygous splice site mutation (c.555G>A) leading to skipping of exon 4, and a homozygous 4 kb deletion of exon 6. The deleterious nature of the homozygous mutation c.697T>C (p.Ser233Pro) was demonstrated by reduced enzymatic activity and increased temperature sensitivity. Carbonic anhydrase VA (CA-VA) was absent in liver in the child with the homozygous exon 6 deletion. The metabolite profiles in the affected individuals fit CA-VA deficiency, showing evidence of impaired provision of bicarbonate to the four enzymes that participate in key pathways in intermediary metabolism: carbamoylphosphate synthetase 1 (urea cycle), pyruvate carboxylase (anaplerosis, gluconeogenesis), propionyl-CoA carboxylase, and 3-methylcrotonyl-CoA carboxylase (branched chain amino acids catabolism). In the three children who were administered carglumic acid, hyperammonemia resolved. CA-VA deficiency should therefore be added to urea cycle defects, organic acidurias, and pyruvate carboxylase deficiency as a treatable condition in the differential diagnosis of hyperammonemia in the neonate and young child. PMID:24530203

  15. A Candida albicans Strain Expressing Mammalian Interleukin-17A Results in Early Control of Fungal Growth during Disseminated Infection

    PubMed Central

    Huppler, Anna R.; Whibley, Natasha; Woolford, Carol A.; Childs, Erin E.; He, Jie; Biswas, Partha S.; McGeachy, Mandy J.; Mitchell, Aaron P.

    2015-01-01

    Candida albicans is normally a commensal fungus of the human mucosae and skin, but it causes life-threatening systemic infections in hospital settings in the face of predisposing conditions, such as indwelling catheters, abdominal surgery, or antibiotic use. Immunity to C. albicans involves various immune parameters, but the cytokine interleukin-17A (IL-17A) (also known as IL-17) has emerged as a centrally important mediator of immune defense against both mucosal and systemic candidiasis. Conversely, IL-17A has been suggested to enhance the virulence of C. albicans, indicating that it may exert detrimental effects on pathogenesis. In this study, we hypothesized that a C. albicans strain expressing IL-17A would exhibit reduced virulence in vivo. To that end, we created a Candida-optimized expression cassette encoding murine IL-17A, which was transformed into the DAY286 strain of C. albicans. Candida-derived IL-17A was indistinguishable from murine IL-17A in terms of biological activity and detection in standard enzyme-linked immunosorbent assays (ELISAs). Expression of IL-17A did not negatively impact the growth of these strains in vitro. Moreover, the IL-17A-expressing C. albicans strains showed significantly reduced pathogenicity in a systemic model of Candida infection, mainly evident during the early stages of disease. Collectively, these findings suggest that IL-17A mitigates the virulence of C. albicans. PMID:26150537

  16. Urinary Microbiota Associated with Preterm Birth: Results from the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study.

    PubMed

    Ollberding, Nicholas J; Völgyi, Eszter; Macaluso, Maurizio; Kumar, Ranjit; Morrow, Casey; Tylavsky, Frances A; Piyathilake, Chandrika J

    2016-01-01

    Preterm birth (PTB) is the leading cause of infant morbidity and mortality. Genitourinary infection is implicated in the initiation of spontaneous PTB; however, examination of the urinary microbiota in relation to preterm delivery using next-generation sequencing technologies is lacking. In a case-control study nested within the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) study, we examined associations between the urinary microbiota and PTB. A total of 49 cases (delivery < 37 weeks gestation) and 48 controls (delivery ≥ 37 weeks gestation) balanced on health insurance type were included in the present analysis. Illumina sequencing of the 16S rRNA gene V4 region was performed on urine samples collected during the second trimester. We observed no difference in taxa richness, evenness, or community composition between cases and controls or for gestational age modeled as a continuous variable. Operational taxonomic units (OTUs) classified to Prevotella, Sutterella, L. iners, Blautia, Kocuria, Lachnospiraceae, and S.marcescens were enriched among cases (FDR corrected p≤ 0.05). A urinary microbiota clustering partition dominated by S. marcescens was also associated with PTB (OR = 3.97, 95% CI: 1.19-13.24). These data suggest a limited role for the urinary microbiota in PTB when measured during the second trimester by 16S rRNA gene sequencing. The enrichment among cases in several organisms previously reported to be associated with genitourinary pathology requires confirmation in future studies to rule out the potential for false positive findings. PMID:27611781

  17. Impact of Early Life Adversity on Reward Processing in Young Adults: EEG-fMRI Results from a Prospective Study over 25 Years

    PubMed Central

    Boecker, Regina; Holz, Nathalie E.; Buchmann, Arlette F.; Blomeyer, Dorothea; Plichta, Michael M.; Wolf, Isabella; Baumeister, Sarah; Meyer-Lindenberg, Andreas; Banaschewski, Tobias

    2014-01-01

    Several lines of evidence have implicated the mesolimbic dopamine reward pathway in altered brain function resulting from exposure to early adversity. The present study examined the impact of early life adversity on different stages of neuronal reward processing later in life and their association with a related behavioral phenotype, i.e. attention deficit/hyperactivity disorder (ADHD). 162 healthy young adults (mean age = 24.4 years; 58% female) from an epidemiological cohort study followed since birth participated in a simultaneous EEG-fMRI study using a monetary incentive delay task. Early life adversity according to an early family adversity index (EFA) and lifetime ADHD symptoms were assessed using standardized parent interviews conducted at the offspring's age of 3 months and between 2 and 15 years, respectively. fMRI region-of-interest analysis revealed a significant effect of EFA during reward anticipation in reward-related areas (i.e. ventral striatum, putamen, thalamus), indicating decreased activation when EFA increased. EEG analysis demonstrated a similar effect for the contingent negative variation (CNV), with the CNV decreasing with the level of EFA. In contrast, during reward delivery, activation of the bilateral insula, right pallidum and bilateral putamen increased with EFA. There was a significant association of lifetime ADHD symptoms with lower activation in the left ventral striatum during reward anticipation and higher activation in the right insula during reward delivery. The present findings indicate a differential long-term impact of early life adversity on reward processing, implicating hyporesponsiveness during reward anticipation and hyperresponsiveness when receiving a reward. Moreover, a similar activation pattern related to lifetime ADHD suggests that the impact of early life stress on ADHD may possibly be mediated by a dysfunctional reward pathway. PMID:25118701

  18. Efficacy of abbreviated Stanford V chemotherapy and involved-field radiotherapy in early-stage Hodgkin lymphoma: mature results of the G4 trial†

    PubMed Central

    Advani, R. H.; Hoppe, R. T.; Baer, D.; Mason, J.; Warnke, R.; Allen, J.; Daadi, S.; Rosenberg, S. A.; Horning, S. J.

    2013-01-01

    Introduction To assess the efficacy of an abbreviated Stanford V regimen in patients with early-stage Hodgkin lymphoma (HL). Patients and methods Patients with untreated nonbulky stage I–IIA supradiaphragmatic HL were eligible for the G4 study. Stanford V chemotherapy was administered for 8 weeks followed by radiation therapy (RT) 30 Gy to involved fields (IF). Freedom from progression (FFP), disease-specific survival (DSS) and overall survival (OS) were estimated. Results All 87 enrolled patients completed the abbreviated regimen. At a median follow-up of 10 years, FFP, DSS and OS are 94%, 99% and 94%, respectively. Therapy was well tolerated with no treatment-related deaths. Conclusions Mature results of the abbreviated Stanford V regimen in nonbulky early-stage HL are excellent and comparable to the results from other contemporary therapies. PMID:23136225

  19. The prognostic significance of early treatment response in pediatric relapsed acute myeloid leukemia: results of the international study Relapsed AML 2001/01

    PubMed Central

    Creutzig, Ursula; Zimmermann, Martin; Dworzak, Michael N.; Gibson, Brenda; Tamminga, Rienk; Abrahamsson, Jonas; Ha, Shau-Yin; Hasle, Henrik; Maschan, Alexey; Bertrand, Yves; Leverger, Guy; von Neuhoff, Christine; Razzouk, Bassem; Rizzari, Carmelo; Smisek, Petr; Smith, Owen P.; Stark, Batia; Reinhardt, Dirk; Kaspers, Gertjan L.

    2014-01-01

    The prognostic significance of early response to treatment has not been reported in relapsed pediatric acute myeloid leukemia. In order to identify an early and easily applicable prognostic factor allowing subsequent treatment modifications, we assessed leukemic blast counts in the bone marrow by morphology on days 15 and 28 after first reinduction in 338 patients of the international Relapsed-AML2001/01 trial. Both day 15 and day 28 status was classified as good (≤20% leukemic blasts) in 77% of patients. The correlation between day 15 and 28 blast percentages was significant, but not strong (Spearman correlation coefficient = 0.49, P<0.001). Survival probability decreased in a stepwise fashion along with rising blast counts at day 28. Patients with bone marrow blast counts at this time-point of ≤5%, 6–10%, 11–20% and >20% had 4-year probabilities of survival of 52%±3% versus 36%±10% versus 21%±9% versus 14%±4%, respectively, P<0.0001; this trend was not seen for day 15 results. Multivariate analysis showed that early treatment response at day 28 had the strongest prognostic significance, superseding even time to relapse (< or ≥12 months). In conclusion, an early response to treatment, measured on day 28, is a strong and independent prognostic factor potentially useful for treatment stratification in pediatric relapsed acute myeloid leukemia. This study was registered with ISRCTN code: 94206677. PMID:24763401

  20. Menstruation, Menarche, and Sexuality in the Public School Curriculum: School Nurses' Perceptions.

    ERIC Educational Resources Information Center

    Swenson, Ingrid Elizabeth; And Others

    1995-01-01

    Examines the involvement of 39 s