Sample records for kyr revising earlier
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Smoking is associated with earlier time to revision of total knee arthroplasty.
Lim, Chin Tat; Goodman, Stuart B; Huddleston, James I; Harris, Alex H S; Bhowmick, Subhrojyoti; Maloney, William J; Amanatullah, Derek F
2017-10-01
Smoking is associated with early postoperative complications, increased length of hospital stay, and an increased risk of revision after total knee arthroplasty (TKA). However, the effect of smoking on time to revision TKA is unknown. A total of 619 primary TKAs referred to an academic tertiary center for revision TKA were retrospectively stratified according to the patient smoking status. Smoking status was then analyzed for associations with time to revision TKA using a Chi square test. The association was also analyzed according to the indication for revision TKA. Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to non-smokers (274/357, 77%, p=0.031). Smokers (37/41, 90%) have an increased risk of earlier revision for any reason compared to ex-smokers (168/221, 76%, p=0.028). Subgroup analysis did not reveal a difference in indication for revision TKA (p>0.05). Smokers are at increased risk of earlier revision TKA when compared to non-smokers and ex-smokers. The risk for ex-smokers was similar to that of non-smokers. Smoking appears to have an all-or-none effect on earlier revision TKA as patients who smoked more did not have higher risk of early revision TKA. These results highlight the need for clinicians to urge patients not to begin smoking and encourage smokers to quit smoking prior to primary TKA. Copyright © 2017 Elsevier B.V. All rights reserved.
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Bischoff, J.L.; Shamp, D.D.; Aramburu, Arantza; Arsuaga, J.L.; Carbonell, E.; Bermudez de Castro, Jose Maria
2003-01-01
The Sima de los Huesos site of the Atapuerca complex near Burgos, Spain contains the skeletal remains of at least 28 individuals in a mud breccia underlying an accumulation of the Middle Pleistocene cave bear (U. deningeri). Earlier dating estimates of 200 to 320 kyr were based on U-series and ESR methods applied to bones, made inaccurate by unquantifiable uranium cycling. We report here on a new discovery within the Sima de los Huesos of human bones stratigraphically underlying an in situ speleothem. U-series analyses of the speleothem shows the lower part to be at isotopic U/Th equilibrium, translating to a firm lower limit of 350 kyr for the SH hominids. Finite dates on the upper part suggest a speleothem growth rate of c. 1 cm/32 kyr. This rate, along with paleontological constraints, place the likely age of the hominids in the interval of 400 to 600 kyr. ?? 2002 Elsevier Science Ltd. All rights reserved.
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NASA Astrophysics Data System (ADS)
Berger, A.; Loutre, M. F.; Mélice, J. L.
The origin of all the fundamental frequencies characterising the long term variations of the astronomical parameters has been identified. This allows to discuss their inter- relationship and possible changes in times. Different sources for the so-called 100-kyr cycle have been found in the astronomical parameters and in the insolation itself. The most popular 100-kyr cycle is certainly the eccentricity one. Actually, the periods of the most important spectral components of e used in Berger (1978) are 412 885, 14 945, 123 297, 99 590 and 131 248 yr. Instability of the resulting average 100-kyr cy- cle has been shown related to the ~ 400-kyr cycle. The derivative of eccentricity is definitely showing a spectrum dominated by the 100-kyr cycle with the same spectral components as e itself. The inclination of the Earth orbital plane on the ecliptic does not display any 100-kyr cycle, but it is not the case for its inclination on the reference plane for which cycles of 98 046 and 107 478 years appear. Finally the frequency modulation of obliquity is characterised by cycles 171 kyr and 97 kyr long. For inso- lation, it is known that there is only a very weak signal around 100-kyr coming from e itself. However, if we consider the seasonal cycle at the equator, its amplitude varies with cycles of 400 kyr, 100 kyr, 41 kyr, 10 kyr and 5 kyr, all related to e. Although all these cycles are close to the 100 kyr cycle found in geological data, the origin of this kind of cycle can be best identified by comparing the proxy record to the re- sponse of the climate system to the astronomical forcing. This forcing signal which contains, in one way or another, the astronomical characteristics mentioned above is, at least, partly distorted and transformed, a modification which can only be estimated through climate models. Such a climate model has been developed in the early 80Ss in Louvain-la-Neuve and used since to simulate the last and next glacial-interglacial cycles.
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NASA Technical Reports Server (NTRS)
Rampino, M. R.
1981-01-01
Revisions in the dates of reported geomagnetic excursions during the Brunhes Epoch are proposed in light of possible correlations between a section at Gioia Tauro, Italy, deep-sea cores, a core from Lake Biwa, Japan, and some lava flows. The anomalously long, double Blake Event reported at Gioia Tauro is here correlated with the Blake Event (approximately 110 kyr) and the Biwa 1 event (180 plus or minus 5 kyr); an hiatus may be present in the section between these two events. The alpha event at Gioia Tauro is correlated with the Biwa 2 event at about 295 kyr; the beta event with the 'Biwa 3' event at about 400 kyr; the gamma event with the Snake River event at 480 plus or minus 50; and the delta event, not recorded elsewhere, is estimated to have occurred at approximately 620 kyr. These proposed refinements in the age estimates of the excursions suggest an approximately 100 kyr cyclicity. If the events are real and the revised dating is correct, the timing of the geomagnetic events seems to coincide with times of peak eccentricity of the earth's orbit, suggesting a causal connection.
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Multi-decadal Variability of the Indian Monsoon Rainfall for the last 14 kyr
NASA Astrophysics Data System (ADS)
Panmei, C.; Pothuri, D.
2017-12-01
Precise reconstruction of Indian monsoon fluctuation events and variability trends over the last 14 kyr has great implications for understanding the dynamics and possible forcing/feedback mechanisms associated with it. We have carried out high-resolution Indian monsoon variability studies of multi-decadal to sub-centennial timescales for the past 14 kyr through oxygen isotopes and Mg/Ca-derived sea surface temperatures (SST) from a western Bay of Bengal sediment core MD 161/17, using planktonic foraminifera Globigerinoides ruber. Indian summer monsoon (ISM) intensity was low during the Younger Dryas (YD) as evidenced by enriched δ18Osw coincides with a striking warming of 1.5°C. We observed ISM intensification from 12-9 kyr, followed by a milder period from 9-7.2 kyr. ISM gradually weakened from 7.2-2.5 kyr, after which there were two very prominent shifts in both ISM and SST; abrupt decrease at 2.4 kyr and increase at 1.4 kyr for ISM, while SST exhibited opposite trend. The contrasting trend continued from 1.4 kyr to the present wherein ISM precipitation has been decreasing and SST has been increasing. In addition, spectral analysis was done using Redfit and the ISM precipitation records reveal statistically significant periodicities at 2118, 411, 344, 144, 101 and 90 yrs. Furthermore, we compared our results with other existing records from the Northern Indian Ocean and adjacent regions, and found that the records share similarities suggesting regional dynamics being expressed coherently. Our results suggest that ISM precipitation and warming/cooling of the Northern Indian Ocean is directly associated with the southward/northward shift of the Intertropical Convergence Zone, which in turn is influenced by Atlantic Meridional Overturning Circulation, North Atlantic climate, and solar insolation interplaying differently at different timescales.
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An 84-kyr paleomagnetic record from the sediments of Lake Baikal, Siberia
Peck, J.A.; King, J.W.; Colman, Steven M.; Kravchinsky, V.A.
1996-01-01
We have conducted a paleomagnetic study of sediment cores obtained from the Selenga prodelta region of Lake Baikal, Russia. This record, which spans approximately the last 84 kyr, contributes to a better understanding of the nature of geomagnetic field behavior in Siberia and is a useful correlation and dating tool. We demonstrate that the Lake Baikal sediments are recording variations in the geomagnetic field. The directional record displays secular variation behavior with a geomagnetic excursion at 20 ka and additional excursions appearing as large-amplitude secular variation at 41, 61, and 67 ka. Smoothing of the geomagnetic excursion behavior occurs in Lake Baikal sediments owing to the intermediate sedimentation rate (13 cm kyr-1). The Lake Baikal relative paleointensity record correlates to absolute paleointensity data for the last 10 kyr and to relative paleointensity records from the Mediterranean Sea and Indian Ocean for the last 84 kyr. This correlation suggests a strong global (i.e., dipole) component to these records and further supports the reliability of sediments as recorders of relative geomagnetic paleointensity. We show that a relative geomagnetic intensity stratigraphy has a potential resolution of 7 kyr by correlating continental and marine records. The geomagnetic intensity stratigraphy helps constrain the age of the difficult to date Lake Baikal sediments.
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Frequency variations of the earth's obliquity and the 100-kyr ice-age cycles
NASA Technical Reports Server (NTRS)
Liu, Han-Shou
1992-01-01
Changes in the earth's climate are induced by variations in the earth's orbital parameters which modulate the seasonal distribution of solar radiation. Periodicities in the geological climate record with cycles of 100, 41, and 23 kyr have been linked with changes in obliquity, eccentricity, and precession of the equinoxes. The effect of variations of eccentricity during a 100 kyr period is weak relative to the signals from obliquity and precession variations and it may therefore be expected that the 100 kyr signal in the climate record would be of low intensity. However, this signal dominates the climate record and internal nonlinear processes within the climate system have previously been proposed to account for this fact. The author shows that variations in the frequency of the obliquity cycle can give rise to strong 100-kyr forcing of climate.
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NASA Astrophysics Data System (ADS)
Tarasov, Pavel; Bezrukova, Elena; Solovieva, Nadia; Riedel, Frank
2010-05-01
Radiocarbon-dated pollen and diatom records from Lake Kotokel in southern Siberia are used to reconstruct the environmental history of the area since ~47 kyr BP. Pollen data and reconstructed biome scores suggest predominance of a tundra-steppe vegetation and variable woody cover (5-20%) between ~47-30 kyr BP, indicating generally a harsh and unstable climate during this interval, conventionally regarded as the MIS3 interstadial. The short-term climate amelioration episodes in the glacial part of the records are marked by the peaks in taiga and corresponding minima in steppe biome scores and appear synchronously with the hemispheric temperature and precipitation changes recorded in the Greenland ice cores and Chinese stalagmites. The interval ~30-24 kyr BP was probably the driest and coldest of the whole record, as indicated by highest scores for steppe biome, woody coverage <5%, absence of diatoms and reduced size of the lake. A slight amelioration of the regional climate ~24-22 kyr BP was followed by a shorter than the previous and less pronounced deterioration phase. After 14.7 kyr BP the climate became warmer and wetter than ever during ~47-14.7 kyr BP, resulting in the deepening of the lake and increase in the woody coverage to 20-30% ~14.5-14 kyr and ~13.3-12.8 kyr BP. These two intervals correspond to the Meiendorf and Allerød interstadials, which until now were interpreted as part of the undifferentiated Bølling/Allerød interstadial complex in the Lake Baikal region. The increase in tundra biome scores and pronounced change in the diatom composition allow (for the first time) the unambiguous identification of the Younger Dryas (YD) in the region ~12.7-11.65 kyr BP, suggesting the synchronous onset of the YD and the Holocene interglacial across Eurasia. The maximal spread of the taiga communities in the region is associated with a warmer and wetter climate than the present prior to ~7 kyr BP. This was followed by a wide spread of Scots pine, indicating
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Insolation-driven 100 kyr glacial cycles and millennial climate change
NASA Astrophysics Data System (ADS)
Abe-Ouchi, A.; Saito, F.; Kawamura, K.; Raymo, M. E.; Okuno, J.; Takahashi, K.; Blatter, H.
2013-12-01
The waxing and waning of Northern Hemisphere ice sheets over the past one million years is dominated by an approximately 100-kyr periodicity and a sawtooth pattern (gradual growth and fast termination). Milankovitch theory proposes that summer insolation at high northern latitudes drives the glacial cycles, and statistical tests demonstrated that the glacial cycles are indeed linked to eccentricity, obliquity and precession cycles. However, insolation alone cannot explain the strong 100 kyr cycle which presumably arises through internal climatic feedbacks. Prior work with conceptual models, for example, showed that glacial terminations are associated with the build-up of Northern Hemisphere 'excess ice', but the physical mechanisms of 100-kyr cycle at work remain unclear. Here, using comprehensive climate and ice sheet models, we show that the ~100-kyr periodicity is explained by insolation and internal feedback amongst the climate, ice sheet and lithosphere/asthenosphere system (reference). We found that equilibrium states of ice sheets exhibit hysteresis responses to summer insolation, and that the shape and position of the hysteresis loop play a key role in determining the periodicities of glacial cycles. The hysteresis loop of the North American ice sheet is such that, after its inception, the ice sheet mass balance remains mostly positive or neutral through several precession cycles whose amplitude decreases towards an eccentricity minimum. The larger the ice sheet grows and extends towards lower latitudes, the smaller is the insolation required to turn the mass balance to negative. Therefore, once the large ice sheet is established, only a moderate increase in insolation can trigger a negative mass balance, leading to a complete retreat within several thousand years, due to the delayed isostatic rebound. The effect of ocean circulation and millennial scale climate change are not playing the dominant role for determing the 100kyr cycle, but are effective for
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Peteet, D. M.; Beh, M.; Orr, C.
The conventionally accepted ages of the Last Glacial Maximum (LGM) retreat of the southeastern Laurentide Ice Sheet (LIS) are 26–21 cal. kyr (derived from bulk-sediment radiocarbon ages) and 28–23 cal. kyr (varve estimates). By utilizing accelerator mass spectrometry (AMS) 14C dating of earliest macrofossils in 13 lake/bog inorganic clays, we find that vegetation first appeared on the landscape at 16–15 cal. kyr, suggesting ice had not retreated until that time. The gap between previous age estimates and ours is significant and has large implications for our understanding of ocean-atmosphere linkages. Older ages imply extreme Arctic conditions for 9–5 cal kyr;more » a landscape with no ice, yet no deposition in lakes. Also, our new AMS chronology of LIS retreat is consistent with marine evidence of deglaciation from the N. Atlantic, showing significant freshwater input and sea level rise only after 19 cal kyr with a cold meltwater lid, perhaps delaying ice melt.« less
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Peteet, D. M.; Beh, M.; Orr, C.; ...
2012-06-15
The conventionally accepted ages of the Last Glacial Maximum (LGM) retreat of the southeastern Laurentide Ice Sheet (LIS) are 26–21 cal. kyr (derived from bulk-sediment radiocarbon ages) and 28–23 cal. kyr (varve estimates). By utilizing accelerator mass spectrometry (AMS) 14C dating of earliest macrofossils in 13 lake/bog inorganic clays, we find that vegetation first appeared on the landscape at 16–15 cal. kyr, suggesting ice had not retreated until that time. The gap between previous age estimates and ours is significant and has large implications for our understanding of ocean-atmosphere linkages. Older ages imply extreme Arctic conditions for 9–5 cal kyr;more » a landscape with no ice, yet no deposition in lakes. Also, our new AMS chronology of LIS retreat is consistent with marine evidence of deglaciation from the N. Atlantic, showing significant freshwater input and sea level rise only after 19 cal kyr with a cold meltwater lid, perhaps delaying ice melt.« less
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NASA Astrophysics Data System (ADS)
Ridge, J. C.
2013-12-01
New varve cores and 54 radiocarbon ages, have allowed the correction, closure of a gap, calibration, and expansion of Ernst Antevs' (1922) New England Varve Chronology from sediments of glacial Lake Hitchcock and it's successors in the Connecticut Valley of western New England (northeastern U.S.A.). The continuous 5659-yr chronology (18.2-12.5 kyr BP) has been renumbered as the North American Varve Chronology. Glacial varve thickness (18.2-13.7 kyr BP) documents abrupt changes in meltwater production related to varying ablation rate (summer climate) that is linked to ice sheet recession rates and advances, i.e. cold intervals are times of thin varves and slower ice recession or glacial readvances. To take advantage of the varve-climate relationship it is necessary to identify non-climatic events that can cause varve thickness to change. This includes sudden changes in lake level and flood events triggered by the abrupt drainage of tributary glacial lakes. A chronology of ice recession for intervals terminated by four stillstands and readvances of 1-2 century durations have been determined for the Connecticut Valley (from S to N): 50-100 m/yr in northern Connecticut to southern Massachusetts; Chicopee Readvance; 30-40 m/yr in central Mass.; Hatfield event; 80-90 m/yr from northern Mass. to central New Hampshire; North Charlestown end moraines; 300 m/yr to northern N.H.; Littleton Readvance; >300 m/yr to Quebec. Meltwater produced by ice recession of 300 m/yr modeled as a receding 1-bar ice sheet profile (from 100 km up ice near ELA to margin, valley width of 80 km, glacier flow rate of 200 m/yr at ELA) would be a minimum glacial meltwater discharge in the Connecticut Valley of ~90 x 109 m3/yr. This is ~10X the modern Conn. River discharge at Walpole, NH compressed almost entirely to the melt season. Non-glacial varves deposited after ice receded from the basin (13.7-12.5 kyr BP) also document climate change as a result of varve thickness varying with changes in
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Periodical climate variations and their impact on Earth rotation for the last 800Kyr
NASA Astrophysics Data System (ADS)
Chapanov, Yavor; Gambis, Daniel
2010-05-01
The Earth rotation variations are highly affected by climatic variations associated with the glacial cycles in the late Pleistocene. The processes of glaciation, followed by ice melting, are connected with significant changes of the mean sea level. These processes redistribute great amount of water masses between oceans and ice sheets, which lead to changes of the axial moment of inertia and corresponding variations of the Universal Time UT1 and Length of Day LOD, according to the law of angular momentum conservation. The climatic variations for the last 800Kyr are analyzed by means of time series of temperature changes, determined by deuterium data from Antarctica ice core. Reconstructed glacial sea level variations for the last 380Kyr, determined by the sediments from the Red sea, are used, too. Common periodicities of the temperature and mean sea level variations are determined. Time series of the long-periodical UT1 and LOD oscillations for the last 380Kyr and 800Kyr are reconstructed by means of empirical hydrological model of global water redistribution between the ocean and ice sheets during the last glacial events.
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NASA Astrophysics Data System (ADS)
Hinnov, L.; Ogg, J. G.
2009-12-01
Mesozoic cyclostratigraphy from around the world is being assessed to construct a continuous Astronomical Time Scale (ATS) based on Earth’s cyclic orbital parameters. The recognition of a prevalent sedimentary cycling with a ~400-kyr period associated with forcing by the stable 405-kyr orbital eccentricity variation is an important development. Numerous formations spanning 10 to 20 myr (and longer) intervals in the Cretaceous, Jurassic and Triassic clearly express this dominant cycle and provide a robust basis for 405-kyr-scale calibration of the ATS. This 405-kyr metronome will enable extension of the well-defined Cenozoic ATS for scaling of the past quarter-billion years of Earth history. This astronomical calibration has a resolution comparable to the 1% to 0.1% precision for radioisotope dating of Mesozoic ash beds, with the added benefit of providing continuous stratigraphic coverage between dated beds. Extended portions of the Mesozoic ATS have already provided new insights into long-standing geologic problems of seafloor spreading, tectonics, eustasy, and paleoclimate change. Ongoing work is focused on closing gaps in coverage and on collecting duplicate cyclostratigraphic records for the entire Mesozoic Era.
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NASA Astrophysics Data System (ADS)
Peros, Matthew; Collins, Shawn; G'Meiner, Anna Agosta; Reinhardt, Eduard; Pupo, Felipe Matos
2017-07-01
We use sediments from a flooded sinkhole (Cenote Jennifer) in northern Cuba to provide new, well-dated, high-resolution evidence for the 8.2 kyr event. From 7600 to 8700 cal yr B.P. the sinkhole contained shallow, low-salinity water, which supported a marsh dominated by cattail and grass. Peaks in Cl and Br—occurring at 8150, 8200, and 8250 cal yr B.P.—are attributable to increased evaporation due to regional drying associated with the 8.2 kyr event. The three peaks in these elements also closely correspond to the greyscale record from the Cariaco Basin, indicative of increased upwelling in the southern Caribbean Sea at this time, supporting the notion of a multistage 8.2 kyr event. Our work provides new data that help to clarify the initiation, behavior, and impacts of the 8.2 kyr event in the northern tropics.
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Tracking dust deposition around the North Pacific Gyre over the past 500kyr
NASA Astrophysics Data System (ADS)
Costa, K.; McManus, J. F.; Winckler, G.; Anderson, R. F.; Middleton, J. L.; Mukhopadhyay, S.
2017-12-01
Across the North Pacific, dust delivery and distribution depends on atmospheric transport and precipitation, and dust fluxes generally decrease with distance away from the Asian continent. While it is well established that dust fluxes vary on glacial-interglacial timescales, how the dust distribution from the source to the sediment may have evolved is poorly constrained, largely due to a lack of long dust flux records from this region. Here we reconstruct dust flux variability from six piston cores on the Juan de Fuca Ridge in the Northeastern Pacific over the past 500kyr using 232Th as a lithogenic tracer and 230Th normalization to calculate fluxes. Minimal spatial variability between the six cores allows the compilation of a single regional dust flux stack. Dust fluxes vary by a factor of two between glacial, high-dust flux, and interglacial, low-dust flux periods, consistent with global patterns. Interglacial periods MIS7 and MIS9 dust fluxes remain relatively high compared to the adjacent glacial periods MIS6 and MIS 8 so that dust fluxes are fairly constant (3.3±0.6 ug 232Th/cm2kyr) from 135-335ka, excepting the high-lithogenic feature at 272ka (turbidite). Dust fluxes may be highest in MIS10 (6.0 ug 232Th/cm2kyr) than more recent glacial periods, for example MIS2 (3.9 ug 232Th/cm2kyr). Five multicores add high-resolution data for the last 30kyr. We compare these new records from the Northeast Pacific with dust flux records from the Northwest Pacific and the Equatorial Pacific to better constrain how dust deposition varied at different locations around the North Pacific Gyre on glacial-interglacial timescales.
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Observation of 23 supernovae that exploded <300 pc from Earth during the past 300 kyr
DOE Office of Scientific and Technical Information (OSTI.GOV)
Firestone, R. B., E-mail: rbfirestone@lbl.gov
2014-07-01
Four supernovae (SNe), exploding ≤300 pc from Earth, were recorded 44, 37, 32, and 22 kyr ago in the radiocarbon ({sup 14}C) record during the past 50 kyr. Each SN left a nearly identical signature in the record, beginning with an initial sudden increase in atmospheric radiocarbon, when the SN exploded, followed by a hiatus of 1500 yr, and concluding with a sustained 2000 yr increase in global radiocarbon due to γ-rays produced by diffusive shock in the SN remnant (SNR). For the past 18 kyr excess radiocarbon has decayed with the {sup 14}C half-life. SN22kyrBP, is identified as themore » Vela SN that exploded 250 ± 30 pc from Earth. These SN are confirmed in the {sup 10}Be, {sup 26}Al, {sup 36}Cl, and NO{sub 3}{sup −} geologic records. The rate of near-Earth SNe is consistent with the observed rate of historical SNe giving a galactic rate of 14 ± 3 kyr{sup –1} assuming the Chandra Galactic Catalog SNR distribution. The Earth has been used as a calorimeter to determine that ≈2 × 10{sup 49} erg were released as γ-rays at the time of each SN explosion and ≈10{sup 50} erg in γ-rays following each SN. The background rate of {sup 14}C production by cosmic rays has been determined as 1.61 atoms cm{sup –2} s{sup –1}. Approximately 1/3 of the cosmic ray energy produced by diffusive shock in the SNR was observed to be emitted as high-energy γ-rays. Analysis of the {sup 10}Be/{sup 9}Be ratio in marine sediment identified 19 additional near-Earth SNe that exploded 50-300 kyr ago. Comparison of the radiocarbon record with global temperature variations indicated that each SN explosion is correlated with a concurrent global warming of ≈3°C-4°C.« less
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NASA Astrophysics Data System (ADS)
Liang, Dan; Liu, Chuanlian
2018-06-01
Coccolith assemblages in two gravity cores (KX21-2 and KX12-1) from the central Western Pacific Warm Pool (WPWP) have been analyzed with SYRACO. The variations of nutricline and primary productivity ( PP) have been reconstructed based on these assemblages. The results show that the coccolith assemblages were dominated by Florisphaera profunda, Gephyrocapsa and Emiliania huxleyi over the last 380 kyr. Variations of nutricline and primary productivity can be divided into three intervals. Interval I (about 380-300 kyr): PP was high and nutricline was shallow; Interval II (about 300-160 kyr): PP decreased dramatically for a short time after the acme of G. caribbeanica in Mid-Brunhes while nutricline became deeper; Interval III (about 160 kyr-present): PP fluctuated at low levels and nutricline was deep. Variations of each coccolith taxon and PP were highly correlated in the two cores, which means that the geological environment is similar in the two cores. Spectrum analysis is performed for all coccolith taxons and PP, and the 19-kyr cycle is the most prominent. It means that the production of coccolithophores in the WPWP is mainly controlled by precession.
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δ13Catm and [CO2] measurements in Antarctic ice cores, 160 kyrBP - present
NASA Astrophysics Data System (ADS)
Eggleston, Sarah; Schmitt, Jochen; Schneider, Robert; Joos, Fortunat; Fischer, Hubertus
2014-05-01
Measurements from Antarctic ice cores allow us to reconstruct atmospheric concentrations of climatically important gases including CO2 over the past 800 kyr. Such measurements show that [CO2] has varied in parallel with Antarctic temperatures on glacial-interglacial timescales. Knowledge of the variations of the stable carbon isotope of CO2, δ13Catm, can help us better understand the processes involved in these fluctuations. Here, we present a first complete δ13Catmrecord extending from 160 kyrBP to the present accompanied by δ15N2 measurements during Marine Isotope Stage 3 (MIS 3, 57 - 29 kyrBP). The present record, measured primarily on ice from the EPICA Dome C and Talos Dome ice cores, has an average resolution of 500 yr, focused mainly on the Last Glacial Maximum and termination (180 yr; Schmitt et al., 2012), MIS 3 (660 yr), and Termination II through MIS 5.4 (590 yr; Schneider et al., 2013). Throughout the record, δ13Catm varies between approximately -6.8 and -6.4‰Following a period of relatively constant δ13Catm at the end of MIS 6 (around -6.8), the boundaries of MIS 5 correspond roughly with the beginning and end of a gradual enrichment in this isotope. In comparison, the more recent record depicts three more abrupt excursions to lighter values around 63 - 59, 46, and 17 kyrBP, in each case followed by a slower return (0.4o over the course of 5 - 15 kyr) to more enriched isotopic values. These coincide with Heinrich events 6, 5, and 1, respectively. No direct correlation is observed between the concentration and carbon isotope of CO2 over the last 160 kyr. The data indicate rather that numerous processes, such as uptake and release of atmospheric CO2 by the ocean and land biosphere, perhaps influenced by regions of growing permafrost during MIS 3 and 4, acting on a variety of timescales must be considered in explaining the evolution of δ13Catm on glacial-interglacial timescales. References: Schmitt, J. et al. Science 336, 711-714 (2012) Schneider
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NASA Astrophysics Data System (ADS)
Yamazaki, T.; Kanamatsu, T.; Mizuno, S.; Hokanishi, N.; Gaffar, E. Z.
2008-12-01
A paleomagnetic study was conducted on four piston cores newly obtained from the West Caroline Basin in the western equatorial Pacific in order to investigate variations in paleointensity and inclination during the last 400 kyr. An inclination-intensity correlation was previously reported in this region using giant piston cores, but the quality of the paleomagnetic data of the younger end, the last ca. 300 kyr, was needed to be checked because the upper part of the giant piston cores could suffer from perturbation by oversampling. Age control is based on the oxygen-isotope ratios for one core and inter-core correlation using relative paleointensity for other cores. The mean inclinations of the four cores show negative inclination anomalies ranging from -5.2 to -11.2 degree. The western equatorial Pacific is documented as a region of a large negative inclination anomalies, and the observed values are comparable to those expected from the time-averaged field (TAF) models [Johnson and Constable, 1997; Hatakeyama and Kono, 2002]. Stacked curves of paleointensity and inclination were constructed from the four cores. It was confirmed that geomagnetic variations on the order of 10 to 100 kyrs occur in inclination as well as paleointensity. A cross-correlation analysis showed that significant in-phase correlation occurs between intensity and inclination for periods longer than about 25 kyr, and power spectra of both paleointensity and inclination variations have peaks at ~100 kyr periods. The regional paleointensity stack with higher resolution than the Sint-800 stack [Guyodo and Valet, 1999] should be useful for paleointensity-assisted chronostratigraphy.
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NASA Astrophysics Data System (ADS)
Ma, Wentao; Wang, Pinxian; Tian, Jun
2017-05-01
The carbon isotope (δ13C) record from the Plio-Pleistocene shows prominent 400-kyr cycles with maximum values at eccentricity minima during the Pliocene. The period extends to 500 kyr in the Pleistocene after 1.6 Ma. Five δ13C maxima occurred at 0.2, 0.5, 1.0, 1.5 and 1.9 Ma over the last 2 Ma. Although several hypotheses have been suggested to explain why the 400-500-kyr cycles are so strong in δ13C records and how they may have originated, the mechanism is still not clear. The aim of this study was to test the dissolved organic carbon (DOC) hypothesis, which was proposed recently to explain this 400-500-kyr cycle in deeper time. We used an intermediate complexity box model that is computationally efficient for studies involving longer timescales. The model incorporates sophisticated microbial processes, dividing the oceanic carbon cycle into a rapid and a slow cycle. The model result suggests that when more nutrients enter the surface ocean, the rapid carbon cycle is more active, and less refractory DOC (RDOC) is produced. The opposite sequence occurs when fewer nutrients enter the ocean. The modeled RDOC concentration and the δ13C of dissolved inorganic carbon (DIC) are anti-correlated with riverine nutrient input. According to mass conservation, the release of isotopically lighter carbon from the RDOC pool leads to lighter DIC δ13C while an increase in the RDOC pool enriches it. The transient simulations produced a one-to-one correspondence between modeled and measured δ13C. This study supports the hypothesis that chemical weathering-induced variations in the DOC pool act as a pacemaker for δ13C changes over 400-500-kyr cycles.
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NASA Astrophysics Data System (ADS)
Kandasamy, S.; Kao, S.; Hsu, S.; Lee, T.; Velasco, V. M.; Soon, W.; Chen, M.
2013-12-01
Rebuilding of past climate and oceanographic records from monsoon dominated Asia is of vital importance for understanding the causes and mechanisms of global and regional climate changes at orbital-millennial timescales. South China Sea (SCS) provides the best marine platform to investigate a number of paleoclimate and paleoceanographic problems on different timescales mainly because of high sedimentation rates, good preservation of microfossils and the location of SCS as a connector between the Western Pacific Warm Pool and the SE Asian monsoon. Here we investigate magnetic, geochemical and isotopic records from a piston core MD97-2142 rose from the southeastern SCS to understand the past glacial terminations, chemical weathering and carbon burial on orbital to millennial timescales for the last 800 kyr. Terrigenous content and Al/Ti ratio reveal higher terrigenous input during glacial periods and vice versa during interglacials. Proxies of chemical weathering reveal larger fluctuations between 150 and 500 kyr than that of the last 150 kyr. Records of C/N ratio and carbon isotope of total organic carbon (δ13CTOC) mimic each other with higher marine productivity during marine isotope stages (MIS) 8, 10 and 12. Enrichment factors of Mn and Mo (EF Mn and EF Mo) show roughly an opposite pattern with <1 EF Mo almost throughout the last 500 kyr may suggest that the southeastern part of SCS has never been attained anoxic condition both glacial and interglacial intervals from MIS 1 through MIS 13. EF Mn shows >1 in most odd MIS, whereas <~1 EF Mn was evident in even MIS, suggesting that the former condition was likely attributed to bottom water ventilation associated with high sea levels during interglacials. We found through two endmember mixing model of δ13CTOC that lower burial of terrigenous fraction of TOC (OCTERR) during glacial intervals (MIS 6, 8, 10 and 12), but vice versa during interglacial (MIS 7, 9 and 11) periods. Our bulk magnetic susceptibility (MS) time
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Scenarios for the dynamics of comet 67P/Churyumov-Gerasimenko over the past 500 kyr
NASA Astrophysics Data System (ADS)
Guzzo, Massimiliano; Lega, Elena
2017-07-01
The complex dynamics of 67P has the typical uncertainties of the Jupiter-family comets. The Rosetta mission provided a unique opportunity to dissipate them with fresh experimental data. We aim to constrain the residence time of the comet in a dynamics dominated by Jupiter and Saturn by comparing statistics of large sets of numerical integrations with assumptions on the erosion experienced by the comet. We integrated backward for 150 kyr 2000 clones of 67P selected from preliminary integrations of 500 000 clones. We find that the clones that did not arrive from hyperbolic/parabolic orbits have been mostly in the region dominated by Jupiter and Saturn in the last 150 kyr; they transit easily between dynamics dominated by Jupiter, dynamics also dominated by Saturn and, with smaller probability, by Saturn alone. Many clones were injected in the Jupiter family from hyperbolic orbits and orbits of large periods P > 500 yr, but none of the clones was injected from a Uranus-dominated dynamics through sequences of planetary scatterings, while 5 per cent of the clones were injected on this route in 500 kyr. 60 per cent of the clones had already been in an orbit with q < 1.5 au before 1959. Compatible with the uncertainties on the long-term model of non-gravitational forces, we conclude that 67P was injected from a cometary reservoir into a dynamics dominated by Jupiter and Saturn at an epoch that we estimate as being in between 30 and 150 kyr ago; this interval should be extended by considering periods of dormancies.
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An Early Pleistocene 190 kyr pollen record from the ODP Site 976, Western Mediterranean region
NASA Astrophysics Data System (ADS)
Joannin, Sebastien; Combourieu Nebout, Nathalie
2010-05-01
The Mid-Pleistocene Transition (1.200 to 0.500 Ma) corresponded to a period of increased cooling and the shift from "41 kyr world" to "100 kyr world". Climate cycles were 41 kyr long as a response of the climate system to the obliquity orbital parameter forcing, then the climate system responded to a combination of eccentricity and precession resulting in 100 kyr long cycles. The Mediterranean region offers the opportunity to study climate response to orbital forcing at this particular period. It is usually done on marine proxies that are preserved in continuous sediments with good age attributions but may be affected by calorific inertia of marine environments. We investigate continental palaeoenvironment changes inferred from pollen analyses through time on a short interval of the ODP Site 976 (259.50 to 230.42 mcd). In order to search for short climate oscillations, the chronology has been refined according to the comparison between the pollen ratio "mesothermic vs. Caryophyllaceae, Amaranthaceae-Chenopodiaceae and steppe elements" curve and Mediterranean and LR04 oxygen isotope curves. The time slice runs from ~1.090 Ma (MIS 31) to ~0.900 Ma (MIS 23). Pollen analyses provide a new record of the south western Mediterranean vegetation and climate changes at the beginning of the Mid-Pleistocene Transition. Vegetation successions are evidenced in pollen diagram with replacement of mesothermic elements by mid- and high-altitude trees, ended by strengthening of Caryophyllaceae, Amaranthaceae-Chenopodiaceae, and steppe vegetation. These vegetation successions reveal two overlapping rhythms that may be related to climate responses to both obliquity and precession orbital parameters, while wavelet analyses on pollen ratio only indicate the shift from precession to obliquity dominance. The comparison of these two approaches raised the question of their own limit.
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Toward a continuous 405-kyr-calibrated Astronomical Time Scale for the Mesozoic Era
NASA Astrophysics Data System (ADS)
Hinnov, Linda; Ogg, James; Huang, Chunju
2010-05-01
Mesozoic cyclostratigraphy is being assembled into a continuous Astronomical Time Scale (ATS) tied to the Earth's cyclic orbital parameters. Recognition of a nearly ubiquitous, dominant ~400-kyr cycling in formations throughout the era has been particularly striking. Composite formations spanning contiguous intervals up to 50 myr clearly express these long-eccentricity cycles, and in some cases, this cycling is defined by third- or fourth-order sea-level sequences. This frequency is associated with the 405-kyr orbital eccentricity cycle, which provides a basic metronome and enables the extension of the well-defined Cenozoic ATS to scale the majority of the Mesozoic Era. This astronomical calibration has a resolution comparable to the 1% to 0.1% precision for radioisotope dating of Mesozoic ash beds, but with the added benefit of providing continuous stratigraphic coverage between dated beds. Extended portions of the Mesozoic ATS provide solutions to long-standing geologic problems of tectonics, eustasy, paleoclimate change, and rates of seafloor spreading.
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Schindlbeck, Julie C; Jegen, Marion; Freundt, Armin; Kutterolf, Steffen; Straub, Susanne M; Mleneck-Vautravers, Maryline J; McManus, Jerry F
2018-03-13
It is a longstanding observation that the frequency of volcanism periodically changes at times of global climate change. The existence of causal links between volcanism and Earth's climate remains highly controversial, partly because most related studies only cover one glacial cycle. Longer records are available from marine sediment profiles in which the distribution of tephras records frequency changes of explosive arc volcanism with high resolution and time precision. Here we show that tephras of IODP Hole U1437B (northwest Pacific) record a cyclicity of explosive volcanism within the last 1.1 Myr. A spectral analysis of the dataset yields a statistically significant spectral peak at the ~100 kyr period, which dominates the global climate cycles since the Middle Pleistocene. A time-domain analysis of the entire eruption and δ 18 O record of benthic foraminifera as climate/sea level proxy shows that volcanism peaks after the glacial maximum and ∼13 ± 2 kyr before the δ 18 O minimum right at the glacial/interglacial transition. The correlation is especially good for the last 0.7 Myr. For the period 0.7-1.1 Ma, during the Middle Pleistocene Transition (MPT), the correlation is weaker, since the 100 kyr periodicity in the δ 18 O record diminishes, while the tephra record maintains its strong 100 kyr periodicity.
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NASA Astrophysics Data System (ADS)
Li, Dawei; Zhao, Meixun; Tian, Jun
2017-09-01
Variability of the East Asian winter monsoon (EAWM), stronger during glacials and weaker during interglacials, has been tightly linked to the wax and wane of the Northern Hemisphere ice sheets (NHIS) via the Siberian High over the last 2.8 million years (Myr). However, the long eccentricity cycle (ca. 400 kyr) in the EAWM record from the late Pliocene to early-Pleistocene (2.8-1.2 Ma) could not be linked to NHIS changes, which lacked the long eccentricity cycle in the Pleistocene. Here, we present the first low latitude EAWM record of the last 2.8 Myr using surface and subsurface temperature difference from the northern South China Sea to evaluate interactions between tropical ocean and EAWM changes. The results show that the EAWM variability displayed significant 400 kyr cycle between 2.8 Ma and 1.2 Ma, with weak (strong) EAWM during high (low) earth orbital eccentricity state. A super El Niño-Southern Oscillation (ENSO) proxy record, calculated using west-east equatorial Pacific sea surface temperature differences, revealed 400 kyr cycles throughout the last 2.8 Myr with warm phase during high eccentricity state. Thus, we propose that super ENSO mean state strongly modulated the EAWM strength through remote forcing to generate the 400 kyr cycle between 2.8 Ma and 1.2 Ma, while low NHIS volume was not sufficient to dominate the EAWM variation as it did over the last 0.9 Myr with 100 kyr cycles in dominance.
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Climate controls on savanna C3 and C4 expansion in Southern Africa during the last 36 kyr BP
NASA Astrophysics Data System (ADS)
Wang, Y. V.; Larsen, T.; Andersen, N.; Blanz, T.; Schneider, R. R.
2010-12-01
Savannahs contain a mixture of C3 and C4 vegetation, accounting for more than a quarter of global primary production and are the second most important biome on the continents. However, our understanding on how savannahs will respond to rising CO2 concentration and temperatures or the IPCC estimated decrease in rainfall is not yet clear in spite of potential far reaching socio-economic consequences. In this study, we used the δD and δ13C of sedimentary long-chain n-alkanes (n-C27,29,31,33 ) in concert with reconstructions for sea surface temperatures and fluvial discharge from a marine sediment core (GIK16160-3, 18°14.47’S, 37°52.27’W, 1334m water depth), collected near the Zambezi river mouth to examine savannah responses under different hydrological and climate conditions in Southern Africa during the last 36 kyr BP. Our data show large variability in both δD and δ13C records of the four n-alkanes, with isotopic differences between individual n-alkanes being far more pronounced during the Glacial than during the Deglacial and Holocene. These large differences may be explained by proportionally higher contributions of C4 grasses over C3 trees to the n-C33,31, which seems to be opposite for n-C29. A strong anticorrelation between δD and δ13C from 36 to 16 kyr BP for n-C31 (R2=0.55) and n-C33 (R2=0.70) suggests that δD of these n-alkanes is strongly influenced by changes in vegetation types as well as physiological effects, rather than being directly related to evaporation/ precipitation balance. In contrast, no apparent relationship (R2=0.32) exists between δD and δ13C of n-C29, suggesting that n-C29 is the most promising hydrological proxy due to less variable vegetation type contributions to n-C29 throughout the core. The C4 plant contribution, which was estimated by taking into account the four n-alkanes δ13C signals and their abundance, implies dominance of C4 grass between 36 and 20 kyr BP, and more evenly distributed C3 and C4 vegetation from
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NASA Astrophysics Data System (ADS)
Duprat-Oualid, Fanny; Begeot, Carole; Rius, Damien; Millet, Laurent; Magny, Michel
2016-04-01
Between 9 and 45 kyr cal. BP, two great transitions lead the global climate system to evolve from the Last-Glacial period (115-14.7 kyr cal. BP), to two successive warmer periods, the Late-Glacial Interstadial (14.7-11.7 kyr cal. BP) and the Holocene (11.7-0 kyr cal. BP). δ18O variations recorded in Greenland ice cores (GRIP & NGRIP) revealed high frequency climate variability within the Last Glacial. These reference isotopic records highlighted a succession of centennial-to-millennial warm/cold events, the so-called Greenland Interstadials (GI) and Greenland Stadials (GS). The number continental records about the period 14.7-0 kyr cal. BP is substantial. This allowed to understand the vegetation dynamics in response to climate changes this period at the North-Atlantic scale. However, sequences covering the glacial period (beyond 20 kyr cal.BP) remain rare, because of hiatuses mostly due to local glaciers. Therefore, sedimentary continuous records of vegetation dynamics are still needed to better understand climate changes during the Last Glacial in Western Europe (Heiri et al. 2014). Here we present a new high-resolution pollen record from Lake Bergsee (47°34'20''N, 7°56'11''E, 382 m a.s.l). This lake is located south of Black Forest and north of the Alps, beyond the zone of glaciers maximal extension. Therefore it could have recorded the whole last climatic cycle, i.e. 120-0 kyr cal. BP. In 2013, a 29 m long core was extracted from the Bergsee. According to the depth-age model based on 14C AMS dating and the Laacher See Tephra (LST), the record spans continuously at least the last 45 kyrs. The first series of pollen analysis, focused on the 45-9 kyr cal. BP time window, allows us to reconstruct a precise, faithful and continuous vegetation history at the centennial scale. This high temporal resolution enabled to assess the response of vegetation to secular climate events (e.g. GI-4 = 200 yrs). First, our results show that vegetation responded to climate
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Earlier snowmelt and warming lead to earlier but not necessarily more plant growth.
Livensperger, Carolyn; Steltzer, Heidi; Darrouzet-Nardi, Anthony; Sullivan, Patrick F; Wallenstein, Matthew; Weintraub, Michael N
2016-01-01
Climate change over the past ∼50 years has resulted in earlier occurrence of plant life-cycle events for many species. Across temperate, boreal and polar latitudes, earlier seasonal warming is considered the key mechanism leading to earlier leaf expansion and growth. Yet, in seasonally snow-covered ecosystems, the timing of spring plant growth may also be cued by snowmelt, which may occur earlier in a warmer climate. Multiple environmental cues protect plants from growing too early, but to understand how climate change will alter the timing and magnitude of plant growth, experiments need to independently manipulate temperature and snowmelt. Here, we demonstrate that altered seasonality through experimental warming and earlier snowmelt led to earlier plant growth, but the aboveground production response varied among plant functional groups. Earlier snowmelt without warming led to early leaf emergence, but often slowed the rate of leaf expansion and had limited effects on aboveground production. Experimental warming alone had small and inconsistent effects on aboveground phenology, while the effect of the combined treatment resembled that of early snowmelt alone. Experimental warming led to greater aboveground production among the graminoids, limited changes among deciduous shrubs and decreased production in one of the dominant evergreen shrubs. As a result, we predict that early onset of the growing season may favour early growing plant species, even those that do not shift the timing of leaf expansion. Published by Oxford University Press on behalf of the Annals of Botany Company.
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NASA Astrophysics Data System (ADS)
Stoner, J. S.; Lund, S.; Channell, J. E.; Mix, A. C.; Davies, M. H.; Lamy, F.
2008-12-01
Sediments that accumulate at around 1-m/kyr or greater preserve a paleomagnetic record that, under favorable conditions, may record the original geomagnetic input with little smoothing. However, such great rates of accumulation come with a price as features of interest are often deeply buried and may only be adequately recovered using drilling technologies. Here we present a full-vector geomagnetic reconstruction for the last 70,000 yrs from ultrahigh resolution records obtained through ODP drilling (Leg 202) on the Chilean Margin. ODP Site 1233 (41.0 S, 74.26 W, water depth 838 m) provides a 135-mcd u-channel derived directional paleomagnetic secular variation (PSV) and relative paleointensity (RPI) records. The chronology is constrained by AMS radiocarbon dates and tuning of alkenone sea surface temperature to Antarctic ice core temperature records back to 70,000 years BP. To the north, ODP Sites 1234 (36.13 S, 73.40W, water depth 1015 m) and 1235 (36.9 S, 73.33 W, water depth 489 m) provide independently dated shipboard and developing u-channel paleomagnetic records that reproduce many of the geomagnetic features observed at Site 1233 including excursions and high amplitude PSV intervals, while providing additional radiocarbon and isotopic constraints for development of a regional master chronology. All three Sites have exceptionally high glacial sedimentation rates that average 2-m/kyr for 1233, 80-cm/kyr for 1234 and 1-m/kyr for 1235. Fortuitously, the Laschamp magnetic excursion at Site 1233 occurs during an interval where sedimentation rates exceed 3-m/kyr. The Site 1233 chronology indicates that the Laschamp event, centered at 41,000 yrs BP, has a duration in reverse polarity of only 600 yrs, with polarity transitions occurring in less than 200 yrs within a 1500 yr long interval of low RPI. The path of virtual geomagnetic pole (VGP) positions for the Laschamp excursion at Site 1233 is generally consistent with the hypothesis of a simple field geometry
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600 kyr of Hydrothermal Activity on the Cleft Segment of the Juan de Fuca Ridge
NASA Astrophysics Data System (ADS)
Middleton, J. L.; Mukhopadhyay, S.; Langmuir, C. H.; Costa, K.; McManus, J. F.; Katz, R. F.; Huybers, P. J.; Winckler, G.; Li, Y.
2017-12-01
Pressure fluctuations caused by glacially driven variations in sea level may modulate magmatic and hydrothermal output at submarine volcanic centers, with falling sea level driving increased volcanic activity. In turn, glacially paced changes in submarine volcanism could induce globally synchronous variations in the delivery of bioavailable iron and CO2 from mid-ocean ridges and thus provide solid-Earth feedbacks into the climate system. While evaluation of submarine volcanic output on orbital-timescales is technically challenging, near-ridge sediment cores hosting hydrothermal plume precipitates provide continuous, spatially integrated, and datable records to investigate the long-term behavior of hydrothermal systems. We will present new sedimentary records of hydrothermal variability spanning the past 600 kyr on the Cleft Segment of the Juan de Fuca Ridge in the Northeast Pacific. As an intermediate spreading-rate ridge, the Juan de Fuca Ridge is hypothesized to be particularly sensitive to sea level forcing at the Milankovitch frequencies of Pleistocene glacial cycles. Thus, the new records can be used to examine the connection between sea level and hydrothermal activity over multiple glacial cycles. Hydrothermal input is determined from iron and copper, with a titanium-based correction for lithogenic contributions. Sedimentary fluxes are then constrained using excess thorium-230 and extraterrestrial helium-3 as constant flux proxies. Preliminary results indicate 10-fold changes in hydrothermal iron and copper fluxes over the past 600 kyr and suggest a quasiperiodic variability in hydrothermal deposition on 100 to 120 kyr cycles. Comparison of the Juan de Fuca record with model predictions for an intermediate spreading ridge forced by Pleistocene glacial cycles finds frequent coincidence between predicted positive anomalies in magmatic output and observed peaks in hydrothermal deposition. This work encourages the continued exploration of the relationship between
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NASA Astrophysics Data System (ADS)
Fan, Jiawei; Xiao, Jule; Wen, Ruilin; Zhang, Shengrui; Wang, Xu; Cui, Linlin; Li, He; Xue, Dingshuai; Yamagata, Hideki
2016-11-01
Teleconnections to the high latitudes, forcing by the tropical oceans and solar variability have all been suggested as dominant factors in the sub-millennial global climate changes, yet there is little consensus as to the relative importance of these factors for the East Asian summer monsoon (EASM) variability. This study presents the results of high-resolution analyses of Ca and Mg concentrations, Mg/Ca ratio, δ18O and δ13C values of endogenic calcites from a sediment core from Dali Lake in the EASM margin, in order to investigate the sub-millennial EASM variability and its possible driving forces during the last 6 kyrs. Increases in these chemical proxy data were interpreted as drought events in the region due to the intensive evaporation losses overwhelming the water input to the lake. The chemical proxy data in this study combined with multi-proxy indicators including grain size component and total organic carbon concentrations from the same sediment core imply that declines in the EASM intensity may have played a dominant role in triggering the drought events during the last 6 kyrs. The results indicate that the EASM intensity significantly declined at the intervals of 5.8-4.75, 3.2-2.8, 1.65-1.15 and 0.65-0.2 kyrs BP. Large declines in the EASM intensity during the last 6 kyrs correspond in time to occurrences of ice-rafted debris in the North Atlantic, indicating that millennial-to-centennial scale changes in the EASM intensity were mainly controlled by climatic processes occurring in the northern high latitudes. These data imply that persistent global warming may be favorable for the strengthening of the EASM circulation and for the transportation of more rainfall to the semi-arid regions of northern China on sub-millennial scales.
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NASA Astrophysics Data System (ADS)
Moernaut, J.; Verschuren, D.; Charlet, F.; Kristen, I.; Fagot, M.; De Batist, M.
2010-02-01
Seismic-reflection data from crater lake Challa (Mt. Kilimanjaro, equatorial East Africa) reveal a ˜ 210-m thick sedimentary infill containing distinct seismic-stratigraphic signatures of late-Quaternary lake-level fluctuations. Extrapolation of a well-constrained age model on the cored upper part of the sequence suggests that these lake-level fluctuations represent a detailed and continuous record of moisture-balance variation in equatorial East Africa over the last 140 kyr. This record indicates that the most severe aridity occurred during peak Penultimate glaciation immediately before ˜ 128 kyr BP (coeval with Heinrich event 11) and during a Last Interglacial 'megadrought' period between ˜ 114 and ˜ 97 kyr BP; in comparison, Last Glacial Maximum (LGM) aridity was modest. It was preceded by ˜ 75 000 years of relatively stable and moist climate conditions interrupted by eleven short-lived dry spells, five of which match the timing of Heinrich events 2 to 6. Climate history near the East African equator reflects variation in the precessional forcing of monsoon rainfall modulated by orbital eccentricity, but precession-driven moisture fluctuations were less extreme than those observed in northern and southern tropical Africa. The near-continuous moist climate from ˜ 97 to 20.5 kyr BP recorded in the Lake Challa record contrasts with the trend towards greater aridity after ˜ 70 kyr BP documented in equatorial West Africa. This long period of moist glacial climate and a short, relatively modest LGM drought can be attributed to greater independence of western Indian Ocean monsoon dynamics from northern high-latitude glaciation than those in the tropical Atlantic Ocean. This rather persistent moist glacial climate regime may have helped maintain high biodiversity in the tropical forest ecosystems of the Eastern Arc mountains in Tanzania.
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Revised stratigraphy and chronology for Homo floresiensis at Liang Bua in Indonesia.
Sutikna, Thomas; Tocheri, Matthew W; Morwood, Michael J; Saptomo, E Wahyu; Jatmiko; Awe, Rokus Due; Wasisto, Sri; Westaway, Kira E; Aubert, Maxime; Li, Bo; Zhao, Jian-xin; Storey, Michael; Alloway, Brent V; Morley, Mike W; Meijer, Hanneke J M; van den Bergh, Gerrit D; Grün, Rainer; Dosseto, Anthony; Brumm, Adam; Jungers, William L; Roberts, Richard G
2016-04-21
Homo floresiensis, a primitive hominin species discovered in Late Pleistocene sediments at Liang Bua (Flores, Indonesia), has generated wide interest and scientific debate. A major reason this taxon is controversial is because the H. floresiensis-bearing deposits, which include associated stone artefacts and remains of other extinct endemic fauna, were dated to between about 95 and 12 thousand calendar years (kyr) ago. These ages suggested that H. floresiensis survived until long after modern humans reached Australia by ~50 kyr ago. Here we report new stratigraphic and chronological evidence from Liang Bua that does not support the ages inferred previously for the H. floresiensis holotype (LB1), ~18 thousand calibrated radiocarbon years before present (kyr cal. BP), or the time of last appearance of this species (about 17 or 13-11 kyr cal. BP). Instead, the skeletal remains of H. floresiensis and the deposits containing them are dated to between about 100 and 60 kyr ago, whereas stone artefacts attributable to this species range from about 190 to 50 kyr in age. Whether H. floresiensis survived after 50 kyr ago--potentially encountering modern humans on Flores or other hominins dispersing through southeast Asia, such as Denisovans--is an open question.
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NASA Astrophysics Data System (ADS)
Tofelde, Stefanie; Schildgen, Taylor F.; Savi, Sara; Pingel, Heiko; Wickert, Andrew D.; Bookhagen, Bodo; Wittmann, Hella; Alonso, Ricardo N.; Cottle, John; Strecker, Manfred R.
2017-09-01
Fluvial fill terraces in intermontane basins are valuable geomorphic archives that can record tectonically and/or climatically driven changes of the Earth-surface process system. However, often the preservation of fill terrace sequences is incomplete and/or they may form far away from their source areas, complicating the identification of causal links between forcing mechanisms and landscape response, especially over multi-millennial timescales. The intermontane Toro Basin in the southern Central Andes exhibits at least five generations of fluvial terraces that have been sculpted into several-hundred-meter-thick Quaternary valley-fill conglomerates. New surface-exposure dating using nine cosmogenic 10Be depth profiles reveals the successive abandonment of these terraces with a 100 kyr cyclicity between 75 ± 7 and 487 ± 34 ka. Depositional ages of the conglomerates, determined by four 26Al/10Be burial samples and U-Pb zircon ages of three intercalated volcanic ash beds, range from 18 ± 141 to 936 ± 170 ka, indicating that there were multiple cut-and-fill episodes. Although the initial onset of aggradation at ∼1 Ma and the overall net incision since ca. 500 ka can be linked to tectonic processes at the narrow basin outlet, the superimposed 100 kyr cycles of aggradation and incision are best explained by eccentricity-driven climate change. Within these cycles, the onset of river incision can be correlated with global cold periods and enhanced humid phases recorded in paleoclimate archives on the adjacent Bolivian Altiplano, whereas deposition occurred mainly during more arid phases on the Altiplano and global interglacial periods. We suggest that enhanced runoff during global cold phases - due to increased regional precipitation rates, reduced evapotranspiration, or both - resulted in an increased sediment-transport capacity in the Toro Basin, which outweighed any possible increases in upstream sediment supply and thus triggered incision. Compared with two
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NASA Astrophysics Data System (ADS)
Kirana, Kartika Hajar; Bijaksana, Satria; King, John; Tamuntuan, Gerald Hendrik; Russell, James; Ngkoimani, La Ode; Dahrin, Darharta; Fajar, Silvia Jannatul
2018-02-01
Past changes in the Earth's magnetic field can be highlighted through reconstructions of magnetic paleointensity. Many magnetic field variation features are global, and can be used for the detailed correlation and dating of sedimentary records. On the other hand, sedimentary magnetic records also exhibit features on a regional, rather than a global scale. Therefore, the development of regional scale magnetic field reconstructions is necessary to optimize magnetic paleointensity dating. In this paper, a 60 thousand year (kyr) paleointensity record is presented, using the core TOW10-9B of Lake Towuti, located in the island of Sulawesi, Indonesia, as a part of the ongoing research towards understanding the Indonesian environmental history, and reconstructing a high-resolution regional magnetic record from dating the sediments. Located in the East Sulawesi Ophiolite Belt, the bedrock surrounding Lake Towuti consists of ultramafic rocks that render the lake sediments magnetically strong, creating challenges in the reconstruction of the paleointensity record. These sediment samples were subject to a series of magnetic measurements, followed by testing the obtained paleointensity records resulting from normalizing natural remanent magnetization (NRM) against different normalizing parameters. These paleointensity records were then compared to other regional, as well as global, records of magnetic paleointensity. The results show that for the magnetically strong Lake Towuti sediments, an anhysteretic remanent magnetization (ARM) is the best normalizer. A series of magnetic paleointensity excursions are observed during the last 60 kyr, including the Laschamp excursion at 40 kyr BP, that provide new information about the magnetic history and stratigraphy of the western tropical Pacific region. We conclude that the paleointensity record of Lake Towuti is reliable and in accordance with the high-quality regional and global trends.
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Spectrum of 100-kyr glacial cycle: Orbital inclination, not eccentricity
Muller, Richard A.; MacDonald, Gordon J.
1997-01-01
Spectral analysis of climate data shows a strong narrow peak with period ≈100 kyr, attributed by the Milankovitch theory to changes in the eccentricity of the earth’s orbit. The narrowness of the peak does suggest an astronomical origin; however the shape of the peak is incompatible with both linear and nonlinear models that attribute the cycle to eccentricity or (equivalently) to the envelope of the precession. In contrast, the orbital inclination parameter gives a good match to both the spectrum and bispectrum of the climate data. Extraterrestrial accretion from meteoroids or interplanetary dust is proposed as a mechanism that could link inclination to climate, and experimental tests are described that could prove or disprove this hypothesis. PMID:11607741
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Volcanic synchronization of Dome Fuji and Dome C Antarctic deep ice cores over the past 216 kyr
NASA Astrophysics Data System (ADS)
Fujita, S.; Parrenin, F.; Severi, M.; Motoyama, H.; Wolff, E. W.
2015-10-01
Two deep ice cores, Dome Fuji (DF) and EPICA Dome C (EDC), drilled at remote dome summits in Antarctica, were volcanically synchronized to improve our understanding of their chronologies. Within the past 216 kyr, 1401 volcanic tie points have been identified. DFO2006 is the chronology for the DF core that strictly follows O2 / N2 age constraints with interpolation using an ice flow model. AICC2012 is the chronology for five cores, including the EDC core, and is characterized by glaciological approaches combining ice flow modelling with various age markers. A precise comparison between the two chronologies was performed. The age differences between them are within 2 kyr, except at Marine Isotope Stage (MIS) 5. DFO2006 gives ages older than AICC2012, with peak values of 4.5 and 3.1 kyr at MIS 5d and MIS 5b, respectively. Accordingly, the ratios of duration (AICC2012 / DFO2006) range between 1.4 at MIS 5e and 0.7 at MIS 5a. When making a comparison with accurately dated speleothem records, the age of DFO2006 agrees well at MIS 5d, while the age of AICC2012 agrees well at MIS 5b, supporting their accuracy at these stages. In addition, we found that glaciological approaches tend to give chronologies with younger ages and with longer durations than age markers suggest at MIS 5d-6. Therefore, we hypothesize that the causes of the DFO2006-AICC2012 age differences at MIS 5 are (i) overestimation in surface mass balance at around MIS 5d-6 in the glaciological approach and (ii) an error in one of the O2 / N2 age constraints by ~ 3 kyr at MIS 5b. Overall, we improved our knowledge of the timing and duration of climatic stages at MIS 5. This new understanding will be incorporated into the production of the next common age scale. Additionally, we found that the deuterium signals of ice, δDice, at DF tends to lead the one at EDC, with the DF lead being more pronounced during cold periods. The lead of DF is by +710 years (maximum) at MIS 5d, -230 years (minimum) at MIS 7a and +60
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Distributive Education: Secondary, Course Outline. Revised 1972.
ERIC Educational Resources Information Center
Washington State Coordinating Council for Occupational Education, Olympia.
The document is a revision of earlier units, updated to include behavioral or performance objectives. Divided into 22 units of instruction, the course outline for distributive education presents suggested length of time for each part of a unit, prerequisites, a description of the part, objectives, sources, outline for the section, activities,…
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NASA Astrophysics Data System (ADS)
Sabatier, Pierre; Wilhelm, Bruno; Ficetola, Gentile Francesco; Moiroux, Fanny; Poulenard, Jérôme; Develle, Anne-Lise; Bichet, Adeline; Chen, Wentao; Pignol, Cécile; Reyss, Jean-Louis; Gielly, Ludovic; Bajard, Manon; Perrette, Yves; Malet, Emmanuel; Taberlet, Pierre; Arnaud, Fabien
2017-08-01
The high-resolution sedimentological and geochemical analysis of a sediment sequence from Lake Savine (Western Mediterranean Alps, France) led to the identification of 220 event layers for the last 6000 years. 200 were triggered by flood events and 20 by underwater mass movements possibly related to earthquakes that occurred in 5 clusters of increase seismicity. Because human activity could influence the flood chronicle, the presence of pastures was reconstructed through ancient DNA, which suggested that the flood chronicle was mainly driven by hydroclimate variability. Weather reanalysis of historical floods allow to identify that mesoscale precipitation events called "East Return" events were the main triggers of floods recorded in Lake Savine. The first part of this palaeoflood record (6-4 kyr BP) was characterized by increases in flood frequency and intensity in phase with Northern Alpine palaeoflood records. By contrast, the second part of the record (i.e., since 4 kyr BP) was phased with Southern Alpine palaeoflood records. These results suggest a palaeohydrological transition at approximately 4 kyr BP, as has been previously described for the Mediterranean region. This may have resulted in a change of flood-prone hydro-meteorological processes, i.e., in the balance between occurrence and intensity of local convective climatic phenomena and their influence on Mediterranean mesoscale precipitation events in this part of the Alps. At a centennial timescale, increases in flood frequency and intensity corresponded to periods of solar minima, affecting climate through atmospheric changes in the Euro-Atlantic sector.
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Dean, W.E.; Zheng, Yen; Ortiz, J.D.; VanGeen, A.
2006-01-01
Concentrations of organic carbon (orgC), cadmium (Cd), and molybdenum (Mo) were measured in two sediment cores raised from depths of 430 and 700 m within the oxygen-minimum zone (OMZ) off southern Baja California at a temporal resolution of e10.5 kyr over the past 52 kyr. These records are supplemented with diffuse spectral reflectance (DSR) measurements obtained on board ship soon after collection at a resolution of e10.05 kyr. In the core from 700 m depth, a component extracted from the DSR data and the three geochemical proxies generally vary in concert with each other and over a wide range (4-22% orgC; 1-40 mg/kg Cd; 5-120 mg/kg Mo). Intervals of increased orgC, Cd, and Mo accumulation generally correspond to warm periods recorded in the oxygen-isotopic composition of Greenland ice, with the exception of the Bolling/Allerod which is only weakly expressed off Baja California. Concentrations of the biogenic proxies are higher in the core from 430 m depth, but erratic sediment accumulation before 15 ka precludes dating of the older intervals that are laminated and contain elevated orgC, Cd, and Mo concentrations. The new data provide further evidence of an intimate teleconnection between global climate and the intensity of the OMZ and/or productivity along the western margin of North America. On the basis of a comparison with Cd and Mo records collected elsewhere in the region, we conclude that productivity may actually have varied off southern Baja California by no more than a factor of 2 over the past 52 kyr. Copyright 2006 by the American Geophysical Union.
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Terrestrial biosphere changes over the last 120 kyr
NASA Astrophysics Data System (ADS)
Hoogakker, B. A. A.; Smith, R. S.; Singarayer, J. S.; Marchant, R.; Prentice, I. C.; Allen, J. R. M.; Anderson, R. S.; Bhagwat, S. A.; Behling, H.; Borisova, O.; Bush, M.; Correa-Metrio, A.; de Vernal, A.; Finch, J. M.; Fréchette, B.; Lozano-Garcia, S.; Gosling, W. D.; Granoszewski, W.; Grimm, E. C.; Grüger, E.; Hanselman, J.; Harrison, S. P.; Hill, T. R.; Huntley, B.; Jiménez-Moreno, G.; Kershaw, P.; Ledru, M.-P.; Magri, D.; McKenzie, M.; Müller, U.; Nakagawa, T.; Novenko, E.; Penny, D.; Sadori, L.; Scott, L.; Stevenson, J.; Valdes, P. J.; Vandergoes, M.; Velichko, A.; Whitlock, C.; Tzedakis, C.
2016-01-01
A new global synthesis and biomization of long (> 40 kyr) pollen-data records is presented and used with simulations from the HadCM3 and FAMOUS climate models and the BIOME4 vegetation model to analyse the dynamics of the global terrestrial biosphere and carbon storage over the last glacial-interglacial cycle. Simulated biome distributions using BIOME4 driven by HadCM3 and FAMOUS at the global scale over time generally agree well with those inferred from pollen data. Global average areas of grassland and dry shrubland, desert, and tundra biomes show large-scale increases during the Last Glacial Maximum, between ca. 64 and 74 ka BP and cool substages of Marine Isotope Stage 5, at the expense of the tropical forest, warm-temperate forest, and temperate forest biomes. These changes are reflected in BIOME4 simulations of global net primary productivity, showing good agreement between the two models. Such changes are likely to affect terrestrial carbon storage, which in turn influences the stable carbon isotopic composition of seawater as terrestrial carbon is depleted in 13C.
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Glacial lake drainage in Patagonia (13-8 kyr) and response of the adjacent Pacific Ocean
Glasser, Neil F.; Jansson, Krister N.; Duller, Geoffrey A. T.; Singarayer, Joy; Holloway, Max; Harrison, Stephan
2016-01-01
Large freshwater lakes formed in North America and Europe during deglaciation following the Last Glacial Maximum. Rapid drainage of these lakes into the Oceans resulted in abrupt perturbations in climate, including the Younger Dryas and 8.2 kyr cooling events. In the mid-latitudes of the Southern Hemisphere major glacial lakes also formed and drained during deglaciation but little is known about the magnitude, organization and timing of these drainage events and their effect on regional climate. We use 16 new single-grain optically stimulated luminescence (OSL) dates to define three stages of rapid glacial lake drainage in the Lago General Carrera/Lago Buenos Aires and Lago Cohrane/Pueyrredón basins of Patagonia and provide the first assessment of the effects of lake drainage on the Pacific Ocean. Lake drainage occurred between 13 and 8 kyr ago and was initially gradual eastward into the Atlantic, then subsequently reorganized westward into the Pacific as new drainage routes opened up during Patagonian Ice Sheet deglaciation. Coupled ocean-atmosphere model experiments using HadCM3 with an imposed freshwater surface “hosing” to simulate glacial lake drainage suggest that a negative salinity anomaly was advected south around Cape Horn, resulting in brief but significant impacts on coastal ocean vertical mixing and regional climate. PMID:26869235
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ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. Senate.
Presented is the 1975 amendment to the Developmental Disabilities Services and Facilities Construction Act. Described are revisions and extensions of the earlier act, including revision of grant and construction assistance for university affiliated facilities, and revision of special projects assistance. The earlier act's designation of rights of…
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NASA Astrophysics Data System (ADS)
Bragina, L. G.; Beniamovsky, V. N.; Kopaevich, L. F.
2016-01-01
Data on the distribution of radiolarians and planktonic and benthic foraminifers are obtained for the first time from the Alan-Kyr Section (Coniacian-Campanian), in the central regions of the Crimean Mountains. Radiolarian biostrata, previously established from Ak-Kaya Mountain (central regions of the Crimean Mountains) were traced: Alievium praegallowayi-Crucella plana (upper Coniacian-lower Santonian), Alievium gallowayi-Crucella espartoensis (upper Santonian without the topmost part), and Dictyocephalus (Dictyocryphalus) (?) legumen-Spongosaturninus parvulus (upper part of the upper Santonian). Radiolarians from the Santonian-Campanian boundary beds of the Crimean Mountains are studied for the first time, and Prunobrachium sp. ex gr. crassum-Diacanthocapsa acanthica Beds (uppermost Santonian-lower Campanian) are recognized. Bolivinoides strigillatus Beds (upper Santonian) and Stensioeina pommerana-Anomalinoides (?) insignis Beds (upper part of the upper Santonian-lower part of the lower Campanian) are recognized. Eouvigerina aspera denticulocarinata Beds (middle and upper parts of the lower Campanian) and Angulogavelinella gracilis Beds (upper part of the upper Campanian are recognized on the basis of benthic foraminifers. These beds correspond to the synchronous biostrata of the East European Platform and Mangyshlak. Marginotruncana coronata- Concavatotruncana concavata Beds (Coniacian-upper Santonian), Globotruncanita elevata Beds (terminal Santonian), and Globotruncana arca Beds (lower Campanian) are recognized on the basis of planktonic foraminifers. Radiolarian and planktonic and benthic foraminiferal data agree with one another. The position of the Santonian-Campanian boundary in the Alan-Kyr Section, which is located stratigraphically above the levels of the latest occurrence of Concavatotruncana concavata and representatives of the genus Marginotruncana, is refined, i.e., at the level of the first appearance of Globotruncana arca. A gap in the Middle
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NASA Astrophysics Data System (ADS)
Montade, V.; Combourieu Nebout, N.; Siani, G.; Michel, E.; Kissel, C.; Carel, M.; Mulsow, S.
2010-12-01
The Chilean Patagonia (41°S to 56°S) crossed by the Andes from north to south represents a critical topographic constraint on atmospheric and oceanic systems, and the only continental landmass intercepting the entire Southern Westerlies Wind (SHW) belt in southern hemisphere. Therefore, the southern Chile is a key-area to study the paleoclimate changes and, to understand the synoptic scale ocean-atmospheric circulation systems of the mid to high southern latitudes. However, several questions remain partly unsolved: Is there abrupt reversal event during the Last Glacial-Interglacial transition (LGIT)? Is there a shift or an intensification of the SHW? When begin the Holocene onset? What are the inter or intra hemispheric climatic links? In this aim, we present here a detailed pollen record from the deep-sea core MD 07 3088 (46°04’S; 76°05’W, 1536 m) near Taitao peninsula, taken during the “Pachiderme” cruise (MD 159) within the IMAGES (International MArine Global changES) program (Kissel et al., 2007). The age model (Siani et al., in press) is based upon stable oxygen isotopes of planktonic foraminifera G. bulloïdes coupled to ten AMS 14C measurements performed on planktonic foraminifera and four tephrochronological markers attributed to the Hudson volcano (Haberle and Lumley, 1998). The pollen record expresses vegetation changes and thus climate variations during the last 20 kyr cal. BP. Several vegetation phases are observed during the LGIT and the Holocene onset: Before 18 kyr, the low diversity and pollen influx show the reduced vegetation due to the Patagonian Ice Cap extension and cold temperature. From 17.5 to 14.5 kyr, the diversity and pollen influx increase mark the vegetation development linked to the ice cap melting and temperature increase. From 14.5 to 12 kyr, the Astelia development illustrates the Magellanic Moorland extension and humid conditions linked to the SHW. Later 11.5 kyr, the forest diversification expresses the Holocene onset
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Variations in the geomagnetic dipole moment during the Holocene and the past 50 kyr
NASA Astrophysics Data System (ADS)
Knudsen, Mads Faurschou; Riisager, Peter; Donadini, Fabio; Snowball, Ian; Muscheler, Raimund; Korhonen, Kimmo; Pesonen, Lauri J.
2008-07-01
All absolute paleointensity data published in peer-reviewed journals were recently compiled in the GEOMAGIA50 database. Based on the information in GEOMAGIA50, we reconstruct variations in the geomagnetic dipole moment over the past 50 kyr, with a focus on the Holocene period. A running-window approach is used to determine the axial dipole moment that provides the optimal least-squares fit to the paleointensity data, whereas associated error estimates are constrained using a bootstrap procedure. We subsequently compare the reconstruction from this study with previous reconstructions of the geomagnetic dipole moment, including those based on cosmogenic radionuclides ( 10Be and 14C). This comparison generally lends support to the axial dipole moments obtained in this study. Our reconstruction shows that the evolution of the dipole moment was highly dynamic, and the recently observed rates of change (5% per century) do not appear unique. We observe no apparent link between the occurrence of archeomagnetic jerks and changes in the geomagnetic dipole moment, suggesting that archeomagnetic jerks most likely represent drastic changes in the orientation of the geomagnetic dipole axis or periods characterized by large secular variation of the non-dipole field. This study also shows that the Holocene geomagnetic dipole moment was high compared to that of the preceding ˜ 40 kyr, and that ˜ 4 · 10 22 Am 2 appears to represent a critical threshold below which geomagnetic excursions and reversals occur.
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Mediterranean Outflow Water dynamics during the past 570 kyr: Regional and global implications
NASA Astrophysics Data System (ADS)
Kaboth, Stefanie; de Boer, Bas; Bahr, André; Zeeden, Christian; Lourens, Lucas J.
2017-06-01
The Gulf of Cadiz constitutes a prime area to study teleconnections between the North Atlantic Ocean and climate change in the Mediterranean realm. In particular, the highly saline Mediterranean Outflow Water (MOW) is an important modulator of the North Atlantic salt budget on intermediate water levels. However, our understanding of its paleoceanographic evolution is poorly constrained due to the lack of high-resolution proxy records that predate the last glacial cycle. Here we present the first continuous and high-resolution ( 1 kyr) benthic δ18O and δ13C as well as grain size records from Integrated Ocean Drilling Program Site U1386 representing the last 570 kyr. We find three distinct phases of MOW variability throughout the Late to Middle Pleistocene at Site U1386 associated with prominent shifts in its composition and flow strength. We attribute this long-term variability to changes in water mass sourcing of the MOW. Superimposed on the long-term change in water mass sourcing is the occurrence of distinct and precession paced δ18O enrichment events, which contrast the pattern of global ice volume change as inferred from the global mean δ18O signal (i.e., LR04) but mimics that of the adjacent Mediterranean Sea. We attribute these enrichment events to a profound temperature reduction and salinity increases of the MOW, aligning with similar changes in the Mediterranean source region. These events might further signify ice volume increases as inferred from significant sea level drops recorded in the Red Sea and/or increased influence of North Atlantic intermediate water masses when MOW influence was absent at Site U1386.
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Opticalman 1 and C, Rate Training Manual. [1972 Revised Edition].
ERIC Educational Resources Information Center
Naval Personnel Program Support Activity, Washington, DC.
In this revised edition of an earlier publication (ED 070 574), fundamentals of optical instruments on board ships are presented in this rate training manual for regular navy and naval reserve personnel. The manual includes nine chapters: Introduction; Administration and Supervision; Nature of Light; Optical Alignment Instruments; Night Vision…
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Revision and Factor Analysis of a Death Anxiety Scale.
ERIC Educational Resources Information Center
Thorson, James A.; Powell, F. C.
Earlier research on death anxiety using the 34-item scale developed by Nehrke-Templer-Boyar (NTB) indicated that females and younger persons have significantly higher death anxiety. To simplify a death anxiety scale for use with different age groups, and to determine the conceptual factors actually measured by the scale, a revised 25-item…
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Stergiou, George S; Karpettas, Nikos; Atkins, Neil; O'Brien, Eoin
2011-04-01
Since 2002 when the European Society of Hypertension International Protocol (ESH-IP) was published it has become the preferred protocol for validating blood pressure monitors worldwide. In 2010, a revised version of the ESH-IP with more stringent criteria was published. This study assesses the impact of applying the revised ESH-IP criteria. A systematic literature review of ESH-IP studies reported between 2002 and 2010 was conducted. The impact of applying the ESH-IP 2010 criteria retrospectively on the data reported in these studies was investigated. The performance of the oscillometric devices in the last decade was also investigated on the basis of the ESH-IP criteria. Among 119 published studies, 112 with sufficient data were analyzed. According to ESH-IP 2002, the test device failed in 19 studies, whereas by applying the ESH-IP 2010 criteria in 28 additional studies increased the failure rate from 17 to 42%. Of these 28 studies, in 20 (71%) the test device failed at part 1 (accuracy per measurement) and in 22 (79%) at part 2 (accuracy per subject). Most of the failures involved the '5 mmHg or less' criterion. In the last decade there has been a consistent trend toward improved performance of oscillometric devices assessed on the basis of the ESH-IP criteria. This retrospective analysis shows that the stricter revised ESH-IP 2010 criteria will noticeably increase the failure rate of devices being validated. Oscillometric devices are becoming more accurate, and the revised ESH-IP by acknowledging this trend will allow more accurate devices to enter the market.
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Diagnosis of varicoceles in men undergoing vasectomy may lead to earlier detection of hypogonadism.
Liu, Joceline S; Jones, Madeline; Casey, Jessica T; Fuchs, Amanda B; Cashy, John; Lin, William W
2014-06-01
To determine the temporal relationship between vasectomy, varicocele, and hypogonadism diagnosis. Many young men undergo their first thorough genitourinary examination in their adult lives at the time of vasectomy consultation, providing a unique opportunity for diagnosis of asymptomatic varicoceles. Varicoceles have recently been implicated as a possible reversible contributor to hypogonadism. Hypogonadism may be associated with significant adverse effect, including decreased libido, impaired cognitive function, and increased cardiovascular events. Early diagnosis and treatment of hypogonadism may prevent these adverse sequelae. Data were collected from the Truven Health Analytics MarketScan database, a large outpatient claims database. We reviewed records between 2003 and 2010 for male patients between the ages of 25 and 50 years with International Classification of Diseases, Ninth Revision codes for hypogonadism, vasectomy, and varicocele, and queried dates of first claim. A total of 15,679 men undergoing vasectomies were matched with 156,790 men with nonvasectomy claims in the same year. Vasectomy patients were diagnosed with varicocele at an earlier age (40.9 vs 42.5 years; P=.009). We identified 224,817 men between the ages of 25 and 50 years with a claim of hypogonadism, of which 5883 (2.6%) also had a claim of varicocele. Men with hypogonadism alone were older at presentation compared with men with an accompanying varicocele (41.3 [standard deviation±6.5] vs 34.9 [standard deviation±6.1]; P<.001). Men undergoing vasectomies are diagnosed with varicoceles at a younger age than age-matched controls. Men with varicoceles present with hypogonadism earlier than men without varicoceles. Earlier diagnosis of varicocele at the time of vasectomy allows for earlier detection of hypogonadism. Copyright © 2014 Elsevier Inc. All rights reserved.
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Nuclear Power and the Environment: Questions and Answers. Revised.
ERIC Educational Resources Information Center
Campana, Robert J.; Langer, Sidney
This publication is a complete revision of an earlier booklet brought on by the dramatic changes in the energy outlook of the United States that occurred in 1973 and 1974. The purpose of this document is to inform the public on the overall U.S. energy situation, in particular electricity generated from nuclear reactors and other sources. The…
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Diagnostic criteria for multiple sclerosis: 2010 Revisions to the McDonald criteria
Polman, Chris H; Reingold, Stephen C; Banwell, Brenda; Clanet, Michel; Cohen, Jeffrey A; Filippi, Massimo; Fujihara, Kazuo; Havrdova, Eva; Hutchinson, Michael; Kappos, Ludwig; Lublin, Fred D; Montalban, Xavier; O'Connor, Paul; Sandberg-Wollheim, Magnhild; Thompson, Alan J; Waubant, Emmanuelle; Weinshenker, Brian; Wolinsky, Jerry S
2011-01-01
New evidence and consensus has led to further revision of the McDonald Criteria for diagnosis of multiple sclerosis. The use of imaging for demonstration of dissemination of central nervous system lesions in space and time has been simplified, and in some circumstances dissemination in space and time can be established by a single scan. These revisions simplify the Criteria, preserve their diagnostic sensitivity and specificity, address their applicability across populations, and may allow earlier diagnosis and more uniform and widespread use. Ann Neurol 2011 PMID:21387374
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Volcanic synchronisation of the EPICA-DC and TALDICE ice cores for the last 42 kyr BP
NASA Astrophysics Data System (ADS)
Severi, M.; Udisti, R.; Becagli, S.; Stenni, B.; Traversi, R.
2012-04-01
An age scale synchronisation between the Talos Dome and the EPICA Dome C ice cores was carried on through the identification of several common volcanic signatures for the last 42 kyr. Using this tight stratigraphic link we transferred the EDC age scale to the Talos Dome ice core producing a new age scale for the last 12 kyr. We estimated the discrepancies between the modeled TALDICE-1 age scale and the new one during the studied period, by evaluating the ratio R of the apparent duration of temporal intervals between pairs of isochrones. Except for a very few cases, R ranges between 0.8 and 1.2 corresponding to an uncertainty of up to 20% in the estimate of the time duration in at least one of the two ice cores. At this stage our approach does not allow us unequivocally to find out which of the models is affected by errors, but, taking into account only the historically known volcanic events, we found that discrepancies up to 200 years appears in the last two millennia in the TALDICE-1 model, while our new age scale shows a much better agreement with the volcanic absolute horizons. Thus, we propose for the Talos Dome ice core a new age scale (covering the whole Holocene) obtained by a direct transfer, via our stratigraphic link, from the EDC modelled age scale by Lemieux-Dudon et al. (2010).
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NASA Astrophysics Data System (ADS)
Mikutta, Robert; Schaumann, Gabriele E.; Gildemeister, Daniela; Bonneville, Steeve; Kramer, Marc G.; Chorover, Jon; Chadwick, Oliver A.; Guggenberger, Georg
2009-04-01
Organic matter (OM) in mineral-organic associations (MOAs) represents a large fraction of carbon in terrestrial ecosystems which is considered stable against biodegradation. To assess the role of MOAs in carbon cycling, there is a need to better understand (i) the time-dependent biogeochemical evolution of MOAs in soil, (ii) the effect of the mineral composition on the physico-chemical properties of attached OM, and (iii) the resulting consequences for the stabilization of OM. We studied the development of MOAs across a mineralogical soil gradient (0.3-4100 kyr) at the Hawaiian Islands that derived from basaltic tephra under comparable climatic and hydrological regimes. Mineral-organic associations were characterized using biomarker analyses of OM with chemolytic methods (lignin phenols, non-cellulosic carbohydrates) and wet chemical extractions, surface area/porosity measurements (N 2 at 77 K and CO 2 at 273 K), X-ray photoelectron spectroscopy (XPS), transmission electron microscopy (TEM), and differential scanning calorimetry (DSC). The results show that in the initial weathering stage (0.3 kyr), MOAs are mainly composed of primary, low-surface area minerals (olivine, pyroxene, feldspar) with small amounts of attached OM and lignin phenols but a large contribution of microbial-derived carbohydrates. As high-surface area, poorly crystalline (PC) minerals increase in abundance during the second weathering stage (20-400 kyr), the content of mineral-associated OM increased sharply, up to 290 mg C/g MOA, with lignin phenols being favored over carbohydrates in the association with minerals. In the third and final weathering stage (1400-4100 kyr), metastable PC phases transformed into well crystalline secondary Fe and Al (hydr)oxides and kaolin minerals that were associated with less OM overall, and depleted in both lignin and carbohydrate as a fraction of total OM. XPS, the N 2 pore volume data and OM-mineral volumetric ratios suggest that, in contrast to the
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Fowler, Marsha D
How does and should the American Nurses Association Code of Ethics for Nurses with Interpretive Statements, with foundations from the late 1800s, impact today's nursing practice? How can the Code help you? The earlier 2001 Code was revised and became effective January 2015. The nine provisions received modest revision, as did the corresponding interpretive statements. However, Provisions 8 and 9 and their interpretive statements received more substantial revision. This article explains the Code and summarizes the 2015 revisions, considering points of particular interest for nurses of faith.
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Volcanic synchronisation of the EPICA-DC and TALDICE ice cores for the last 42 kyr BP
NASA Astrophysics Data System (ADS)
Severi, M.; Udisti, R.; Becagli, S.; Stenni, B.; Traversi, R.
2012-03-01
The age scale synchronisation between the Talos Dome and the EPICA Dome C ice cores was carried on through the identification of several common volcanic signatures. This paper describes the rigorous method, using the signature of volcanic sulphate, which was employed for the last 42 kyr of the record. Using this tight stratigraphic link, we transferred the EDC age scale to the Talos Dome ice core, producing a new age scale for the last 12 kyr. We estimated the discrepancies between the modelled TALDICE-1 age scale and the new scale during the studied period, by evaluating the ratio R of the apparent duration of temporal intervals between pairs of isochrones. Except for a very few cases, R ranges between 0.8 and 1.2, corresponding to an uncertainty of up to 20% in the estimate of the time duration in at least one of the two ice cores. At this stage our approach does not allow us to unequivocally identify which of the models is affected by errors, but, taking into account only the historically known volcanic events, we found that discrepancies up to 200 yr appear in the last two millennia in the TALDICE-1 model, while our new age scale shows a much better agreement with the volcanic absolute horizons. Thus, we propose for the Talos Dome ice core a new age scale (covering the whole Holocene) obtained by a direct transfer, via our stratigraphic link, from the EDC modelled age scale by Lemieux-Dudon et al. (2010).
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NASA Astrophysics Data System (ADS)
Bümen, Nilay T.
2007-07-01
The original taxonomy of educational objectives, developed by Benjamin S.␣Bloom and his associates in the 1950s, was revised several decades later by a group of educationists and cognitive psychologists, who developed a revised taxonomy (RT). This article describes a Turkish study carried out among a group of pre-service teachers in order to compare the influence of the two systems on lesson planning skills. The results confirmed other studies that have indicated a number of advantages of the revised system over the earlier one.
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Bernard, Larry C; Walsh, R Patricia
2002-10-01
The present study replicated and extended earlier research on temporal sampling effects in university subject pools. Data were obtained from 236 participants, 79 men and 157 women, in a university subject pool during a 15-wk. semester. Without knowing the purpose of the study, participants self-selected to participate earlier (Weeks 4 and 5; n = 105) or later (Weeks 14 and 15; n = 131). Three hypotheses were investigated: (1) that the personality patterns of earlier and later participants on the NEO Personality Inventory-Revised and the Personality Research Form differ significantly, with earlier participants scoring higher on the latter scales reflecting social responsibility and higher on former Conscientiousness and Neuroticism scales; (2) that there are similar significant differences between participants in the earlier and later groups compared to the male and female college normative samples for the two tests: and (3) that earlier participants will have higher actual Scholastic Assessment Test scores and Grade Point Averages. Also investigated was whether participants' foreknowledge that their actual Scholastic Assessment Test scores and Grade Point Averages would be obtained would affect their accuracy of self-report. In contrast to prior research, neither the first nor second hypothesis was supported by the current study; there do not appear to be consistent differences on personality variables. However, the third hypothesis was supported. Earlier participants had higher actual high school Grade Point Average, college Grade Point Average, and Scholastic Assessment Test Verbal scores. Foreknowledge that actual Scholastic Assessment Test scores and Grade Point Averages would be obtained did not affect the accuracy of self-report. In addition, later participants significantly over-reported their scores, and significantly more women than men and more first-year than senior-year subjects participated in the early group.
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Revision history aware repositories of computational models of biological systems.
Miller, Andrew K; Yu, Tommy; Britten, Randall; Cooling, Mike T; Lawson, James; Cowan, Dougal; Garny, Alan; Halstead, Matt D B; Hunter, Peter J; Nickerson, David P; Nunns, Geo; Wimalaratne, Sarala M; Nielsen, Poul M F
2011-01-14
Building repositories of computational models of biological systems ensures that published models are available for both education and further research, and can provide a source of smaller, previously verified models to integrate into a larger model. One problem with earlier repositories has been the limitations in facilities to record the revision history of models. Often, these facilities are limited to a linear series of versions which were deposited in the repository. This is problematic for several reasons. Firstly, there are many instances in the history of biological systems modelling where an 'ancestral' model is modified by different groups to create many different models. With a linear series of versions, if the changes made to one model are merged into another model, the merge appears as a single item in the history. This hides useful revision history information, and also makes further merges much more difficult, as there is no record of which changes have or have not already been merged. In addition, a long series of individual changes made outside of the repository are also all merged into a single revision when they are put back into the repository, making it difficult to separate out individual changes. Furthermore, many earlier repositories only retain the revision history of individual files, rather than of a group of files. This is an important limitation to overcome, because some types of models, such as CellML 1.1 models, can be developed as a collection of modules, each in a separate file. The need for revision history is widely recognised for computer software, and a lot of work has gone into developing version control systems and distributed version control systems (DVCSs) for tracking the revision history. However, to date, there has been no published research on how DVCSs can be applied to repositories of computational models of biological systems. We have extended the Physiome Model Repository software to be fully revision history aware
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ERIC Educational Resources Information Center
Dry Creek Joint Elementary School District, Roseville, CA.
An Educational Specification Committee was convened to determine the design specifications required for a new K-5 (and temporarily 6-8 grade) elementary school in Roseville, California's Dry Creek District. This report presents revisions to an earlier document that examined school room specifications for each grade level and administrative area.…
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Accumulation patterns around Dome C, East Antarctica, in the last 73 kyr
NASA Astrophysics Data System (ADS)
Cavitte, Marie G. P.; Parrenin, Frédéric; Ritz, Catherine; Young, Duncan A.; Van Liefferinge, Brice; Blankenship, Donald D.; Frezzotti, Massimo; Roberts, Jason L.
2018-04-01
We reconstruct the pattern of surface accumulation in the region around Dome C, East Antarctica, since the last glacial. We use a set of 18 isochrones spanning all observable depths of the ice column, interpreted from various ice-penetrating radar surveys and a 1-D ice flow model to invert for accumulation rates in the region. The shallowest four isochrones are then used to calculate paleoaccumulation rates between isochrone pairs using a 1-D assumption where horizontal advection is negligible in the time interval of each layer. We observe that the large-scale (100s km) surface accumulation gradient is spatially stable through the last 73 kyr, which reflects current modeled and observed precipitation gradients in the region. We also observe small-scale (10 s km) accumulation variations linked to snow redistribution at the surface, due to changes in its slope and curvature in the prevailing wind direction that remain spatially stationary since the last glacial.
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NASA Astrophysics Data System (ADS)
Fenton, Lori K.; Carson, Helen C.; Michaels, Timothy I.
2018-04-01
The plains ripples of Meridiani Planum are the first paleo-aeolian bedforms on Mars to have had their last migration episode constrained in time (to 50-200 ka). Here we test how variations in orbital configuration, air pressure, and atmospheric dust loading over the past 400 kyr affect bedform mobility and crest alignment. Using the National Aeronautics and Space Administration Ames Mars Global Climate Model, we ran a series of sensitivity tests under a number of different conditions, seeking changes in wind patterns relative to those modeled for present-day conditions. Results indicate that enhanced sand drift potential in Meridiani Planum correlates with (1) high axial obliquity, (2) a longitude of perihelion (Lp) near southern summer solstice, and (3) a greater air pressure. The last pulse of westward plains ripple migration likely occurred during the most recent obliquity (relative) maximum, from 111 to 86 ka. At Lp coinciding with southern summer solstice, the Mars Global Climate Model produced a westward resultant drift direction, consistent with the observed north-south plains ripple crest alignment. However, smaller superposed ripples, aligned NNE-SSW, are consistent with a strengthened northern summer Hadley return flow, occurring when Lp coincided with northern summer solstice. The superposed NNE-SSW ripples likely formed as the axial obliquity decreased during the last relative maximum and Lp swung toward northern summer, from 86 to 72 ka. The timeline of bedform activity supports the proposed sequence of CO2 sequestration in the south polar residual cap over the past 400 kyr.
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NASA Astrophysics Data System (ADS)
Hayashida, Akira; Ali, Mohammed; Kuniko, Yoshiki; Kitagawa, Hiroyuki; Torii, Masayuki; Takemura, Keiji
2007-07-01
We have conducted paleomagnetic and environmental magnetic analysis of a sediment piston core recovered from Lake Biwa, central Japan. Tephrochronology and AMS radiocarbon dating showed that this core covers the time period since about 40 kyr BP. The variation of paleomagnetic direction shows a good agreement with the PSV record for the last 10 kyrs from the deeper water site (BIWA SV-3; Ali et al., 1999), although the amplitudes are subdued probably due to the relatively lower accumulation rate at the shallower site. Inclination lows of the pre-Holocene interval are correlated to PSV records reported from the marine sediments off Shikoku and in the Japan Sea. In addition, the variation of magnetic mineral concentration reflects environmental changes during the last glacial period. It is suggested that the flux of fine-grained magnetite, probably associated with greater precipitation, was increased during interstadial periods. The variation of anhysteretic remanent magnetization is likely correlated to the Dansgaard-Oeschger (D-O) cycles recorded in Greenland ice cores. An apparent swing of the PSV curve is recognized at about 27 ka, but evidence for the Mono Lake excursion at 32 ka around the D-O events 6 and 7 is unclear. Combination of the detailed paleomagnetic record and the sub-Milankovitch climate cycles thus provides better resolution for understanding geomagnetic secular variation and polarity excursions in space and time.
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NASA Astrophysics Data System (ADS)
Schmidt, M. W.; Lynch-Stieglitz, J.
2008-12-01
Recent reconstructions of North Atlantic salinity variability over the last glacial cycle show that abrupt climate events are linked to major reorganizations in the low-latitude hydrologic cycle, affecting large-scale changes in evaporation minus precipitation (E-P) patterns. Although there is general agreement that the Intertropical Convergence Zone (ITCZ) migrates southward during cold stadials, it remains unclear how this shift affects the net E-P budget in the North Atlantic. In order to reconstruct a high resolution record of past sea surface temperature (SST) and salinity (SSS) in the Florida Straits across abrupt climate events of the last 40 kyr, we combine Mg/Ca paleothermometry and δ18O measurements in shells from the surface-dwelling foraminifera Globigerinoides ruber in cores KNR166-2-JPC29 (24°17'N, 83°16'W; 648 m depth; 8-20 cm/kyr sed. rate) and JPC26 (24°19.61'N, 83°15.14'W; 546 m depth; 18-240 cm/kyr sed. rate) and calculate δ18OSEAWATER (δ18OSW) variability. Removal of the δ18OSW signal due to continental ice volume variation results in the ice volume-free (IVF) δ18OSW record (a proxy for SSS variability). Although most waters flowing through the Florida Straits today originate in the tropical western Atlantic, major meltwater discharges from the Mississippi River across the last deglacial period also influenced SST and SSS in the Florida Straits. To constrain periods of increased meltwater discharge, we measured Ba/Ca ratios in G. ruber from select intervals. Because riverine waters have a much higher dissolved Ba+2 concentration relative to seawater, foraminifera Ba/Ca ratios can be used as an additional proxy to constrain periods of increase riverine discharge. Initial results suggest the hydrographic history of the Florida Straits is influenced by both meltwater discharge and regional climate variability linked to the high-latitude North Atlantic. Both the IVF- δ18OSW and Ba/Ca records reveal a prolonged period from 16.0-13.0 kyr
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Earlier Age at Menopause, Work and Tobacco Smoke Exposure
Fleming, Lora E; Levis, Silvina; LeBlanc, William G; Dietz, Noella A; Arheart, Kristopher L; Wilkinson, James D; Clark, John; Serdar, Berrin; Davila, Evelyn P; Lee, David J
2009-01-01
Objective Earlier age at menopause onset has been associated with increased all cause, cardiovascular, and cancer mortality risks. Risk of earlier age at menopause associated with primary and secondary tobacco smoke exposure was assessed. Design Cross-sectional study using a nationally representative sample of US women. Methods 7596 women participants (representing an estimated 79 million US women) from the National Health and Nutrition Examination Survey III were asked: time since last menstrual period, occupation, and tobacco use (including home and workplace secondhand smoke (SHS) exposure). Blood cotinine and follicle-stimulating hormone (FSH) levels were assessed. Logistic regressions for the odds of earlier age at menopause, stratified on race/ethnicity in women 25-50 years and adjusted for survey design, were controlled for age, BMI, education, tobacco smoke exposure, and occupation. Results Among 5029 US women ≥ 25 years with complete data, earlier age at menopause was found among all smokers, and among service and manufacturing industry sector workers. Among women age 25-50 years, there was an increased risk of earlier age at menopause with both primary smoking and with SHS exposure, particularly among Black women. Conclusions Primary tobacco use and SHS exposure were associated with an increased odds of earlier age at menopause in a representative sample of US women. Earlier age at menopause was found for some women worker groups with greater potential occupational SHS exposure. Thus, control of SHS exposures in the workplace may decrease the risk of mortality and morbidity associated with earlier age at menopause in US women workers. PMID:18626414
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A complete terrestrial radiocarbon record for 11.2 to 52.8 kyr B.P.
Bronk Ramsey, Christopher; Staff, Richard A; Bryant, Charlotte L; Brock, Fiona; Kitagawa, Hiroyuki; van der Plicht, Johannes; Schlolaut, Gordon; Marshall, Michael H; Brauer, Achim; Lamb, Henry F; Payne, Rebecca L; Tarasov, Pavel E; Haraguchi, Tsuyoshi; Gotanda, Katsuya; Yonenobu, Hitoshi; Yokoyama, Yusuke; Tada, Ryuji; Nakagawa, Takeshi
2012-10-19
Radiocarbon ((14)C) provides a way to date material that contains carbon with an age up to ~50,000 years and is also an important tracer of the global carbon cycle. However, the lack of a comprehensive record reflecting atmospheric (14)C prior to 12.5 thousand years before the present (kyr B.P.) has limited the application of radiocarbon dating of samples from the Last Glacial period. Here, we report (14)C results from Lake Suigetsu, Japan (35°35'N, 135°53'E), which provide a comprehensive record of terrestrial radiocarbon to the present limit of the (14)C method. The time scale we present in this work allows direct comparison of Lake Suigetsu paleoclimatic data with other terrestrial climatic records and gives information on the connection between global atmospheric and regional marine radiocarbon levels.
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Ünal-İmer, Ezgi; Shulmeister, James; Zhao, Jian-Xin; Tonguç Uysal, I.; Feng, Yue-Xing; Duc Nguyen, Ai; Yüce, Galip
2015-01-01
Speleothem-based stable isotope records are valuable in sub-humid and semi-arid settings where many other terrestrial climate proxies are fragmentary. The Eastern Mediterranean is one such region. Here we present an 80-kyr-long precisely-dated (by U-series) and high-resolution oxygen (δ18O) and carbon (δ13C) records from Dim Cave (~36°N) in SW Turkey. The glacial-interglacial δ18O variations in the Dim Cave speleothem are best explained in terms of changes in the trajectories of winter westerly air masses. These are along a northerly (European) track (isotopically less depleted) during the early last glaciation but are gradually depressed southward closer to the modern westerly track along the North African coast (more depleted) after c.50 kyr and remain in the southern track through the Last Glacial Maximum. The southward displacement of the westerly track reflects growth of the Fennoscandian ice sheet and its impact on westerly wind fields. Changes in δ13C are interpreted as reflecting soil organic matter composition and/or thickness. δ13C values are significantly more negative in interglacials reflecting active carbonic acid production in the soil and less negative in glacial times reflecting carbonate rock values. Several Heinrich events are recorded in the Dim record indicating intensification of westerly flow across this part of the EM. PMID:26337921
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Postglacial viability and colonization in North America’s ice-free corridor
NASA Astrophysics Data System (ADS)
Pedersen, Mikkel W.; Ruter, Anthony; Schweger, Charles; Friebe, Harvey; Staff, Richard A.; Kjeldsen, Kristian K.; Mendoza, Marie L. Z.; Beaudoin, Alwynne B.; Zutter, Cynthia; Larsen, Nicolaj K.; Potter, Ben A.; Nielsen, Rasmus; Rainville, Rebecca A.; Orlando, Ludovic; Meltzer, David J.; Kjær, Kurt H.; Willerslev, Eske
2016-09-01
During the Last Glacial Maximum, continental ice sheets isolated Beringia (northeast Siberia and northwest North America) from unglaciated North America. By around 15 to 14 thousand calibrated radiocarbon years before present (cal. kyr BP), glacial retreat opened an approximately 1,500-km-long corridor between the ice sheets. It remains unclear when plants and animals colonized this corridor and it became biologically viable for human migration. We obtained radiocarbon dates, pollen, macrofossils and metagenomic DNA from lake sediment cores in a bottleneck portion of the corridor. We find evidence of steppe vegetation, bison and mammoth by approximately 12.6 cal. kyr BP, followed by open forest, with evidence of moose and elk at about 11.5 cal. kyr BP, and boreal forest approximately 10 cal. kyr BP. Our findings reveal that the first Americans, whether Clovis or earlier groups in unglaciated North America before 12.6 cal. kyr BP, are unlikely to have travelled by this route into the Americas. However, later groups may have used this north-south passageway.
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Postglacial viability and colonization in North America's ice-free corridor.
Pedersen, Mikkel W; Ruter, Anthony; Schweger, Charles; Friebe, Harvey; Staff, Richard A; Kjeldsen, Kristian K; Mendoza, Marie L Z; Beaudoin, Alwynne B; Zutter, Cynthia; Larsen, Nicolaj K; Potter, Ben A; Nielsen, Rasmus; Rainville, Rebecca A; Orlando, Ludovic; Meltzer, David J; Kjær, Kurt H; Willerslev, Eske
2016-09-01
During the Last Glacial Maximum, continental ice sheets isolated Beringia (northeast Siberia and northwest North America) from unglaciated North America. By around 15 to 14 thousand calibrated radiocarbon years before present (cal. kyr bp), glacial retreat opened an approximately 1,500-km-long corridor between the ice sheets. It remains unclear when plants and animals colonized this corridor and it became biologically viable for human migration. We obtained radiocarbon dates, pollen, macrofossils and metagenomic DNA from lake sediment cores in a bottleneck portion of the corridor. We find evidence of steppe vegetation, bison and mammoth by approximately 12.6 cal. kyr bp, followed by open forest, with evidence of moose and elk at about 11.5 cal. kyr bp, and boreal forest approximately 10 cal. kyr bp. Our findings reveal that the first Americans, whether Clovis or earlier groups in unglaciated North America before 12.6 cal. kyr bp, are unlikely to have travelled by this route into the Americas. However, later groups may have used this north-south passageway.
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Complications Following Primary and Revision Transsphenoidal Surgeries for Pituitary Tumors
Krings, James G.; Kallogjeri, Dorina; Wineland, Andre; Nepple, Kenneth G.; Piccirillo, Jay F.; Getz, Anne E.
2014-01-01
Objective This study aimed to determine the incidence of major complications following both primary and revision transsphenoidal pituitary surgery. Major complications included endocrinopathic, skull base, orbital, hemorrhagic and thromboembolic complications, respiratory failure, and death. Secondarily, this study aimed to examine factors associated with the occurrence of complications. Study Design Retrospective cohort analysis of California and Florida all-payer databases from 2005-2008. Methods The major complication rate following both primary and revision transsphenoidal pituitary surgery was calculated. Bivariate analyses were performed to investigate the relationship of patient characteristics with complication occurrence, and a multivariate model was constructed to determine risk factors associated with these complications. Results 5,277 primary cases and 192 revision cases met inclusion criteria. There was a non-significant absolute difference of 3.09% (95% CI −11.00 to 16.14) between the rate of complications following primary (n=443; 8.39%) and revision (n=22; 11.46%) surgeries. Multivariate analyses showed that patients with Medicare (OR=1.74; 95% CI 1.17 to 2.61), Medicaid (OR=2.13; 95% CI 1.59 to 2.86), or a malignant neoplasm (OR=3.10; 95% CI 1.62 to 5.93) were more likely to have complications. Conclusions The rate of major complications following transsphenoidal pituitary surgery is lower than earlier retrospective reports. The overall complication rate following revision surgery was not significantly different from primary surgery. Insurance status and a diagnosis of a malignant neoplasm were associated with a higher rate of complications. PMID:25263939
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Manning, Sturt W; Griggs, Carol B; Lorentzen, Brita; Barjamovic, Gojko; Ramsey, Christopher Bronk; Kromer, Bernd; Wild, Eva Maria
2016-01-01
500 years of ancient Near Eastern history from the earlier second millennium BCE, including such pivotal figures as Hammurabi of Babylon, Šamši-Adad I (who conquered Aššur) and Zimrilim of Mari, has long floated in calendar time subject to rival chronological schemes up to 150+ years apart. Texts preserved on clay tablets provide much information, including some astronomical references, but despite 100+ years of scholarly effort, chronological resolution has proved impossible. Documents linked with specific Assyrian officials and rulers have been found and associated with archaeological wood samples at Kültepe and Acemhöyük in Turkey, and offer the potential to resolve this long-running problem. Here we show that previous work using tree-ring dating to place these timbers in absolute time has fundamental problems with key dendrochronological crossdates due to small sample numbers in overlapping years and insufficient critical assessment. To address, we have integrated secure dendrochronological sequences directly with radiocarbon (14C) measurements to achieve tightly resolved absolute (calendar) chronological associations and identify the secure links of this tree-ring chronology with the archaeological-historical evidence. The revised tree-ring-sequenced 14C time-series for Kültepe and Acemhöyük is compatible only with the so-called Middle Chronology and not with the rival High, Low or New Chronologies. This finding provides a robust resolution to a century of uncertainty in Mesopotamian chronology and scholarship, and a secure basis for construction of a coherent timeframe and history across the Near East and East Mediterranean in the earlier second millennium BCE. Our re-dating also affects an unusual tree-ring growth anomaly in wood from Porsuk, Turkey, previously tentatively associated with the Minoan eruption of the Santorini volcano. This tree-ring growth anomaly is now directly dated ~1681-1673 BCE (68.2% highest posterior density range), ~20
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Griggs, Carol B.; Lorentzen, Brita; Barjamovic, Gojko; Ramsey, Christopher Bronk; Kromer, Bernd; Wild, Eva Maria
2016-01-01
500 years of ancient Near Eastern history from the earlier second millennium BCE, including such pivotal figures as Hammurabi of Babylon, Šamši-Adad I (who conquered Aššur) and Zimrilim of Mari, has long floated in calendar time subject to rival chronological schemes up to 150+ years apart. Texts preserved on clay tablets provide much information, including some astronomical references, but despite 100+ years of scholarly effort, chronological resolution has proved impossible. Documents linked with specific Assyrian officials and rulers have been found and associated with archaeological wood samples at Kültepe and Acemhöyük in Turkey, and offer the potential to resolve this long-running problem. Here we show that previous work using tree-ring dating to place these timbers in absolute time has fundamental problems with key dendrochronological crossdates due to small sample numbers in overlapping years and insufficient critical assessment. To address, we have integrated secure dendrochronological sequences directly with radiocarbon (14C) measurements to achieve tightly resolved absolute (calendar) chronological associations and identify the secure links of this tree-ring chronology with the archaeological-historical evidence. The revised tree-ring-sequenced 14C time-series for Kültepe and Acemhöyük is compatible only with the so-called Middle Chronology and not with the rival High, Low or New Chronologies. This finding provides a robust resolution to a century of uncertainty in Mesopotamian chronology and scholarship, and a secure basis for construction of a coherent timeframe and history across the Near East and East Mediterranean in the earlier second millennium BCE. Our re-dating also affects an unusual tree-ring growth anomaly in wood from Porsuk, Turkey, previously tentatively associated with the Minoan eruption of the Santorini volcano. This tree-ring growth anomaly is now directly dated ~1681–1673 BCE (68.2% highest posterior density range), ~20
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Sequence stratigraphy and a revised sea-level curve for the Middle Devonian of eastern North America
Brett, Carlton E.; Baird, G.C.; Bartholomew, A.J.; DeSantis, M.K.; Ver Straeten, C.A.
2011-01-01
The well-exposed Middle Devonian rocks of the Appalachian foreland basin (Onondaga Formation; Hamilton Group, Tully Formation, and the Genesee Group of New York State) preserve one of the most detailed records of high-order sea-level oscillation cycles for this time period in the world. Detailed examination of coeval units in distal areas of the Appalachian Basin, as well as portions of the Michigan and Illinois basins, has revealed that the pattern of high-order sea-level oscillations documented in the New York-Pennsylvania section can be positively identified in all areas of eastern North America where coeval units are preserved. The persistence of the pattern of high-order sea-level cycles across such a wide geographic area suggests that these cycles are allocyclic in nature with primary control on deposition being eustatic sea-level oscillation, as opposed to autocylic controls, such as sediment supply, which would be more local in their manifestation. There is strong evidence from studies of cyclicity and spectral analysis that these cycles are also related to Milankovitch orbital variations, with the short and long-term eccentricity cycles (100. kyr and 405. kyr) being the dominant oscillations in many settings. Relative sea-level oscillations of tens of meters are likely and raise considerable issues about the driving mechanism, given that the Middle Devonian appears to record a greenhouse phase of Phanerozoic history. These new correlations lend strong support to a revised high-resolution sea-level oscillation curve for the Middle Devonian for the eastern portion of North America. Recognized third-order sequences are: Eif-1 lower Onondaga Formation, Eif-2: upper Onondaga and Union Springs formations; Eif-Giv: Oatka Creek Formation; Giv-1: Skaneateles, Giv-2: Ludlowville, Giv-3: lower Moscow, Giv-4: upper Moscow-lower Tully, and Giv-5: middle Tully-Geneseo formations. Thus, in contrast with the widely cited eustatic curve of Johnson et al. (1985), which
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Ben-Dor, Miki; Gopher, Avi; Hershkovitz, Israel; Barkai, Ran
2011-01-01
The worldwide association of H. erectus with elephants is well documented and so is the preference of humans for fat as a source of energy. We show that rather than a matter of preference, H. erectus in the Levant was dependent on both elephants and fat for his survival. The disappearance of elephants from the Levant some 400 kyr ago coincides with the appearance of a new and innovative local cultural complex – the Levantine Acheulo-Yabrudian and, as is evident from teeth recently found in the Acheulo-Yabrudian 400-200 kyr site of Qesem Cave, the replacement of H. erectus by a new hominin. We employ a bio-energetic model to present a hypothesis that the disappearance of the elephants, which created a need to hunt an increased number of smaller and faster animals while maintaining an adequate fat content in the diet, was the evolutionary drive behind the emergence of the lighter, more agile, and cognitively capable hominins. Qesem Cave thus provides a rare opportunity to study the mechanisms that underlie the emergence of our post-erectus ancestors, the fat hunters. PMID:22174868
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NASA Astrophysics Data System (ADS)
Burch Fisher, G.; Amidon, William H.; Burbank, Douglas W.; Luna, Lisa V.
2016-04-01
Proposed linkages among climate, erosion, and tectonics provide an appealing framework for interpretation of the interplay among tectonic forcing, topographic form, climatic inputs, and rates of erosion. More rapid deformation is hypothesized to create higher and steeper topography that focuses precipitation, drives faster erosion, and enhances slip rates. But, a determination of cause and effect or synchrony in any proposed tectonic-climate-erosion coupling is commonly difficult to extract. Typically constraints on age and provenance are too loose, or records are too short, irregular, or sparse to permit nuanced interpretations. In fact, clear records in active orogens that reveal a persistent climatic imprint on erosion rates (such as ones scaled by Milankovich-type cyclicity) are rare, especially for pre-Quaternary intervals. Here, along the Rio Iruya on the eastern flank of the NE Argentinian Andes, we exploit a unique field setting in which a 100-m-deep canyon has been cut during the past century through a 6-km-thick tilted sequence of upper Cenozoic synorogenic strata. Sample ages in the Iruya gorge are provided by a high-quality magnetostratigraphy (~100-kyr resolution) that is calibrated with U-Pb zircon ages of interbedded tephra. Detrital zircon ages and quartz trace elements provide a provenance record for the sampled section. Here, we report 49 new detrital 10Be cosmogenic paleo-erosion rates spanning from the Late Miocene to Early Pleistocene (~5.8 to 1.8 Ma). Paired with each 10Be sample that is younger than ~3.3 Ma, 23 26Al samples provide a second proxy for paleo-erosion rates. 20th-century canyon cutting obviates the typical uncertainties associated with unconstrained Late Quaternary cosmogenic production due to exhumation prior to sampling. Three different erosion-rate regimes are apparent: from 1.8 to 2.3 Ma, rates are high with few oscillations; from 2.3 to 4.0 Ma, rates oscillate by a factor of 5 on a ~400-kyr timescale; and from 5.8 to 4.0 Ma
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Scientific Knowledge Suppresses but Does Not Supplant Earlier Intuitions
ERIC Educational Resources Information Center
Shtulman, Andrew; Valcarcel, Joshua
2012-01-01
When students learn scientific theories that conflict with their earlier, naive theories, what happens to the earlier theories? Are they overwritten or merely suppressed? We investigated this question by devising and implementing a novel speeded-reasoning task. Adults with many years of science education verified two types of statements as quickly…
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NASA Astrophysics Data System (ADS)
Kaboth, Stefanie; de Boer, Bas; Bahr, Andrè; Zeeden, Christian; Lourens, Lucas
2016-04-01
Here we present the first continuous and high-resolution (~ 1 kyr) benthic δ18O record from IODP Site U1386 (Gulf of Cadiz, IODP Exp. 339) representing the last 570 kyr. We find distinct and periodic δ18O enrichment events overimposed on patterns of global ice volume change as inferred from the global mean δ18O signal (i.e. LR04). These events occur most prominently during glacials, and are characterized by a relative increase of up to 1‰. The observed glacial δ18O enrichment represents a striking difference to deep-sea benthic δ18O records worldwide but is not without precedent as similar δ18O variability can be observed in the planktic signal of the Red Sea (Sites KL11 and KL23). There, similar glacial δ18O enrichment events have not raised particular interest since their occurrence was attributed to sea level induced salinity increase within this virtually landlocked basin. Our results suggest that the glacial δ18O enrichment at Site U1386 present salinity and/or temperature variability related to changes in the position of the frontal zone between subpolar and subtropical water masses within the Gulf of Cadiz. Interestingly, the δ18O enrichments at Site U1386 strongly reflect precession and semi-precession patterns. Since similar patterns can be observed in the Red Sea isotopic records, we argue that part of the inferred sea level reconstructions are biased by a regional and precession controlled mechanism.
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Toward Explaining Earlier Retirement after 1970.
ERIC Educational Resources Information Center
Ippolito, Richard A.
1990-01-01
Rule changes in the social security system and pension plans suggest that labor force participation rates for men aged 55 to 64 fell by 20 percent from 1970 through 1986 because of the increase in social security benefits and a change in private pension rules encouraging earlier retirement. (Author/JOW)
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NASA Astrophysics Data System (ADS)
Ortega-Guerrero, Beatriz; Lozano-García, Socorro; Herrera-Hernández, Dimitris; Caballero, Margarita; Beramendi-Orosco, Laura; Bernal, Juan Pablo; Torres-Rodríguez, Esperanza; Avendaño-Villeda, Diana
2017-11-01
The recognition of past climatic fluctuations in sedimentary sequences in central Mexico is relevant for understanding the forcing mechanisms and responses of climatic system in the northern American tropic. Moreover, in this active volcanic setting the sedimentary record preserves the history of past volcanic activity. Climatic and environmental variability has been documented for the last tenths of thousands of years from the upper lacustrine sediments in Chalco basin. A series of cores drilled down to 122 m depth in this basin offer a long, continuous and high resolution record of past climatic changes of the last ca. 150 kyr in this region. Here we present the detailed lithostratigraphy and some physical properties (magnetic susceptibility and density) of the master sequence. Sedimentary components and their abundance were identified and quantified in smear slides and direct core observations. Age model is based on 13 14C and one 230Th/U dates. Based on their facies association seven lithostratigraphic units were defined, which reflect the main stages of lake Chalco evolution. These phases closely match the marine isotopic stages. The data reveal that at the end of MIS6 Chalco was a relatively deep and stratified freshwater lake. During MIS5 the depositional environment fluctuated between low lake stands to marshy and marginal playa settings with sporadic flooding events, and severe arid periods resulted in aerial exposure of lake sediments. Low lake stands persisted during MIS4 and MIS3, with minor fluctuations towards slightly deeper phases. The Last Glacial Maximum (LGM) and the deglacial period (21-13 kyr) are characterized by intense volcanism. The early and mid-Holocene high calcareous content and alkaline-subsaline lake suggest dry conditions. The fluctuations of lake levels inferred provide the basis for future paleoclimatic works.
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The SE sector of the Middle Weichselian Eurasian Ice Sheet was much smaller than assumed
NASA Astrophysics Data System (ADS)
Räsänen, Matti E.; Huitti, Janne V.; Bhattarai, Saroj; Harvey, Jerry; Huttunen, Sanna
2015-08-01
Quaternary climatic and glacial history must be known in order to understand future environments. Reconstructions of the last Weichselian glacial cycle 117,000-11,700 years (kyr) ago propose that S Finland, adjacent Russia and the Baltic countries in the SE sector of the Eurasian Ice Sheet (EIS), were glaciated during the Middle Weichselian time [marine isotope stage (MIS) 4, 71-57 kyr ago] and that this glaciation was preceded in S Finland by an Early Weichselian interstadial (MIS 5c, 105-93 kyr ago) with pine forest. We apply glacial sequence stratigraphy to isolated Late Pleistocene onshore outcrop sections and show, that these events did not take place. The one Late Weichselian glaciation (MIS 2, 29-11 kyr ago) was preceded in S Finland by a nearly 90 kyr non-glacial period, featuring tundra with permafrost and probably birch forest. Our new Middle Weichselian paleoenvironmental scenario revises the configuration and hydrology of the S part of EIS and gives new setting for the evolution of Scandinavian biota. If future development during the coming glacial cycle proves to be similar, the high-level nuclear waste stored in the bedrock of SW Finland should be located deeper than currently planned, i.e. below any possible future permafrost.
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NASA Astrophysics Data System (ADS)
Abarzua, Ana M.; Jarpa, Leonora; Martel, Alejandra; Vega, Rodrigo; Pino, Mario
2010-05-01
Multiproxy approach from Purén Lumaco Valley (38°S) describes the paleonvironmental history during the Last Maximum Glacial (LGM) in south-central Chile. Three sediment cores and severals AMS 14C dates were used to perform a complete pollen, diatoms, chironomids, and sedimentological records demonstrating the existence of a large and non profundal paleolake, between 25 and 20kyr BP. Some of these evidence are laminated silty-clay sediments (lacustrine rhythmites), associated with the presence of siderite mineral (FeCO3), besides biological proxies like Fragilaria construens and Stauroforma inermes (planctonic diatoms), and Dicrotendipes sp. and Tanytarsini tribe (littoral chironomids). The pollen ensemble reveals the first glacial refuge of Araucaria araucana forests in the low lands during the LGM. The lake was drained abruptly into a swamp/bog at 12kyr BP and colonized by Myrtaceae wet forest. This evidence suggest the dry/warm climate period of early Holocene in south-central Chile. Later, the sediments indicate variable lacustrine levels, and increase of charcoal particles, associated to current climatic conditions. The pollen spectrum dominated by Myrtaceae and Nothofagus contrasts with a strongly disturb current landscape. Actually, Purén-Lumaco valley constitutes a complex peat-bog system dominated by exotic grasses and forest species (Tritricum aestivum, Pinus radiata and Eucalyptus spp.). Some archaeological antecedents in the area document the human development at ca. 7yrs BP. The greatest archaeological characteristic present in the valley is the kuel, a Mapuche earth accumulation. The presence and extension of almost 300 kuel in the valley reflect the social/economic development, and partly explains why the region was the major resistance area for Spanish colonizer during XVI-XVII centuries. Also the archaeological findings reveal the presence of maize pollen (Zea mays) within their food consumption. The influence of climate and human impact in
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Revision total hip arthoplasty: factors associated with re-revision surgery.
Khatod, Monti; Cafri, Guy; Inacio, Maria C S; Schepps, Alan L; Paxton, Elizabeth W; Bini, Stefano A
2015-03-04
The survivorship of implants after revision total hip arthroplasty and risk factors associated with re-revision are not well defined. We evaluated the re-revision rate with use of the institutional total joint replacement registry. The purpose of this study was to determine patient, implant, and surgeon factors associated with re-revision total hip arthroplasty. A retrospective cohort study was conducted. The total joint replacement registry was used to identify patients who had undergone revision total hip arthroplasty for aseptic reasons from April 1, 2001, to December 31, 2010. The end point of interest was re-revision total hip arthroplasty. Risk factors evaluated for re-revision total hip arthroplasty included: patient risk factors (age, sex, body mass index, race, and general health status), implant risk factors (fixation type, bearing surface, femoral head size, and component replacement), and surgeon risk factors (volume and experience). A multivariable Cox proportional hazards model was used. Six hundred and twenty-nine revision total hip arthroplasties with sixty-three (10%) re-revisions were evaluated. The mean cohort age (and standard deviation) was 57.0 ± 12.4 years, the mean body mass index (and standard deviation) was 29.5 ± 6.1 kg/m(2), and most of the patients were women (64.5%) and white (81.9%) and had an American Society of Anesthesiologists score of <3 (52.9%). The five-year implant survival after revision total hip arthroplasty was 86.8% (95% confidence interval, 83.57% to 90.25%). In adjusted models, age, total number of revision surgical procedures performed by the surgeon, fixation, and bearing surface were associated with the risk of re-revision. For every ten-year increase in patient age, the hazard ratio for re-revision decreases by a factor of 0.72 (95% confidence interval, 0.58 to 0.90). For every five revision surgical procedures performed by a surgeon, the risk of revision decreases by a factor of 0.93 (95% confidence interval, 0
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Variability of Indonesian Throughflow and Borneo Runoff During the Last 14 kyr
NASA Astrophysics Data System (ADS)
Hendrizan, Marfasran; Kuhnt, Wolfgang; Holbourn, Ann
2017-10-01
We present a high-resolution ( 20 to 100 years temporal resolution) reconstruction of hydrological changes in the Makassar Strait over the last 14 kyr from Core SO217-18517 retrieved off the Mahakam Delta (1°32.198'S, 117°33.756'E; 698 m water depth) during the SO217 Makassar-Java Cruise. Sea surface temperatures, based on Mg/Ca of Globigerinoides ruber and alkenone UK'37, and seawater δ18O reconstructions, based on G. ruber δ18O and Mg/Ca, in combination with sortable silt grain size measurements and X-ray fluorescence (XRF) core scanner derived elemental data provide evidence for increased precipitation during the Bølling-Allerød (BA) and early Holocene and for warmer and more saline surface waters and a decrease in the intensity of the Indonesian Throughflow (ITF) during the Younger Dryas (YD). XRF derived Log (Zr/Rb) records, sortable silt data and increased sedimentation rates indicate decreased winnowing, interpreted as a slowdown of the ITF thermocline flow during the YD. We attribute this decline in ITF intensity to slowdown of the Atlantic meridional overturning circulation during the YD. We suggest that changes in Makassar Strait surface hydrology during this interval of Northern Hemisphere cooling and Southern Hemisphere warming were related to a southward displacement of the Intertropical Convergence Zone.
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Bischoff, James L.; Williams, Ross W.; Rosenbauer, Robert J.; Aramburu, Arantza; Arsuaga, Juan Luis; Garcia, Nuria; Cuenca-Bescos, Gloria
2007-01-01
The Sima de los Huesos site of the Atapuerca complex near Burgos, Spain contains the skeletal remains of at least 28 individuals in a mud-breccia underlying an accumulation of the Middle Pleistocene cave bear (Ursus deningeri). We report here on new high-precision dates on the recently discovered speleothem SRA-3 overlaying human bones within the Sima de los Huesos. Earlier analyses of this speleothem by TIMS (thermal-ionization mass-spectrometry) showed the lower part to be indistinguishable from internal isotopic equilibrium at the precision of the TIMS instrumentation used, yielding minimum age of 350 kyr (kyr = 103 yr before present). Reanalysis of six samples of SRA-3 by inductively-coupled plasma-multicollector mass-spectrometry (ICP-MS) produced high-precision analytical results allowing calculation of finite dates. The new dates cluster around 600 kyr. A conservative conclusion takes the lower error limit ages as the minimum age of the speleothem, or 530 kyr. This places the SH hominids at the very beginnings of the Neandertal evolutionary lineage.
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Palaeoecology of a 3-kyr biosedimentary record of a coral reef-supporting carbonate shelf
NASA Astrophysics Data System (ADS)
Almeida, Carine M.; Barbosa, Catia Fernandes; Cordeiro, Renato C.; Seoane, José Carlos S.; Fermino, Gerson M.; Silva, Patricia O.; Turcq, Bruno J.
2013-11-01
This study assesses the 3-kyr paleoecology and sedimentary evolution of the Abrolhos carbonate shelf, Bahia, Brazil, using a two-meter-long core collected in a carbonate muddy sediment. The paleoecology was based on the distribution of benthic foraminifer functional groups associated with grain size, total organic carbon (TOC), total nitrogen (TN), C/N and δ13C. The results identified three biosedimentary units showing that symbiont-bearing foraminifers (Peneroplis and Archaias) decrease in abundance. However, other small taxa (Miliolinella and Cornuspira) and stress-tolerant genera (Bolivina, Elphidium and Ammonia) increase in abundance toward the core top. Grain size decreases toward the top of the core, suggesting a weakening of hydrodynamic winnowing toward recent time. The TOC and TN concentrations increase, and the C/N ratios decrease, suggesting an increase of marine productivity from nearby goblet-shaped structures called "chapeirões". Changes in the benthic foraminifer community can be linked to the sedimentological and organic matter input, which are the result of climatic and oceanographic variations at different spatial and time scales, thus illustrating reduced potential to support symbiont-bearing foraminifer communities to the end of the Holocene.
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Monsch, K.A.; Fierstine, H.L.; Weems, R.E.
2005-01-01
Until recently, Histiophorus rotundus Woodward 1901, was known from a single, poorly preserved rostrum from the Tertiary phosphate beds near Charleston, South Carolina, an area from which many fossils have been described. The specimen is relatively featureless externally; its internal anatomy is unknown and the documentation of its geological provenance was poor. In an earlier revision the species was transferred to the fossil billfish genus Xiphiorhynchus Van Beneden, 1871. Here we confirm this designation, supported by new morphological studies of the holotype, recently found specimens of Xiphiorhynchus rotundus (Woodward, 1901), and the stratigraphic record of Xiphiorhynchus. The systematic paleontology we present is a contribution to the taxonomic revision of billfishes world-wide. Because the holotype is heavily phosphatized and the type locality was vaguely described, we discuss the geology of the phosphate mining districts of the Charleston region. Based on our studies, we can narrow the possible age of the holotype to late Oligocene or early Miocene. We suggest X. rotundus was extinct by the Burdigalian.
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NASA Technical Reports Server (NTRS)
Mueller, J. L. (Editor); Fargion, Giulietta S. (Editor); McClain, Charles R. (Editor)
2003-01-01
This document stipulates protocols for measuring bio-optical and radiometric data for the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities and algorithm development. The document is organized into 6 separate volumes as Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 4. Volume I: Introduction, Background and Conventions; Volume II: Instrument Specifications, Characterization and Calibration; Volume III: Radiometric Measurements and Data Analysis Methods; Volume IV: Inherent Optical Properties: Instruments, Characterization, Field Measurements and Data Analysis Protocols; Volume V: Biogeochemical and Bio-Optical Measurements and Data Analysis Methods; Volume VI: Special Topics in Ocean Optics Protocols and Appendices. The earlier version of Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 3 (Mueller and Fargion 2002, Volumes 1 and 2) is entirely superseded by the six volumes of Revision 4 listed above.
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Gardner, J.V.; Dean, W.E.; Dartnell, P.
1997-01-01
A north-south transect of 17 cores was constructed along the eastern boundary of the California Current system from 33?? to 42?? N to investigate the changes in biogenic sedimentation over the past 30 kyr. Percentages and mass accumulation rates of CaCO3, Corg, and biogenic opal were assembled at 500 to 1000 years/sample to provide relatively high resolution. Time-space maps reveal a complex pattern of changes that do not follow a simple glacial-interglacial two-mode model. Biogenic sedimentation shows responses that are sometimes time-transgressive and sometimes coeval, and most of the responses show more consistency within a limited geographic area than any temporal consistency. Reconstructed conditions during late oxygen isotope stage 3 were more like early Holocene conditions than any other time during the last 30 kyr. Coastal upwelling and productivity during oxygen isotope stage 3 were relatively strong along the central California margin but were weak along the northern California margin. Precipitation increased during the last glacial interval in the central California region, and the waters of the southern California margin had relatively low productivity. Productivity on the southern Oregon margin was relatively low at the beginning of the last glacial interval, but by about 20 ka, productivity in this area significantly increased. This change suggests that the center of the divergence of the West Wind Drift shifted south at this time. The end of the last glacial interval was characterized by increased productivity in the southern California margin and increased upwelling along the central California margin but upwelling remained weak along the northern California margin. A sudden (<300 years) decrease in CaCO3, Corg, and biogenic opal occurred at 13 ka. The changes suggest a major reorientation of the atmospheric circulation in the North Pacific and western North America and the establishment of a strong seasonality in the central California region. A
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Sediment provenance in the Laxmi Basin of the Arabian Sea during the last 800 kyrs
NASA Astrophysics Data System (ADS)
Khim, B. K.; Horikawa, K.; Asahara, Y.; Kim, J. E.; Ikehara, M.; Lee, J.
2017-12-01
International Ocean Discovery Program Expedition 355 conducted to drill 1109.4 m penetration at Site U1456 in the Laxmi Basin of the Arabian Sea. Four lithologic units are defined onboard at Site U1456 (Pandey et al., 2016). Unit I is 121 m long, consisting mostly of pelagic carbonates (nannofossil ooze and/or foraminifera-rich nannofossil ooze) interbedded with thin terrigenous (clay, silt, and sand) turbidite layers. The age model of Unit I was determined by the correlation of δ18O fluctuations of planktonic foraminifera (Globigerinoides ruber) to LR04 stacks, estimating 1.2 Ma. A total of 60 samples, collected in the context of magnetic susceptibility (MS) changes at a discrete interval from a composite section (Holes U1456A and U1456C) of Unit I, were analyzed to measure Nd and Sr isotopes of detrital fraction. Based on Nd and Sr isotopes, the sediment provenance in the Laxmi Basin during the last 800 kyrs was traced in response to the monsoon activity between the interglacial and glacial periods. ɛNd and 87Sr/86Sr vary in a range from -12.4 to -8.0 and from 0.712 to 0.727, respectively. The correlation between ɛNd and 87Sr/86Sr is quite linear, indicating that the sediments were provided mainly by two dominant sources. Considering the ɛNd and 87Sr/86Sr end-members of sediment sources (i.e., river sediments), the Tapi River and Narmada River are the main contributors of sediments to Site U1456 with a little influence by the modern Indus River. However, the glacial sediments from the Indus River and the Mahi River may supply an additional fraction, leading to less ɛNd and more 87Sr/86Sr at Site U1456. Judged by the sediment sources, the sediments in the Laxmi Basin are characterized by the mixture of different provenances. In addition, it should be noted that the low ɛNd and high 87Sr/86Sr values coincide largely with high MS and vice versa, irrespectively of the glacial-interglacial change. Thus, rather than the sediment provenances, ɛNd and 87Sr/86Sr
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NASA Astrophysics Data System (ADS)
van Soelen, E. E.; Brooks, G.; Lammertsma, E.; Donders, T.; Wagner-Cremer, F.; Sangiorgi, F.; Cremer, H.; Sinninghe Damsté, J. S.; Reichart, G. J.
2009-04-01
The exact consequences of human induced climate change are as yet not known. One of the current debates concerns the relation between rising sea surface temperatures (SST) and enhanced hurricane activity. It has also been suggested that the El Niño Southern Oscillation (ENSO) variability plays a major role in providing favorable circumstances for hurricane development. Paleo-climate reconstructions can help understanding long-term trends in hurricane activity. However, reliable climate reconstructions first require that suitable proxies are developed and tested. For this purpose, a pilot-study was performed using biomarkers, pollen, dinoflagellates and diatoms in a core from Tampa-Bay, Florida, covering the Holocene. The hydrological cycle in this part of Florida is strongly affected by both ENSO [1] and hurricanes. Biomarkers of both terrestrial and marine origin were abundant in the core sediments. High taraxerol concentrations were found which are characteristic for the close proximity of mangrove forests on the bays fringes. Other vascular plant derived biomarkers include friedelanone and β-sitosterol. Marine biomarkers include amongst others dinosterol and long-chain C37 and C38 alkenones, indicative for dinoflagellates and haptophyte algae respectively. These biomarkers are absent in sediments older than 7 kyr BP, indicating a non-marine depositional environment. In sediments younger than 7 kyr BP, increasing amounts of marine biomarkers indicate a transition towards estuarine conditions. SST was reconstructed on the alkenones-based paleothermometer Uk'37 and indicates temperatures of ~ 26°C for the past ~4 kyr. Between 7 and 4 kyr BP, concentrations of alkenones in the sediments are too low for reliable SST reconstructions. The shift towards estuarine conditions is a consequence of rising sea-levels following the last deglaciation and is in agreement with earlier findings by Cronin et al. [2], who recognized a change from lacustrine to marine sediments
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The Padua Inventory: Do Revisions Need Revision?
ERIC Educational Resources Information Center
Gonner, Sascha; Ecker, Willi; Leonhart, Rainer
2010-01-01
The purpose of the present study was to examine the psychometric properties, factorial structure, and validity of the Padua Inventory-Washington State University Revision and of the Padua Inventory-Revised in a large sample of patients with obsessive-compulsive disorder (n = 228) and with anxiety disorders and/or depression (n = 213). The…
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Vásquez-Vélez, Laura M
2016-12-12
In my revision of the genus Pselaphomorphus Motschulsky, 1855 (Vásquez-Vélez 2016) the depository of the holotype of P. cayennensis Vásquez-Vélez, 2016 was not listed. As a result, the requirements of Article 16.4.2 of the International Code of Zoological Nomenclature (International Commission on Zoological Nomenclature 1999) have not been met, making the name unavailable. This note aims at correcting the earlier mistake: the holotype of P. cayennensis is deposited at the Museum of natural history (Muséum d'histoire naturelle), Geneva, Switzerland.
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A Revised Holocene History of Lake Kivu, East Africa
NASA Astrophysics Data System (ADS)
Votava, J. E.; Johnson, T. C.; Hecky, R. E.
2013-12-01
The great lakes of the East African Rift valley are a vast chain of lakes formed in a region of active tectonics. These large, deep lakes are relatively old and many (e.g. Tanganyika, Malawi, and Turkana) have greatly influenced our understanding of terrestrial, tropical East African paleoclimate. Lake Kivu (max depth, 485m) sits at the heart of these rift lakes, north of Lake Tanganyika between the Democratic Republic of the Congo and Rwanda (roughly 250 km west of Lake Victoria). At over 1,400 meters in elevation, this 2,060 km2 mesotrophic lake has a complex stratification regime imposed by hydrothermal springs and deep waters supersaturated at STP in CO2 and CH4 gasses. The active Virunga Volcanoes to the north of the lake supply heated, high-salinity waters below 280 meters water depth maintaining the modern crenogenic meromixis. Based on detailed studies of diatom assemblages and bulk sedimentology, previous workers have suggested this hydrothermal activity began roughly 5,000 years BP. Unfortunately, dating and stratigraphic correlations of these original cores from the 1970 Woods Hole Oceanographic Institution's expedition have been problematic. Here we offer an improved chronology and new carbonate analyses from cores recovered in 2012 and 2013. Our AMS radiocarbon ages come from six terrigeneous macrofossils spanning the last 9,100 years (cal BP). These ages suggest a rather high sedimentation rate on the order of 70cm/kyr, and hence, our 8 m-long core provides us with a high-resolution lake history for the past 10,000 years. Most notable over the past 5,000 years in the lake history is the repeated onset and cessation of carbonate deposition, punctuated by organic-rich intervals. Earlier studies of the Woods Hole cores placed the onset of carbonate deposition at ca. 11,000 years BP suggesting changes in lake hydrology (i.e. closed to open), while the abrupt cessation of carbonate was dated at ca. 5,000 years BP and attributed to the beginning of
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Sea ice and millennial-scale climate variability in the Nordic seas 90 kyr ago to present
Hoff, Ulrike; Rasmussen, Tine L.; Stein, Ruediger; Ezat, Mohamed M.; Fahl, Kirsten
2016-01-01
In the light of rapidly diminishing sea ice cover in the Arctic during the present atmospheric warming, it is imperative to study the distribution of sea ice in the past in relation to rapid climate change. Here we focus on glacial millennial-scale climatic events (Dansgaard/Oeschger events) using the sea ice proxy IP25 in combination with phytoplankton proxy data and quantification of diatom species in a record from the southeast Norwegian Sea. We demonstrate that expansion and retreat of sea ice varies consistently in pace with the rapid climate changes 90 kyr ago to present. Sea ice retreats abruptly at the start of warm interstadials, but spreads rapidly during cooling phases of the interstadials and becomes near perennial and perennial during cold stadials and Heinrich events, respectively. Low-salinity surface water and the sea ice edge spreads to the Greenland–Scotland Ridge, and during the largest Heinrich events, probably far into the Atlantic Ocean. PMID:27456826
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Sea ice and millennial-scale climate variability in the Nordic seas 90 kyr ago to present.
Hoff, Ulrike; Rasmussen, Tine L; Stein, Ruediger; Ezat, Mohamed M; Fahl, Kirsten
2016-07-26
In the light of rapidly diminishing sea ice cover in the Arctic during the present atmospheric warming, it is imperative to study the distribution of sea ice in the past in relation to rapid climate change. Here we focus on glacial millennial-scale climatic events (Dansgaard/Oeschger events) using the sea ice proxy IP25 in combination with phytoplankton proxy data and quantification of diatom species in a record from the southeast Norwegian Sea. We demonstrate that expansion and retreat of sea ice varies consistently in pace with the rapid climate changes 90 kyr ago to present. Sea ice retreats abruptly at the start of warm interstadials, but spreads rapidly during cooling phases of the interstadials and becomes near perennial and perennial during cold stadials and Heinrich events, respectively. Low-salinity surface water and the sea ice edge spreads to the Greenland-Scotland Ridge, and during the largest Heinrich events, probably far into the Atlantic Ocean.
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Orbital-scale denitrification changes in the Eastern Arabian Sea during the last 800 kyrs.
Kim, Ji-Eun; Khim, Boo-Keun; Ikehara, Minoru; Lee, Jongmin
2018-05-04
Denitrification in the Arabian Sea is closely related to the monsoon-induced upwelling and subsequent phytoplankton production in the surface water. The δ 15 N values of bulk sediments collected at Site U1456 of the International Ocean Discovery Program (IODP) Expedition 355 reveal the orbital-scale denitrification history in response to the Indian Monsoon. Age reconstruction based on the correlation of planktonic foraminifera (Globigerinoides ruber) δ 18 O values with the LR04 stack together with the shipboard biostratigraphic and paleomagnetic data assigns the study interval to be 1.2 Ma. Comparison of δ 15 N values during the last 800 kyrs between Site U1456 (Eastern Arabian Sea) and Site 722B (Western Arabian Sea) showed that δ 15 N values were high during interglacial periods, indicating intensified denitrification, while the opposite was observed during glacial periods. Taking 6‰ as the empirical threshold of denitrification, the Eastern Arabian Sea has experienced a persistent oxygen minimum zone (OMZ) to maintain strong denitrification whereas the Western Arabian Sea has undergone OMZ breakdown during some glacial periods. The results of this study also suggests that five principal oceanographic conditions were changed in response to the Indian Monsoon following the interglacial and glacial cycles, which controls the degree of denitrification in the Arabian Sea.
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Wet periods in northeastern Brazil over the past 210 kyr linked to distant climate anomalies.
Wang, Xianfeng; Auler, Augusto S; Edwards, R Lawrence; Cheng, Hai; Cristalli, Patricia S; Smart, Peter L; Richards, David A; Shen, Chuan-Chou
2004-12-09
The tropics are the main source of the atmosphere's sensible and latent heat, and water vapour, and are therefore important for reconstructions of past climate. But long, accurately dated records of southern tropical palaeoclimate, which would allow the establishment of climatic connections to distant regions, have not been available. Here we present a 210,000-year (210-kyr) record of wet periods in tropical northeastern Brazil--a region that is currently semi-arid. The record is obtained from speleothems and travertine deposits that are accurately dated using the U/Th method. We find wet periods that are synchronous with periods of weak East Asian summer monsoons, cold periods in Greenland, Heinrich events in the North Atlantic and periods of decreased river runoff to the Cariaco basin. We infer that the wet periods may be explained with a southward displacement of the Intertropical Convergence Zone. This widespread synchroneity of climate anomalies suggests a relatively rapid global reorganization of the ocean-atmosphere system. We conclude that the wet periods probably affected rainforest distribution, as plant fossils show that forest expansion occurred during these intermittent wet intervals, and opened a forest corridor between the Amazonian and Atlantic rainforests.
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NASA Astrophysics Data System (ADS)
Tomaszewska, M. A.; Henebry, G. M.
2017-12-01
The vertical transhumance practiced by herders in the highlands of Kyrgyzstan is vulnerable to environmental change. Herd movements and pasture conditions are both affected by spatial and temporal variations in snow cover and the timing of snowmelt. Early growing season soil moisture conditions affect the phenology and growth of vegetation, especially in the high elevation pastures used for summer forage. To evaluate snow seasonality, we examined three snow cover variables—the first day of snow (FDoS), the last day of snow (LDoS), and the duration of snow cover (DoSC) over 17 years based on 8-day snow product from MODIS Terra and Aqua (MOD/MYD10A2) across the Kyrgyz Republic (KYR). To track the "snow season" efficiently in the presence of snow-capped peaks, we start each snow season at day of year (DOY) 169, approximately the summer solstice, and extend to DOY 168 of the following year. To track the interannual variation of these variables, we applied two nonparametric statistics: the Mann-Kendall trend test and the Theil-Sen linear trend estimator. Our preliminary results focusing on four rayons in two oblasts indicate both large swaths of positive and negative significant trends over the different regions of the country. Positive trends in FDoS, meaning later snow arrival, were detected in parts of central KYR. Negative trends in FDoS meaning earlier arrival were detected at lower elevations in southwestern KYR. Earlier snowmelt (negative trend in LDoS) in eastern KYR resulted in a shorter snow season (negative trend in DoSC); in contrast, later snowmelt in southwestern KYR (positive trend in LDoS) resulted in a longer period of snow cover (positive trend of DoSC). We extend the analysis to the entire country and explore the influence of terrain attribites (elevation, slope, and aspect) and MODIS IGBP land cover type (MCD12Q1) on trends in snow cover seasonality. Additionally, we ran the trend tests for the Terra and Aqua snow products separately to evaluate
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Typing single polymorphic nucleotides in mitochondrial DNA as a way to access Middle Pleistocene DNA
Valdiosera, Cristina; García, Nuria; Dalén, Love; Smith, Colin; Kahlke, Ralf-Dietrich; Lidén, Kerstin; Angerbjörn, Anders; Arsuaga, Juan Luis; Götherström, Anders
2006-01-01
In this study, we have used a technique designed to target short fragments containing informative mitochondrial substitutions to extend the temporal limits of DNA recovery and study the molecular phylogeny of Ursus deningeri. We present a cladistic analysis using DNA recovered from 400 kyr old U. deningeri remains, which demonstrates U. deningeri's relation to Ursus spelaeus. This study extends the limits of recovery from skeletal remains by almost 300 kyr. Plant material from permafrost environments has yielded DNA of this age in earlier studies, and our data suggest that DNA in teeth from cave environments may be equally well preserved. PMID:17148299
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Research promises earlier warning for grapevine canker diseases
USDA-ARS?s Scientific Manuscript database
When it comes to detecting and treating vineyards for grapevine canker diseases (also called trunk diseases), like Botryosphaeria dieback (Bot canker), Esca, Eutypa dieback and Phomopsis dieback, the earlier the better, says plant pathologist Kendra Baumgartner, with the USDA’s Agricultural Research...
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NASA Technical Reports Server (NTRS)
Mueller, J. L.; Fargion, G. S.; McClain, C. R. (Editor); Pegau, S.; Zanefeld, J. R. V.; Mitchell, B. G.; Kahru, M.; Wieland, J.; Stramska, M.
2003-01-01
This document stipulates protocols for measuring bio-optical and radiometric data for the Sensor Intercomparision and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities and algorithm development. The document is organized into 6 separate volumes as Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 4. Volume I: Introduction, Background, and Conventions; Volume II: Instrument Specifications, Characterization and Calibration; Volume III: Radiometric Measurements and Data Analysis Methods; Volume IV: Inherent Optical Properties: Instruments, Characterization, Field Measurements and Data Analysis Protocols; Volume V: Biogeochemical and Bio-Optical Measurements and Data Analysis Methods; Volume VI: Special Topics in Ocean Optics Protocols and Appendices. The earlier version of Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 3 is entirely superseded by the six volumes of Revision 4 listed above.
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ERIC Educational Resources Information Center
Marty, Myron
1982-01-01
Reviews Frances FitzGerald's book, "America Revised," and discusses FitzGerald's critique of recent revisions in secondary-level U.S. history textbooks. The author advocates the implementation of a core curriculum for U.S. history which emphasizes political and local history. (AM)
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The Dynamics of Curriculum Revision.
ERIC Educational Resources Information Center
LaPorte, Diane Howard; LaPorte, Ronald E.
This research study was undertaken in order to understand the dynamics of curriculum revision. The study examines reasons for change, persons involved in revision, frequency of revision, ways of evaluating a revised curriculum, and consistency of revision processes across school districts. Information was obtained through surveys distributed to…
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Cultural innovation and megafauna interaction in the early settlement of arid Australia.
Hamm, Giles; Mitchell, Peter; Arnold, Lee J; Prideaux, Gavin J; Questiaux, Daniele; Spooner, Nigel A; Levchenko, Vladimir A; Foley, Elizabeth C; Worthy, Trevor H; Stephenson, Birgitta; Coulthard, Vincent; Coulthard, Clifford; Wilton, Sophia; Johnston, Duncan
2016-11-10
Elucidating the material culture of early people in arid Australia and the nature of their environmental interactions is essential for understanding the adaptability of populations and the potential causes of megafaunal extinctions 50-40 thousand years ago (ka). Humans colonized the continent by 50 ka, but an apparent lack of cultural innovations compared to people in Europe and Africa has been deemed a barrier to early settlement in the extensive arid zone. Here we present evidence from Warratyi rock shelter in the southern interior that shows that humans occupied arid Australia by around 49 ka, 10 thousand years (kyr) earlier than previously reported. The site preserves the only reliably dated, stratified evidence of extinct Australian megafauna, including the giant marsupial Diprotodon optatum, alongside artefacts more than 46 kyr old. We also report on the earliest-known use of ochre in Australia and Southeast Asia (at or before 49-46 ka), gypsum pigment (40-33 ka), bone tools (40-38 ka), hafted tools (38-35 ka), and backed artefacts (30-24 ka), each up to 10 kyr older than any other known occurrence. Thus, our evidence shows that people not only settled in the arid interior within a few millennia of entering the continent, but also developed key technologies much earlier than previously recorded for Australia and Southeast Asia.
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NASA Astrophysics Data System (ADS)
Strodel, Paul; Tavan, Paul
2002-09-01
We present a revised multi-reference configuration interaction (MRCI) algorithm for balanced and efficient calculation of electronic excitations in molecules. The revision takes up an earlier method, which had been designed for flexible, state-specific, and individual selection (IS) of MRCI expansions, included perturbational corrections (PERT), and used the spin-coupled hole-particle formalism of Tavan and Schulten (1980) for matrix-element evaluation. It removes the deficiencies of this method by introducing tree structures, which code the CI bases and allow us to efficiently exploit the sparseness of the Hamiltonian matrices. The algorithmic complexity is shown to be optimal for IS/MRCI applications. The revised IS/MRCI/PERT module is combined with the effective valence shell Hamiltonian OM2 suggested by Weber and Thiel (2000). This coupling serves the purpose of making excited state surfaces of organic dye molecules accessible to relatively cheap and sufficiently precise descriptions.
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Daly, Walter J.
2004-01-01
Thirteenth century medical science, like medieval scholarship in general, was directed at reconciliation of Greek philosophy/science with prevailing medieval theology and philosophy. Peter of Spain [later Pope John XXI] was the leading medical scholar of his time. Peter wrote a long book on the soul. Imbedded in it was a chapter on the motion of the heart. Peter's De Motu was based on his own medical experience and Galen's De Usu Partium and De Usu Respirationis and De Usu Pulsuum. This earlier De Motu defines a point on the continuum of intellectual development leading to us and into the future. Thirteenth century scholarship relied on past authority to a degree that continues to puzzle and beg explanation. Images Fig. 1 PMID:17060956
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Tucker, Adam; Warnock, Michael; McDonald, Sinead; Cusick, Laurence; Foster, Andrew P
2018-04-01
Cephalomedullary nail (CMN) failure is a rare entity following hip fracture treatment. However, it poses significant challenges for revision surgery, both mechanically and biologically. Nail failure rates have been reported at < 2%; however, no published studies have reported revision surgery procedures and their respective outcomes. We present a regional experience, with outcomes, of the revision options. We identified 20 fatigued CMNs that underwent four different revision procedures. Mean age was 73 ± 15.24 years, with a 3:1 female preponderance, and a median ASA grade of 3. Post-operative CMN radiographs demonstrated a significant number of fractures were fixed in varus, with reductions in neck-shaft angles post-operatively. A "poor" quality of reduction resulted in significantly earlier nail failure, compared to "adequate" and "good" (p = 0.027). Tip-Apex Distance (TAD) mean was 23.2 ± 8.3 mm, and an adequate TAD with three-point fixation was seen in only 35% of cases. Mean time to failure was 401.0 ± 237.2 days, with mean age at failure of 74.0 ± 14.8 years. Options after failure included revision CMN nail, proximal femoral locking plate (PFLP), long-stem or restoration arthroplasty, or femoral endoprosthesis. Barthel Functional Index scores showed no significant difference at 3 and 12 months post-operatively, nor any difference between treatment groups. Mean 12-month mortality was 30%, akin to a primary hip fracture mortality risk according to NICE guidelines. Mortality rates were lowest in revision nails. Subsequent revision rates were higher in the PFLP group. There is no reported evidence on the best surgical technique for managing the failed CMN, with no clear functional benefit in the options above. Good surgical technique at the time of primary CMN surgery is critical in minimising fatigue failure. After revision, overall mortality rates were equivalent to reported primary hip fracture mortality rates. Further multicentre
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Cardiac Complications, Earlier Treatment, and Initial Disease Severity in Kawasaki Disease.
Abrams, Joseph Y; Belay, Ermias D; Uehara, Ritei; Maddox, Ryan A; Schonberger, Lawrence B; Nakamura, Yosikazu
2017-09-01
To assess if observed higher observed risks of cardiac complications for patients with Kawasaki disease (KD) treated earlier may reflect bias due to confounding from initial disease severity, as opposed to any negative effect of earlier treatment. We used data from Japanese nationwide KD surveys from 1997 to 2004. Receipt of additional intravenous immunoglobulin (IVIG) (data available all years) or any additional treatment (available for 2003-2004) were assessed as proxies for initial disease severity. We determined associations between earlier or later IVIG treatment (defined as receipt of IVIG on days 1-4 vs days 5-10 of illness) and cardiac complications by stratifying by receipt of additional treatment or by using logistic modeling to control for the effect of receiving additional treatment. A total of 48 310 patients with KD were included in the analysis. In unadjusted analysis, earlier IVIG treatment was associated with a higher risk for 4 categories of cardiac complications, including all major cardiac complications (risk ratio, 1.10; 95% CI, 1.06-1.15). Stratifying by receipt of additional treatment removed this association, and earlier IVIG treatment became protective against all major cardiac complications when controlling for any additional treatment in logistic regressions (OR, 0.90; 95% CI, 0.80-1.00). Observed higher risks of cardiac complications among patients with KD receiving IVIG treatment on days 1-4 of the illness are most likely due to underlying higher initial disease severity, and patients with KD should continue to be treated with IVIG as early as possible. Published by Elsevier Inc.
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NASA Technical Reports Server (NTRS)
Mueller, J. L. (Editor); Fargion, Giuletta S. (Editor); McClain, Charles R. (Editor); Pegau, Scott; Zaneveld, J. Ronald V.; Mitchell, B. Gregg; Kahru, Mati; Wieland, John; Stramska, Malgorzat
2003-01-01
This document stipulates protocols for measuring bio-optical and radiometric data for the Sensor Intercomparison and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities and algorithm development. The document is organized into 6 separate volumes as Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 4. Volume I: Introduction, Background and Conventions; Volume II: Instrument Specifications, Characterization and Calibration; Volume III: Radiometric Measurements and Data Analysis Methods; Volume IV: Inherent Optical Properties: Instruments, Characterization, Field Measurements and Data Analysis Protocols; Volume V: Biogeochemical and Bio-Optical Measurements and Data Analysis Methods; Volume VI: Special Topics in Ocean Optics Protocols and Appendices. The earlier version of Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 3 (Mueller and Fargion 2002, Volumes 1 and 2) is entirely superseded by the six volumes of Revision 4 listed above.
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Holocene delta evolution and sediment discharge of the Mekong River, southern Vietnam
NASA Astrophysics Data System (ADS)
Ta, Thi Kim Oanh; Nguyen, Van Lap; Tateishi, Masaaki; Kobayashi, Iwao; Tanabe, Susumu; Saito, Yoshiki
2002-09-01
Evolutionary changes, delta progradation, and sediment discharge of the Mekong River Delta, southern Vietnam, during the late Holocene are presented based on detailed analyses of samples from six boreholes on the lower delta plain. Sedimentological and chronostratigraphic analyses indicate clearly that the last 3 kyr were characterized by delta progradation under increasing wave influence, southeastward sediment dispersal, decreasing progradation rates, beach-ridge formation, and steepening of the face of the delta front. Estimated sediment discharge of the Mekong River for the last 3 kyr, based on sediment-volume analysis, was 144±36 million t yr -1 on average, or almost the same as the present level. The constant rate of delta front migration and stable sediment discharge during the last 3 kyr indicate that a dramatic increase in sediment discharge owing to human activities, as has been suggested for the Yellow River watershed, did not occur. Although Southeast Asian rivers have been considered candidates for such dramatic increases in discharge during the last 2 kyr, the Mekong River example, although it is a typical, large river of this region, does not support this hypothesis. Therefore, estimates of the millennial-scale global pristine sediment flux to the oceans must be revised.
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Travelling for earlier surgical treatment: the patient's view.
Stewart, M; Donaldson, L J
1991-01-01
As part of the northern region's programme within the national waiting list initiative, schemes have been funded to test the feasibility and acceptability of offering patients the opportunity to travel further afield in order to receive earlier treatment. A total of 484 patients experiencing a long wait for routine surgical operations in the northern region were offered the opportunity to receive earlier treatment outside their local health district; 74% of the patients accepted the offer. The initiative was well received by the participating patients and the majority stated that if the need arose on a future occasion they would prefer to travel for treatment rather than have to wait for lengthy periods for treatment at their local hospital. These findings, interpreted in the light of the National Health Service reforms introduced in April 1991, suggest that for some types of care, patients would welcome greater flexibility in the placing of contracts, not merely reinforcement of historical patterns of referral. PMID:1823553
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NASA Astrophysics Data System (ADS)
Dubois, N.; Kindler, P.; Spezzaferri, S.; Coric, S.
2007-12-01
The sediments deposited at ODP Site 1195 (Marion Plateau, NE Australia) record synchronous shifts in their chemistry, mineralogy, grain size and colour at 6 meters below sea floor. These significant changes are interpreted to reflect the onset of the southern province of the Great Barrier Reef (GBR). An increased deposition of carbonate-rich sediments of neritic origin, coincident with a decline in both sedimentation rate and terrigenous input, is attributed to inshore trapping of materials by the reefs. Based on an age model combining magnetostratigraphic and biostratigraphic data, we propose that the southern province of the GBR initiated between 560 and 670 kyr B.P. Our best estimate concurs with previous studies reporting an age between 500 and 930 kyr B.P., albeit constraining more tightly these earlier age estimates. However, it does not support research placing the birth of the GBR in Marine Isotope Stage 11 (about 400 kyr B.P.), nor the recent theory of a worldwide modern reef development at that time.
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NASA Astrophysics Data System (ADS)
Hopcroft, Peter; Valdes, Paul
2014-05-01
An important example of abrupt climate change occurred 8200 years ago in the North Atlantic and is generally known as the 8.2kyr event. This abrupt ~160 year cooling appears to coincide with the final drainage of the ice-dammed Lakes Agassiz and Ojibway. The resultant influx of meltwater to the North Atlantic is assumed to have perturbed the Atlantic Meridional Overturning circulation, reducing northward heat transport and causing widespread cooling. Numerous lines of evidence support this theory, with reconstructions showing changes in deep water formation, reductions in salinity and evidence of sea-level rise. Coupled general circulation model (GCM) simulations driven with realistic estimates of the meltwater flux show a regional cooling but fail to replicate the duration or the magnitude of this event in comparison with proxy archives. Meltwater injection was not the only rapid climate forcing in operation at this time. Drainage of the pro-glacial lakes would have had a profound effect on the boundary layer heat fluxes over North America, with potential teleconnections further afield. In this work we use an isotope-enabled version of the coupled GCM HadCM3 with boundary conditions appropriate for the time period of 9kyr (including ice sheets, greenhouse gases and orbital parameters). This model tracks oxygen isotopes throughout the hydrological cycle allowing more robust comparison with proxy archives. We analyse the impact of the removal of a lake area corresponding to Lakes Agassiz and Ojibway at this time and present sensitivity tests designed to analyse the contributions from lake removal, orographic change and the assumed isotopic content of the pro-glacial lakes. The results show a distinct pattern of cooling across North America (in the annual mean) with an apparent teleconnection to the Barents Sea, where there is warming associated with sea-ice reduction. The isotopic implications depend on the initial isotopic content of the pro-glacial lake. Assuming
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Prescription stimulant use is associated with earlier onset of psychosis.
Moran, Lauren V; Masters, Grace A; Pingali, Samira; Cohen, Bruce M; Liebson, Elizabeth; Rajarethinam, R P; Ongur, Dost
2015-12-01
A childhood history of attention deficit hyperactivity disorder (ADHD) is common in psychotic disorders, yet prescription stimulants may interact adversely with the physiology of these disorders. Specifically, exposure to stimulants leads to long-term increases in dopamine release. We therefore hypothesized that individuals with psychotic disorders previously exposed to prescription stimulants will have an earlier onset of psychosis. Age of onset of psychosis (AOP) was compared in individuals with and without prior exposure to prescription stimulants while controlling for potential confounding factors. In a sample of 205 patients recruited from an inpatient psychiatric unit, 40% (n = 82) reported use of stimulants prior to the onset of psychosis. Most participants were prescribed stimulants during childhood or adolescence for a diagnosis of ADHD. AOP was significantly earlier in those exposed to stimulants (20.5 vs. 24.6 years stimulants vs. no stimulants, p < 0.001). After controlling for gender, IQ, educational attainment, lifetime history of a cannabis use disorder or other drugs of abuse, and family history of a first-degree relative with psychosis, the association between stimulant exposure and earlier AOP remained significant. There was a significant gender × stimulant interaction with a greater reduction in AOP for females, whereas the smaller effect of stimulant use on AOP in males did not reach statistical significance. In conclusion, individuals with psychotic disorders exposed to prescription stimulants had an earlier onset of psychosis, and this relationship did not appear to be mediated by IQ or cannabis. Copyright © 2015 Elsevier Ltd. All rights reserved.
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NASA Astrophysics Data System (ADS)
Kingslake, Jonathan; Martín, Carlos; Arthern, Robert J.; Corr, Hugh F. J.; King, Edward C.
2016-09-01
We date a recent ice-flow reorganization of an ice divide in the Weddell Sea Sector, West Antarctica, using a novel combination of inverse methods and ice-penetrating radars. We invert for two-dimensional ice flow within an ice divide from data collected with a phase-sensitive ice-penetrating radar while accounting for the effect of firn on radar propagation and ice flow. By comparing isochronal layers simulated using radar-derived flow velocities with internal layers observed with an impulse radar, we show that the divide's internal structure is not in a steady state but underwent a disturbance, potentially implying a regional ice-flow reorganization, 2.5 (1.8-2.9) kyr B.P. Our data are consistent with slow ice flow in this location before the reorganization and the ice divide subsequently remaining stationary. These findings increase our knowledge of the glacial history of a region that lacks dated constraints on late-Holocene ice-sheet retreat and provides a key target for models that reconstruct and predict ice-sheet behavior.
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NASA Astrophysics Data System (ADS)
Drury, Anna Joy; Westerhold, Thomas; Hodell, David; Röhl, Ursula
2018-03-01
Ocean Drilling Program (ODP) Site 982 represents a key location for understanding the evolution of climate in the North Atlantic over the past 12 Ma. However, concerns exist about the validity and robustness of the underlying stratigraphy and astrochronology, which currently limits the adequacy of this site for high-resolution climate studies. To resolve this uncertainty, we verify and extend the early Pliocene to late Miocene shipboard composite splice at Site 982 using high-resolution XRF core scanning data and establish a robust high-resolution benthic foraminiferal stable isotope stratigraphy and astrochronology between 8.0 and 4.5 Ma. Splice revisions and verifications resulted in ˜ 11 m of gaps in the original Site 982 isotope stratigraphy, which were filled with 263 new isotope analyses. This new stratigraphy reveals previously unseen benthic δ18O excursions, particularly prior to 6.65 Ma. The benthic δ18O record displays distinct, asymmetric cycles between 7.7 and 6.65 Ma, confirming that high-latitude climate is a prevalent forcing during this interval. An intensification of the 41 kyr beat in both the benthic δ13C and δ18O is also observed ˜ 6.4 Ma, marking a strengthening in the cryosphere-carbon cycle coupling. A large ˜ 0.7 ‰ double excursion is revealed ˜ 6.4-6.3 Ma, which also marks the onset of an interval of average higher δ18O and large precession and obliquity-dominated δ18O excursions between 6.4 and 5.4 Ma, coincident with the culmination of the late Miocene cooling. The two largest benthic δ18O excursions ˜ 6.4-6.3 Ma and TG20/22 coincide with the coolest alkenone-derived sea surface temperature (SST) estimates from Site 982, suggesting a strong connection between the late Miocene global cooling, and deep-sea cooling and dynamic ice sheet expansion. The splice revisions and revised astrochronology resolve key stratigraphic issues that have hampered correlation between Site 982, the equatorial Atlantic and the Mediterranean
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Sensitivity of revised diagnostic criteria for the behavioural variant of frontotemporal dementia
Hodges, John R.; Knopman, David; Mendez, Mario F.; Kramer, Joel H.; Neuhaus, John; van Swieten, John C.; Seelaar, Harro; Dopper, Elise G. P.; Onyike, Chiadi U.; Hillis, Argye E.; Josephs, Keith A.; Boeve, Bradley F.; Kertesz, Andrew; Seeley, William W.; Rankin, Katherine P.; Johnson, Julene K.; Gorno-Tempini, Maria-Luisa; Rosen, Howard; Prioleau-Latham, Caroline E.; Lee, Albert; Kipps, Christopher M.; Lillo, Patricia; Piguet, Olivier; Rohrer, Jonathan D.; Rossor, Martin N.; Warren, Jason D.; Fox, Nick C.; Galasko, Douglas; Salmon, David P.; Black, Sandra E.; Mesulam, Marsel; Weintraub, Sandra; Dickerson, Brad C.; Diehl-Schmid, Janine; Pasquier, Florence; Deramecourt, Vincent; Lebert, Florence; Pijnenburg, Yolande; Chow, Tiffany W.; Manes, Facundo; Grafman, Jordan; Cappa, Stefano F.; Freedman, Morris; Grossman, Murray; Miller, Bruce L.
2011-01-01
Based on the recent literature and collective experience, an international consortium developed revised guidelines for the diagnosis of behavioural variant frontotemporal dementia. The validation process retrospectively reviewed clinical records and compared the sensitivity of proposed and earlier criteria in a multi-site sample of patients with pathologically verified frontotemporal lobar degeneration. According to the revised criteria, ‘possible’ behavioural variant frontotemporal dementia requires three of six clinically discriminating features (disinhibition, apathy/inertia, loss of sympathy/empathy, perseverative/compulsive behaviours, hyperorality and dysexecutive neuropsychological profile). ‘Probable’ behavioural variant frontotemporal dementia adds functional disability and characteristic neuroimaging, while behavioural variant frontotemporal dementia ‘with definite frontotemporal lobar degeneration’ requires histopathological confirmation or a pathogenic mutation. Sixteen brain banks contributed cases meeting histopathological criteria for frontotemporal lobar degeneration and a clinical diagnosis of behavioural variant frontotemporal dementia, Alzheimer’s disease, dementia with Lewy bodies or vascular dementia at presentation. Cases with predominant primary progressive aphasia or extra-pyramidal syndromes were excluded. In these autopsy-confirmed cases, an experienced neurologist or psychiatrist ascertained clinical features necessary for making a diagnosis according to previous and proposed criteria at presentation. Of 137 cases where features were available for both proposed and previously established criteria, 118 (86%) met ‘possible’ criteria, and 104 (76%) met criteria for ‘probable’ behavioural variant frontotemporal dementia. In contrast, 72 cases (53%) met previously established criteria for the syndrome (P < 0.001 for comparison with ‘possible’ and ‘probable’ criteria). Patients who failed to meet revised
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Biological consequences of earlier snowmelt from desert dust deposition in alpine landscapes.
Steltzer, Heidi; Landry, Chris; Painter, Thomas H; Anderson, Justin; Ayres, Edward
2009-07-14
Dust deposition to mountain snow cover, which has increased since the late 19(th) century, accelerates the rate of snowmelt by increasing the solar radiation absorbed by the snowpack. Snowmelt occurs earlier, but is decoupled from seasonal warming. Climate warming advances the timing of snowmelt and early season phenological events (e.g., the onset of greening and flowering); however, earlier snowmelt without warmer temperatures may have a different effect on phenology. Here, we report the results of a set of snowmelt manipulations in which radiation-absorbing fabric and the addition and removal of dust from the surface of the snowpack advanced or delayed snowmelt in the alpine tundra. These changes in the timing of snowmelt were superimposed on a system where the timing of snowmelt varies with topography and has been affected by increased dust loading. At the community level, phenology exhibited a threshold response to the timing of snowmelt. Greening and flowering were delayed before seasonal warming, after which there was a linear relationship between the date of snowmelt and the timing of phenological events. Consequently, the effects of earlier snowmelt on phenology differed in relation to topography, which resulted in increasing synchronicity in phenology across the alpine landscape with increasingly earlier snowmelt. The consequences of earlier snowmelt from increased dust deposition differ from climate warming and include delayed phenology, leading to synchronized growth and flowering across the landscape and the opportunity for altered species interactions, landscape-scale gene flow via pollination, and nutrient cycling.
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Revision and Validation of the Revised Teacher Beliefs Survey.
ERIC Educational Resources Information Center
Benjamin, Jane
This study revised the Teacher Beliefs Survey (S. Wooley and A. Wooley, 1999; TBS), an instrument to assess teachers beliefs related to constructivist and behaviorist theories of learning, and then studied the validity of the revised TBS. Drawing on a literature review, researchers added items for the existing constructs of the TBS and added a new…
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Ocean Optics Protocols for Satellite Ocean Color Sensor Validation. Volume 1; Revised
NASA Technical Reports Server (NTRS)
Mueller, James L. (Editor); Fargion, Giulietta (Editor); Mueller, J. L.; Trees, C.; Austin, R. W.; Pietras, C.; Hooker, S.; Holben, B.; McClain, Charles R.; Clark, D. K.;
2002-01-01
This document stipulates protocols for measuring bio-optical and radiometric data for the SIMBIOS Project. It supersedes the earlier version, and is organized into four parts: Introductory Background, Instrument Characteristics, Field Measurements and Data Analysis, Data Reporting and Archival. Changes in this revision include the addition of three new chapters: (1) Fundamental Definitions, Relationships and Conventions; (2) MOBY, A Radiometric Buoy for Performance Monitoring and Vicarious Calibration of Satellite Ocean Color Sensors: Measurement and Data Analysis Protocols; and (3) Normalized Water-Leaving Radiance and Remote Sensing Reflectance: Bidirectional Reflectance and Other Factors. Although the present document represents another significant, incremental improvement in the ocean optics protocols, there are several protocols that have either been overtaken by recent technological progress, or have been otherwise identified as inadequate. Revision 4 is scheduled for completion sometime in 2003. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational Project. The contributions are published as submitted, after only minor editing to correct obvious grammatical or clerical errors.
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Ocean Optics Protocols for Satellite Ocean Color Sensor Validation. Volume 2; Revised
NASA Technical Reports Server (NTRS)
Mueller, James L. (Editor); Fargion, Giulietta S. (Editor); Trees, C.; Austin, R. W.; Pietras, C. (Editor); Hooker, S.; Holben, B.; McClain, Charles R.; Clark, D. K.; Yuen, M.
2002-01-01
This document stipulates protocols for measuring bio-optical and radiometric data for the SIMBIOS Project. It supersedes the earlier version, and is organized into four parts: Introductory Background, Instrument Characteristics, Field Measurements and Data Analysis, Data Reporting and Archival. Changes in this revision include the addition of three new chapters: (1) Fundamental Definitions, Relationships and Conventions; (2) MOBY, A Radiometric Buoy for Performance Monitoring and Vicarious Calibration of Satellite Ocean Color Sensors: Measurement and Data Analysis Protocols; and (3) Normalized Water-Leaving Radiance and Remote Sensing Reflectance: Bidirectional Reflectance and Other Factors. Although the present document represents another significant, incremental improvement in the ocean optics protocols, there are several protocols that have either been overtaken by recent technological progress, or have been otherwise identified as inadequate. Revision 4 is scheduled for completion sometime in 2003. This technical report is not meant as a substitute for scientific literature. Instead, it will provide a ready and responsive vehicle for the multitude of technical reports issued by an operational Project. The contributions are published as submitted, after only minor editing to correct obvious grammatical or clerical errors.
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Revising Lecture Notes: How Revision, Pauses, and Partners Affect Note Taking and Achievement
ERIC Educational Resources Information Center
Luo, Linlin; Kiewra, Kenneth A.; Samuelson, Lydia
2016-01-01
Note taking has been categorized as a two-stage process: the recording of notes and the review of notes. We contend that note taking might best involve a three-stage process where the missing stage is revision. This study investigated the benefits of revising lecture notes and addressed two questions: First, is revision more effective than…
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Kim, Young-Ho
2017-09-01
The use of acetabular cup revision arthroplasty is on the rise as demands for total hip arthroplasty, improved life expectancies, and the need for individual activity increase. For an acetabular cup revision to be successful, the cup should gain stable fixation within the remaining supportive bone of the acetabulum. Since the patient's remaining supportive acetabular bone stock plays an important role in the success of revision, accurate classification of the degree of acetabular bone defect is necessary. The Paprosky classification system is most commonly used when determining the location and degree of acetabular bone loss. Common treatment options include: acetabular liner exchange, high hip center, oblong cup, trabecular metal cup with augment, bipolar cup, bulk structural graft, cemented cup, uncemented cup including jumbo cup, acetabular reinforcement device (cage), trabecular metal cup cage. The optimal treatment option is dependent upon the degree of the discontinuity, the amount of available bone stock and the likelihood of achieving stable fixation upon supportive host bone. To achieve successful acetabular cup revision, accurate evaluation of bone defect preoperatively and intraoperatively, proper choice of method of acetabular revision according to the evaluation of acetabular bone deficiency, proper technique to get primary stability of implant such as precise grafting technique, and stable fixation of implant are mandatory.
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Case studies on forecasting for innovative technologies: frequent revisions improve accuracy.
Lerner, Jeffrey C; Robertson, Diane C; Goldstein, Sara M
2015-02-01
Health technology forecasting is designed to provide reliable predictions about costs, utilization, diffusion, and other market realities before the technologies enter routine clinical use. In this article we address three questions central to forecasting's usefulness: Are early forecasts sufficiently accurate to help providers acquire the most promising technology and payers to set effective coverage policies? What variables contribute to inaccurate forecasts? How can forecasters manage the variables to improve accuracy? We analyzed forecasts published between 2007 and 2010 by the ECRI Institute on four technologies: single-room proton beam radiation therapy for various cancers; digital breast tomosynthesis imaging technology for breast cancer screening; transcatheter aortic valve replacement for serious heart valve disease; and minimally invasive robot-assisted surgery for various cancers. We then examined revised ECRI forecasts published in 2013 (digital breast tomosynthesis) and 2014 (the other three topics) to identify inaccuracies in the earlier forecasts and explore why they occurred. We found that five of twenty early predictions were inaccurate when compared with the updated forecasts. The inaccuracies pertained to two technologies that had more time-sensitive variables to consider. The case studies suggest that frequent revision of forecasts could improve accuracy, especially for complex technologies whose eventual use is governed by multiple interactive factors. Project HOPE—The People-to-People Health Foundation, Inc.
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Palaeomagnetic intensities from 14C-dated lava flows on the Big Island, Hawaii: 0-21 kyr
Pressling, Nicola; Laj, Carlo; Kissel, Catherie; Champion, Duane E.; Gubbins, David
2006-01-01
Thellier–Thellier experiments were carried out on 216 lava samples collected by the USGS on the Big Island. 35 individual flows from the Kilauea, Mauna Loa and Hualalai volcanoes are represented and independent radiocarbon dating of the flows yields absolute ages ranging from 290 to 20,240 yrs old. The palaeomagnetic analysis was carried out at the Laboratoire des Sciences du Climat et de l'Environnement in Gif-sur-Yvette, France, in two custom built, large capacity furnaces that have been specifically designed to minimise oxidation. The temperature steps were adapted to accommodate the characteristic loss of magnetisation at low temperatures seen in the Curie balance results and the use of half-size samples allowed secondary experiments to be carried out where necessary. The strict PICRIT-03 selection criteria were rigorously applied to the data and a high success rate of 53% has been achieved on a sample level. The flow averaged results almost double the existing 14C-dated palaeointensity dataset for this time window and confirm a period of high intensity over the past 4 kyr preceded by a period in which the dipole moment was weaker. However, the values attained in this study are on average higher than previously published data; reliability of these values is discussed.
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Revision of infected knee arthroplasties in Denmark
Lindberg-Larsen, Martin; Jørgensen, Christoffer C; Bagger, Jens; Schrøder, Henrik M; Kehlet, Henrik
2016-01-01
Background and purpose The surgical treatment of periprosthetic knee infection is generally either a partial revision procedure (open debridement and exchange of the tibial insert) or a 2-stage exchange arthroplasty procedure. We describe the failure rates of these procedures on a nationwide basis. Patients and methods 105 partial revisions (100 patients) and 215 potential 2-stage revision procedures (205 patients) performed due to infection from July 1, 2011 to June 30, 2013 were identified from the Danish Knee Arthroplasty Register (DKR). Failure was defined as surgically related death ≤ 90 days postoperatively, re-revision due to infection, or not reaching the second stage for a planned 2-stage procedure within a median follow-up period of 3.2 (2.2–4.2) years. Results The failure rate of the partial revisions was 43%. 71 of the partial revisions (67%) were revisions of a primary prosthesis with a re-revision rate due to infection of 34%, as compared to 55% in revisions of a revision prosthesis (p = 0.05). The failure rate of the 2-stage revisions was 30%. Median time interval between stages was 84 (9–597) days. 117 (54%) of the 2-stage revisions were revisions of a primary prosthesis with a re-revision rate due to infection of 21%, as compared to 29% in revisions of a previously revised prosthesis (p = 0.1). Overall postoperative mortality was 0.6% in high-volume centers (> 30 procedures within 2 years) as opposed to 7% in the remaining centers (p = 0.003). Interpretation The failure rates of 43% after the partial revision procedures and 30% after the 2-stage revisions in combination with the higher mortality outside high-volume centers call for centralization and reconsideration of surgical strategies. PMID:26900908
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Failure of aseptic revision total knee arthroplasties
Leta, Tesfaye H; Lygre, Stein Håkon L; Skredderstuen, Arne; Hallan, Geir; Furnes, Ove
2015-01-01
Background and purpose In Norway, the proportion of revision knee arthroplasties increased from 6.9% in 1994 to 8.5% in 2011. However, there is limited information on the epidemiology and causes of subsequent failure of revision knee arthroplasty. We therefore studied survival rate and determined the modes of failure of aseptic revision total knee arthroplasties. Method This study was based on 1,016 aseptic revision total knee arthroplasties reported to the Norwegian Arthroplasty Register between 1994 and 2011. Revisions done for infections were not included. Kaplan-Meier and Cox regression analyses were used to assess the survival rate and the relative risk of re-revision with all causes of re-revision as endpoint. Results 145 knees failed after revision total knee arthroplasty. Deep infection was the most frequent cause of re-revision (28%), followed by instability (26%), loose tibial component (17%), and pain (10%). The cumulative survival rate for revision total knee arthroplasties was 85% at 5 years, 78% at 10 years, and 71% at 15 years. Revision total knee arthroplasties with exchange of the femoral or tibial component exclusively had a higher risk of re-revision (RR = 1.7) than those with exchange of the whole prosthesis. The risk of re-revision was higher for men (RR = 2.0) and for patients aged less than 60 years (RR = 1.6). Interpretation In terms of implant survival, revision of the whole implant was better than revision of 1 component only. Young age and male sex were risk factors for re-revision. Deep infection was the most frequent cause of failure of revision of aseptic total knee arthroplasties. PMID:25267502
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Cosmetic rhinoplasty: revision rates revisited.
Neaman, Keith C; Boettcher, Adam K; Do, Viet H; Mulder, Corlyne; Baca, Marissa; Renucci, John D; VanderWoude, Douglas L
2013-01-01
Cosmetic rhinoplasty has great potential to change a patient's appearance. It also carries the very real risk of patient dissatisfaction and request for revision. Although there have been many published patient series studying various aspects of rhinoplasty, questions remain regarding revision rates, as well as risk factors for complications, dissatisfaction, and revision. The authors investigate the rate of cosmetic rhinoplasty revision at a plastic surgery group practice and identify risk factors for revision. Medical records were retrospectively reviewed for all patients who presented to a single multisurgeon practice for primary rhinoplasty, septorhinoplasty, and revision rhinoplasty between 1998 and 2008. Patient demographics, preoperative complaints, preoperative physical examination findings, detailed operative data, and postoperative outcomes were abstracted from the charts. Complication rates, revision rates, and postoperative patient satisfaction were calculated and analyzed for identifiable risk factors. Of 369 consecutive cosmetic rhinoplasties performed during the study period, 279 (72.7%) were conducted with an open approach. The overall complication, dissatisfaction, and revision rates were 7.9%, 15.4%, and 9.8%, respectively. Postoperatively, most patients (87%) were identified by their surgeons as having had successful anatomical correction of their nasal deformity. History of previous nasal operation or facial fracture, lack of anatomical correction, and occurrence of postoperative complications were associated with both revision and dissatisfaction (P < .05). Failure to address the nasal tip at the time of primary rhinoplasty was associated with a higher level of dissatisfaction. Cosmetic rhinoplasty is one of the most challenging procedures in plastic surgery; however, these data indicate that a high level of patient satisfaction is attainable within a plastic surgery group practice if certain factors are considered. Specifically, surgeons
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Code of Federal Regulations, 2012 CFR
2012-10-01
... 42 Public Health 2 2012-10-01 2012-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...
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Code of Federal Regulations, 2013 CFR
2013-10-01
... 42 Public Health 2 2013-10-01 2013-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...
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Code of Federal Regulations, 2014 CFR
2014-10-01
... 42 Public Health 2 2014-10-01 2014-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...
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Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 2 2011-10-01 2011-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...
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Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 2 2010-10-01 2010-10-01 false Effect of a revision; issue-specific nature of appeals of revised determinations and decisions. 405.1889 Section 405.1889 Public Health CENTERS FOR... revision; issue-specific nature of appeals of revised determinations and decisions. (a) If a revision is...
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Does Speech Emerge from Earlier Appearing Oral Motor Behaviors?.
ERIC Educational Resources Information Center
Moore, Christopher A.; Ruark, Jacki L.
1996-01-01
This study of the oral motor behaviors of seven toddlers (age 15 months) may be interpreted to indicate that: (1) mandibular coordination follows a developmental continuum from earlier emerging behaviors, such as chewing and sucking, through babbling, to speech, or (2) unique task demands give rise to distinct mandibular coordinative constraints…
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Mall, Nathan A; Abrams, Geoffrey D; Azar, Frederick M; Traina, Steve M; Allen, Answorth A; Parker, Richard; Cole, Brian J
2014-06-01
Anterior cruciate ligament (ACL) tears are common in athletes. Techniques and methods of treatment for these injuries continue to vary among surgeons. Thirty National Basketball Association (NBA) team physicians were surveyed during the NBA Pre-Draft Combine. Survey questions involved current and previous practice methods of primary and revision ACL reconstruction, including technique, graft choice, rehabilitation, and treatment of combined ACL and medial collateral ligament injuries. Descriptive parametric statistics, Fisher exact test, and logistic regression were used, and significance was set at α = 0.05. All 30 team physicians completed the survey. Eighty-seven percent indicated they use autograft (81% bone-patellar tendon-bone) for primary ACL reconstruction in NBA athletes, and 43% indicated they use autograft for revision cases. Fourteen surgeons (47%) indicated they use an anteromedial portal (AMP) for femoral tunnel drilling, whereas 5 years earlier only 4 (13%) used this technique. There was a significant (P = .009) positive correlation between fewer years in practice and AMP use. NBA team physicians' use of an AMP for femoral tunnel drilling has increased over the past 5 years.
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ERIC Educational Resources Information Center
Cable Television Information Center, Washington, DC.
This selective, annotated bibliography is a revision of the original published in 1972 (ED 071 402). Some 104 books, articles, and reports included here deal with access, applications, franchising, regulation, technology, and other aspects of cable television. The listings are of two types in each category. First are revisions of the original…
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Later endogenous circadian temperature nadir relative to an earlier wake time in older people
NASA Technical Reports Server (NTRS)
Duffy, J. F.; Dijk, D. J.; Klerman, E. B.; Czeisler, C. A.
1998-01-01
The contribution of the circadian timing system to the age-related advance of sleep-wake timing was investigated in two experiments. In a constant routine protocol, we found that the average wake time and endogenous circadian phase of 44 older subjects were earlier than that of 101 young men. However, the earlier circadian phase of the older subjects actually occurred later relative to their habitual wake time than it did in young men. These results indicate that an age-related advance of circadian phase cannot fully account for the high prevalence of early morning awakening in healthy older people. In a second study, 13 older subjects and 10 young men were scheduled to a 28-h day, such that they were scheduled to sleep at many circadian phases. Self-reported awakening from scheduled sleep episodes and cognitive throughput during the second half of the wake episode varied markedly as a function of circadian phase in both groups. The rising phase of both rhythms was advanced in the older subjects, suggesting an age-related change in the circadian regulation of sleep-wake propensity. We hypothesize that under entrained conditions, these age-related changes in the relationship between circadian phase and wake time are likely associated with self-selected light exposure at an earlier circadian phase. This earlier exposure to light could account for the earlier clock hour to which the endogenous circadian pacemaker is entrained in older people and thereby further increase their propensity to awaken at an even earlier time.
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Reading-Related Skills in Earlier- and Later-Schooled Children
ERIC Educational Resources Information Center
Cunningham, Anna J.; Carroll, Julia M.
2011-01-01
We investigate the effects of age-related factors and formal instruction on the development of reading-related skills in children aged 4 and 7 years. Age effects were determined by comparing two groups of children at the onset of formal schooling; one aged 7 (later-schooled) and one aged 4 (earlier-schooled). Schooling effects were measured by…
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Perceptual sensitivity to spectral properties of earlier sounds during speech categorization.
Stilp, Christian E; Assgari, Ashley A
2018-02-28
Speech perception is heavily influenced by surrounding sounds. When spectral properties differ between earlier (context) and later (target) sounds, this can produce spectral contrast effects (SCEs) that bias perception of later sounds. For example, when context sounds have more energy in low-F 1 frequency regions, listeners report more high-F 1 responses to a target vowel, and vice versa. SCEs have been reported using various approaches for a wide range of stimuli, but most often, large spectral peaks were added to the context to bias speech categorization. This obscures the lower limit of perceptual sensitivity to spectral properties of earlier sounds, i.e., when SCEs begin to bias speech categorization. Listeners categorized vowels (/ɪ/-/ɛ/, Experiment 1) or consonants (/d/-/g/, Experiment 2) following a context sentence with little spectral amplification (+1 to +4 dB) in frequency regions known to produce SCEs. In both experiments, +3 and +4 dB amplification in key frequency regions of the context produced SCEs, but lesser amplification was insufficient to bias performance. This establishes a lower limit of perceptual sensitivity where spectral differences across sounds can bias subsequent speech categorization. These results are consistent with proposed adaptation-based mechanisms that potentially underlie SCEs in auditory perception. Recent sounds can change what speech sounds we hear later. This can occur when the average frequency composition of earlier sounds differs from that of later sounds, biasing how they are perceived. These "spectral contrast effects" are widely observed when sounds' frequency compositions differ substantially. We reveal the lower limit of these effects, as +3 dB amplification of key frequency regions in earlier sounds was enough to bias categorization of the following vowel or consonant sound. Speech categorization being biased by very small spectral differences across sounds suggests that spectral contrast effects occur
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Surgical Scar Revision: An Overview
Garg, Shilpa; Dahiya, Naveen; Gupta, Somesh
2014-01-01
Scar formation is an inevitable consequence of wound healing from either a traumatic or a surgical intervention. The aesthetic appearance of a scar is the most important criteria to judge the surgical outcome. An understanding of the anatomy and wound healing along with experience, meticulous planning and technique can reduce complications and improve the surgical outcome. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non-surgical techniques, used either alone or in combination can be used for revising a scar. In planning a scar revision surgeon should decide on when to act and the type of technique to use for scar revision to get an aesthetically pleasing outcome. This review article provides overview of methods applied for facial scar revision. This predominantly covers surgical methods. PMID:24761092
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Knowledge-Directed Theory Revision
NASA Astrophysics Data System (ADS)
Ali, Kamal; Leung, Kevin; Konik, Tolga; Choi, Dongkyu; Shapiro, Dan
Using domain knowledge to speed up learning is widely accepted but theory revision of such knowledge continues to use general syntactic operators. Using such operators for theory revision of teleoreactive logic programs is especially expensive in which proof of a top-level goal involves playing a game. In such contexts, one should have the option to complement general theory revision with domain-specific knowledge. Using American football as an example, we use Icarus' multi-agent teleoreactive logic programming ability to encode a coach agent whose concepts correspond to faults recognized in execution of the play and whose skills correspond to making repairs in the goals of the player agents. Our results show effective learning using as few as twenty examples. We also show that structural changes made by such revision can produce performance gains that cannot be matched by doing only numeric optimization.
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Floodplains within reservoirs promote earlier spawning of white crappies Pomoxis annularis
Miranda, Leandro E.; Dagel, Jonah D.; Kaczka, Levi J.; Mower, Ethan; Wigen, S. L.
2015-01-01
Reservoirs impounded over floodplain rivers are unique because they may include within their upper reaches extensive shallow water stored over preexistent floodplains. Because of their relatively flat topography and riverine origin, floodplains in the upper reaches of reservoirs provide broad expanses of vegetation within a narrow range of reservoir water levels. Elsewhere in the reservoir, topography creates a band of shallow water along the contour of the reservoir where vegetation often does not grow. Thus, as water levels rise, floodplains may be the first vegetated habitats inundated within the reservoir. We hypothesized that shallow water in reservoir floodplains would attract spawning white crappies Pomoxis annularis earlier than reservoir embayments. Crappie relative abundance over five years in floodplains and embayments of four reservoirs increased as spawning season approached, peaked, and decreased as fish exited shallow water. Relative abundance peaked earlier in floodplains than embayments, and the difference was magnified with higher water levels. Early access to suitable spawning habitat promotes earlier spawning and may increase population fitness. Recognition of the importance of reservoir floodplains, an understanding of how reservoir water levels can be managed to provide timely connectivity to floodplains, and conservation of reservoir floodplains may be focal points of environmental management in reservoirs.
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View northeast, wharf A, portion AA, details showing earlier piers ...
View northeast, wharf A, portion AA, details showing earlier piers and braces sloping toward water, reused charred plates for existing decking - U.S. Coast Guard Sandy Hook Station, Western Docking Structure, West of intersection of Canfield Road & Hartshorne Drive, Highlands, Monmouth County, NJ
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Deep ocean ventilation in the Central Fram Strait during the past 35 kyr
NASA Astrophysics Data System (ADS)
Ezat, M.; Rasmussen, T. L.; Skinner, L.; Zamelczyk, K.
2017-12-01
Ocean ventilation in the Arctic Mediterranean via transformation of northward inflowing warm Atlantic surface water into cold deep water affects regional climate, large-scale atmospheric circulation and carbon storage in the deep ocean. Radiocarbon dating of benthic foraminifera has been used to suggest a near-cessation of Arctic Ocean ventilation during the Last Glacial Maximum. During the last deglaciation episodic surges of this Arctic `aged' glacial deep water into the Nordic Seas and the subpolar North Atlantic Ocean may have occurred (Thornalley et al., 2011, 2015; Science). A recent study from the SE Norwegian Sea and the Iceland Basin has revealed large radiocarbon age differences between different benthic foraminiferal species during the last deglaciation (Ezat et al., 2017; Paleoceanography), which arguments for a re-evaluation of previous bottom-water radiocarbon ventilation age reconstructions from the region. Here, we present new species-specific benthic and planktic foraminiferal radiocarbon dates from the central Fram Strait and the SE Norwegian Sea for the past 35 kyr. Several lines of evidence in this new dataset demonstrate that the previously suggested `extreme aging' of >6000 14C years in the Arctic Mediterranean is most likely erroneous. In addition, benthic-planktic age offsets in the deep central Fram Strait display a remarkable decrease from 1300-2300 14C years in late Marine Isotope Stage (MIS) 3 to 0-500 14C year in MIS 2, which correlates with a decrease in benthic d13C and reduction in the benthic-planktic d18O gradient. We are in the process of compiling/screening published ventilation age reconstructions from the Arctic Mediterranean and the subpolar North Atlantic in the light of our new results in order to establish a basin-scale evolution of ocean ventilation since late MIS 3 in this region.
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Automated revision of CLIPS rule-bases
NASA Technical Reports Server (NTRS)
Murphy, Patrick M.; Pazzani, Michael J.
1994-01-01
This paper describes CLIPS-R, a theory revision system for the revision of CLIPS rule-bases. CLIPS-R may be used for a variety of knowledge-base revision tasks, such as refining a prototype system, adapting an existing system to slightly different operating conditions, or improving an operational system that makes occasional errors. We present a description of how CLIPS-R revises rule-bases, and an evaluation of the system on three rule-bases.
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Varying Paths for Learning to Revise.
ERIC Educational Resources Information Center
Zellermayer, Michal; Cohen, Judith
1996-01-01
Studied how preacademic students acquired revision strategies based upon their individual cognitive abilities. Revision Cuing Devices, teacher intervention and student reaction, peer support and collaboration, think-aloud protocols, and holistic assessments were used to develop individual strategies. Eventually revision support faded without signs…
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Saper, Michael; Pearce, Stephanie; Shung, Joseph; Zondervan, Robert; Ostrander, Roger; Andrews, James R.
2018-01-01
Background: The number of adolescent anterior cruciate ligament (ACL) injuries is rising with increased participation in higher level athletics at earlier ages. With an increasing number of primary ACL reconstructions (ACLRs) comes a rise in the incidence of revision ACLRs. Purpose: To evaluate the clinical results of revision ACLR across a group of high-level adolescent athletes with at least 2-year follow-up. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review of 21 adolescent athletes (age range, 10-19 years) who underwent revision ACLR with at least 2-year follow-up was conducted. Patient-reported outcome measures (PROMs) included the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Lysholm knee scoring scale, Tegner activity level scale, and modified Cincinnati Knee Rating System. Return to sport (RTS) and overall patient satisfaction were also assessed. Results: The mean age at the time of surgery was 16.5 years (range, 14-19 years), and the mean follow-up was 46.4 months (range, 24-97 months); 42.9% of patients were female, and 52.4% of patients participated in collision sports. The mean time to failure after primary ACLR was 13.1 ± 8.0 months, and the most common mechanism of failure was noncontact in at least 66.7% of cases. The revision graft type included bone–patellar tendon–bone (BPTB) in 71.4% of cases; 26.7% of BPTB grafts were from the contralateral extremity. Concomitant procedures were performed for intra-articular lesions in 71.4% of patients. The mean patient satisfaction rate was 95.3%. There were 3 cases of a graft reinjury at a mean of 25 months postoperatively. The mean PROM scores were as follows: IKDC, 87.5 ± 12.7; Tegner, 7.2 ± 2.0; Lysholm, 93.7 ± 9.8; and Cincinnati, 93.4 ± 10.0. Of those attempting to RTS, 68.4% of patients successfully returned at the same level of competition. Patients with a lateral compartment chondral injury were less likely to RTS (P < .05
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Annotation and Classification of Argumentative Writing Revisions
ERIC Educational Resources Information Center
Zhang, Fan; Litman, Diane
2015-01-01
This paper explores the annotation and classification of students' revision behaviors in argumentative writing. A sentence-level revision schema is proposed to capture why and how students make revisions. Based on the proposed schema, a small corpus of student essays and revisions was annotated. Studies show that manual annotation is reliable with…
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Comprehensive methods for earlier detection and monitoring of forest decline
Jennifer Pontius; Richard Hallett
2014-01-01
Forested ecosystems are threatened by invasive pests, pathogens, and unusual climatic events brought about by climate change. Earlier detection of incipient forest health problems and a quantitatively rigorous assessment method is increasingly important. Here, we describe a method that is adaptable across tree species and stress agents and practical for use in the...
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Revision of Primary Series Maps
,
2000-01-01
In 1992, the U.S. Geological Survey (USGS) completed a 50-year effort to provide primary series map coverage of the United States. Many of these maps now need to be updated to reflect the construction of new roads and highways and other changes that have taken place over time. The USGS has formulated a graphic revision plan to help keep the primary series maps current. Primary series maps include 1:20,000-scale quadrangles of Puerto Rico, 1:24,000- or 1:25,000-scale quadrangles of the conterminous United States, Hawaii, and U.S. Territories, and 1:63,360-scale quadrangles of Alaska. The revision of primary series maps from new collection sources is accomplished using a variety of processes. The raster revision process combines the scanned content of paper maps with raster updating technologies. The vector revision process involves the automated plotting of updated vector files. Traditional processes use analog stereoplotters and manual scribing instruments on specially coated map separates. The ability to select from or combine these processes increases the efficiency of the National Mapping Division map revision program.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-15
...EPA is taking final action to disapprove submittals from the State of Texas, through the Texas Commission on Environmental Quality (TCEQ), to revise the Texas Major and Minor NSR SIP. We are disapproving the submittals because they do not meet the 2002 revised Major NSR SIP requirements. We are also disapproving the submittals as not meeting the Major Nonattainment NSR SIP requirements for implementation of the 1997 8-hour ozone national ambient air quality standard (NAAQS) and the 1-hour ozone NAAQS. EPA is disapproving the submitted Standard Permit (SP) for Pollution Control Projects (PCP) because it does not meet the requirements of the CAA for a minor NSR Standard Permit program. Finally, EPA is also disapproving a submitted severable definition of best available control technology (BACT) that is used by TCEQ in its Minor NSR SIP permitting program. EPA is not addressing the submitted revisions concerning the Texas Major PSD NSR SIP, which will be addressed in a separate action. EPA is taking no action on severable provisions that implement section 112(g) of the Act and is restoring a clarification to an earlier action that removed an explanation that a particular provision is not in the SIP because it implements section 112(g) of the Act. EPA is not addressing severable revisions to definitions submitted June 10, 2005, submittal, which will be addressed in a separate action. We are taking no action on a severable provision relating to Emergency and Temporary Orders, which we will address in a separate action. EPA is taking these actions under section 110, part C, and part D, of the Federal Clean Air Act (the Act or CAA).
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Disabling Fictions: Institutionalized Delimitations of Revision.
ERIC Educational Resources Information Center
Carroll, Jeffrey
1989-01-01
Examines three contemporary taxonomies of revision as proposed by Wallace Hildick, Lester Faigley and Stephen Witte, and Sondra Perl. Uses literary and cultural theory to bridge the gap between these theories and students' revision practices. Argues that while revision may be prescriptive, it must also be subordinate to the writer's intentions and…
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Manual therapy intervention for a patient with a total hip arthroplasty revision.
Howard, Paul D; Levitsky, Beth
2007-12-01
Case report. A 73-year-old active woman with a total hip arthroplasty, who later had revision surgery, developed left hip and buttock pain 2 years after the revision surgery, subsequent to lifting her foot while seated. This movement was performed so that her spouse could assist her in putting on her sock and shoe. During the first physical therapy session, the patient exhibited a forward-flexed trunk posture and difficulty weight bearing on the involved lower limb. The patient was successfully treated with manual therapy techniques and a home exercise program. The manual therapy techniques included long-axis hip distraction, lateral hip distraction, posterior-to-anterior hip joint mobilization, and a contract-relax proprioceptive neuromuscular facilitation technique. The patient's home program consisted of long-axis hip distraction, performed by her spouse, and standing lower limb pendular movements into flexion and extension. Pain scale ratings, posture and gait observations, strength, range of motion, and return to functional activities served as outcome measures. After 1 physical therapy visit, in which manual therapy techniques were utilized, the patient had a significant decrease in hip symptoms. The patient and spouse were compliant with the home exercise program and continued with physical therapy for 3 more visits, and the patient ultimately became symptom free. The patient returned to all previous activities, including household chores, cooking, and a walking program. The patient was contacted at 6 months, 1 year, and 4 years, and reported no recurrences of hip or buttock symptoms. Manual therapy techniques and home exercises described in this case report were apparently effective in eliminating symptoms and returning this patient, who had total hip arthroplasty and revision surgery 2 years earlier, to all previous functional activities after a dressing incident produced hip and buttock symptoms.
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Cip, Johannes; Bach, Christian; Widemschek, Mark; Luegmair, Matthias; Martin, Arno
2015-09-01
The articular surface replacement (ASR) total hip arthroplasty (THA) showed accelerated failure rates due to adverse-reaction to metal debris (ARMD). Literature correlating preoperative with intraoperative revision findings respectively post-revision outcome results are rare. 30 of 99 available ASR THA were revised due to ARMD. Mean post-revision follow-up term was 2.3 years. In part, preoperative data did not correlate with intraoperative revision findings. ARMD was even found in asymptomatic patients with non-elevated ion levels. Postoperative pain and metal ions decreased significantly (P ≤ 0.016). Cobalt decreased faster than chrome. Patients with intraoperative pseudotumors, osteolysis or bilateral THA did not have higher pre- or postoperative ion values (P ≥ 0.053). Females showed higher postoperative chrome levels (P=0.031). One major post-revision complication (femoral nerve palsy) and one re-revision (late onset infection) occurred. Copyright © 2015 Elsevier Inc. All rights reserved.
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Cochlear implant revision surgeries in children.
Amaral, Maria Stella Arantes do; Reis, Ana Cláudia Mirândola B; Massuda, Eduardo T; Hyppolito, Miguel Angelo
2018-02-16
The surgery during which the cochlear implant internal device is implanted is not entirely free of risks and may produce problems that will require revision surgeries. To verify the indications for cochlear implantation revision surgery for the cochlear implant internal device, its effectiveness and its correlation with certain variables related to language and hearing. A retrospective study of patients under 18 years submitted to cochlear implant Surgery from 2004 to 2015 in a public hospital in Brazil. Data collected were: age at the time of implantation, gender, etiology of the hearing loss, audiological and oral language characteristics of each patient before and after Cochlear Implant surgery and any need for surgical revision and the reason for it. Two hundred and sixty-five surgeries were performed in 236 patients. Eight patients received a bilateral cochlear implant and 10 patients required revision surgery. Thirty-two surgeries were necessary for these 10 children (1 bilateral cochlear implant), of which 21 were revision surgeries. In 2 children, cochlear implant removal was necessary, without reimplantation, one with cochlear malformation due to incomplete partition type I and another due to trauma. With respect to the cause for revision surgery, of the 8 children who were successfully reimplanted, four had cochlear calcification following meningitis, one followed trauma, one exhibited a facial nerve malformation, one experienced a failure of the cochlear implant internal device and one revision surgery was necessary because the electrode was twisted. The incidence of the cochlear implant revision surgery was 4.23%. The period following the revision surgeries revealed an improvement in the subject's hearing and language performance, indicating that these surgeries are valid in most cases. Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
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Japanese Learners' Self Revisions and Peer Revisions of Their Written Compositions in English
ERIC Educational Resources Information Center
Suzuki, Manami
2008-01-01
The current study examined 24 Japanese university students' processes of negotiation in conditions of self revision and of peer revision about their English as a foreign language (EFL) writing. Analyzing their negotiation episodes and text changes, I categorized within a common coding scheme the types of negotiation from (a) think-aloud protocols…
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Earlier Violent Television Exposure and Later Drug Dependence
Brook, David W.; Katten, Naomi S.; Ning, Yuming; Brook, Judith S.
2013-01-01
This research examined the longitudinal pathways from earlier violent television exposure to later drug dependence. African American and Puerto Rican adolescents were interviewed during three points in time (N = 463). Violent television exposure in late adolescence predicted violent television exposure in young adulthood, which in turn was related to tobacco/marijuana use, nicotine dependence, and later drug dependence. Some policy and clinical implications suggest: a) regulating the times when violent television is broadcast; b) creating developmentally targeted prevention/treatment programs; and c) recognizing that watching violent television may serve as a cue regarding increased susceptibility to nicotine and drug dependence. PMID:18612881
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Trend of earlier spring in central Europe continued
NASA Astrophysics Data System (ADS)
Ungersböck, Markus; Jurkovic, Anita; Koch, Elisabeth; Lipa, Wolfgang; Scheifinger, Helfried; Zach-Hermann, Susanne
2013-04-01
Modern phenology is the study of the timing of recurring biological events in the animal and plant world, the causes of their timing with regard to biotic and abiotic forces, and the interrelation among phases of the same or different species. The relationship between phenology and climate explains the importance of plant phenology for Climate Change studies. Plants require light, water, oxygen mineral nutrients and suitable temperature to grow. In temperate zones the seasonal life cycle of plants is primarily controlled by temperature and day length. Higher spring air temperatures are resulting in an earlier onset of the phenological spring in temperate and cool climate. On the other hand changes in phenology due to climate change do have impact on the climate system itself. Vegetation is a dynamic factor in the earth - climate system and has positive and negative feedback mechanisms to the biogeochemical and biogeophysical fluxes to the atmosphere Since the mid of the 1980s spring springs earlier in Europe and autumn is shifting back to the end of the year resulting in a longer vegetation period. The advancement of spring can be clearly attributed to temperature increase in the months prior to leaf unfolding and flowering, the timing of autumn is more complex and cannot easily be attributed to one or some few parameters. To demonstrate that the observed advancement of spring since the mid of 1980s is pro-longed in 2001 to 2010 and the delay of fall and the lengthening of the growing season is confirmed in the last decade we picked out several indicator plants from the PEP725 database www.pep725.eu. The PEP725 database collects data from different European network operators and thus offers a unique compilation of phenological observations; the database is regularly updated. The data follow the same classification scheme, the so called BBCH coding system so they can be compared. Lilac Syringa vulgaris, birch Betula pendula, beech Fagus and horse chestnut Aesculus
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"SOAR" to the Stars through Revising.
ERIC Educational Resources Information Center
Johnson, Jan
1995-01-01
Explains how a teacher uses the acronym SOAR (Sentences Organized and Revised) as the core of a game designed to motivate a class to revise their work through the promise of popcorn, free time, or snacks for their revision work. Describes a worksheet that forces students to pay attention to various parts of their paper. (TB)
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24 CFR 968.225 - Budget revisions.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Budget revisions. 968.225 Section... Fewer Than 250 Units) § 968.225 Budget revisions. (a) A PHA shall not incur any modernization cost in excess of the total HUD-approved CIAP budget. A PHA shall submit a budget revision, in a form prescribed...
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Revision strategies of deaf student writers.
Livingston, S
1989-03-01
Deaf high school students at different schools shared second drafts of their own narratives via an electronic bulletin board after conferencing with their repective teachers. This article characterizes the kinds of questions teachers asked during the conferences and the kinds of revisions the students made between first and second drafts. Results indicate that teachers most often ask questions that require student to provide more information; yet these questions do not affect revision as much as questions which require students to rephrase specific language. Students typically either added or substituted words or phrases that showed both similarities to and differences from the revision patterns of inexperienced writers with normal hearing. In the majority of cases, trained readers rated the deaf students' revised drafts better than their first attempts, signifying the central role revision plays in the composition process.
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Dome collapse eruption in Tatun Volcanic Group near metropolitan Taipei, Taiwan at ~6 kyrs
NASA Astrophysics Data System (ADS)
Chen, C.; Lee, T.
2010-12-01
The Tatun Volcanic Group (TVG) is located in the north of metropolitan Taipei, Taiwan. Over 6 million inhabitants are living in Taipei City and suburban area. Another critical issue is an international airport and two nuclear power plants are lying at the foot of the TVG. If the TGV will be re-active, the serious hazard for human lives and economies in this area will definitely occur. Understanding the youngest eruption history of the TVG will be much important for prediction the future activity of eruption. The core was collected from the Dream Lake at the eastern slop of Cising Mt.. Total 21 samples from depth 190 cm to 231.5 cm have been tested. Comparison of chemical compositions of glass and minerals in the volcanic clasts with those of lava around TVG, they clearly showed that the volcanic clasts can be correlated with the eruption of the closest Cising Mt. According to the radiocarbon (C-14) age of core sample at the depth 225 cm, the age was extrapolated around 6150 yrs ca. C-14 B.P.. Moreover, the respiratory cristobalite in the volcanic clasts were firstly identified by the identical morphology, chemical composition and Laser Raman Spectrometry (LRS). The crystalline silica was produced by vapor-phase crystallization and devitrification in the andesite lava dome and volcanic ash generated by pyroclastic flows formed by lava dome collapse in Soufriere Hills volcano, Montserrat (Baxter et al.,1999). These new evidence demonstrated that there would probably have the lava dome collapse eruptions in the TVG in the last 6 kyrs. The result in this paper also sustained that the landslide caused by the weak phreatic eruption within the last 6000 yrs in the TVG (Belousov et al., 2010). It must further be noted that an efficient program of the volcanic hazard reduction should be practiced for the metropolitan Taipei and suburban area.
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Hope, Kirsty; Durrheim, David N; Muscatello, David; Merritt, Tony; Zheng, Wei; Massey, Peter; Cashman, Patrick; Eastwood, Keith
2008-08-01
To retrospectively review the performance of a near real-time Emergency Department (ED) Syndromic Surveillance System operating in New South Wales for identifying pneumonia outbreaks of public health importance. Retrospective data was obtained from the NSW Emergency Department data collection for a rural hospital that has experienced a cluster of pneumonia diagnoses among teenage males in August 2006. ED standard reports were examined for signals in the overall count for each respiratory syndrome, and for elevated counts in individual subgroups including; age, sex and admission to hospital status. Using the current thresholds, the ED syndromic surveillance system would have trigged a signal for pneumonia syndrome in children aged 5-16 years four days earlier than the notification by a paediatrician and this signal was maintained for 14 days. If the ED syndromic surveillance system had been operating it could have identified the outbreak earlier than the paediatrician's notification. This may have permitted an earlier public health response. By understanding the behaviour of syndromes during outbreaks of public health importance, response protocols could be developed to facilitate earlier implementation of control measures.
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Earlier vegetation green-up has reduced spring dust storms
Fan, Bihang; Guo, Li; Li, Ning; Chen, Jin; Lin, Henry; Zhang, Xiaoyang; Shen, Miaogen; Rao, Yuhan; Wang, Cong; Ma, Lei
2014-01-01
The observed decline of spring dust storms in Northeast Asia since the 1950s has been attributed to surface wind stilling. However, spring vegetation growth could also restrain dust storms through accumulating aboveground biomass and increasing surface roughness. To investigate the impacts of vegetation spring growth on dust storms, we examine the relationships between recorded spring dust storm outbreaks and satellite-derived vegetation green-up date in Inner Mongolia, Northern China from 1982 to 2008. We find a significant dampening effect of advanced vegetation growth on spring dust storms (r = 0.49, p = 0.01), with a one-day earlier green-up date corresponding to a decrease in annual spring dust storm outbreaks by 3%. Moreover, the higher correlation (r = 0.55, p < 0.01) between green-up date and dust storm outbreak ratio (the ratio of dust storm outbreaks to times of strong wind events) indicates that such effect is independent of changes in surface wind. Spatially, a negative correlation is detected between areas with advanced green-up dates and regional annual spring dust storms (r = −0.49, p = 0.01). This new insight is valuable for understanding dust storms dynamics under the changing climate. Our findings suggest that dust storms in Inner Mongolia will be further mitigated by the projected earlier vegetation green-up in the warming world. PMID:25343265
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Changes toward earlier streamflow timing across western North America
Stewart, I.T.; Cayan, D.R.; Dettinger, M.D.
2005-01-01
The highly variable timing of streamflow in snowmelt-dominated basins across western North America is an important consequence, and indicator, of climate fluctuations. Changes in the timing of snowmelt-derived streamflow from 1948 to 2002 were investigated in a network of 302 western North America gauges by examining the center of mass for flow, spring pulse onset dates, and seasonal fractional flows through trend and principal component analyses. Statistical analysis of the streamflow timing measures with Pacific climate indicators identified local and key large-scale processes that govern the regionally coherent parts of the changes and their relative importance. Widespread and regionally coherent trends toward earlier onsets of springtime snowmelt and streamflow have taken place across most of western North America, affecting an area that is much larger than previously recognized. These timing changes have resulted in increasing fractions of annual flow occurring earlier in the water year by 1-4 weeks. The immediate (or proximal) forcings for the spatially coherent parts of the year-to-year fluctuations and longer-term trends of streamflow timing have been higher winter and spring temperatures. Although these temperature changes are partly controlled by the decadal-scale Pacific climate mode [Pacific decadal oscillation (PDO)], a separate and significant part of the variance is associated with a springtime warming trend that spans the PDO phases. ?? 2005 American Meteorological Society.
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Earlier vegetation green-up has reduced spring dust storms.
Fan, Bihang; Guo, Li; Li, Ning; Chen, Jin; Lin, Henry; Zhang, Xiaoyang; Shen, Miaogen; Rao, Yuhan; Wang, Cong; Ma, Lei
2014-10-24
The observed decline of spring dust storms in Northeast Asia since the 1950s has been attributed to surface wind stilling. However, spring vegetation growth could also restrain dust storms through accumulating aboveground biomass and increasing surface roughness. To investigate the impacts of vegetation spring growth on dust storms, we examine the relationships between recorded spring dust storm outbreaks and satellite-derived vegetation green-up date in Inner Mongolia, Northern China from 1982 to 2008. We find a significant dampening effect of advanced vegetation growth on spring dust storms (r = 0.49, p = 0.01), with a one-day earlier green-up date corresponding to a decrease in annual spring dust storm outbreaks by 3%. Moreover, the higher correlation (r = 0.55, p < 0.01) between green-up date and dust storm outbreak ratio (the ratio of dust storm outbreaks to times of strong wind events) indicates that such effect is independent of changes in surface wind. Spatially, a negative correlation is detected between areas with advanced green-up dates and regional annual spring dust storms (r = -0.49, p = 0.01). This new insight is valuable for understanding dust storms dynamics under the changing climate. Our findings suggest that dust storms in Inner Mongolia will be further mitigated by the projected earlier vegetation green-up in the warming world.
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Proposed Revisions to Method 202
EPA is proposing the following revisions to Method 202: Revisions to the procedures for determining the systematic error of the method, which is used to correct the results of the measurements made using this method; Removes some procedural options to
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Edsberg, Laura E; Black, Joyce M; Goldberg, Margaret; McNichol, Laurie; Moore, Lynn; Sieggreen, Mary
Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world. Using a consensus-building methodology, these revised definitions were the focus of a multidisciplinary consensus conference held in April 2016. As a result of stakeholder and public input, along with the consensus conference, important changes were made and incorporated into the new staging definitions. The revised staging system uses the term injury instead of ulcer and denotes stages using Arabic numerals rather than Roman numerals. The revised definition of a pressure injury now describes the injuries as usually occurring over a bony prominence or under a medical or other device. The revised definition of a Stage 2 pressure injury seeks to clarify the difference between moisture-associated skin damage and injury caused by pressure and/or shear. The term suspected has been removed from the Deep Tissue Pressure Injury diagnostic label. Each definition now describes the extent of tissue loss present and the anatomical features that may or may not be present in the stage of injury. These important revisions reflect the methodical and collaborative approach used to examine the available evidence and incorporate current interdisciplinary clinical expertise into better defining the important phenomenon of pressure injury etiology and development.
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Earlier tachycardia onset in right than left mesial temporal lobe seizures.
Kato, Kazuhiro; Jin, Kazutaka; Itabashi, Hisashi; Iwasaki, Masaki; Kakisaka, Yosuke; Aoki, Masashi; Nakasato, Nobukazu
2014-10-07
To clarify whether the presence and timing of peri-ictal heart rate (HR) change is a seizure lateralizing sign in patients with mesial temporal lobe epilepsy (mTLE). Long-term video EEGs were retrospectively reviewed in 21 patients, 7 men and 14 women aged 13 to 67 years, diagnosed as mTLE with MRI lesions in the mesial temporal structures (hippocampal sclerosis in 20 cases, amygdala hypertrophy in 1 case). Seventy-seven partial seizures without secondary generalization were extracted. Peri-ictal HR change was compared between 29 right seizures (9 patients) and 48 left seizures (12 patients). HR abruptly increased in all 29 right seizures and 42 of 48 left seizures. Onset time of HR increase in relation to ictal EEG onset was significantly earlier in right seizures than in left seizures (mean ± SD, -11.5 ± 14.8 vs 9.2 ± 21.7 seconds; p < 0.0001). Time of maximum HR was also significantly earlier in right seizures than in left seizures (36.0 ± 18.1 vs 58.0 ± 28.7 seconds; p < 0.0001). Maximum HR changes from baseline showed no significant difference between right and left seizures (47.5 ± 19.1 vs 40.8 ± 20.0/min). Significantly earlier tachycardia in right than left mTLE seizures supports previous hypotheses that the right cerebral hemisphere is dominant in the sympathetic network. No HR change, or delayed tachycardia possibly due to seizure propagation to the right hemisphere, may be a useful lateralizing sign of left mTLE seizures. © 2014 American Academy of Neurology.
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Microcomputers and the Improvement of Revision Skills.
ERIC Educational Resources Information Center
Balajthy, Ernest; And Others
1987-01-01
Discusses use of word processing software as an effective tool in writing and revision instruction, and describes the role of the teacher. Examples of exercises that encourage revision and of software designed to teach effective revision skills are reviewed. (MBR)
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Migaud, Henri; Putman, Sophie; Kern, Grégory; Isida, Ronald; Girard, Julien; Ramdane, Nassima; Delaunay, Christian P; Hamadouche, Moussa
2016-10-01
with MoP, osteolysis was rarely the reason for revision in CoC (four of 238 hips [2%]; OR, 0.12 [0.05-0.33]; p < 0.001), but this bearing was frequently revised because of iliopsoas irritation (18 of 238 hips [8%]; OR, 4.9 [2.7-9]; p < 0.001). The time elapsed before revision differed between bearings: median of 3 years (range, 3 days to 28 years) for CoC and 4 years (range, 14 days to 37 years) for MoM versus a median 13 years (range, 0 day to 42 years) for MoP (p < 0.001). Thirty-seven of the 238 revisions (16%) were directly related to ceramic use (ceramic breakage [n = 23], squeaking [n = 6], impingement [n = 7], incorrect ceramic insert insertion [n = 1]). No factors were identified that contributed to breakage of the 12 bulk ceramic components (eight heads, four inserts, four of 12 Delta ceramic). No factors were associated with squeaking, iliopsoas irritation, or impingement, but component orientation was not assessed. The reasons and time to first revision differed between CoC and other bearings. CoC THAs are revised earlier and are sensitive to mechanical problems such as impingement, squeaking, and ceramic rupture that did not disappear with introduction of Delta ceramics and large-diameter (≥ 36 mm) bearings. CoC was rarely revised for osteolysis, but a high rate of iliopsoas irritation requires further investigation. Level III, therapeutic study.
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The economic impact of revision otologic surgery.
Nadimi, Sahar; Leonetti, John P; Pontikis, George
2016-03-01
Revision otologic surgery places a significant economic burden on patients and the healthcare system. We conducted a retrospective chart analysis to estimate the economic impact of revision canal-wall-down (CWD) mastoidectomy. We reviewed the medical records of all 189 adults who had undergone CWD mastoidectomy performed by the senior author between June 2006 and August 2011 at Loyola University Medical Center in Maywood, Ill. Institutional charges and collections for all patients were extrapolated to estimate the overall healthcare cost of revision surgery in Illinois and at the national level. Of the 189 CWD mastoidectomies, 89 were primary and 100 were revision procedures. The total charge for the revision cases was $2,783,700, and the net reimbursement (collections) was $846,289 (30.4%). Using Illinois Hospital Association data, we estimated that reimbursement for 387 revision CWD mastoidectomies that had been performed in fiscal year 2011 was nearly $3.3 million. By extrapolating our data to the national level, we estimated that 9,214 patients underwent revision CWD mastoidectomy in the United States during 2011, which cost the national healthcare system roughly $76 million, not including lost wages and productivity. Known causes of failed CWD mastoidectomies that often result in revision surgery include an inadequate meatoplasty, a facial ridge that is too high, residual diseased air cells, and recurrent cholesteatoma. A better understanding of these factors can reduce the need for revision surgery, which could have a positive impact on the economic strain related to this procedure at the local, state, and national levels.
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Positive Culture Rate in Revision Shoulder Arthroplasty
Hobgood, E. Rhett
2009-01-01
We recognized a trend of positive cultures taken from presumably uninfected shoulders during revision arthroplasty. Owing to the indolent nature of common shoulder pathogens such as Propionibacterium acnes, these cultures often become positive several days, even weeks, after surgery. Having concern regarding the potential importance of these positive cultures, we reviewed our revision arthroplasty population to determine the rate of positive intraoperative cultures in patients presumed to be aseptic, to characterize the isolated organisms, and to determine the subsequent development of infection. We retrospectively reviewed 27 patients (28 revisions) presumed to be uninfected between April 2005 and October 2007. Intraoperative cultures were positive in eight (29%) of the 28 revisions. Propionibacterium acnes was isolated in six. Methicillin-resistant Staphylococcus aureus was isolated in one patient and coagulase-negative Staphylococcus aureus was isolated in one patient. One-year followup was available on 24 of the 28 revisions. Two of the eight culture-positive revisions had a subsequent infection develop. Cultures taken at revision surgery for failed shoulder arthroplasty are often positive, and our findings document the importance of these positive cultures. Our data confirm previous reports isolating Propionibacterium acnes as a primary pathogen in revision shoulder arthroplasty. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. PMID:19434469
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Earlier Mother's Age at Menarche Predicts Rapid Infancy Growth and Childhood Obesity
Ong, Ken K; Northstone, Kate; Wells, Jonathan CK; Rubin, Carol; Ness, Andy R; Golding, Jean; Dunger, David B
2007-01-01
Background Early menarche tends to be preceded by rapid infancy weight gain and is associated with increased childhood and adult obesity risk. As age at menarche is a heritable trait, we hypothesised that age at menarche in the mother may in turn predict her children's early growth and obesity risk. Methods and Findings We tested associations between mother's age at menarche, mother's adult body size and obesity risk, and her children's growth and obesity risk in 6,009 children from the UK population-based Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort who had growth and fat mass at age 9 y measured by dual-energy X-ray absorptiometry. A subgroup of 914 children also had detailed infancy and childhood growth data. In the mothers, earlier menarche was associated with shorter adult height (by 0.64 cm/y), increased weight (0.92 kg/y), and body mass index (BMI, 0.51 kg/m2/y; all p < 0.001). In contrast, in her children, earlier mother's menarche predicted taller height at 9 y (by 0.41 cm/y) and greater weight (0.80 kg/y), BMI (0.29 kg/m2/y), and fat mass index (0.22 kg/m2/year; all p < 0.001). Children in the earliest mother's menarche quintile (≤11 y) were more obese than the oldest quintile (≥15 y) (OR, 2.15, 95% CI 1.46 to 3.17; p < 0.001, adjusted for mother's education and BMI). In the subgroup, children in the earliest quintile showed faster gains in weight (p < 0.001) and height (p < 0.001) only from birth to 2 y, but not from 2 to 9 y (p = 0.3–0.8). Conclusions Earlier age at menarche may be a transgenerational marker of a faster growth tempo, characterised by rapid weight gain and growth, particularly during infancy, and leading to taller childhood stature, but likely earlier maturation and therefore shorter adult stature. This growth pattern confers increased childhood and adult obesity risks. PMID:17455989
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Surface replacement conversion: results depend upon reason for revision.
Su, E P; Su, S L
2013-11-01
Surface hip replacement (SHR) is generally used in younger, active patients as an alternative conventional total hip replacement in part because of the ability to preserve femoral bone. This major benefit of surface replacement will only hold true if revision procedures of SHRs are found to provide good clinical results. A retrospective review of SHR revisions between 2007 and 2012 was presented, and the type of revision and aetiologies were recorded. There were 55 SHR revisions, of which 27 were in women. At a mean follow-up of 2.3 years (0.72 to 6.4), the mean post-operative Harris hip score (HHS) was 94.8 (66 to 100). Overall 23 were revised for mechanical reasons, nine for impingement, 13 for metallosis, nine for unexplained pain and one for sepsis. Of the type of revision surgery performed, 14 were femoral-only revisions; four were acetabular-only revisions, and 37 were complete revisions. We did not find that clinical scores were significantly different between gender or different types of revisions. However, the mean post-operative HHS was significantly lower in patients revised for unexplained pain compared with patients revised for mechanical reasons (86.9 (66 to 100) versus 99 (96 to 100); p = 0.029). There were two re-revisions for infection in the entire cohort. Based on the overall clinical results, we believe that revision of SHR can have good or excellent results and warrants a continued use of the procedure in selected patients. Close monitoring of these patients facilitates early intervention, as we believe that tissue damage may be related to the duration of an ongoing problem. There should be a low threshold to revise a surface replacement if there is component malposition, rising metal ion levels, or evidence of soft-tissue abnormalities.
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Merolla, Giovanni; Wagner, Eric; Sperling, John W; Paladini, Paolo; Fabbri, Elisabetta; Porcellini, Giuseppe
2018-01-01
There remains a paucity of studies examining the conversion of failed hemiarthroplasty (HA) to reverse total shoulder arthroplasty (RTSA). Therefore, the purpose of this study was to examine a large series of revision HA to RTSA. A population of 157 patients who underwent conversion of a failed HA to a revision RTSA from 2006 through 2014 were included. The mean follow-up was 49 months (range, 24-121 months). The indications for revision surgery included instability with rotator cuff insufficiency (n = 127) and glenoid wear (n = 30); instability and glenoid wear were associated in 38 cases. Eight patients with infection underwent 2-stage reimplantation. Patients experienced significant improvements in their preoperative to postoperative pain and shoulder range of motion (P < .0001), with median American Shoulder and Elbow Surgeons and Simple Shoulder Test scores of 60 and 6 points, respectively. There were 11 (7%) repeated revision surgeries, secondary to glenoid component loosening (n = 3), instability (n = 3), humeral component disassembly (n = 2), humeral stem loosening (n = 1), and infection (n = 2). Implant survivorship was 95.5% at 2 years and 93.3% at 5 years. There were 4 reoperations including axillary nerve neurolysis (n = 2), heterotopic ossification removal (n = 1), and hardware removal for rupture of the metal cerclage for an acromial fracture (n = 1). At final follow-up, there were 5 "at-risk" glenoid components. Patients experience satisfactory pain relief and recovery of reasonable shoulder function after revision RTSA from a failed HA. There was a relatively low revision rate, with glenoid loosening and instability being the most common causes. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
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Terrestrial biosphere changes over the last 120 kyr and their impact on ocean δ 13C
NASA Astrophysics Data System (ADS)
Hoogakker, B. A. A.; Smith, R. S.; Singarayer, J. S.; Marchant, R.; Prentice, I. C.; Allen, J. R. M.; Anderson, R. S.; Bhagwat, S. A.; Behling, H.; Borisova, O.; Bush, M.; Correa-Metrio, A.; de Vernal, A.; Finch, J. M.; Fréchette, B.; Lozano-Garcia, S.; Gosling, W. D.; Granoszewski, W.; Grimm, E. C.; Grüger, E.; Hanselman, J.; Harrison, S. P.; Hill, T. R.; Huntley, B.; Jiménez-Moreno, G.; Kershaw, P.; Ledru, M.-P.; Magri, D.; McKenzie, M.; Müller, U.; Nakagawa, T.; Novenko, E.; Penny, D.; Sadori, L.; Scott, L.; Stevenson, J.; Valdes, P. J.; Vandergoes, M.; Velichko, A.; Whitlock, C.; Tzedakis, C.
2015-03-01
A new global synthesis and biomization of long (>40 kyr) pollen-data records is presented, and used with simulations from the HadCM3 and FAMOUS climate models to analyse the dynamics of the global terrestrial biosphere and carbon storage over the last glacial-interglacial cycle. Global modelled (BIOME4) biome distributions over time generally agree well with those inferred from pollen data. The two climate models show good agreement in global net primary productivity (NPP). NPP is strongly influenced by atmospheric carbon dioxide (CO2) concentrations through CO2 fertilization. The combined effects of modelled changes in vegetation and (via a simple model) soil carbon result in a global terrestrial carbon storage at the Last Glacial Maximum that is 210-470 Pg C less than in pre-industrial time. Without the contribution from exposed glacial continental shelves the reduction would be larger, 330-960 Pg C. Other intervals of low terrestrial carbon storage include stadial intervals at 108 and 85 ka BP, and between 60 and 65 ka BP during Marine Isotope Stage 4. Terrestrial carbon storage, determined by the balance of global NPP and decomposition, influences the stable carbon isotope composition (δ13C) of seawater because terrestrial organic carbon is depleted in 13C. Using a simple carbon-isotope mass balance equation we find agreement in trends between modelled ocean δ13C based on modelled land carbon storage, and palaeo-archives of ocean δ13C, confirming that terrestrial carbon storage variations may be important drivers of ocean δ13C changes.
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Interior Design: Revision as Focus.
ERIC Educational Resources Information Center
Smede, Shelly D.
2000-01-01
Describes how the author teaches her eighth-grade students to revise their writing, providing "working revision days" in class, offering direction and structure, and thereby helping students learn how much impact going back to a piece of writing and making sweeping changes can have on the end result. (SR)
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NASA Astrophysics Data System (ADS)
Zanchetta, G.; di Vito, M.; Fallick, A. E.; Sulpizio, R.
2000-12-01
Stable isotopes were measured in the carbonate and organic matter of palaeosols in the Somma-Vesuvius area, southern Italy in order to test whether they are suitable proxy records for climatic and ecological changes in this area during the past 18000 yr. The ages of the soils span from ca. 18 to ca. 3 kyr BP. Surprisingly, the Last Glacial to Holocene climate transition was not accompanied by significant change in 18O of pedogenic carbonate. This could be explained by changes in evaporation rate and in isotope fractionation between water and precipitated carbonate with temperature, which counterbalanced the expected change in isotope composition of meteoric water. Because of the rise in temperature and humidity and the progressive increase in tree cover during the Holocene, the Holocene soil carbonates closely reflect the isotopic composition of meteoric water. A cooling of about 2°C after the Avellino eruption (3.8 ka) accounts for a sudden decrease of about 1 in 18O of pedogenic carbonate recorded after this eruption. The 13C values of organic matter and pedogenic carbonate covary, indicating an effective isotope equilibrium between the organic matter, as the source of CO2, and the pedogenic carbonate. Carbon isotopes suggest prevailing C3 vegetation and negligible mixing with volcanogenic or atmospheric CO2.
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NASA Technical Reports Server (NTRS)
Murphy, J.; Butlin, T.; Duff, P.; Fitzgerald, A.
1984-01-01
Observations of raw image data, raw radiometric calibration data, and background measurements extracted from the raw data streams on high density tape reveal major shortcomings in a technique proposed by the Canadian Center for Remote Sensing in 1982 for the radiometric correction of TM data. Results are presented which correlate measurements of the DC background with variations in both image data background and calibration samples. The effect on both raw data and data corrected using the earlier proposed technique is explained and the correction required for these factors as a function of individual scan line number for each detector is described. How the revised technique can be incorporated into an operational environment is demonstrated.
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Meng, Yongliang; Liang, Yongxuan
2014-07-01
The Bureau for Revising Medical Books was a temporary agency established by the government of the Northern Song Dynasty in 1057, the 2nd year of Jiayou of Emperor Renzong, exclusively for the edition, revision and publishing of ancient medical books. 11 medical books were revised and edited by 13 Bureau members in a period of 12 years until 1069, the 2nd year of Xining of Emperor ShenZong, which eventually became the final versions until today. 8 medical books were initially planned for the revision, but 11 were actually completed in the end. The time for completing a revision varied from over 10 years at most to less than 1 year at least. Instead of working in the office, the officers of the Bureau for Revising Medical Books did their works at home. The members of the said Bureau came from the Tiju officer of the Bureau for Revising Medical Books and the officials of revising medical books, consisting of both Confucian ministers and medical officers. Confucian ministers played an important role in revising medical books. The Bureau had a strict workflow in electing revising officials, making the project, and the determination of the principles and arrangements of the tasks of editing and proofreading.
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ERIC Educational Resources Information Center
Wyman, Linda, Ed.
1983-01-01
In focusing on recursive writing, the nine articles in this journal issue suggest that student writing should be taken seriously. The first article states that revision should occur throughout the writing process while the second discusses how to invite writers to become active readers of their own texts. The third article presents methods of…
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Emotion Processes in Knowledge Revision
ERIC Educational Resources Information Center
Trevors, Gregory J.; Kendeou, Panayiota; Butterfuss, Reese
2017-01-01
In recent years, a number of insights have been gained into the cognitive processes that explain how individuals overcome misconceptions and revise their previously acquired incorrect knowledge. The current study complements this line of research by investigating the moment-by-moment emotion processes that occur during knowledge revision using a…
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... prevention, treatment, and revision. In: Neligan PC, ed. Plastic Surgery . 3rd ed. Philadelphia, PA: Elsevier; 2013:chap ... Lickstein, MD, FACS, specializing in cosmetic and reconstructive plastic surgery, Palm Beach Gardens, FL. Review provided by ...
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Code of Federal Regulations, 2010 CFR
2017-07-01
... Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of... E-Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and... Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of...
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12 CFR 332.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 5 2014-01-01 2014-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...
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12 CFR 332.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 5 2012-01-01 2012-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...
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12 CFR 332.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 5 2013-01-01 2013-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...
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12 CFR 332.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 4 2011-01-01 2011-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...
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12 CFR 332.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Revised privacy notices. 332.8 Section 332.8... PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 332.8 Revised privacy notices. (a... described in your prior notice. (c) Delivery. When you are required to deliver a revised privacy notice by...
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Discharging patients earlier in the day: a concept worth evaluating.
Kravet, Steven J; Levine, Rachel B; Rubin, Haya R; Wright, Scott M
2007-01-01
Patient discharges from the hospital often occur late in the day and are frequently clustered after 4 PM. When inpatients leave earlier in the day, quality is improved because new admissions awaiting beds are able to leave the emergency department sooner and emergency department waiting room backlog is reduced. Nursing staff, whose work patterns traditionally result in high activity of discharge and admission between 5 PM and 8 PM, benefit by spreading out their work across a longer part of the day. Discharging patients earlier in the day also has the potential to increase patient satisfaction. Despite multiple stakeholders in the discharge planning process, physicians play the most important role. Getting physician buy-in requires an ability to teach physicians about the concept of early-in-the-day discharges and their impact on the process. We defined a new physician-centered discharge planning process and introduced it to an internal medicine team with an identical control team as a comparison. Discharge time of day was analyzed for 1 month. Mean time of day of discharge was 13:39 for the intervention group versus 15:45 for the control group (P<.001). If reproduced successfully, this process could improve quality at an important transition point in patient care.
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Kallala, R F; Vanhegan, I S; Ibrahim, M S; Sarmah, S; Haddad, F S
2015-02-01
Revision total knee arthroplasty (TKA) is a complex procedure which carries both a greater risk for patients and greater cost for the treating hospital than does a primary TKA. As well as the increased cost of peri-operative investigations, blood transfusions, surgical instrumentation, implants and operating time, there is a well-documented increased length of stay which accounts for most of the actual costs associated with surgery. We compared revision surgery for infection with revision for other causes (pain, instability, aseptic loosening and fracture). Complete clinical, demographic and economic data were obtained for 168 consecutive revision TKAs performed at a tertiary referral centre between 2005 and 2012. Revision surgery for infection was associated with a mean length of stay more than double that of aseptic cases (21.5 vs 9.5 days, p < 0.0001). The mean cost of a revision for infection was more than three times that of an aseptic revision (£30 011 (sd 4514) vs £9655 (sd 599.7), p < 0.0001). Current NHS tariffs do not fully reimburse the increased costs of providing a revision knee surgery service. Moreover, especially as greater costs are incurred for infected cases. These losses may adversely affect the provision of revision surgery in the NHS. ©2015 The British Editorial Society of Bone & Joint Surgery.
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Student-initiated revision in child health.
Alfaham, M; Gray, O P; Davies, D P
1994-03-01
Most teaching of child health in Cardiff takes place in block attachments of 8 weeks. There is an introductory seminar of 2 days followed by a 6-week clinical attachment in a district general hospital in Wales, and then a revision period of one week designed to help students formalize and structure their basic knowledge and to clarify aspects of child health which they may have had difficulty in understanding. The revision programme has to take into account: the short time available, the small number of teaching staff, the most relevant basic knowledge and active participation by the student. This paper describes how this week has been improved through the use of student-initiated revision (SIR). The students' appraisal of this revision and in particular SIR is presented.
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Earlier warning: a multi-indicator approach to monitoring trends in the illicit use of medicines.
Mounteney, Jane; Haugland, Siren
2009-03-01
The availability of medicines on the illicit drug market is currently high on the international policy agenda, linked to adverse health consequences including addiction, drug related overdoses and injection related problems. Continuous surveillance of illicit use of medicines allows for earlier identification and reporting of emerging trends and increased possibilities for earlier intervention to prevent spread of use and drug related harm. This paper aims to identify data sources capable of monitoring the illicit use of medicines; present trend findings for Rohypnol and Subutex using a multi-indicator monitoring approach; and consider the relevance of such models for policy makers. Data collection and analysis were undertaken in Bergen, Norway, using the Bergen Earlier Warning System (BEWS), a multi-indicator drug monitoring system. Data were gathered at six monthly intervals from April 2002 to September 2006. Drug indicator data from seizures, treatment, pharmacy sales, helplines, key informants and media monitoring were triangulated and an aggregated differential was used to plot trends. Results for the 4-year period showed a decline in the illicit use of Rohypnol and an increase in the illicit use of Subutex. Multi-indicator surveillance models can play a strategic role in the earlier identification and reporting of emerging trends in illicit use of medicines.
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NASA Astrophysics Data System (ADS)
Müller, S.; Tarasov, P. E.; Andreev, A. A.; Diekmann, B.
2009-04-01
percentages decreased, suggesting strengthening of the steppe communities associated with the cold and dry Younger Dryas Stadial. However, the pollen data in hand indicate that Younger Dryas climate was less severe than the climate during the earlier interval from 15 to 13.5 kyr BP. The onset of the Holocene is marked in the pollen record by the highest values of shrub and lowest values of herbaceous taxa, suggesting a return of warmer and wetter conditions after 11.4 kyr BP. Percentages of tree taxa increase gradually and reach maximum values after 7 kyr BP, reflecting the spread of boreal cold deciduous and taiga forests in the region. An interval between 7 and 2 kyr BP is noticeable for the highest percentages of Scots pine (Pinus subgen. Diploxylon), spruce (Picea) and fir (Abies) pollen, indicating mid-Holocene spread of boreal forest communities in response to climate amelioration and degradation of the permafrost layer.
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NASA Astrophysics Data System (ADS)
Tofelde, Stefanie; Schildgen, Taylor F.; Bookhagen, Bodo; Savi, Sara; Pingel, Heiko; Wickert, Andrew D.; Wittmann, Hella; Alonso, Ricardo N.; Strecker, Manfred R.
2017-04-01
Fluvial fill terraces in intermontane basins are valuable sedimentary and geomorphic archives that record tectonic and/or climate- driven changes of river networks and their adjacent hillslopes. However, the rarely complete preservation of such geomorphic features, often combined with large distances from sediment source areas, complicates the identification of causal links between tectonic/climatic forcing mechanisms and landscape response, especially over timescales of 105 to 106 years. The intermontane Quebrada del Toro Basin in the Eastern Cordillera of NW Argentina contains at least five fluvial terrace-surface remnants that have been sculpted into a succession of several-hundred-meter-thick Quaternary gravel conglomerate. These terraces can be followed over several tens of kilometers and are located in the higher part of the basin, close to the sediment source areas. In this study, we determined the onset of multiple river incision phases by dating the abandonment of the three most extensive and best preserved terrace surfaces with nine cosmogenic 10Be-depth profiles. The timing of terrace-gravel deposition is based on four cosmogenic 26Al/10Be burial ages and U-Pb zircon age estimates of three intercalated volcanic ashes in the conglomeratic fill. The 10Be depth profile ages suggest a successive abandonment of these terrace surfaces with a 100-kyr-cyclicity between 487 ± 34 ka and 75 ± 7 ka. Depositional ages of the conglomerates, determined by 26Al/10Be burial samples and U-Pb zircon ages, range from 936 ± 170 ka to 18 ± 141ka. They show a clear overlap with the terrace-surface abandonment ages and thus indicate the existence of multiple cut-and-fill cycles. Although the initial onset of aggradation of the Quaternary gravel conglomerate at ˜1 Ma and the overall net fluvial incision since ˜0.5 Ma can be linked to tectonic processes affecting the narrow basin outlet, the superimposed 100-kyr-cycles of aggradation and incision are best explained by
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Humeral windows in revision total elbow arthroplasty.
Peach, Chris A; Salama, Amir; Stanley, David
2016-04-01
The use of cortical windows for revision elbow arthroplasty has not previously been widely reported. Their use aids safe revision of a well fixed humeral prosthesis and can be used in the setting of dislocation, periprosthetic fracture or aseptic loosening of the ulnar component. We describe our technique and results of cortical windows in the distal humerus for revision elbow arthroplasty surgery.
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Abrupt changes of intermediate-water oxygen in the northwestern Pacific during the last 27 kyr
NASA Astrophysics Data System (ADS)
Ishizaki, Yui; Ohkushi, Ken'ichi; Ito, Takashi; Kawahata, Hodaka
2009-04-01
An oxygen minimum zone (OMZ) currently exists at intermediate water depths on the northern Japanese margin in the northwestern Pacific. The OMZ results largely from a combination of high surface-water productivity and poor ventilation of intermediate waters. We investigated the late Quaternary history (last 27 kyr) of the intensity of this OMZ using changes in benthic foraminiferal carbon isotopes and assemblages in a sediment core taken on the continental slope off Shimokita Peninsula, northern Japan, at a water depth of 975 m. The core was located well within the region of the present-day OMZ and high surface-water productivity. The benthic foraminiferal δ13C values, which indicate millennial-scale fluctuations of nutrient contents at the sediment-water interface, were 0.48‰ lower during the last glacial maximum (LGM) than during the late Holocene. These results do not indicate the formation of glacial intermediate waters of subarctic Pacific origin, but rather the large contribution of high-nutrient water masses such as the Antarctic Intermediate Water, implying that the regional circulation pattern during the LGM was similar to that of modern times. Benthic foraminiferal assemblages underwent major changes in response to changes in dissolved oxygen concentrations in ocean floor sediments. The lowest oxygen and highest nutrient conditions, marked by dysoxic taxa and negative values of benthic foraminiferal δ13C, occurred during the Bølling/Allerød (B/A) and Pre-Boreal warming events. Dysoxic conditions in this region during these intervals were possibly caused by high surface-water productivity at times of reduced intermediate-water ventilation in the northwestern Pacific. The benthic assemblages show dysoxic events on approx. 100- to 200-year cycles during the B/A, reflecting centennial-scale productivity changes related to freshwater cycles and surface-water circulation in the North Pacific.
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Hernandez, Nicholas M; Chalmers, Brian P; Wagner, Eric R; Sperling, John W; Cofield, Robert H; Sanchez-Sotelo, Joaquin
2017-11-01
Instability after shoulder arthroplasty remains a complication with limited salvage options. Reoperation for instability with anatomic designs has led to high rates of persistent instability, therefore we aimed to evaluate the use of RSA for treatment of prosthetic instability. (1) After revision shoulder arthroplasty to a reverse prosthesis (RSA), what is the survivorship free from dislocations at 2 and 5 years? (2) What factors are associated with dislocations? (3) What is the survivorship free from revision after revision to RSA? (4) From preoperation to postrevision to RSA, what are the clinical outcomes-the proportion of patients with moderate to severe pain, shoulder elevation and external rotation ROM, American Shoulder and Elbow Surgeons scores, and Simple Shoulder Test scores? All shoulder arthroplasties revised for prosthetic instability using RSA components between January 2004 and July 2014 were retrospectively studied. During the period in question, we performed 82 revisions for instability of an anatomic total shoulder arthroplasty (TSA) (n = 62), hemiarthroplasty (n = 13), or reverse TSA (n = 7). We typically used a reverse TSA to treat this problem, but we identified 12 treated in other ways, including revision of a TSA to hemiarthroplasty (n = 3), revision of a reverse TSA to hemiarthroplasty (n = 2), revision of hemiarthroplasty to a hemiarthroplasty (n = 1), and revision of an anatomic TSA to another anatomic TSA (n = 6). This left 70 patients for evaluation; of those, 65 (93%) were available for analysis at a mean of 3 years (range, 2-10 years). A total of seven patients died. Eight of the 65 shoulders were not evaluated during the last 5 years, including three in patients who died earlier. The mean age of the patients at the time of revision RSA was 65 years (range, 40-89 years). Data were obtained from a longitudinally maintained institutional joint registry. Instability was defined as severe subluxation confirmed on clinical and radiographic
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Diet History Questionnaire: Database Revision History
The following details all additions and revisions made to the DHQ nutrient and food database. This revision history is provided as a reference for investigators who may have performed analyses with a previous release of the database.
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77 FR 66650 - Proposed Revisions to Radiation Protection
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-06
... NUCLEAR REGULATORY COMMISSION [NRC-2012-0268] Proposed Revisions to Radiation Protection AGENCY: Nuclear Regulatory Commission. ACTION: Standard review plan-draft section revision; request for comment. SUMMARY: The U.S. Nuclear Regulatory Commission (NRC or the Commission) is revising the following sections...
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Revision surgery for failed thermal capsulorrhaphy.
Park, Hyung Bin; Yokota, Atsushi; Gill, Harpreet S; El Rassi, George; McFarland, Edward G
2005-09-01
With the failure of thermal capsulorrhaphy for shoulder instability, there have been concerns with capsular thinning and capsular necrosis affecting revision surgery. To report the findings at revision surgery for failed thermal capsulorrhaphy and to evaluate the technical effects on subsequent revision capsular plication. Case series; Level of evidence, 4. Fourteen patients underwent arthroscopic evaluation and open reconstruction for a failed thermal capsulorrhaphy. The cause of the failure, the quality of the capsule, and the ability to suture the capsule were recorded. The patients were evaluated at follow-up for failure, which was defined as recurrent subluxations or dislocations. The origin of the instability was traumatic (n = 6) or atraumatic (n = 8). At revision surgery in the traumatic group, 4 patients sustained failure of the Bankart repair with capsular laxity, and the others experienced capsular laxity alone. In the atraumatic group, all patients experienced capsular laxity as the cause of failure. Of the 14 patients, the capsule quality was judged to be thin in 5 patients and ablated in 1 patient. A glenoid-based capsular shift could be accomplished in all 14 patients. At follow-up (mean, 35.4 months; range, 22 to 48 months), 1 patient underwent revision surgery and 1 patient had a subluxation, resulting in a failure rate of 14%. Recurrent capsular laxity after failed thermal capsular shrinkage is common and frequently associated with capsular thinning. In most instances, the capsule quality does not appear to technically affect the revision procedure.
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Traumatic Brain Injury History is Associated with Earlier Age of Onset of Alzheimer Disease
LoBue, Christian; Wadsworth, Hannah; Wilmoth, Kristin; Clem, Matthew; Hart, John; Womack, Kyle B.; Didehbani, Nyaz; Lacritz, Laura H.; Rossetti, Heidi C.; Cullum, C. Munro
2016-01-01
Objective This study examined whether a history of traumatic brain injury (TBI) is associated with earlier onset of Alzheimer disease (AD), independent of apolipoprotein ε4 status (Apoe4) and gender. Method Participants with a clinical diagnosis of AD (n=7625) were obtained from the National Alzheimer’s Coordinating Center Uniform Data Set, and categorized based on self-reported lifetime TBI with loss of consciousness (LOC) (TBI+ vs TBI-) and presence of Apoe4. ANCOVAs, controlling for gender, race, and education were used to examine the association between history of TBI, presence of Apoe4, and an interaction of both risk factors on estimated age of AD onset. Results Estimated AD onset differed by TBI history and Apoe4 independently (p’s <.001). The TBI+ group had a mean age of onset 2.5 years earlier than the TBI- group. Likewise, Apoe4 carriers had a mean age of onset 2.3 years earlier than non-carriers. While the interaction was non-significant (p = .34), participants having both a history of TBI and Apoe4 had the earliest mean age of onset compared to those with a TBI history or Apoe4 alone (MDifference = 2.8 & 2.7 years, respectively). These results remained unchanged when stratified by gender. Conclusions History of self-reported TBI can be associated with an earlier onset of AD-related cognitive decline, regardless of Apoe4 status and gender. TBI may be related to an underlying neurodegenerative process in AD, but the implications of age at time of injury, severity, and repetitive injuries remain unclear. PMID:27855547
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ERIC Educational Resources Information Center
Yoon, So Yoon
2011-01-01
Working under classical test theory (CTT) and item response theory (IRT) frameworks, this study investigated psychometric properties of the Revised Purdue Spatial Visualization Tests: Visualization of Rotations (Revised PSVT:R). The original version, the PSVT:R was designed by Guay (1976) to measure spatial visualization ability in…
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Introductory Business Textbook Revision Cycles: Are They Getting Shorter?
ERIC Educational Resources Information Center
Zinser, Brian; Brunswick, Gary
2010-01-01
The rate of textbook revision cycles is examined in light of the recent trend towards more rapid revisions (and adoptions of textbooks). The authors conduct background research to better understand the context for textbook revision cycles and the environmental forces that have been influencing what appears to be more rapid textbook revisions. A…
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Inferential revision in narrative texts: An ERP study.
Pérez, Ana; Cain, Kate; Castellanos, María C; Bajo, Teresa
2015-11-01
We evaluated the process of inferential revision during text comprehension in adults. Participants with high or low working memory read short texts, in which the introduction supported two plausible concepts (e.g., 'guitar/violin'), although one was more probable ('guitar'). There were three possible continuations: a neutral sentence, which did not refer back to either concept; a no-revise sentence, which referred to a general property consistent with either concept (e.g., '…beautiful curved body'); and a revise sentence, which referred to a property that was consistent with only the less likely concept (e.g., '…matching bow'). Readers took longer to read the sentence in the revise condition, indicating that they were able to evaluate their comprehension and detect a mismatch. In a final sentence, a target noun referred to the alternative concept supported in the revise condition (e.g., 'violin'). ERPs indicated that both working memory groups were able to evaluate their comprehension of the text (P3a), but only high working memory readers were able to revise their initial incorrect interpretation (P3b) and integrate the new information (N400) when reading the revise sentence. Low working memory readers had difficulties inhibiting the no-longer-relevant interpretation and thus failed to revise their situation model, and they experienced problems integrating semantically related information into an accurate memory representation.
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7 CFR 3015.115 - Budget revisions.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 15 2010-01-01 2010-01-01 false Budget revisions. 3015.115 Section 3015.115 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF THE CHIEF FINANCIAL OFFICER, DEPARTMENT OF AGRICULTURE UNIFORM FEDERAL ASSISTANCE REGULATIONS Programmatic Changes and Budget Revisions...
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Sedimentary organic matter variations in the Chukchi Borderland over the last 155 kyr
NASA Astrophysics Data System (ADS)
Rella, S. F.; Uchida, M.
2011-03-01
Knowledge on past variability of sedimentary organic carbon in the Arctic Ocean is important to assess natural carbon cycling and transport processes related to global climate changes. However, the late Pleistocene oceanographic history of the Arctic is still poorly understood. In the present study we show sedimentary records of total organic carbon (TOC), C/N and CaCO3 from a piston core recovered from the northern Northwind Ridge in the far western Arctic Ocean, a region potentially sensitively responding to past variability in surface current regimes and sedimentary processes such as coastal erosion. An age model based on correlation of our CaCO3 record with the benthic δ18O stack, supplemented by lithological constraints, suggests that the piston core records paleoenvironmental changes of the last 155 kyr. According to this age model, TOC and C/N show orbital-scale increases and decreases that can be respectively correlated to the waxing and waning of large ice sheets dominating the Eurasian Arctic, suggesting advection of fine suspended matter derived from glacial erosion to the Northwind Ridge by eastward flowing intermediate water and/or surface water and sea ice during cold episodes of the last two glacial-interglacial cycles. At millennial scales, increases in TOC and C/N appear to correlate to a suite of Dansgaard-Oeschger Stadials between 120 and 40 ka before present (BP) and thus seem to respond to abrupt northern hemispheric temperature changes. Between 65 and 40 ka BP, closures and openings of the Bering Strait could have additionally influenced TOC and C/N variability. CaCO3 content tends to anti-correlate with TOC and C/N on both orbital and millennial time scales, which we interpret as enhanced sediment advection from the carbonate-rich Canadian Arctic via an extended Beaufort Gyre during warm periods of the last two glacial-interglacial cycles and increased terrestrial organic carbon advection from the Siberian Arctic during cold periods when the
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Real Revision: Authors' Strategies to Share with Student Writers
ERIC Educational Resources Information Center
Messner, Kate
2011-01-01
How do you show students that revision is more than a classroom exercise to please the teacher? Take them into the real world of writing for publication. In Real Revision, award-winning author and teacher Kate Messner demystifies the revision process for teachers and students alike and provides tried-and-true revision strategies, field tested by…
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22 CFR 214.14 - Charter revision.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Charter revision. 214.14 Section 214.14 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADVISORY COMMITTEE MANAGEMENT Establishment of Advisory...) Charter revision requires clearances by the advisory committee, the A.I.D. Advisory Committee Management...
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NASA Astrophysics Data System (ADS)
Bolliet, Timothé; Holbourn, Ann; Kuhnt, Wolfgang; Laj, Carlo; Kissel, Catherine; Beaufort, Luc; Kienast, Markus; Andersen, Nils; Garbe-Schönberg, Dieter
2011-02-01
We present sea surface, upper thermocline, and benthic δ18O data, as well as temperature and paleoproductivity proxy data, from the International Marine Global Change Study Program (IMAGES) Core MD06-3067 (6°31‧N, 126°30‧E, 1575 m water depth), located in the western equatorial Pacific Ocean within the flow path of the Mindanao Current. Our records reveal considerable glacial-interglacial and suborbital variability in the Mindanao Dome upwelling over the last 160 kyr. Dome activity generally intensified during glacial intervals resulting in cooler thermocline waters, whereas it substantially declined during interglacials, in particular in the early Holocene and early marine oxygen isotope stage (MIS) 5e, when upwelling waters did not reach the thermocline. During MIS 3 and MIS 2, enhanced surface productivity together with remarkably low SST and low upper ocean thermal contrast provide evidence for episodic glacial upwelling to the surface, whereas transient surface warming marks periodic collapses of the Mindanao Dome upwelling during Heinrich events. We attribute the high variability during MIS 3 and MIS 2 to changes in the El Niño Southern Oscillation state that affected boreal winter monsoonal winds and upper ocean circulation. Glacial upwelling intensified when a strong cyclonic gyre became established, whereas El Niño-like conditions during Heinrich events tended to suppress the cyclonic circulation, reducing Ekman transport. Thus, our findings demonstrate that variations in the Mindanao Dome upwelling are closely linked to the position and intensity of the tropical convection and also reflect far-field influences from the high latitudes.
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Revision Anterior Cruciate Ligament Reconstruction
Wilde, Jeffrey; Bedi, Asheesh; Altchek, David W.
2014-01-01
Context: Reconstruction of the anterior cruciate ligament (ACL) is one of the most common surgical procedures, with more than 200,000 ACL tears occurring annually. Although primary ACL reconstruction is a successful operation, success rates still range from 75% to 97%. Consequently, several thousand revision ACL reconstructions are performed annually and are unfortunately associated with inferior clinical outcomes when compared with primary reconstructions. Evidence Acquisition: Data were obtained from peer-reviewed literature through a search of the PubMed database (1988-2013) as well as from textbook chapters and surgical technique papers. Study Design: Clinical review. Level of Evidence: Level 4. Results: The clinical outcomes after revision ACL reconstruction are largely based on level IV case series. Much of the existing literature is heterogenous with regard to patient populations, primary and revision surgical techniques, concomitant ligamentous injuries, and additional procedures performed at the time of the revision, which limits generalizability. Nevertheless, there is a general consensus that the outcomes for revision ACL reconstruction are inferior to primary reconstruction. Conclusion: Excellent results can be achieved with regard to graft stability, return to play, and functional knee instability but are generally inferior to primary ACL reconstruction. A staged approach with autograft reconstruction is recommended in any circumstance in which a single-stage approach results in suboptimal graft selection, tunnel position, graft fixation, or biological milieu for tendon-bone healing. Strength-of-Recommendation Taxonomy (SORT): Good results may still be achieved with regard to graft stability, return to play, and functional knee instability, but results are generally inferior to primary ACL reconstruction: Level B. PMID:25364483
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Creative revision - From rough draft to published paper
NASA Technical Reports Server (NTRS)
Buehler, M. F.
1976-01-01
The process of revising a technical or scientific paper can be performed more efficiently by the people involved (author, co-author, supervisor, editor) when the revision is controlled by breaking it into a series of steps. The revision process recommended here is based on the levels-of-edit concept that resulted from a study of the technical editorial function at the Jet Propulsion Laboratory of the California Institute of Technology. Types of revision discussed are Substantive, Policy, Language, Mechanical Style, Format, Integrity, and Copy Clarification.
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Uncovering Substance: Teaching Revision in High School Classrooms
ERIC Educational Resources Information Center
Early, Jessica Singer; Saidy, Christina
2014-01-01
This article shares the process and outcomes from a three-day revision workshop designed and implemented in a diverse high school language arts classroom. The revision workshop included: direct instruction, self-reflection, and peer feedback to provide struggling writers with opportunities to take part in substantive revision. The authors examine…
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42 CFR 423.1092 - Revision of reopened decision.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 42 Public Health 3 2012-10-01 2012-10-01 false Revision of reopened decision. 423.1092 Section 423.1092 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Civil Money Penalties § 423.1092 Revision of reopened decision. (a) Revision based on new evidence. If a...
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Integrating Relational Reasoning and Knowledge Revision during Reading
ERIC Educational Resources Information Center
Kendeou, Panayiota; Butterfuss, Reese; Van Boekel, Martin; O'Brien, Edward J.
2017-01-01
Our goal in this theoretical contribution is to connect research on knowledge revision and relational reasoning. To achieve this goal, first, we review the "knowledge revision components framework" (KReC) that provides an account of knowledge revision processes, specifically as they unfold during reading of texts. Second, we review a…
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Promoting Self-Directed Revision in EFL Writing Classes
ERIC Educational Resources Information Center
Coomber, Matthew
2016-01-01
Second language writers need to develop the ability to revise their writing independently of third party advice; thus, it is important that teachers devise methods by which to promote habits of self-directed revision. This quasi-experimental study investigates three classroom activities designed to encourage students to independently revise essays…
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NASA Astrophysics Data System (ADS)
Jennings, A. E.; Andrews, J. T.
2008-12-01
A complex sequence of abrupt glacial advances and retreats punctuate the late phases of Laurentide Ice Sheet deglaciation. These episodes have been reconstructed from interpretation and mapping of glacial deposits on land and in marine basins proximal to the former ice margins in Hudson Strait, Hudson Bay, and the SE Baffin Island shelf. As these events likely produced pulses of freshwater discharge into the North Altantic, which may be responsible for rapid climate change, their timing and magnitude need to be understood. The timing of these events is well constrained by radiocarbon ages, but the ocean reservoir age in ice proximal areas is subject to very large uncertainties, making it difficult to determine calibrated ages for the glacial events so that they can be compared to other climate records. We suggest that the sequence of high detrital carbonate peaks in Holocene and Late Glacial sediments in the Cartwright Saddle of the Labrador shelf provides a template of the abrupt glacial events of the NE margin of the Laurentide Ice Sheet, particularly events that issued from Hudson Strait and Hudson Bay, but possibly including events in Baffin Bay. Once the Labrador Shelf was deglaciated and the local ice had retreated inland, the Cartwright Saddle was a distal trap for sediments released from Hudson Strait and other ice sheet outlets farther north as their sediments and meltwater were carried southwards by surface currents. Core MD99-2236 contains a sediment record beginning c. 13.9 cal ka. We assume a marine reservoir age for the Cartwright Saddle of 450 yrs, which is reasonable given the ice distal and oceanic position of the site. Carbonate was measured on average at a 30 yr time resolution. Carbonate values are elevated between 11.7 and 7 cal kyr BP, with six spikes exceeding 30 percent. Each spike corresponds to a light isotope spike in foraminifers, suggesting that each major spike is associated with a pulse of glacial meltwater. Elevated IRD counts
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48 CFR 252.247-7002 - Revision of prices.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Revision of prices. 252... Provisions And Clauses 252.247-7002 Revision of prices. As prescribed in 247.270-4(c), use the following clause: Revision of Prices (DEC 1991) (a) Definition. Wage adjustment, as used in this clause, means a...
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40 CFR 60.4124 - Hg budget permit revisions.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Hg budget permit revisions. 60.4124... Coal-Fired Electric Steam Generating Units Permits § 60.4124 Hg budget permit revisions. Except as provided in § 60.4123(b), the permitting authority will revise the Hg Budget permit, as necessary, in...
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Results of press-fit stems in revision knee arthroplasties.
Wood, Gavin C; Naudie, Douglas D R; MacDonald, Steven J; McCalden, Richard W; Bourne, Robert B
2009-03-01
The ideal method of stem fixation in revision knee arthroplasty is controversial with advantages and disadvantages for cemented and press-fit designs. Studies have suggested cemented revision knee stems may provide better long-term survival. The aim of this study was to report our experience with press-fit uncemented stems and metaphyseal cement fixation in a selected series of patients undergoing revision total knee arthroplasty. One hundred twenty-seven patients (135 knees) who underwent revision total knee arthroplasty using a press-fit technique (press-fit diaphyseal fixation and cemented metaphyseal fixation) were reviewed. Minimum followup was 2 years (mean, 5 years; range, 2-12 years). A Kaplan-Meier survivorship analysis using an end point of revision surgery or radiographic loosening was used to determine probability of survival at 5 and 10 years. Of the 127 patients (135 knees), 31 patients (36 knees) died and two patients (two knees) were lost to followup. Six patients (six knees) had revisions at a mean of 3.5 years (range, 1-8 years). Kaplan-Meier survivorship analysis revealed a probability of survival free of revision for aseptic loosening of 98% at 12 years. Survivorship of press-fit stems for revision knee arthroplasty is comparable to reported survivorship of cemented stem revision knee arthroplasty. Radiographic analysis has shown continued satisfactory appearances regardless of constraint, stem size, and augmentations.
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McGrath, K G
2003-12-01
Breast cancer incidence suggests a lifestyle cause. A lifestyle factor used near the breast is the application of antiperspirants/deodorants accompanied by axillary shaving. A previous study did not support a link with breast cancer. If these habits have a role in breast cancer development, women using antiperspirants/deodorants and shaving their underarms frequently would be expected to have an earlier age of diagnosis than those doing so less often. An earlier age of diagnosis would also be expected in those starting to use deodorants and shaving at an earlier age. This is the first study to investigate the intensity of underarm exposure in a cohort of breast cancer survivors. Four hundred and thirty-seven females diagnosed with breast cancer were surveyed. Once grouped by their frequency of underarm hygiene habits, the mean age of diagnosis was the primary end point. Secondary end points included the overall frequency of these habits, and potential usage group confounding variables were evaluated. All statistical tests were two-sided. Frequency and earlier onset of antiperspirant/deodorant usage with underarm shaving were associated with an earlier age of breast cancer diagnosis. Combined habits are likely for this earlier age of diagnosis. In conclusion, underarm shaving with antiperspirant/deodorant use may play a role in breast cancer. It is not clear which of these components are involved. Reviewed literature insinuates absorption of aluminium salts facilitated by dermal barrier disruption. Case-controlled investigations are needed before alternative underarm hygiene habits are suggested.
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James-Todd, Tamarra; Terry, Mary Beth; Rich-Edwards, Janet; Deierlein, Andrea; Senie, Ruby
2011-06-01
Previous studies suggest that hair products containing endocrine disrupting chemicals could alter puberty. We evaluated the association between childhood hair product use and age at menarche in a racially diverse study population. We recruited 300 African-American, African-Caribbean, Hispanic, and white women from the New York City metropolitan area who were between 18-77 years of age. Data were collected retrospectively on hair oil, lotion, leave-in conditioner, perm, and other types of hair products used before age 13. Recalled age at menarche ranged from 8 to 19 years. We used multivariable binomial regression to evaluate the association between hair product use and age at menarche (<12 vs. ≥12), adjusting for potential confounders. African-Americans were more likely to use hair products and reached menarche earlier than other racial/ethnic groups. Women reporting childhood hair oil use had a risk ratio of 1.4 (95% confidence interval [CI]: 1.1-1.9) for earlier menarche, adjusting for race/ethnicity and year of birth. Hair perm users had an increased risk for earlier menarche (adjusted risk ratio = 1.4, 95% CI: 1.1-1.8). Other types of hair products assessed in this study were not associated with earlier menarche. Childhood hair oil and perm use were associated with earlier menarche. If replicated, these results suggest that hair product use may be important to measure in evaluating earlier age at menarche. Copyright © 2011 Elsevier Inc. All rights reserved.
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Final Revisions Rule State Budgets and New Unit Set-Asides TSD
This technical support document shows the underlying data and calculations used to quantify the state budget revisions and new unit set-aside revisions made in the final revisions rule, as well as those revisions included in the direct final revisions rule
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25 CFR 276.14 - Budget revision.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Budget revision. 276.14 Section 276.14 Indians BUREAU OF... UNIFORM ADMINISTRATIVE REQUIREMENTS FOR GRANTS § 276.14 Budget revision. Criteria and procedures to be followed by grantees in reporting deviations from grant budgets and requesting approval for budget...
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Understanding Taxes. Teacher's Resource Kit. 1995 Annual Revision.
ERIC Educational Resources Information Center
Internal Revenue Service (Dept. of Treasury), Washington, DC.
This packet contains revisions of the following sections of the "Understanding Taxes" teacher's resource kit: complete revisions of lessons 3 and 4; updated student handouts for lessons 2, 9, and 11; new glossary; and revised software user's guide. Lesson 3, "From W-4 to 1040A," is designed to acquaint students with the basic…
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Kessler, Ronald C.; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Bromet, Evelyn J.; Gureje, Oye; Karam, Elie G.; Koenen, Karestan C.; Lee, Sing; Liu, Howard; Pennell, Beth-Ellen; Petukhova, Maria V.; Sampson, Nancy A.; Shahly, Victoria L.; Stein, Dan J.; Atwoli, Lukoye; Borges, Guilherme; Bunting, Brendan; de Girolamo, Giovanni; Gluzman, Semyon; Haro, Josep Maria; Hinkov, Hristo; Kawakami, Norito; Kovess-Masfety, Viviane; Navarro-Mateu, Fernando; Posada-Villa, Jose; Scott, Kate M.; Shalev, Arieh Y.; Have, Margreet ten; Torres, Yolanda; Viana, Maria Carmen; Zaslavsky, Alan M.
2017-01-01
Although earlier trauma exposure is known to predict post-traumatic stress disorder (PTSD) after subsequent traumas, it is unclear if this association is limited to cases where the earlier trauma led to PTSD. Resolution of this uncertainty has important implications for research on pre-trauma vulnerability to PTSD. We examined this issue in the WHO World Mental Health (WMH) Surveys with 34,676 respondents who reported lifetime trauma exposure. One lifetime trauma was selected randomly for each respondent. DSM-IV PTSD due to that trauma was assessed. We reported in a previous paper that four earlier traumas involving interpersonal violence significantly predicted PTSD after subsequent random traumas (OR=1.3–2.5). We also assessed 14 lifetime DSM-IV mood, anxiety, disruptive behavior, and substance disorders prior to random traumas. We show in the current report that only prior anxiety disorders significantly predicted PTSD in a multivariate model (OR=1.5–4.3) and that these disorders interacted significantly with three of the earlier traumas (witnessing atrocities, physical violence victimization, rape). History of witnessing atrocities significantly predicted PTSD after subsequent random traumas only among respondents with prior PTSD (OR=5.6). Histories of physical violence victimization (OR=1.5) and rape after age 17 (OR=17.6) significantly predicted only among respondents with no history of prior anxiety disorders. Although only preliminary due to reliance on retrospective reports, these results suggest that history of anxiety disorders and history of a limited number of earlier traumas might usefully be targeted in future prospective studies as distinct foci of research on individual differences in vulnerability to PTSD after subsequent traumas. PMID:28924183
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Hernigou, Philippe; Dubory, Arnaud; Potage, Damien; Roubineau, François; Flouzat-Lachaniette, Charles Henri
2017-04-01
Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) may require revision total knee replacement. Few studies have compared post-operative complications, results and risk of re-revision in RA and OA patients. Forty-five RA patients who had undergone revision TKA from 1998 to 2010 were selected and matched with 45 OA patients who had revision during the same period. Results of the use of a revision postero-stabilized implant in osteoarthritis were compared to results of its use in inflammatory arthritis. With a mean follow-up of ten years (range, 5-17 years) we determined differences in comorbidities, risk for peri-operative adverse events, functional and radiological results, and risk of subsequent re-revision, between patients suffering from OA versus RA. There were higher comorbidities, post-operative (<30 days) adverse events, and mortality at average ten years FU in RA than in OA patients. The mean overall changes in function scores were greater for the RA revision group when compared with the OA revision group. Taking steroids (Cox's regression, p = 0.001), and methotrexate or TNFα blockers (Cox's regression, p = 0.02) were not significant factors for radiolucent lines in RA and for loosening. At average ten years followup, patients with RA undergoing revision TKAs were not more likely to have a re-revision (4 among 45 patients; 9 %) than patients with OA undergoing revision in our department (7 patients; 15 %). Similar results for the knee were observed in these two forms of arthritis in spite of the fact that the initial local joint status and general health status are worse in inflammatory rheumatoid arthritis than in "degenerative" osteoarthritis. However, complications were more frequent with RA.
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How Mind Works To Revise Compositions.
ERIC Educational Resources Information Center
Lin, Deh-nan
This study investigated cognitive processes involved in English-as-a-Second-Language (ESL) students' correcting and revising drafts after receiving oral feedback from their teachers, noting factors that led to better written products and factors that did not improve student writing. The study examined what kinds of revision strategies students…
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Code of Fair Testing Practices in Education (Revised)
ERIC Educational Resources Information Center
Educational Measurement: Issues and Practice, 2005
2005-01-01
A note from the Working Group of the Joint Committee on Testing Practices: The "Code of Fair Testing Practices in Education (Code)" prepared by the Joint Committee on Testing Practices (JCTP) has just been revised for the first time since its initial introduction in 1988. The revision of the Code was inspired primarily by the revision of…
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Effects of hydroxyapatite coating of cups used in hip revision arthroplasty
2012-01-01
Background and purpose Coating of acetabular revision implants with hydroxyapatite (HA) has been proposed to improve ingrowth and stability. We investigated whether HA coating of revision cups can reduce the risk of any subsequent re-revision. Methods We studied uncemented cups either with or without HA coating that were used at a primary acetabular revision and registered in the Swedish Hip Arthroplasty Register (SHAR). 2 such cup designs were identified: Harris-Galante and Trilogy, both available either with or without HA coating. These cups had been used as revision components in 1,780 revisions of total hip arthroplasties (THA) between 1986 and 2009. A Cox proportional hazards model including the type of coating, age at index revision, sex, cause of cup revision, cup design, the use of bone graft at the revision procedure, and the type of cup fixation at primary THA were used to calculate adjusted risk ratios (RRs with 95% CI) for re-revision for any reason or due to aseptic loosening. Results 71% of the cups were coated with HA and 29% were uncoated. At a mean follow-up time of 6.9 (0–24) years, 159 (9%) of all 1,780 cups had been re-revised, mostly due to aseptic loosening (5%), dislocation (2%), or deep infection (1%). HA coating had no significant influence on the risk of re-revision of the cup for any reason (RR = 1.4, CI: 0.9–2.0) or due to aseptic loosening (RR = 1.1, 0.6–1.9). In contrast, HA coating was found to be a risk factor for isolated liner re-revision for any reason (RR = 1.8, CI: 1.01–3.3). Age below 60 years at the index cup revision, dislocation as the cause of the index cup revision, uncemented cup fixation at primary THA, and use of the Harris-Galante cup also increased the risk of re-revision of the cup. In separate analyses in which isolated liner revisions were excluded, bone grafting was found to be a risk factor for re-revision of the metal shell due to aseptic loosening (RR = 2.1, CI: 1.05–4.2). Interpretation We found no
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Revised Human Health Risk Assessment on Chlorpyrifos
We have revised our human health risk assessment and drinking water exposure assessment for chlorpyrifos that supported our October 2015 proposal to revoke all food residue tolerances for chlorpyrifos. Learn about the revised analysis.
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Compulsive Buying: Earlier Illicit Drug Use, Impulse Buying, Depression, and Adult ADHD Symptoms
Brook, Judith S.; Zhang, Chenshu; Brook, David W.; Leukefeld, Carl G.
2015-01-01
This longitudinal study examined the association between psychosocial antecedents, including illicit drug use, and adult compulsive buying (CB) across a 29-year time period from mean age 14 to mean age 43. Participants originally came from a community-based random sample of residents in two upstate New York counties. Multivariate linear regression analysis was used to study the relationship between the participant’s earlier psychosocial antecedents and adult CB in the fifth decade of life. The results of the multivariate linear regression analyses showed that gender (female), earlier adult impulse buying (IB), depressive mood, illicit drug use, and concurrent ADHD symptoms were all significantly associated with adult CB at mean age 43. It is important that clinicians treating CB in adults should consider the role of drug use, symptoms of ADHD, IB, depression, and family factors in CB. PMID:26165963
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ERIC Educational Resources Information Center
Mowder, Barbara A.; Shamah, Renee
2011-01-01
This study evaluated the test-retest reliability of two parenting measures: the Parent Behavior Importance Questionnaire-Revised (PBIQ-R) and Parent Behavior Frequency Questionnaire-Revised (PBFQ-R). These self-report parenting behavior assessment measures may be utilized as pre- and post-parent education program measures, with parents as well as…
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Amino acid epimerization implies rapid sedimentation rates in Arctic Ocean cores
Sejrup, H.P.; Miller, G.H.; Brigham-Grette, J.; Lovlie, R.; Hopkins, D.
1984-01-01
The palaeooceanography of the Arctic Ocean is less well known than any other ocean basin, due to difficulties in obtaining cores and in providing a secure chronological framework for those cores that have been raised. Most recent investigators have suggested that low sedimentation rates (0.05-0.1 cm kyr-1) have characterized the deep basins over the past 5 Myr (refs 1,2) despite the glacial-marine character of the sediment and proximity to major centres of shelf glaciation. These calculations have been primarily based on the down-core pattern in the inclination of magnetic minerals, supported by uranium-series, 14C and micropalaeontological evidence. Here we analyse amino acid diagnesis in foraminifera from two gravity cores raised from the floor of the Arctic Ocean, our results suggest that these cores span <200 kyr., conflicting with the earlier estimate of 3 Myr based on palaeomagnetic data. The chronology of other Arctic Ocean cores and previous palaeoenvironmental interpretations need re-evaluation. ?? 1984 Nature Publishing Group.
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Special Consolidated Checklists for Toxicity Characteristics Revisions
This checklist consolidates the changes to the Federal code addressed by the Toxicity Characteristic (TC) Rule [55 FR 11798; March 29, 1990; Revision Checklist 74] and subsequent revisions which have occurred through December 31, 2002.
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Final CSAPR Revisions Rule (77 FR 10324)
EPA finalizes revisions to the Transport Rule (76 FR 48208). These revisions address discrepancies in unit-specific modeling assumptions that affect the proper calculation of Transport Rule state budgets and assurance levels in several states.
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Insight Into Illness and Cognition in Schizophrenia in Earlier and Later Life.
Gerretsen, Philip; Voineskos, Aristotle N; Graff-Guerrero, Ariel; Menon, Mahesh; Pollock, Bruce G; Mamo, David C; Mulsant, Benoit H; Rajji, Tarek K
2017-04-01
Impaired insight into illness in schizophrenia is associated with illness severity and deficits in premorbid intellectual function, executive function, and memory. A previous study of patients aged 60 years and older found that illness severity and premorbid intellectual function accounted for variance in insight impairment. As such, we aimed to test whether similar relationships would be observed in earlier life. A retrospective analysis was performed on 1 large sample of participants (n = 171) with a DSM-IV-TR diagnosis of schizophrenia aged 19 to 79 years acquired from 2 studies: (1) a psychosocial intervention trial for older persons with schizophrenia (June 2008 to May 2014) and (2) a diffusion tensor imaging and genetics study of psychosis across the life span (February 2007 to December 2013). We assessed insight into illness using the Positive and Negative Syndrome Scale (PANSS) item G12 and explored its relationship to illness severity (PANSS total modified), premorbid intellectual function (Wechsler Test of Adult Reading [WTAR]), and cognition. Insight impairment was more severe in later life (≥ 60 years) than in earlier years (t = -3.75, P < .001). Across the whole sample, the variance of impaired insight was explained by PANSS total modified (Exp[B] = 1.070, P < .001) and WTAR scores (Exp[B] = 0.970, P = .028). Although age and cognition were correlated with impaired insight, they did not independently contribute to its variance. However, the relationships between impaired insight and illness severity and between impaired insight and cognition, particularly working memory, were stronger in later life than in earlier life. These results suggest an opportunity for intervention may exist with cognitive-enhancing neurostimulation or medications to improve insight into illness in schizophrenia across the life span. Original study registered on ClinicalTrials.gov (identifier: NCT00832845). © Copyright 2017 Physicians Postgraduate Press, Inc.
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Kessler, R C; Aguilar-Gaxiola, S; Alonso, J; Bromet, E J; Gureje, O; Karam, E G; Koenen, K C; Lee, S; Liu, H; Pennell, B-E; Petukhova, M V; Sampson, N A; Shahly, V; Stein, D J; Atwoli, L; Borges, G; Bunting, B; de Girolamo, G; Gluzman, S F; Haro, J M; Hinkov, H; Kawakami, N; Kovess-Masfety, V; Navarro-Mateu, F; Posada-Villa, J; Scott, K M; Shalev, A Y; Ten Have, M; Torres, Y; Viana, M C; Zaslavsky, A M
2017-09-19
Although earlier trauma exposure is known to predict posttraumatic stress disorder (PTSD) after subsequent traumas, it is unclear whether this association is limited to cases where the earlier trauma led to PTSD. Resolution of this uncertainty has important implications for research on pretrauma vulnerability to PTSD. We examined this issue in the World Health Organization (WHO) World Mental Health (WMH) Surveys with 34 676 respondents who reported lifetime trauma exposure. One lifetime trauma was selected randomly for each respondent. DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) PTSD due to that trauma was assessed. We reported in a previous paper that four earlier traumas involving interpersonal violence significantly predicted PTSD after subsequent random traumas (odds ratio (OR)=1.3-2.5). We also assessed 14 lifetime DSM-IV mood, anxiety, disruptive behavior and substance disorders before random traumas. We show in the current report that only prior anxiety disorders significantly predicted PTSD in a multivariate model (OR=1.5-4.3) and that these disorders interacted significantly with three of the earlier traumas (witnessing atrocities, physical violence victimization and rape). History of witnessing atrocities significantly predicted PTSD after subsequent random traumas only among respondents with prior PTSD (OR=5.6). Histories of physical violence victimization (OR=1.5) and rape after age 17 years (OR=17.6) significantly predicted only among respondents with no history of prior anxiety disorders. Although only preliminary due to reliance on retrospective reports, these results suggest that history of anxiety disorders and history of a limited number of earlier traumas might usefully be targeted in future prospective studies as distinct foci of research on individual differences in vulnerability to PTSD after subsequent traumas.Molecular Psychiatry advance online publication, 19 September 2017; doi:10.1038/mp.2017.194.
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Risk factors for total hip arthroplasty aseptic revision.
Khatod, Monti; Cafri, Guy; Namba, Robert S; Inacio, Maria C S; Paxton, Elizabeth W
2014-07-01
The purpose of this study was to evaluate patient, operative, implant, surgeon, and hospital factors associated with aseptic revision after primary THA in patients registered in a large US Total Joint Replacement Registry. A total of 35,960 THAs registered from 4/2001-12/2010 were evaluated. The 8-year survival rate was 96.7% (95% CI 96.4%-97.0%). Females had a higher risk of aseptic revision than males. Hispanic and Asian patients had a lower risk of revision than white patients. Ceramic-on-ceramic, ceramic-on-conventional polyethylene, and metal-on-conventional polyethylene bearing surfaces had a higher risk of revision than metal-on-highly cross-linked polyethylene. Body mass index, health status, diabetes, diagnosis, fixation, approach, bilateral procedures, head size, surgeon fellowship training, surgeon and hospital volume were not revision risk factors. Copyright © 2014 Elsevier Inc. All rights reserved.
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NASA Astrophysics Data System (ADS)
Gogorza, C. S.; Irurzun, M. A.; Lirio, J. M.; Nunez, H.; Chaparro, M. A.; Sinito, A. M.
2008-05-01
We conducted a detailed study of natural remanence and rock magnetic properties on sediments cores from lake Moreno (South-Western Argentina). Based on these measurements, we constructed a paleosecular variation (PSV) record (Irurzun et al., 2008) and a relative paleointensity stack for the period 11-21 14C. The Declination and Inclination logs of the characteristic remanent magnetization for the cores as function of shortened depth are obtained. The data from all cores were combined to obtain a composite record using the Fisher method. Comparison between stacked inclination and declination records of lake Moreno and results obtained in previous works, lake Escondido (Gogorza et al., 1999; Gogorza et al., 2002) and lake El Trébol (Irurzun et al., 2008), shows good agreement. This agreement made possible to transform the stacked curves into time series that spans the interval 11 and 21 14C kyr B.P. Rock magnetic properties of the sediments cores showed uniform magnetic mineralogy and grain size, suggesting that they were suitable for relative paleointensity studies. The remanent magnetization at 20mT (NRM20mT) was normalized using the anhysteric remanent magnetization at 20mT (ARM20mT), the saturation of the isothermal remanent magnetization at 20mT (SIRM20mT) and the low field magnetic susceptibility {k}. Coherence analysis showed that the normalized records were not affected by local environmental conditions. The recorded pseudo-Thellier paleointensity was compared with records obtained from conventional normalizing methods. Comparing the paleointensity curves with others obtained previously in other lakes in the area has allowed us to reach reliable conclusions about centennial-scale features. References: Gogorza, C.S.G., Sinito, A.M., Di Tommaso, I., Vilas, J.F., Creer, K., Núnez, H. Holocene Geomagnetic Secular Variations Recorded by Sediments from Escondido lake (South Argentina). Earth, Planets and Space, V51(2), 93- 106. 1999. Gogorza, C.S.G., Sinito, A
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Hattori, Yusuke; Ishibashi, Kohei; Noda, Takashi; Okamura, Hideo; Kanzaki, Hideaki; Anzai, Toshihisa; Yasuda, Satoshi; Kusano, Kengo
2017-09-01
We describe the case of a 37-year-old woman who presented with complete right bundle branch block and right axis deviation. She was admitted to our hospital due to severe heart failure and was dependent on inotropic agents. Cardiac resynchronization therapy was initiated but did not improve her condition. After the optimization of the pacing timing, we performed earlier right ventricular pacing, which led to an improvement of her heart failure. Earlier right ventricular pacing should be considered in patients with complete right bundle branch block and right axis deviation when cardiac resynchronization therapy is not effective.
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Belief revision and way-finding.
Bucher, Leandra; Röser, Florian; Nejasmic, Jelica; Hamburger, Kai
2014-02-01
Belief revision is required when veridical information surfaces that contradicts what was previously thought to be the case. In way-finding, belief revision frequently occurs, for example, when the travelled route has led one astray, instead of to one's chosen destination. In past cognitive research, the topics of belief revision and way-finding have been treated in isolation. Here, we introduce an approach for linking the two fields and assess belief revision as it occurs in the process of way-finding. We report the results of two experiments that put participants in (virtual) situations where elements of a previously learned route description do not match the actual environment (thereby requiring the revision of a previously held belief). Experiment 1 puts participants in a highly artificial virtual environment where the landmarks to be used in navigation have a low degree of semantic salience (houses of various color). Experiment 2 puts subjects in a photorealistic environment where the objects to be used in navigation are well-known landmarks (such as the Eiffel Tower) and thus have a high degree of semantic salience. In both experiments, participants are confronted with T-junctions, where a landmark that was expected to indicate the correct route is discovered to be in an unexpected location. The results of the experiments show that a participant's choice of route, in such cases, is affected by differences in the structure of the relevant initial instruction. More precisely, the route chosen by participants is affected by whether the relevant landmark was described as being on the same side of the path as they were instructed to turn (congruent case) or as located on the opposite side of the path as they were instructed to turn (incongruent case).
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Revised State Budget Sells Kids Short
ERIC Educational Resources Information Center
Children Now, 2012
2012-01-01
The Administration's May Revision of the 2012-2013 state budget addresses a $15.7 billion shortfall through funding shifts, cuts, and new revenue sources that place children squarely in harms way. California's kids are already grossly underserved relative to the rest of the nation's children. If the May Revise budget is passed by the Legislature,…
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42 CFR 498.103 - Notice and effect of revised decision.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 5 2010-10-01 2010-10-01 false Notice and effect of revised decision. 498.103... Departmental Appeals Board § 498.103 Notice and effect of revised decision. (a) Notice. The notice mailed to... decision. (b) Effect—(1) ALJ revised decision. An ALJ revised decision is binding unless it is reviewed by...
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76 FR 1440 - Notice of Revised Child Outcomes Framework
Federal Register 2010, 2011, 2012, 2013, 2014
2011-01-10
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Notice of Revised Child Outcomes Framework AGENCY: Office of Head Start (OHS), HHS. ACTION: Notice of Revised Child Outcomes Framework. SUMMARY: This notice announces and informs the public of the revised Head Start Child...
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TCR revision generates functional CD4+ T cells1
Hale, J. Scott; Wubeshet, Maramawit; Fink, Pamela J.
2010-01-01
CD4+Vβ5+ peripheral T cells in B6 mice respond to encounter with a peripherally-expressed endogenous superantigen by undergoing either deletion or TCR revision. In this latter process, cells lose surface Vβ5 expression and undergo RAG-dependent rearrangement of endogenous TCRβ genes, driving surface expression of novel TCRs. While post-revision CD4+Vβ5−TCRβ+ T cells accumulate with age in Vβ5 transgenic mice and bear a diverse TCR Vβ repertoire, it is unknown whether they respond to homeostatic and antigenic stimuli, and thus may benefit the host. We now demonstrate that post-revision cells are functional. These cells have a high rate of steady-state homeostatic proliferation in situ and they undergo extensive MHC class II-dependent lymphopenia-induced proliferation. Importantly, post-revision cells do not proliferate in response to the tolerizing superantigen, implicating TCR revision as a mechanism of tolerance induction and demonstrating that TCR-dependent activation of post-revision cells is not driven by the transgene-encoded receptor. Post-revision cells proliferate extensively to commensal bacterial Ags and can generate I-Ab-restricted responses to Ag by producing IFNγ following Listeria monocytogenes challenge. These data show that rescued post-revision T cells are responsive to homeostatic signals and recognize self and foreign peptides in the context of self MHC, and are thus useful to the host. PMID:20971922
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Metabolically Derived Human Ventilation Rates: A Revised ...
EPA announced the availability of the final report, Metabolically Derived Human Ventilation Rates: A Revised Approach Based Upon Oxygen Consumption Rates. This report provides a revised approach for calculating an individual's ventilation rate directly from their oxygen consumption rate. This approach will be used to update the ventilation rate information in the Exposure Factors Handbook, which serve as a resources for exposure assessors for calculating inhalation and other exposures. In this report, EPA presents a revised approach in which ventilation rate is calculated directly from an individual's oxygen consumption rate.
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Compulsive buying: Earlier illicit drug use, impulse buying, depression, and adult ADHD symptoms.
Brook, Judith S; Zhang, Chenshu; Brook, David W; Leukefeld, Carl G
2015-08-30
This longitudinal study examined the association between psychosocial antecedents, including illicit drug use, and adult compulsive buying (CB) across a 29-year time period from mean age 14 to mean age 43. Participants originally came from a community-based random sample of residents in two upstate New York counties. Multivariate linear regression analysis was used to study the relationship between the participant's earlier psychosocial antecedents and adult CB in the fifth decade of life. The results of the multivariate linear regression analyses showed that gender (female), earlier adult impulse buying (IB), depressive mood, illicit drug use, and concurrent ADHD symptoms were all significantly associated with adult CB at mean age 43. It is important that clinicians treating CB in adults should consider the role of drug use, symptoms of ADHD, IB, depression, and family factors in CB. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
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The revised HSE fatigue guidance
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stacey, A.; Sharp, J.V.
1995-12-31
Fatigue cracking has been a principal cause of damage to North Sea structures and consequently considerable attention has been given to the development of guidance for the prediction of fatigue performance. The fatigue guidance of the Offshore Safety Division of the Health and Safety Executive (HSE) was recently revised and published, following a significant offshore industry review in the period 1987 to 1990, and is based on the results of a considerable amount of research and development work on the fatigue behavior of welded tubular and plated joints. As a result of this review, the revised fatigue guidance incorporates severalmore » new clauses and recommendations. The revised recommendations apply to joint classification, basic design S-N curves for welded joints and cast or forged steel components, the thickness effect, the effects of environment and the treatment of low and high stress ranges. Additionally, a new appendix on the derivation of stress concentration factors is included. The new clauses cover high strength steels, bolts and threaded connectors, moorings, repaired joints and the use of fracture mechanics analysis. This paper presents an overview of the revisions to the fatigue guidance, the associated background technical information and aspects of the fatigue behavior of offshore structures which are considered to require further investigation. 67 refs., 7 figs., 8 tabs.« less
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500 kyr of Indian Ocean Walker Circulation Variability Using Foraminiferal Mg/Ca and Stable Isotopes
NASA Astrophysics Data System (ADS)
Groeneveld, J.; Mohtadi, M.; Lückge, A.; Pätzold, J.
2017-12-01
The tropical Indian Ocean is a key location for paleoclimate research affected by different oceanographic and atmospheric processes. Annual climate variations are strongly controlled by the Indian and Asian Monsoon characterized by bi-annually reversing trade winds. Inter-annual climate variations in the Walker circulation are caused by the Indian Ocean Dipole and El Niño-Southern Oscillation resulting in either heavy flooding or severe droughts like for example the famine of 2011 in eastern Africa. Oceanographically the tropical western Indian Ocean receives water masses from the Indonesian Gateway area, sub-Antarctic waters that upwell south of the equator, and the outflow waters from the highly saline Red Sea. On the other hand, the tropical western Indian Ocean is a major source for providing water masses to the Agulhas Current system. Although the eastern Indian Ocean has been studied extensively, the tropical western Indian Ocean is still lacking in high quality climate-archives that have the potential to provide important information to understand how the ocean and atmospheric zonal circulation have changed in the past, and possibly will change in the future. Until now there were no long sediment cores available covering several glacial-interglacial cycles in the tropical western Indian Ocean. Core GeoB 12613-1, recovered during RV Meteor Cruise M75/2 east of the island of Pemba off Tanzania, provides an open-ocean core with well-preserved sediments covering the last five glacial-interglacial cycles ( 500 kyr). Mg/Ca and stable isotopes on both surface- and thermocline dwelling foraminifera have been performed to test how changes in sea water temperatures and relative sea water salinity were coupled on orbital time scales. The results are compared with similar records generated for the tropical eastern Indian Ocean in core SO139-74KL off Sumatra. Water column stratification on both sides of the Indian Ocean and the cross-basin gradients in sea water
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Indications and risk factors for midurethral sling revision.
Unger, Cecile A; Rizzo, Anthony E; Ridgeway, Beri
2016-01-01
To determine the indications and risk factors for needing midurethral sling revision in a cohort of women undergoing midurethral sling placement. This was a case-control study of all women undergoing midurethral sling placement for stress urinary incontinence (SUI) between January 2003 and December 2013. Cases were patients who underwent midurethral sling placement followed by sling revision (incision, partial or complete excision). Controls were patients who underwent sling placement only. Once all subjects had been identified, the electronic medical record was queried for demographic and perioperative and postoperative data. Of 3,307 women who underwent sling placement, 89 (2.7%, 95% CI 1.9 - 3.4) underwent sling revision for one or more of the following indications: urinary retention (43.8%), voiding dysfunction (42.7%), recurrent urinary tract infection (20.2%), mesh erosion (21.3%), vaginal pain/dyspareunia (7.9%), and groin pain (3.4%). The median time from the index to the revision surgery was 7.8 months (2.3 - 17.9 months), but was significantly shorter in patients with urinary retention. The type of sling placed (retropubic or transobturator) was not associated with indication for revision. Patients who underwent revision surgery were more likely to have had previous SUI surgery (adjusted odds ratio 4.4, 95% CI 1.7 - 6.5) and to have undergone concomitant vaginal apical suspension (adjusted odds ratio 2.4, 95% CI 1.4 - 4.5). The rate of sling revision after midurethral sling placement was 2.7%. Urinary retention and voiding dysfunction were the most common indications. Patients with a history of previous SUI surgery and concomitant apical suspension at the time of sling placement may be at higher risk of requiring revision surgery.
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Current Epidemiology of Revision Total Knee Arthroplasty in the United States.
Delanois, Ronald E; Mistry, Jaydev B; Gwam, Chukwuweike U; Mohamed, Nequesha S; Choksi, Ujval S; Mont, Michael A
2017-09-01
Revision surgery for failed total knee arthroplasty (TKA) continues to pose a substantial burden for the United States healthcare system. The predominant etiology of TKA failure has changed over time and may vary between studies. This report aims to update the current literature on this topic by using a large national database. Specifically, we analyzed: (1) etiologies for revision TKA; (2) frequencies of revision TKA procedures; (3) various demographics including payer type and region; and (4) the length of stay (LOS) and total charges based on type of revision TKA procedure. The Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) database was used to identify all revision TKA procedures performed between 2009 and 2013. Clinical, economic, and demographic data were collected and analyzed for 337,597 procedures. Patients were stratified according to etiology of failure, age, sex, race, US census region, and primary payor class. The mean LOS and total charges were also calculated. Infection was the most common etiology for revision TKA (20.4%), closely followed by mechanical loosening (20.3%). The most common revision TKA procedure performed was all component revision (31.3%). Medicare was the primary payor for the greatest proportion of revisions (57.7%). The South census region performed the most revision TKAs (33.2%). The overall mean LOS was 4.5 days, with arthrotomy for removal of prosthesis without replacement procedures accounting for the longest stays (7.8 days). The mean total charge for revision TKAs was $75,028.07. Without appropriate measures in place, the burden of revision TKAs may become overwhelming and pose a strain on providers and institutions. Continued insight into the etiology and epidemiology of revision TKAs may be the principle step towards improving outcomes and mitigating the need for future revisions. Copyright © 2017 Elsevier Inc. All rights reserved.
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Nagai, S; Andrianarimanana, D; Rabesandratana, N; Yonemoto, N; Nakayama, T; Mori, R
2010-06-01
The aim of this study was to examine the effectiveness of earlier continuous Kangaroo Mother Care (KMC) for relatively stable low-birth-weight (LBW) infants in a resource-limited country. A randomized controlled trial was performed in LBW infants at a referral hospital in Madagascar. Earlier continuous KMC (intervention) was begun as soon as possible, within 24 h postbirth, and later continuous KMC (control: conventional care) was begun after complete stabilization (generally after 24 h postbirth). Main outcome measure was mortality during the first 28 days postbirth. This trial was registered with ClinicalTrials.gov, NCT00531492. A total of 73 infants (intervention 37, control 36) were included. Earlier continuous KMC had higher but no statistically different mortality in the first 28 days postbirth (1 vs. 2; risk ratio, 1.95; 95% CIs, 0.18-20.53; p = 1.00). There were no differences in incidence of morbidities. Body weight loss from birth to 24 h postbirth was significantly less in earlier KMC infants compared with later KMC infants. (-34.81 g vs. -73.97 g; mean difference, 39.16 g; 95% CIs, 10.30-68.03; p = 0.01; adjusted p = 0.02). Adverse events and duration of hospitalization were not different between the two groups. Further evaluations of earlier continuous KMC including measurement of KMC dose, are needed in resource-limited countries.
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Revision total hip arthroplasty: the femoral side using cemented implants.
Holt, Graeme; Hook, Samantha; Hubble, Matthew
2011-02-01
Advances in surgical technique and implant technology have improved the ten-year survival after primary total hip arthroplasty (THA). Despite this, the number of revision procedures has been increasing in recent years, a trend which is predicted to continue into the future. Revision THA is a technically demanding procedure often complicated by a loss of host bone stock which may be compounded by the need to remove primary implants. Both cemented and uncemented implant designs are commonly used in the United Kingdom for primary and revision THA and much controversy still exists as to the ideal method of stem fixation. In this article we discuss revision of the femur using cemented components during revision THA. We focus on three clinical scenarios including femoral cement-in-cement revision where the primary femoral cement-bone interface remains well fixed, femoral cement-in-cement revision for peri-prosthetic femoral fractures, and femoral impaction grafting. We discuss the clinical indications, surgical techniques and clinical outcomes for each of these procedures.
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Stalagmite Survival: 500kyr of Cyclical Growth and Natural Attrition of Stalagmites in Sulawesi
NASA Astrophysics Data System (ADS)
Scroxton, N.; Gagan, M. K.; Dunbar, G. B.; Ayliffe, L. K.; Hantoro, W. S.; Shen, C. C.; Hellstrom, J. C.; Zhao, J. X.; Cheng, H.; Edwards, R. L.; Sun, H.; Rifai, H.
2014-12-01
Numerous speleothem studies have analysed the age distribution of stalagmites harvested from multiple caves and inferred important changes in paleoclimates to explain stalagmite growth phases. However, stalagmites take tens to hundreds of thousands of years to grow, and thus the twin desires to preserve the cave condition for future generations and advance palaeoclimate science are often in conflict. In this study we use U/Th ages from low impact mini-cores extracted in situ from the bases of stalagmites, thus keeping the intrinsic value of the cave intact. Our case study is based on 77 individual stalagmites drilled in situ in thirteen caves located in and around Bantimurung-Bulusaraung National Park, South Sulawesi, Indonesia. The stalagmites grew during discrete time intervals within the last ~530,000 years, and analysis of their age distribution shows an exponential decrease in the number of older stalagmites surviving to the present day. The age distribution indicates that the rate of natural attrition of stalagmites is approximately constant through time, probably in response to a number of natural processes, including downward erosion of the karst terrain, cave collapse, in-cave erosional processes and in-cave sedimentation covering stalagmites. Natural attrition of stalagmites is likely to be a general cave phenomenon, and has important implications for cave conservation because it highlights that random removal of stalagmites without prior knowledge of their ages will result in unnecessary replication and a failure to sample the full length of the available paleoclimate record. Departure from this "normal" exponential profile can be used to infer palaeoclimate information: significant deviations are produced by periods of more frequent stalagmite growth, inferred here to reflect increases in monsoon rainfall over Sulawesi (345-340, 75-70 and 10-5 kyr BP). By adjusting the record to account for stalagmite attrition, more statistically robust paleoclimate
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What are the causes of revision total knee arthroplasty in Japan?
Kasahara, Yasuhiko; Majima, Tokifumi; Kimura, Shoichi; Nishiike, Osamu; Uchida, Jun
2013-05-01
There is limited information regarding the cause of revision TKA in Asia, especially Japan. Owing to differences in patient backgrounds and lifestyles, the modes of TKA failures in Asia may differ from those in Western countries. We therefore determined (1) causes of revision TKA in a cohort of Japanese patients with revision TKA and (2) whether patient demographic features and underlying diagnosis of primary TKA are associated with the causes of revision TKA. We assessed all revision TKA procedures performed at five major centers in Hokkaido from 2006 to 2011 for the causes of failures. Demographic data and underlying diagnosis for index primary TKA of the revision cases were compared to those of randomly selected primary TKAs during the same period. One hundred forty revision TKAs and 4047 primary TKAs were performed at the five centers, indicating a revision burden of 3.3%. The most common cause of revision TKA was mechanical loosening (40%) followed by infection (24%), wear/osteolysis (9%), instability (9%), implant failure (6%), periprosthetic fracture (4%), and other reasons (8%). The mean age of patients with periprosthetic fracture was older (77 versus 72 years) and the male proportion in patients with infection was higher (33% versus 19%) than those of patients in the primary TKA group. There was no difference in BMI between primary TKAs and any type of revision TKA except other causes. The revision burden at the five referral centers in Hokkaido was 3.3%, and the most common cause of revision TKA was mechanical loosening followed by infection. Demographic data such as age and sex might be associated with particular causes of revision TKA.
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7 CFR 277.3 - Budgets and budget revision procedures.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 4 2010-01-01 2010-01-01 false Budgets and budget revision procedures. 277.3 Section... OF STATE AGENCIES § 277.3 Budgets and budget revision procedures. The preparation, content, submittal, and revision requirements for the State Food Stamp Program Budget shall be as specified in § 272.2...
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Explanatory Coherence and Belief Revision in Naive Physics
1988-07-01
continental drift (Thagard & Nowak, 1988), and debates about why the dinosaurs became extinct . Application of ECHO to the belief revisions in Pat and Hal...rewono of nocuamy Idid 4onoly by bodck number) Students of reasoning have long tried to understand how people revise systems of beliefs. We maintain...Princeton University Students of reasoning have long tried to understand how people revise systems of beliefs (see Wertheimer, 1945, for example). We will
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Revising the Belgian Nursing Minimum Dataset: from concept to implementation.
Sermeus, Walter; van den Heede, Koen; Michiels, Dominik; Delesie, Lucas; Thonon, Olivier; Van Boven, Caroline; Codognotto, Jean; Gillet, Pierre
2005-12-01
The process of revising the Belgian Nursing Minimum Dataset (B-NMDS) started in 2000 and entailed four major phases. The first phase (June-October 2002) involved the development of a conceptual framework based on a literature review and secondary data analysis. The Nursing Interventions Classification (NIC) was selected as a framework for the revision of the original B-NMDS. The second phase (November 2002-September 2003) focused on language development for six care programs evaluated by panels of clinical experts (N=75). These panels identified the following items as priorities for the revised B-NMDS: hospital financing, nurse staffing allocation, assessment of the appropriateness of hospitalisation, and quality management. During this period, we developed a draft instrument with 92 variables using the NIC. This led to an alpha version of a revised B-NMDS. The third phase (October 2003-December 2004) focused on data collection and validation of the new tool. The revised B-NMDS (alpha version) was tested in 158 nursing wards in 66 Belgian hospitals from December 2003 until March 2004. This test generated data for some 95,000 in-patient days. The interrater reliability of the revised B-NMDS was assessed. The criterion-related validity of the revised B-NMDS was compared to that of the original B-NMDS. The discriminative power of the revised B-NMDS was also assessed to select the most relevant variables for data collection. This resulted in a beta version of the revised B-NMDS in December 2004. The records of the revised B-NMDS were linked to the Hospital Discharge Dataset and other mandatory datasets to integrate the revised B-NMDS into the overall healthcare management system. The fourth phase (January 2005-December 2005) is presently focusing on information management. Nationwide implementation is foreseen by January 2007.
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Results of revision anterior shoulder stabilization surgery in adolescent athletes.
Blackman, Andrew J; Krych, Aaron J; Kuzma, Scott A; Chow, Roxanne M; Camp, Christopher; Dahm, Diane L
2014-11-01
The purpose of this study was to determine failure rates, functional outcomes, and risk factors for failure after revision anterior shoulder stabilization surgery in high-risk adolescent athletes. Adolescent athletes who underwent primary anterior shoulder stabilization were reviewed. Patients undergoing subsequent revision stabilization surgery were identified and analyzed. Failure rates after revision surgery were assessed by Kaplan-Meier analysis. Failure was defined as recurrent instability requiring reoperation. Functional outcomes included the Marx activity score; American Shoulder and Elbow Surgeons score; and University of California, Los Angeles score. The characteristics of patients who required reoperation for recurrent instability after revision surgery were compared with those of patients who required only a single revision to identify potential risk factors for failure. Of 90 patients who underwent primary anterior stabilization surgery, 15 (17%) had failure and underwent revision surgery (mean age, 16.6 years; age range, 14 to 18 years). The mean follow-up period was 5.5 years (range, 2 to 12 years). Of the 15 revision patients, 5 (33%) had recurrent dislocations and required repeat revision stabilization surgery at a mean of 50 months (range, 22 to 102 months) after initial revision. No risk factors for failure were identified. The Kaplan-Meier reoperation-free estimates were 86% (95% confidence interval, 67% to 100%) at 24 months and 78% (95% confidence interval, 56% to 100%) at 48 months after revision surgery. The mean final Marx activity score was 14.8 (range, 5 to 20); American Shoulder and Elbow Surgeons score, 82.1 (range, 33 to 100); and University of California, Los Angeles score, 30.8 (range, 16 to 35). At 5.5 years' follow-up, adolescent athletes had a high failure rate of revision stabilization surgery and modest functional outcomes. We were unable to convincingly identify specific risk factors for failure of revision surgery. Level IV
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25 CFR 75.3 - Announcement of revision of roll.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 25 Indians 1 2011-04-01 2011-04-01 false Announcement of revision of roll. 75.3 Section 75.3... ROLL OF THE EASTERN BAND OF CHEROKEE INDIANS, NORTH CAROLINA § 75.3 Announcement of revision of roll... perform the work necessary to revise the membership roll of the Band and such staff has been employed and...
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25 CFR 75.3 - Announcement of revision of roll.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Announcement of revision of roll. 75.3 Section 75.3... ROLL OF THE EASTERN BAND OF CHEROKEE INDIANS, NORTH CAROLINA § 75.3 Announcement of revision of roll... perform the work necessary to revise the membership roll of the Band and such staff has been employed and...
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17 CFR 160.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Revised privacy notices. 160.8 Section 160.8 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 160.8 Revised privacy notices. (a) General rule. Except...
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12 CFR 716.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Revised privacy notices. 716.8 Section 716.8 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 716.8 Revised privacy notices. (a) General...
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12 CFR 716.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Revised privacy notices. 716.8 Section 716.8 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 716.8 Revised privacy notices. (a) General...
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12 CFR 716.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Revised privacy notices. 716.8 Section 716.8 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 716.8 Revised privacy notices. (a) General...
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12 CFR 716.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Revised privacy notices. 716.8 Section 716.8 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING CREDIT UNIONS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 716.8 Revised privacy notices. (a) General...
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17 CFR 160.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Revised privacy notices. 160.8 Section 160.8 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 160.8 Revised privacy notices. (a) General rule. Except...
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Sequenced Peer Revision: Creating Competence and Community
ERIC Educational Resources Information Center
Bowman, Ingrid K.; Robertson, John
2013-01-01
Mastering techniques of self- and peer revision is a valuable tool for all writers, especially US-educated Generation 1.5 students, whose near fluency enables them to dialogue successfully about their writing. Using action research, 2 academic writing instructors systematically trained students to more responsibly and effectively revise their…
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78 FR 48667 - Revised Company Registration System
Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-09
...; and RM12-3-000] Revised Company Registration System AGENCY: Federal Energy Regulatory Commission... System. The Commission issued a previous notice in the Federal Register, 78 FR 44559 (July 24, 2013... Registration system.\\1\\ On July 17, 2013, the Commission issued a notice stating that the revised Company...
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Revision of Unicondylar to Total Knee Arthroplasty: A Systematic Review
Siddiqui, Nashat A; Ahmad, Zafar M
2012-01-01
Isolated unicompartmental osteoarthritis in the young patient is a difficult problem to treat; they may be too young to consider total knee arthroplasty due to difficulties with inevitable future revision. Unicompartmental knee arthroplasty is one possible solution as it is perceived by some as being a smaller surgical insult than total knee arthroplasty, with easier revision to total knee arthroplasty than a revision total knee arthroplasty. A total knee arthroplasty performed as a revision unicondylar knee arthroplasty is thought by some authors to have equivalent functional outcomes to a primary total knee replacement. However, there have been several studies suggesting that revision is not as simple as suggested, and that function is not as good as primary total knee arthroplasty. We performed a systematic review of the literature regarding outcomes after revision of a unicondylar knee arthroplasty. Although there are many studies proposing selective use of the unicondylar knee arthroplasty, there are a number of studies highlighting difficulties with revision and poorer outcomes, and, therefore, the unicondylar knee arthroplasty cannot be considered a small procedure that will 'buy time' for the patient, and have results equal to a primary knee arthroplasty when revised. Further controlled studies, ideally randomised, are required before final conclusions can be drawn. PMID:22905072
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NASA Technical Reports Server (NTRS)
Franklin, James A.
1997-01-01
This report describes revisions to a simulation model that was developed for use in piloted evaluations of takeoff, transition, hover, and landing characteristics of an advanced short takeoff and vertical landing lift fan fighter aircraft. These revisions have been made to the flight/propulsion control system, head-up display, and propulsion system to reflect recent flight and simulation experience with short takeoff and vertical landing operations. They include nonlinear inverse control laws in all axes (eliminating earlier versions with state rate feedback), throttle scaling laws for flightpath and thrust command, control selector commands apportioned based on relative effectiveness of the individual controls, lateral guidance algorithms that provide more flexibility for terminal area operations, and a simpler representation of the propulsion system. The model includes modes tailored to the phases of the aircraft's operation, with several response types which are coupled to the aircraft's aerodynamic and propulsion system effectors through a control selector tailored to the propulsion system. Head-up display modes for approach and hover are integrated with the corresponding control modes. Propulsion system components modeled include a remote lift fan and a lift-cruise engine. Their static performance and dynamic responses are represented by the model. A separate report describes the subsonic, power-off aerodynamics and jet induced aerodynamics in hover and forward flight, including ground effects.
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Zero-Base Curriculum Revision: A Concept Worth Trying.
ERIC Educational Resources Information Center
Miller, William C.
1981-01-01
Argues for a "zero-base" revision of school curricula in order to weed out poorly functioning components. Outlines procedures for carrying out such a revision at both the district and building levels. (WD)
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NASA Astrophysics Data System (ADS)
Isaji, Yuta; Kawahata, Hodaka; Ohkouchi, Naohiko; Murayama, Masafumi; Tamaki, Kensaku
2015-03-01
We analyzed long-chain (C25-C36) n-alkanes and pollen grains in sediments from the Gulf of Aden covering the last 212 kyr to reconstruct the surrounding terrestrial environment, a critical region for the dispersal of Homo sapiens. Substantial increases in the flux of n-alkanes during 200-185, 120-95, and 70-50 ka were interpreted to indicate enhanced vegetation biomass in the Arabian Peninsula and the northern part of the Horn of Africa or increase in lithogenic material inputs. Periods of enhanced n-alkane flux occurred during or immediately after pluvial episodes, indicating that the increased precipitation may have induced substantially enhanced vegetation biomass, creating favorable conditions for Homo sapiens. Additionally, vegetation may have increased due to moderate precipitation unrecorded by speleothems or in accordance with the lowering of sea level, indicating that the dispersal might have been possible even after the shift to an arid environment indicated by the speleothems.
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75 FR 9612 - Minor Boundary Revision of Pinnacles National Monument
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-03
... DEPARTMENT OF THE INTERIOR National Park Service Minor Boundary Revision of Pinnacles National Monument AGENCY: National Park Service, Interior. ACTION: Announcement of boundary revision. SUMMARY: This notice announces the revision to the boundary of Pinnacles National Monument, pursuant to the authority...
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12 CFR 1016.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 8 2014-01-01 2014-01-01 false Revised privacy notices. 1016.8 Section 1016.8 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 1016.8 Revised privacy notices. (a) General rule. Except as...
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12 CFR 1016.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 8 2012-01-01 2012-01-01 false Revised privacy notices. 1016.8 Section 1016.8 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 1016.8 Revised privacy notices. (a) General rule. Except as...
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16 CFR 313.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Revised privacy notices. 313.8 Section 313.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 313.8 Revised privacy notices. (a) General rule. Except...
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16 CFR 313.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Revised privacy notices. 313.8 Section 313.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 313.8 Revised privacy notices. (a) General rule. Except...
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16 CFR 313.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Revised privacy notices. 313.8 Section 313.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 313.8 Revised privacy notices. (a) General rule. Except...
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16 CFR 313.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Revised privacy notices. 313.8 Section 313.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 313.8 Revised privacy notices. (a) General rule. Except...
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12 CFR 1016.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 8 2013-01-01 2013-01-01 false Revised privacy notices. 1016.8 Section 1016.8 Banks and Banking BUREAU OF CONSUMER FINANCIAL PROTECTION PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 1016.8 Revised privacy notices. (a) General rule. Except as...
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16 CFR 313.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Revised privacy notices. 313.8 Section 313.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 313.8 Revised privacy notices. (a) General rule. Except...
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Boehm Test of Basic Concepts-Revised. Review.
ERIC Educational Resources Information Center
Padula, Janice
1988-01-01
The manual for the Boehm Test of Basic Concepts-Revised (1986) is reviewed. The test measures a child's knowledge of relational concepts. The revised version, eliminating some imperfections of the original, will continue to be a useful test of verbal concept acquisition. Cautions necessary while using the test are discussed. (SLD)
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[Tumor prostheses : Important in modern revision arthroplasty].
Hillmann, A; Ipach, I
2015-05-01
Due to demographic aging, an increasing number of revision arthroplasty procedures is expected during upcoming years. While the use of a megaprosthesis for bone reconstruction after tumor resection is gold standard, this type of prosthesis still meets with reservation in the field of revision arthroplasty because of numerous risk factors. The purpose of this article is to present the importance of modular megaprostheses in revision arthroplasty, taking into consideration the risks of periprosthetic infection, aseptic loosening, material failure, and hip dislocation. Because of improvements in the field of megaprostheses during the last 30 years, the risks after implantation of this type of prosthesis have significantly decreased. The risk of periprosthetic infection has been reduced about 1/3 by the use of silver surface coating. Improvements in stem design, cement technique, and the additional use of locking screws have minimized the risk of aseptic loosening. Improvements in material composition have reduced the risk of material failure. The risk of hip dislocation could also be minimized by careful tissue preparation and appropriate suture technique. There is no need for the conservative use of megaprostheses in revision arthroplasty. There are many benefits in the use of megaprostheses in multimorbid patients (i.e., reduced operating time, the possibility of early full weight bearing, and a reduced risk of periprosthetic infection by the use of silver surface coating) instead of complex bone reconstruction during revision arthroplasty.
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Final June Revisions Rule Significant Contribution Assessment TSD
This Technical Support Document (TSD) presents quantitative assessments of the relationship between the final February revisions to the Transport Rule, the final June revisions rule, and the original analysis conducted for the final Transport Rule.
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Paulsen, Jane S.; Nance, Martha; Kim, Ji-In; Carlozzi, Noelle E.; Panegyres, Peter K.; Erwin, Cheryl; Goh, Anita; McCusker, Elizabeth; Williams, Janet K.
2013-01-01
The past decade has witnessed an explosion of evidence suggesting that many neurodegenerative diseases can be detected years, if not decades, earlier than previously thought. To date, these scientific advances have not provoked any parallel translational or clinical improvements. There is an urgency to capitalize on this momentum so earlier detection of disease can be more readily translated into improved health-related quality of life for families at risk for, or suffering with, neurodegenerative diseases. In this review, we discuss health-related quality of life (HRQOL) measurement in neurodegenerative diseases and the importance of these “patient reported outcomes” for all clinical research. Next, we address HRQOL following early identification or predictive genetic testing in some neurodegenerative diseases: Huntington disease, Alzheimer's disease, Parkinson's disease, Dementia with Lewy bodies, frontotemporal dementia, amyotrophic lateral sclerosis, prion diseases, hereditary ataxias, Dentatorubral-pallidoluysian atrophy and Wilson's disease. After a brief report of available direct-to-consumer genetic tests, we address the juxtaposition of earlier disease identification with assumed reluctance towards predictive genetic testing. Forty-one studies examining health related outcomes following predictive genetic testing for neurodegenerative disease suggested that (a) extreme or catastrophic outcomes are rare; (b) consequences commonly include transiently increased anxiety and/or depression; (c) most participants report no regret; (d) many persons report extensive benefits to receiving genetic information; and (e) stigmatization and discrimination for genetic diseases are poorly understood and policy and laws are needed. Caution is appropriate for earlier identification of neurodegenerative diseases but findings suggest further progress is safe, feasible and likely to advance clinical care. PMID:24036231
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Outcomes in revision Tommy John surgery in Major League Baseball pitchers.
Liu, Joseph N; Garcia, Grant H; Conte, Stan; ElAttrache, Neal; Altchek, David W; Dines, Joshua S
2016-01-01
With the recent rise in the number of Tommy John surgeries, a proportionate rise in revisions is expected. However, much is unknown regarding the current revision rate of Tommy John surgery, return to play, and change in performance in Major League Baseball (MLB) pitchers. Publicly available databases were used to obtain a list of all MLB pitchers who underwent primary and revision Tommy John surgery. Pitching performance preoperatively and postoperatively for pitchers who returned to 1 or more MLB games after revision surgery was compared with controls matched for age and position. Since 1999, 235 MLB pitchers have undergone Tommy John surgeries; 31 pitchers (13.2%) underwent revision surgery, and 37% underwent revision within 3 years of the index procedure. Twenty-six revisions had more than 2 years of follow-up; 17 pitchers (65.4%) returned to pitch at least 1 major league game, whereas only 11 (42.3%) returned to pitch 10 or more games. Of those who returned to MLB competition, the average length of recovery was 20.76 months. Compared with controls matched for age and position, MLB pitchers undergoing revision surgery had a statistically shorter career after revision surgery (4.9 vs 2.6 seasons, P = .002), pitched fewer innings, and had fewer total pitches per season. The rate of revision Tommy John surgery is substantially higher than previously reported. For MLB pitchers, return to play after revision surgery is much lower than after primary reconstruction. The overall durability of MLB pitchers after revision ulnar collateral ligament reconstruction decreases significantly compared with controls matched for age and matched controls. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
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From Error Correction to Meaning Making: Reconstructing Student Perceptions of Revision
ERIC Educational Resources Information Center
Barrett, Catherine; Junio, Rachel Wright
2017-01-01
For most students, revision is viewed as a punishment for not writing well enough. However, what if students' negative perceptions of revision shifted to view revision as an opportunity to better develop the meaning and message of texts. Revision, like all processes in writing, is complex, cognitively demanding, and requires students to be able to…
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12 CFR 573.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 6 2013-01-01 2012-01-01 true Revised privacy notices. 573.8 Section 573.8 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 573.8 Revised privacy notices. (a) General rule. Except as otherwise...
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17 CFR 248.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 17 Commodity and Securities Exchanges 3 2012-04-01 2012-04-01 false Revised privacy notices. 248.8...) REGULATIONS S-P AND S-AM Regulation S-P: Privacy of Consumer Financial Information and Safeguarding Personal Information Privacy and Opt Out Notices § 248.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 40.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 1 2011-01-01 2011-01-01 false Revised privacy notices. 40.8 Section 40.8 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 40.8 Revised privacy notices. (a) General rule. Except as otherwise...
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17 CFR 248.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 17 Commodity and Securities Exchanges 4 2014-04-01 2014-04-01 false Revised privacy notices. 248.8...) REGULATIONS S-P, S-AM, AND S-ID Regulation S-P: Privacy of Consumer Financial Information and Safeguarding Personal Information Privacy and Opt Out Notices § 248.8 Revised privacy notices. (a) General rule. Except...
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12 CFR 40.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 1 2013-01-01 2013-01-01 false Revised privacy notices. 40.8 Section 40.8 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 40.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 40.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 1 2012-01-01 2012-01-01 false Revised privacy notices. 40.8 Section 40.8 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 40.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 216.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 2 2014-01-01 2014-01-01 false Revised privacy notices. 216.8 Section 216.8 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 216.8 Revised privacy notices...
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17 CFR 248.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 17 Commodity and Securities Exchanges 3 2013-04-01 2013-04-01 false Revised privacy notices. 248.8...) REGULATIONS S-P AND S-AM Regulation S-P: Privacy of Consumer Financial Information and Safeguarding Personal Information Privacy and Opt Out Notices § 248.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 573.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 5 2011-01-01 2011-01-01 false Revised privacy notices. 573.8 Section 573.8 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 573.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 216.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 12 Banks and Banking 2 2011-01-01 2011-01-01 false Revised privacy notices. 216.8 Section 216.8 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 216.8 Revised privacy notices...
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12 CFR 216.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 2 2012-01-01 2012-01-01 false Revised privacy notices. 216.8 Section 216.8 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 216.8 Revised privacy notices...
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12 CFR 40.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 1 2014-01-01 2014-01-01 false Revised privacy notices. 40.8 Section 40.8 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 40.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 573.8 - Revised privacy notices.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 12 Banks and Banking 6 2012-01-01 2012-01-01 false Revised privacy notices. 573.8 Section 573.8 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 573.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 573.8 - Revised privacy notices.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 12 Banks and Banking 6 2014-01-01 2012-01-01 true Revised privacy notices. 573.8 Section 573.8 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 573.8 Revised privacy notices. (a) General rule. Except as otherwise...
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17 CFR 248.8 - Revised privacy notices.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Revised privacy notices. 248.8...) REGULATIONS S-P AND S-AM Regulation S-P: Privacy of Consumer Financial Information and Safeguarding Personal Information Privacy and Opt Out Notices § 248.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 216.8 - Revised privacy notices.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 12 Banks and Banking 2 2013-01-01 2013-01-01 false Revised privacy notices. 216.8 Section 216.8 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 216.8 Revised privacy notices...
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12 CFR 573.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Revised privacy notices. 573.8 Section 573.8 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 573.8 Revised privacy notices. (a) General rule. Except as otherwise...
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17 CFR 248.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Revised privacy notices. 248.8...) REGULATIONS S-P AND S-AM Regulation S-P: Privacy of Consumer Financial Information and Safeguarding Personal Information Privacy and Opt Out Notices § 248.8 Revised privacy notices. (a) General rule. Except as otherwise...
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12 CFR 216.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Revised privacy notices. 216.8 Section 216.8 Banks and Banking FEDERAL RESERVE SYSTEM BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM PRIVACY OF CONSUMER FINANCIAL INFORMATION (REGULATION P) Privacy and Opt Out Notices § 216.8 Revised privacy notices...
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12 CFR 40.8 - Revised privacy notices.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Revised privacy notices. 40.8 Section 40.8 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY PRIVACY OF CONSUMER FINANCIAL INFORMATION Privacy and Opt Out Notices § 40.8 Revised privacy notices. (a) General rule. Except as otherwise...
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36 CFR 212.54 - Revision of designations.
Code of Federal Regulations, 2010 CFR
2010-07-01
... National Forest System lands pursuant to § 212.51 may be revised as needed to meet changing conditions... TRAVEL MANAGEMENT Designation of Roads, Trails, and Areas for Motor Vehicle Use § 212.54 Revision of... § 212.55, and shall be reflected on a motor vehicle use map pursuant to § 212.56. ...
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DEC Personnel Preparation Standards: Revision 2005-2008
ERIC Educational Resources Information Center
Lifter, Karin; Chandler, Lynette K.; Cochran, Deborah C.; Dinnebeil, Laurie A.; Gallagher, Peggy A.; Christensen, Kimberly A.; Stayton, Vicki D.
2011-01-01
The revision and process of validation of standards for early childhood special education (ECSE) and early intervention (EI) personnel at the initial and advanced levels of preparation, which occurred during 2005-2008, are described to provide a record of the process and to inform future cycles of standards revision. Central components focus on…
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Code of Federal Regulations, 2010 CFR
2010-07-01
... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What activities require a revision to my SAP, and when will MMS approve the revision? 285.617 Section 285.617 Mineral Resources MINERALS MANAGEMENT...: (1) Designed not to cause undue harm or damage to natural resources; life (including human and...
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Code of Federal Regulations, 2010 CFR
2010-07-01
...: (1) Designed not to cause undue harm or damage to natural resources; life (including human and... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What activities require a revision to my GAP, and when will MMS approve the revision? 285.655 Section 285.655 Mineral Resources MINERALS MANAGEMENT...
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Code of Federal Regulations, 2010 CFR
2010-07-01
...: (1) Designed not to cause undue harm or damage to natural resources; life (including human and... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What activities require a revision to my COP, and when will MMS approve the revision? 285.634 Section 285.634 Mineral Resources MINERALS MANAGEMENT...
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NASA Technical Reports Server (NTRS)
Murphy, J.; Butlin, T.; Duff, P.; Fitzgerald, A.
1984-01-01
A technique for the radiometric correction of LANDSAT-4 Thematic Mapper data was proposed by the Canada Center for Remote Sensing. Subsequent detailed observations of raw image data, raw radiometric calibration data and background measurements extracted from the raw data stream on High Density Tape highlighted major shortcomings in the proposed method which if left uncorrected, can cause severe radiometric striping in the output product. Results are presented which correlate measurements of the DC background with variations in both image data background and calibration samples. The effect on both raw data and on data corrected using the earlier proposed technique is explained, and the correction required for these factors as a function of individual scan line number for each detector is described. It is shown how the revised technique can be incorporated into an operational environment.
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Revised Total Coliform Rule Assessments and Corrective Actions
EPA has developed the Revised Total Coliform Rule Assessment and Corrective Actions Guidance Manual for public water systems (e.g., owners and operators) to assist in complying with the requirements of the Revised Total Coliform Rule.
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-24
... NUCLEAR REGULATORY COMMISSION [NRC-2010-0228] Office of New Reactors; Proposed Revision to Standard Review Plan Section 13.6.1, Revision 1 on Physical Security--Combined License and Operating...), Section 13.6.1 on ``Physical Security--Combined License and Operating Reactors,'' (Agencywide Documents...
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78 FR 44559 - Effective Date of Revised Company Registration Requirements
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-24
... are registered to make that type of filing. \\1\\ Revisions to Company Registration and Establishing...; and RM12-3-000] Effective Date of Revised Company Registration Requirements AGENCY: Federal Energy... Revised Company Registration Requirements. The Commission issued a Notice in the Federal Register, 78 FR...
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Schaffert, Jeff; LoBue, Christian; White, Charles L; Chiang, Hsueh-Sheng; Didehbani, Nyaz; Lacritz, Laura; Rossetti, Heidi; Dieppa, Marisara; Hart, John; Cullum, C Munro
2018-05-01
To evaluate whether a history of traumatic brain injury (TBI) with reported loss of consciousness (LOC) is a risk factor for earlier onset of Alzheimer's disease (AD) in an autopsy-confirmed sample. Data from 2,133 participants with autopsy-confirmed AD (i.e., at least Braak neurofibrillary tangle stages III to VI and CERAD neuritic plaque score moderate to frequent) were obtained from the National Alzheimer's Coordinating Center (NACC). Participants were categorized by presence/absence of self-reported remote (i.e., >1 year prior to their first Alzheimer's Disease Center visit) history of TBI with LOC (TBI+ vs. TBI-). Analyses of Covariance (ANCOVA) controlling for sex, education, and race compared groups on clinician-estimated age of symptom onset and age of diagnosis. Average age of onset was 2.34 years earlier (p = .01) for the TBI+ group (n = 194) versus the TBI- group (n = 1900). Dementia was diagnosed on average 2.83 years earlier (p = .002) in the TBI+ group (n = 197) versus the TBI- group (n = 1936). Using more stringent neuropathological criteria (i.e., Braak stages V-VI and CERAD frequent), both age of AD onset and diagnosis were 3.6 years earlier in the TBI+ group (both p's < .001). History of TBI with reported LOC appears to be a risk factor for earlier AD onset. This is the first study to use autopsy-confirmed cases, supporting previous investigations that used clinical criteria for the diagnosis of AD. Further investigation as to possible underlying mechanisms of association is needed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Earlier Pulmonary Valve Replacement in Down Syndrome Patients Following Tetralogy of Fallot Repair.
Sullivan, Rachel T; Frommelt, Peter C; Hill, Garick D
2017-08-01
The association between Down syndrome and pulmonary hypertension could contribute to more severe pulmonary regurgitation after tetralogy of Fallot repair and possibly earlier pulmonary valve replacement. We compared cardiac magnetic resonance measures of pulmonary regurgitation and right ventricular dilation as well as timing of pulmonary valve replacement between those with and without Down syndrome after tetralogy of Fallot repair. Review of our surgical database from 2000 to 2015 identified patients with tetralogy of Fallot with pulmonary stenosis. Those with Down syndrome were compared to those without. The primary outcome of interest was time from repair to pulmonary valve replacement. Secondary outcomes included pulmonary regurgitation and indexed right ventricular volume on cardiac magnetic resonance imaging. The cohort of 284 patients included 35 (12%) with Down syndrome. Transannular patch repair was performed in 210 (74%). Down syndrome showed greater degree of pulmonary regurgitation (55 ± 14 vs. 37 ± 16%, p = 0.01) without a significantly greater rate of right ventricular dilation (p = 0.09). In multivariable analysis, Down syndrome (HR 2.3, 95% CI 1.2-4.5, p = 0.02) and transannular patch repair (HR 5.5, 95% CI 1.7-17.6, p = 0.004) were significant risk factors for valve replacement. Those with Down syndrome had significantly lower freedom from valve replacement (p = 0.03). Down syndrome is associated with an increased degree of pulmonary regurgitation and earlier pulmonary valve replacement after tetralogy of Fallot repair. These patients require earlier assessment by cardiac magnetic resonance imaging to determine timing of pulmonary valve replacement and evaluation for and treatment of preventable causes of pulmonary hypertension.
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Earlier Parental Set Bedtimes as a Protective Factor Against Depression and Suicidal Ideation
Gangwisch, James E.; Babiss, Lindsay A.; Malaspina, Dolores; Turner, J. Blake; Zammit, Gary K.; Posner, Kelly
2010-01-01
Study Objectives: To examine the relationships between parental set bedtimes, sleep duration, and depression as a quasi-experiment to explore the potentially bidirectional relationship between short sleep duration and depression. Short sleep duration has been shown to precede depression, but this could be explained as a prodromal symptom of depression. Depression in an adolescent can affect his/her chosen bedtime, but it is less likely to affect a parent's chosen set bedtime which can establish a relatively stable upper limit that can directly affect sleep duration. Design: Multivariate cross-sectional analyses of the ADD Health using logistic regression. Setting: United States nationally representative, school-based, probability-based sample in 1994-96. Participants: Adolescents (n = 15,659) in grades 7 to 12. Measurements and Results: Adolescents with parental set bedtimes of midnight or later were 24% more likely to suffer from depression (OR = 1.24, 95% CI 1.04-1.49) and 20% more likely to have suicidal ideation (1.20, 1.01-1.41) than adolescents with parental set bedtimes of 10:00 PM or earlier, after controlling for covariates. Consistent with sleep duration and perception of getting enough sleep acting as mediators, the inclusion of these variables in the multivariate models appreciably attenuated the associations for depression (1.07, 0.88-1.30) and suicidal ideation (1.09, 0.92-1.29). Conclusions: The results from this study provide new evidence to strengthen the argument that short sleep duration could play a role in the etiology of depression. Earlier parental set bedtimes could therefore be protective against adolescent depression and suicidal ideation by lengthening sleep duration. Citation: Gangwisch JE; Babiss LA; Malaspina D; Turner JB; Zammit GK; Posner K. Earlier parental set bedtimes as a protective factor against depression and suicidal ideation. SLEEP 2010;33(1):97-106. PMID:20120626
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40 CFR 87.21 - Exhaust emission standards for Tier 4 and earlier engines.
Code of Federal Regulations, 2013 CFR
2013-07-01
... Emissions (New Aircraft Gas Turbine Engines) § 87.21 Exhaust emission standards for Tier 4 and earlier... standards. (a) Exhaust emissions of smoke from each new aircraft gas turbine engine of class T8 manufactured... from each new aircraft gas turbine engine of class TF and of rated output of 129 kilonewtons thrust or...
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40 CFR 87.21 - Exhaust emission standards for Tier 4 and earlier engines.
Code of Federal Regulations, 2014 CFR
2014-07-01
... Emissions (New Aircraft Gas Turbine Engines) § 87.21 Exhaust emission standards for Tier 4 and earlier... standards. (a) Exhaust emissions of smoke from each new aircraft gas turbine engine of class T8 manufactured... from each new aircraft gas turbine engine of class TF and of rated output of 129 kilonewtons thrust or...
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Horváth, Gábor; Buchta, Krisztián; Varjú, Dezsö
2003-06-01
It is a well-known phenomenon that when we look into the water with two aerial eyes, both the apparent position and the apparent shape of underwater objects are different from the real ones because of refraction at the water surface. Earlier studies of the refraction-distorted structure of the underwater binocular visual field of aerial observers were restricted to either vertically or horizontally oriented eyes. We investigate a generalized version of this problem: We calculate the position of the binocular image point of an underwater object point viewed by two arbitrarily positioned aerial eyes, including oblique orientations of the eyes relative to the flat water surface. Assuming that binocular image fusion is performed by appropriate vergent eye movements to bring the object's image onto the foveas, the structure of the underwater binocular visual field is computed and visualized in different ways as a function of the relative positions of the eyes. We show that a revision of certain earlier treatments of the aerial imaging of underwater objects is necessary. We analyze and correct some widespread erroneous or incomplete representations of this classical geometric optical problem that occur in different textbooks. Improving the theory of aerial binocular imaging of underwater objects, we demonstrate that the structure of the underwater binocular visual field of aerial observers distorted by refraction is more complex than has been thought previously.
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High Revision Rate for Large-head Metal-on-metal THA at a Mean of 7.1 Years: A Registry Study.
Seppänen, Matti; Laaksonen, Inari; Pulkkinen, Pekka; Eskelinen, Antti; Puhto, Ari-Pekka; Kettunen, Jukka; Leskinen, Jarkko; Manninen, Mikko; Mäkelä, Keijo
2018-06-01
Large-diameter head metal-on-metal (MoM) THA has largely been abandoned as a result of higher than anticipated revision rates. However, the majority of these implants are still in situ. Although earlier reports from the Finnish Arthroplasty Register noted similar short-term survivorship between large-diameter head MoM THA and conventional cemented THA, longer term survivorship of this population is unclear. Although reported revision rates for this implant group have been high, the majority of these implants have not been revised and followup is important to improve long-term management. The purposes of this study were (1) to compare the 10-year competing risk survivorship of large-diameter head MoM THA with the survivorship of conventional THA in the Finnish Arthroplasty Register; (2) to report the large-diameter head MoM THA survival at the manufacturer/brand level; and (3) to identify the most common reasons for revision of large-diameter head MoM THA in the Finnish Arthroplasty Register. The six most commonly used large-diameter head (≥ 38 mm) MoM THA devices in Finland between years 2004 and 2013 were selected (n = 10,959 implants). The completeness of the Finnish Registry is > 95% in primary THA and patients are censored from the date of death or at the point of emigration; followup continued until the end of 2015. The conventional THA control group consisted of the two most frequently used devices (Vision/Bimetric and ABG II/ABG II) with metal-on-polyethylene or ceramic-on-ceramic bearing surfaces implanted between 2002 and 2013 (n = 5177). The study group was formed by selecting all pairs of large-diameter head MoM and reference THA protheses within the same age group ( < 49, 50-54, 55-59, 60-64, 65-69, 70-74, and 75+ years), sex, diagnosis (osteoarthritis, other), and hospital yearly operation count (< 100 operations yearly, ≥ 100 operations yearly); 5166 matched pairs were identified. Revision for any reason was considered as the failure endpoint of
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NASA Astrophysics Data System (ADS)
Panmei, Champoungam; Naidu, Pothuri Divakar; Naik, Sushant Suresh
2018-06-01
Oceanographic processes in the Bay of Bengal (BoB) are strongly impacted by south-westerly and north-easterly winds of the Indian monsoon system during the summer and winter respectively. Variations in calcium carbonate (CaCO3) content and magnetic susceptibility (MS), along with Ba, Ti, and Al, were reconstructed for the past 80 kyr using a sediment core (MD 161/28) from the northern BoB in order to understand the changes in calcium carbonate deposition and MS signals associated with the Indian monsoon system. Our records infer monsoon-induced dilution through river discharges from different sediment provenance to be the main controlling factor of the CaCO3 variations at the core location. Generally lower CaCO3 content during stronger-southwest monsoon (SWM) interglacial periods (Marine Isotope Stage (MIS) 5a & 1, except 3) and higher CaCO3 content during weaker-SWM glacial periods (MIS 4 & 2) were documented. High MS correspond to MIS 4 & 2 of weakened SWM and strengthened northeast monsoon (NEM) periods caused due to enhanced sediment supply from the Peninsular Indian regions, whereas lower MS values correspond to MIS 5, 3 & 1 of strengthened SWM and weakened NEM derived through Ganges-Brahmaputra from the Himalaya Region. Thus, our records infer coupling of major rivers' discharges to the BoB with the SWM and NEM strengths, which has implications on the linkage with other climatic variations such as East Asian monsoon and Northern Hemisphere climate.
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A reliability analysis of the revised competitiveness index.
Harris, Paul B; Houston, John M
2010-06-01
This study examined the reliability of the Revised Competitiveness Index by investigating the test-retest reliability, interitem reliability, and factor structure of the measure based on a sample of 280 undergraduates (200 women, 80 men) ranging in age from 18 to 28 years (M = 20.1, SD = 2.1). The findings indicate that the Revised Competitiveness Index has high test-retest reliability, high inter-item reliability, and a stable factor structure. The results support the assertion that the Revised Competitiveness Index assesses competitiveness as a stable trait rather than a dynamic state.
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Reducing Older Driver Motor Vehicle Collisions via Earlier Cataract Surgery
Mennemeyer, Stephen T.; Owsley, Cynthia; McGwin, Gerald
2013-01-01
Older adults who undergo cataract extraction have roughly half the rate of motor vehicle collision (MVC) involvement per mile driven compared to cataract patients who do not elect cataract surgery. Currently in the U.S., most insurers do not allow payment for cataract surgery based upon the findings of a vision exam unless accompanied by an individual’s complaint of visual difficulties that seriously interfere with driving or other daily activities and individuals themselves may be slow or reluctant to complain and seek relief. As a consequence, surgery tends to occur after significant vision problems have emerged. We hypothesize that a proactive policy encouraging cataract surgery earlier for a lesser level of complaint would significantly reduce MVCs among older drivers. We used a Monte Carlo model to simulate the MVC experience of the U.S. population from age 60 to 89 under alternative protocols for the timing of cataract surgery which we call “Current Practice” (CP) and “Earlier Surgery” (ES). Our base model finds, from a societal perspective with undiscounted 2010 dollars, that switching to ES from CP reduces by about 21% the average number of MVCs, fatalities, and MVC cost per person. The net effect on total cost – all MVC costs plus cataract surgery expenditures -- is a reduction of about 16%. Quality Adjusted Life Years would increase by about 5%. From the perspective of payers for healthcare, the switch would increase cataract surgery expenditure for ages 65+ by about 8% and for ages 60 to 64 by about 47% but these expenditures are substantially offset after age 65 by reductions in the medical and emergency services component of MVC cost. Similar results occur with discounting at 3% and with various sensitivity analyses. We conclude that a policy of ES would significantly reduce MVCs and their associated consequences. PMID:23369786
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NASA Astrophysics Data System (ADS)
Rodrigo-Gámiz, Marta; Martínez-Ruiz, Francisca; Rodríguez-Tovar, Francisco J.; Pardo-Igúzquiza, Eulogio; Ortega-Huertas, Miguel
2018-04-01
The timing of climate responses to the Bond cycle is investigated in the western Mediterranean. Periodicities had been previously reported in a marine sediment record from this region spanning the last 20 kyr, and registered by diverse paleoenvironmental proxies, in particular those associated with terrigenous input, redox conditions, productivity, sea surface temperature (SST) and salinity. Further cross-spectral analyses on these time series reveal leads-lags in the 1400 year climate cycle. Considering as reference a terrigenous input proxy (the K/Al ratio), all the paleoenvironmental proxies displayed time shifts varying from ca. 700 year to ca. 350 year. SST and salinity variations show a first leaded response with the inflow of cold and less salty Atlantic waters. Followed by a time lead of 525 year, progresively arid conditions with an increase of eolian dust transport to the area, given by the Zr/Al signal, are observed. The intensification of dust transport could have triggered a latest biological response, lead by 350 year, with an increase of productivity, as suggested by the Ba/Al ratio. Lastly changes in the Mediterranean thermohaline circulation, indicated by a selected redox proxy (the U/Th ratio), are observed. These results support that the oceanic response triggered the atmospheric response to the Bond cycle in the western Mediterranean. Changes in the North Atlantic Oscillation mode and in the Inter-Tropical Convergence Zone migrations with variations in the monsoon activity or Saharan winds system, are considered as main forcing mechanisms, with a complex relationship of the involved phenomena.
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NASA Astrophysics Data System (ADS)
Heil, C. W., Jr.; Stoner, J. S.; St-Onge, G.; King, J. W.
2015-12-01
The paucity of paleomagnetic records from the western South Atlantic Ocean presents a significant gap in our understanding of the spatial variations in geomagnetic field dynamics as they relate to the occurrence of geomagnetic excursions and changes in field strength. As such, high quality records from this region can help build upon Holocene observations and extend the geographic and temporal data coverage for spherical harmonic models. To that end, we present paleomagnetic directional (inclination) and strength (relative paleointensity) records from two cores from the Argentine Basin (RC11-49 and RC16-88). Although the cores were collected more than 40 years ago, the sediments appear to hold a stable remanence and reliable magnetic directions, as evidenced by their reproducibility between the two cores that are separated by ~25 km. The records show evidence of 4 excursional features in the uppermost 16-m of the sediments from the basin. A comparison of the relative paleointensity records from these cores to the South Atlantic Paleointensity Stack (SAPIS) (Stoner et al., 2002) and the relative paleointensity record from ODP Site 1089 (Stoner et al., 2003) indicate that the sediments reliably record relative changes in geomagnetic field intensity and suggests that the longest record (RC11-49) spans the last ~125 kyrs. Our results indicate that the sediments of the Argentine Basin are an important sedimentary archive of geomagnetic field behavior and strength at least through the Holocene and Late Pleistocene and highlight the need for further studies of cores within the basin.
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The Teacher Observation Form: Revisions and Updates
ERIC Educational Resources Information Center
Peters, Scott J.; Gates, Jillian C.
2010-01-01
This article discusses the original development and subsequent updates and revisions made to the Teacher Observation Form (TOF). The TOF is a 12-item form to be used by evaluators in the observation of teachers of gifted and talented students. After nearly 25 years of use, the original TOF was revised based on input from content experts and…
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Phonetic Aspects of Children's Elicited Word Revisions.
ERIC Educational Resources Information Center
Paul-Brown, Diane; Yeni-Komshian, Grace H.
A study of the phonetic changes occurring when a speaker attempts to revise an unclear word for a listener focuses on changes made in the sound segment duration to maximize differences between phonemes. In the study, five-year-olds were asked by adults to revise words differing in voicing of initial and final stop consonants; a control group of…
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Revised Space Groups for Three Molybdenum(V) Phosphate Compounds
NASA Astrophysics Data System (ADS)
Leclaire, A.; Borel, M. M.; Guesdon, A.; Marsh, Richard E.
2001-06-01
The space groups of three previously described Mo(V) phosphate structures are revised. (1) δ-KMo2P3O13, originally reported as triclinic, Poverline1, is revised to monoclinic, C2/c; it is identical to the compound previously identified as K4Mo8P12O52. (2) The compound formulated as [Mo12CdP8O50(OH)12]Cd [N(CH3)4]2(H3O)6·5H2O, originally described as monoclinic, Pn, is revised to P21/n (also monoclinic). (3) Rb3O2(MoO)4(PO4)4, originally reported as orthorhombic, C2221, is revised to tetragonal, P43212. The general descriptions of the structures are unchanged; however, for compound 2 the revision involves the addition of a center of symmetry and, as a result, there are significant changes in the interatomic distances and angles.
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Soyka, Michael; Kranzler, Henry R; Hesselbrock, Victor; Kasper, Siegfried; Mutschler, Jochen; Möller, Hans-Jürgen
2017-03-01
These practice guidelines for the biological treatment of alcohol use disorders are an update of the first edition, published in 2008, which was developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBP). For this 2016 revision, we performed a systematic review (MEDLINE/PUBMED database, Cochrane Library) of all available publications pertaining to the biological treatment of alcoholism and extracted data from national guidelines. The Task Force evaluated the identified literature with respect to the strength of evidence for the efficacy of each medication and subsequently categorised it into six levels of evidence (A-F) and five levels of recommendation (1-5). Thus, the current guidelines provide a clinically and scientifically relevant, evidence-based update of our earlier recommendations. These guidelines are intended for use by clinicians and practitioners who evaluate and treat people with alcohol use disorders and are primarily concerned with the biological treatment of adults with such disorders.
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DOE Office of Scientific and Technical Information (OSTI.GOV)
Evans, J.S.; Abrahmson, S.; Bender, M.A.
1993-10-01
This report is a revision of NUREG/CR-4214, Rev. 1, Part 1 (1990), Health Effects Models for Nuclear Power Plant Accident Consequence Analysis. This revision has been made to incorporate changes to the Health Effects Models recommended in two addenda to the NUREG/CR-4214, Rev. 1, Part 11, 1989 report. The first of these addenda provided recommended changes to the health effects models for low-LET radiations based on recent reports from UNSCEAR, ICRP and NAS/NRC (BEIR V). The second addendum presented changes needed to incorporate alpha-emitting radionuclides into the accident exposure source term. As in the earlier version of this report, modelsmore » are provided for early and continuing effects, cancers and thyroid nodules, and genetic effects. Weibull dose-response functions are recommended for evaluating the risks of early and continuing health effects. Three potentially lethal early effects -- the hematopoietic, pulmonary, and gastrointestinal syndromes are considered. Linear and linear-quadratic models are recommended for estimating the risks of seven types of cancer in adults - leukemia, bone, lung, breast, gastrointestinal, thyroid, and ``other``. For most cancers, both incidence and mortality are addressed. Five classes of genetic diseases -- dominant, x-linked, aneuploidy, unbalanced translocations, and multifactorial diseases are also considered. Data are provided that should enable analysts to consider the timing and severity of each type of health risk.« less
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Di Forti, Marta; Sallis, Hannah; Allegri, Fabio; Trotta, Antonella; Ferraro, Laura; Stilo, Simona A.; Marconi, Arianna; La Cascia, Caterina; Reis Marques, Tiago; Pariante, Carmine; Dazzan, Paola; Mondelli, Valeria; Paparelli, Alessandra; Kolliakou, Anna; Prata, Diana; Gaughran, Fiona; David, Anthony S.; Morgan, Craig; Stahl, Daniel; Khondoker, Mizanur; MacCabe, James H.; Murray, Robin M.
2014-01-01
Cannabis use is associated with an earlier age of onset of psychosis (AOP). However, the reasons for this remain debated. Methods: We applied a Cox proportional hazards model to 410 first-episode psychosis patients to investigate the association between gender, patterns of cannabis use, and AOP. Results: Patients with a history of cannabis use presented with their first episode of psychosis at a younger age (mean years = 28.2, SD = 8.0; median years = 27.1) than those who never used cannabis (mean years = 31.4, SD = 9.9; median years = 30.0; hazard ratio [HR] = 1.42; 95% CI: 1.16–1.74; P < .001). This association remained significant after controlling for gender (HR = 1.39; 95% CI: 1.11–1.68; P < .001). Those who had started cannabis at age 15 or younger had an earlier onset of psychosis (mean years = 27.0, SD = 6.2; median years = 26.9) than those who had started after 15 years (mean years = 29.1, SD = 8.5; median years = 27.8; HR = 1.40; 95% CI: 1.06–1.84; P = .050). Importantly, subjects who had been using high-potency cannabis (skunk-type) every day had the earliest onset (mean years = 25.2, SD = 6.3; median years = 24.6) compared to never users among all the groups tested (HR = 1.99; 95% CI: 1.50- 2.65; P < .0001); these daily users of high-potency cannabis had an onset an average of 6 years earlier than that of non-cannabis users. Conclusions: Daily use, especially of high-potency cannabis, drives the earlier onset of psychosis in cannabis users. PMID:24345517
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Risk factors for revision within 10 years of total knee arthroplasty.
Dy, Christopher J; Marx, Robert G; Bozic, Kevin J; Pan, Ting Jung; Padgett, Douglas E; Lyman, Stephen
2014-04-01
An in-depth understanding of risk factors for revision TKA is needed to minimize the burden of revision surgery. Previous studies indicate that hospital and community characteristics may influence outcomes after TKA, but a detailed investigation in a diverse population is warranted to identify opportunities for quality improvement. We asked: (1) What is the frequency of revision TKA within 10 years of primary arthroplasty? (2) Which patient demographic factors are associated with revision within 10 years of TKA? (3) Which community and institutional characteristics are associated with revision within 10 years of TKA? We identified 301,955 patients who underwent primary TKAs in New York or California from 1997 to 2005 from statewide databases. Identifier codes were used to determine whether they underwent revision TKA. Patient, community, and hospital characteristics were analyzed using multivariable regression modeling to determine predictors for revision. The frequency of revision was 4.0% at 5 years after the index arthroplasty and 8.9% at 9-years. Patients between 50 and 75 years old had a lower risk of revision than patients younger than 50 years (hazard ratio [HR], 0.47; 95% CI, 0.44, 0.50). Black patients were at increased risk for needing revision surgery (HR, 1.39; 95% CI, 1.29, 1.49) after adjustment for insurance type, poverty level, and education. Women (HR, 0.82; 95% CI, 0.79, 0.86) and Medicare recipients (HR, 0.82; 95% CI, 0.79, 0.86) were less likely to undergo revision surgery, whereas those from the most educated (HR, 1.09; 95% CI, 1.02, 1.16) and the poorest communities (HR, 1.08; 95% CI, 1.01, 1.15) had modest increases in risk of revision. Mid-volume hospitals (200-400 annual cases) had a reduction of early revision (HR, 0.91; 95% CI, 0.83, 0.99) compared with those performing less than 200 cases annually, whereas higher-volume hospitals (greater than 400 cases) showed little effect compared with low-volume hospitals. Patient, community, and
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77 FR 4880 - Revision of Form FHWA-1273
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-31
...] Revision of Form FHWA-1273 AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice; request for comments. SUMMARY: The FHWA is requesting comments on a proposed revision of form FHWA-1273--``Required Contract Provisions Federal-Aid Construction Contracts.'' This form includes certain contract provisions...
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30 CFR 250.295 - When must I revise my DWOP?
Code of Federal Regulations, 2010 CFR
2010-07-01
... SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Plans and Information Deepwater Operations Plans (dwop) § 250.295 When must I revise my DWOP? You must revise either the Conceptual Plan or your DWOP to reflect... in your plan. You must submit the revision within 60 days after any material change to the...
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28 CFR 70.25 - Revision of budget and program plans.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Revision of budget and program plans. 70... Revision of budget and program plans. (a) The budget plan is the financial expression of the project or... from budget and program plans, and request prior approvals for budget and program plan revisions, in...
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45 CFR 2543.25 - Revision of budget and program plans.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 4 2010-10-01 2010-10-01 false Revision of budget and program plans. 2543.25... Revision of budget and program plans. (a) The budget plan is the financial expression of the project or... deviations from budget and program plans, and request prior approvals for budget and program plan revisions...
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Publishing and Revising Content
Editors and Webmasters can publish content without going through a workflow. Publishing times and dates can be set, and multiple pages can be published in bulk. Making an edit to published content created a revision.
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14 CFR 152.323 - Budget revision: Airport development.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Budget revision: Airport development. 152.323 Section 152.323 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... revision: Airport development. (a) If any performance review conducted by the sponsor discloses a need for...
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Development and Psychometric Validation of the Family Outcomes Survey-Revised
ERIC Educational Resources Information Center
Bailey, Donald B., Jr.; Raspa, Melissa; Olmsted, Murrey G.; Novak, Scott P.; Sam, Ann M.; Humphreys, Betsy P.; Nelson, Robin; Robinson, Nyle; Guillen, Chelsea
2011-01-01
Few psychometrically valid scales exist to assess family outcomes and the helpfulness of early intervention. This article describes the development and psychometric properties of the Family Outcomes Survey-Revised. The revision was prompted by the need to (a) create a new format that would be easier for parents to understand, (b) revise and expand…
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76 FR 19908 - Revision of Distilled Spirits Plant Regulations; Corrections
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-11
... No. TTB-2008-0004; T.D. TTB-92a; Re: T.D. TTB-92] RIN 1513-AA23 Revision of Distilled Spirits Plant... revising its distilled spirits plant regulations in the Federal Register of February 16, 2011 (76 FR 9080... Trade Bureau (TTB) recently published a final rule completely revising its distilled spirits plant...
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-24
... Standard Review Plan, Section 13.6.2, Revision 1 on Physical Security--Design Certification AGENCY: Nuclear... comment on NUREG-0800, ``Standard Review Plan for the Review of Safety Analysis Reports for Nuclear Power Plants,'' on a proposed Revision 1 to Standard Review Plan (SRP), Section 13.6.2 on ``Physical Security...
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Nagai, Shuko; Yonemoto, Naohiro; Rabesandratana, Norotiana; Andrianarimanana, Diavolana; Nakayama, Takeo; Mori, Rintaro
2011-12-01
To examine the long-term effects of earlier initiated continuous Kangaroo Mother Care (KMC) for relatively stable low-birth-weight (LBW) infants in a resource-limited country. A randomized controlled trial with long-term follow-up was performed in LBW infants in Madagascar. Earlier continuous KMC (intervention group) was initiated as soon as possible within 24 h postbirth, and later continuous KMC (control group: conventional care) was initiated after complete stabilization. Outcome measures were mortality or readmission, nutritional indicators at 6-12 months postbirth and feeding condition at 6 months postbirth (ClinicalTrials.gov, NCT00531492). A total of 72 infants were followed for mortality or readmission at 6-12 months postbirth. There was no difference between the two groups (7/36 vs. 7/36, Risk ratio (RR), 1.00; 95% CIs, 0.39-2.56; p = 1.00). The proportion of exclusive breast feeding (EBF) at 6 months postbirth was significantly higher with earlier KMC than later KMC (12/29 vs. 4/26; RR 2.69; 95% CIs, 1.00-7.31; p = 0.04). There were no differences in nutritional indicators between the two groups at 6-12 months postbirth. Earlier initiated continuous KMC results in a significantly higher proportion of EBF at 6 months postbirth. Further larger-scale long-term evaluations of earlier initiated continuous KMC for LBW infants are needed. © 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.
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Computer Strategies for Teaching Revision: It May Be Convenient, but It's Not Easy.
ERIC Educational Resources Information Center
Strickland, James
Word processing does not, in itself, teach revision. Students with incomplete revision strategies will not begin revising at a higher level simply by using a word processor. New computer strategies for teaching revision are needed--revision strategies that use the computer to reorganize, elaborate, and strengthen what has already been written. For…
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Facilitating earlier transfer of care from acute stroke services into the community.
Robinson, Jennifer
This article outlines an initiative to reduce length of stay for stroke patients within an acute hospital and to facilitate earlier transfer of care. Existing care provision was remodelled and expanded to deliver stroke care to patients within a community bed-based intermediate care facility or intermediate care at home. This new model of care has improved the delivery of rehabilitation through alternative and innovative ways of addressing service delivery that meet the needs of the patients.
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A vantage from space can detect earlier drought onset: an approach using relative humidity.
Farahmand, Alireza; AghaKouchak, Amir; Teixeira, Joao
2015-02-25
Each year, droughts cause significant economic and agricultural losses across the world. The early warning and onset detection of drought is of particular importance for effective agriculture and water resource management. Previous studies show that the Standard Precipitation Index (SPI), a measure of precipitation deficit, detects drought onset earlier than other indicators. Here we show that satellite-based near surface air relative humidity data can further improve drought onset detection and early warning. This paper introduces the Standardized Relative Humidity Index (SRHI) based on the NASA Atmospheric Infrared Sounder (AIRS) observations. The results indicate that the SRHI typically detects the drought onset earlier than the SPI. While the AIRS mission was not originally designed for drought monitoring, we show that its relative humidity data offers a new and unique avenue for drought monitoring and early warning. We conclude that the early warning aspects of SRHI may have merit for integration into current drought monitoring systems.
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A Vantage from Space Can Detect Earlier Drought Onset: An Approach Using Relative Humidity
Farahmand, Alireza; AghaKouchak, Amir; Teixeira, Joao
2015-01-01
Each year, droughts cause significant economic and agricultural losses across the world. The early warning and onset detection of drought is of particular importance for effective agriculture and water resource management. Previous studies show that the Standard Precipitation Index (SPI), a measure of precipitation deficit, detects drought onset earlier than other indicators. Here we show that satellite-based near surface air relative humidity data can further improve drought onset detection and early warning. This paper introduces the Standardized Relative Humidity Index (SRHI) based on the NASA Atmospheric Infrared Sounder (AIRS) observations. The results indicate that the SRHI typically detects the drought onset earlier than the SPI. While the AIRS mission was not originally designed for drought monitoring, we show that its relative humidity data offers a new and unique avenue for drought monitoring and early warning. We conclude that the early warning aspects of SRHI may have merit for integration into current drought monitoring systems. PMID:25711500
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Mohaddes, Maziar; Herberts, Peter; Malchau, Henrik; Johanson, Per-Erik; Kärrholm, Johan
2017-05-12
Bone impaction grafting is a biologically and mechanically appealing option in acetabular revision surgery, allowing restitution of the bone stock and restoration of the biomechanics. We analysed differences in proximal migration of the revision acetabular components when bone impaction grafting is used together with a cemented or an uncemented cup. 43 patients (47 hips), revised due to acetabular loosening and judged to have less than 50% host bone-implant contact were included. The hips were randomised to either an uncemented (n = 20) or a cemented (n = 27) revision cup. Radiostereometry and radiography was performed postoperatively, at 3 and 6 months, 1, 2, 3, 5, 7, 10 and 13 and 17 years postoperatively. Clinical follow-up was performed at 1, 2 and 5 years postoperatively and thereafter at the same interval as in the radiographic follow-up. There were no differences in the base line demographic data between the 2 groups. At the last follow-up (17 years) 14 hips (10 cemented, 4 uncemented) had been re-revised due to loosening. 3 additional cups (1 uncemented and 2 cemented) were radiographically loose. There was a higher early proximal migration in the cemented cups. Cups operated on with cement showed a higher early migration measured with RSA and also a higher number of late revisions. The reason for this is not known, but factors such as inclusion of cases with severe bone defects, use of smaller bone chips and issues related to the impaction technique might have had various degrees of influence.
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RCBI-II: The Second Revision of the Revised Cyber Bullying Inventory
ERIC Educational Resources Information Center
Topcu, Çigdem; Erdur-Baker, Özgür
2018-01-01
The aim of this study is to update the Turkish version of the Revised Cyber Bullying Inventory (RCBI) and eliminate specific technology names. Validity and reliability tests were carried out with 1,803 high school students. The updated version of the RCBI yields valid and reliable scores measuring cyberbullying and victimization.
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Deep Revision: A Guide for Teachers, Students, and Other Writers.
ERIC Educational Resources Information Center
Willis, Meredith Sue
Suggesting that all phases of writing, including revision, have a great deal in common across age groups and levels of accomplishment, this book presents 196 specific revision exercises, as well as numerous examples from students and from literature. The first part of the book looks at how the ability to revise develops, and at how people can use…
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Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-24
... Standard Review Plan Section 13.6.3, Revision 1 on Physical Security--Early Site Permit AGENCY: Nuclear... comment on NUREG-0800, ``Standard Review Plan for the Review of Safety Analysis Reports for Nuclear Power Plants,'' on a proposed Revision 1 to Standard Review Plan (SRP), Section 13.6.3 on ``Physical Security...
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14 CFR 152.323 - Budget revision: Airport development.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Budget revision: Airport development. 152... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.323 Budget revision: Airport development. (a) If any performance review conducted by the sponsor discloses a need for...
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14 CFR 152.323 - Budget revision: Airport development.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Budget revision: Airport development. 152... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.323 Budget revision: Airport development. (a) If any performance review conducted by the sponsor discloses a need for...
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14 CFR 152.323 - Budget revision: Airport development.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Budget revision: Airport development. 152... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.323 Budget revision: Airport development. (a) If any performance review conducted by the sponsor discloses a need for...
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42 CFR 493.639 - Fee for revised certificate.
Code of Federal Regulations, 2011 CFR
2011-10-01
... (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS General Administration § 493.639 Fee for revised certificate. (a) If, after a laboratory is issued a registration certificate, it changes its name or location, the laboratory must pay a fee to cover the cost of issuing a revised registration...
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42 CFR 493.639 - Fee for revised certificate.
Code of Federal Regulations, 2010 CFR
2010-10-01
... (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS General Administration § 493.639 Fee for revised certificate. (a) If, after a laboratory is issued a registration certificate, it changes its name or location, the laboratory must pay a fee to cover the cost of issuing a revised registration...
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Matharu, G S; Judge, A; Murray, D W; Pandit, H G
2017-07-01
Few studies have assessed outcomes following non-metal-on-metal hip arthroplasty (non-MoMHA) revision surgery performed for adverse reactions to metal debris (ARMD). We assessed outcomes following non-MoMHA revision surgery performed for ARMD, and identified predictors of re-revision. We performed a retrospective observational study using data from the National Joint Registry for England and Wales. All non-MoMHAs undergoing revision surgery for ARMD between 2008 and 2014 were included (185 hips in 185 patients). Outcome measures following ARMD revision were intra-operative complications, mortality and re-revision surgery. Predictors of re-revision were identified using Cox regression. Intra-operative complications occurred in 6.0% (n = 11) of the 185 cases. The cumulative four-year patient survival rate was 98.2% (95% CI 92.9 to 99.5). Re-revision surgery was performed in 13.5% (n = 25) of hips at a mean time of 1.2 years (0.1 to 3.1 years) following ARMD revision. Infection (32%; n = 8), dislocation/subluxation (24%; n = 6), and aseptic loosening (24%; n = 6) were the most common re-revision indications. The cumulative four-year implant survival rate was 83.8% (95% CI 76.7 to 88.9). Multivariable analysis identified three predictors of re-revision: multiple revision indications (hazard ratio (HR) = 2.78; 95% CI 1.03 to 7.49; p = 0.043); selective component revisions (HR = 5.76; 95% CI 1.28 to 25.9; p = 0.022); and ceramic-on-polyethylene revision bearings (HR = 3.08; 95% CI 1.01 to 9.36; p = 0.047). Non-MoMHAs revised for ARMD have a high short-term risk of re-revision, with important predictors of future re-revision including selective component revision, multiple revision indications, and ceramic-on-polyethylene revision bearings. Our findings may help counsel patients about the risks of ARMD revision, and guide reconstructive decisions. Future studies attempting to validate the predictors identified should also assess the effects of implant design (metallurgy
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[The Use of Jumbo Cups in Revision Total Hip Arthroplasty].
von Roth, Philipp; Wassilew, Georgi I
2017-10-01
Extra-large uncemented jumbo cups are among the most common methods of acetabular revision. Jumbo cups do not contribute to bone stock restoration, and in the case of a subsequent revision, an even larger bone defect is to be expected. Thus, understanding long-term survival is essential. The present article discusses the literature relevant to this topic and addresses technical and implant-specific characteristics of jumbo cups. In summary, jumbo cups show an acceptable long-term survival rate, with aseptic loosening as the most common reason for revision and dislocation being the most common complication. Through the development of alternative revision systems, jumbo cups have lost their importance in today's practice. However, they can serve as a benchmark for studies of newer technologies in revision total hip arthroplasty. Georg Thieme Verlag KG Stuttgart · New York.
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Di Forti, Marta; Sallis, Hannah; Allegri, Fabio; Trotta, Antonella; Ferraro, Laura; Stilo, Simona A; Marconi, Arianna; La Cascia, Caterina; Reis Marques, Tiago; Pariante, Carmine; Dazzan, Paola; Mondelli, Valeria; Paparelli, Alessandra; Kolliakou, Anna; Prata, Diana; Gaughran, Fiona; David, Anthony S; Morgan, Craig; Stahl, Daniel; Khondoker, Mizanur; MacCabe, James H; Murray, Robin M
2014-11-01
Cannabis use is associated with an earlier age of onset of psychosis (AOP). However, the reasons for this remain debated. We applied a Cox proportional hazards model to 410 first-episode psychosis patients to investigate the association between gender, patterns of cannabis use, and AOP. Patients with a history of cannabis use presented with their first episode of psychosis at a younger age (mean years = 28.2, SD = 8.0; median years = 27.1) than those who never used cannabis (mean years = 31.4, SD = 9.9; median years = 30.0; hazard ratio [HR] = 1.42; 95% CI: 1.16-1.74; P < .001). This association remained significant after controlling for gender (HR = 1.39; 95% CI: 1.11-1.68; P < .001). Those who had started cannabis at age 15 or younger had an earlier onset of psychosis (mean years = 27.0, SD = 6.2; median years = 26.9) than those who had started after 15 years (mean years = 29.1, SD = 8.5; median years = 27.8; HR = 1.40; 95% CI: 1.06-1.84; P = .050). Importantly, subjects who had been using high-potency cannabis (skunk-type) every day had the earliest onset (mean years = 25.2, SD = 6.3; median years = 24.6) compared to never users among all the groups tested (HR = 1.99; 95% CI: 1.50- 2.65; P < .0001); these daily users of high-potency cannabis had an onset an average of 6 years earlier than that of non-cannabis users. Daily use, especially of high-potency cannabis, drives the earlier onset of psychosis in cannabis users. © The Author 2013. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.
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Light pollution is associated with earlier tree budburst across the United Kingdom.
Ffrench-Constant, Richard H; Somers-Yeates, Robin; Bennie, Jonathan; Economou, Theodoros; Hodgson, David; Spalding, Adrian; McGregor, Peter K
2016-06-29
The ecological impact of night-time lighting is of concern because of its well-demonstrated effects on animal behaviour. However, the potential of light pollution to change plant phenology and its corresponding knock-on effects on associated herbivores are less clear. Here, we test if artificial lighting can advance the timing of budburst in trees. We took a UK-wide 13 year dataset of spatially referenced budburst data from four deciduous tree species and matched it with both satellite imagery of night-time lighting and average spring temperature. We find that budburst occurs up to 7.5 days earlier in brighter areas, with the relationship being more pronounced for later-budding species. Excluding large urban areas from the analysis showed an even more pronounced advance of budburst, confirming that the urban 'heat-island' effect is not the sole cause of earlier urban budburst. Similarly, the advance in budburst across all sites is too large to be explained by increases in temperature alone. This dramatic advance of budburst illustrates the need for further experimental investigation into the impact of artificial night-time lighting on plant phenology and subsequent species interactions. As light pollution is a growing global phenomenon, the findings of this study are likely to be applicable to a wide range of species interactions across the world. © 2016 The Authors.
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Tomović, Vladimir M; Jokanović, Marija R; Petrović, Ljiljana S; Tomović, Mila S; Tasić, Tatjana A; Ikonić, Predrag M; Sumić, Zdravko M; Sojić, Branislav V; Skaljac, Snežana B; Sošo, Milena M
2013-01-01
Effects of rapid chilling of carcasses (at -31°C in the first 3h of chilling, and then at 2-4°C) and earlier deboning (8h post-mortem), compared to rapid (till 24h post-mortem) and conventional chilling (at 2-4°C, till 24h post-mortem), on quality characteristics of pork M. semimebranosus and cooked ham were investigated. Quality measurements included pH value, colour (CIEL a b values) and total aerobic count of M. semimebranosus, as well as sensory (colour, juiciness, texture, and flavour), physical (pH value, colour - CIEL a b values and texture - Warner-Bratzler shear and penetration forces) and chemical (protein, total fat, and moisture content) characteristics of cooked ham. The cooked ham was manufactured from pieces of M. semimebranosus with ultimate lightness (CIEL value) lower than 50. Rapid chilling and earlier deboning significantly increased quantity of M. semimebranosus desirable for cooked ham manufacturing. Earlier start of pork fabrication did not affect important quality characteristics of cooked ham. Copyright © 2012 Elsevier Ltd. All rights reserved.
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Early revisions of the Femoro-Patella Vialla joint replacement.
Williams, D P; Pandit, H G; Athanasou, N A; Murray, D W; Gibbons, C L M H
2013-06-01
The aim of this study was to review the early outcome of the Femoro-Patella Vialla (FPV) joint replacement. A total of 48 consecutive FPVs were implanted between December 2007 and June 2011. Case-note analysis was performed to evaluate the indications, operative histology, operative findings, post-operative complications and reasons for revision. The mean age of the patients was 63.3 years (48.2 to 81.0) and the mean follow-up was 25.0 months (6.1 to 48.9). Revision was performed in seven (14.6%) at a mean of 21.7 months, and there was one re-revision. Persistent pain was observed in three further patients who remain unrevised. The reasons for revision were pain due to progressive tibiofemoral disease in five, inflammatory arthritis in one, and patellar fracture following trauma in one. No failures were related to the implant or the technique. Trochlear dysplasia was associated with a significantly lower rate of revision (5.9% vs 35.7%, p = 0.017) and a lower incidence of revision or persistent pain (11.8% vs 42.9%, p = 0.045). Focal patellofemoral osteoarthritis secondary to trochlear dysplasia should be considered the best indication for patellofemoral replacement. Standardised radiological imaging, with MRI to exclude overt tibiofemoral disease should be part of the pre-operative assessment, especially for the non-dysplastic knee.
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Cement-in-cement acetabular revision with a constrained tripolar component.
Leonidou, Andreas; Pagkalos, Joseph; Luscombe, Jonathan
2012-02-17
Dislocation of a total hip replacement (THR) is common following total hip arthroplasty (THA). When nonoperative management fails to maintain reduction, revision surgery is considered. The use of constrained acetabular liners has been extensively described. Complete removal of the old cement mantle during revision THA can be challenging and is associated with significant complications. Cement-in-cement revision is an established technique. However, the available clinical and experimental studies focus on femoral stem revision. The purpose of this study was to present a case of cement-in-cement acetabular revision with a constrained component for recurrent dislocations and to investigate the current best evidence for this technique. This article describes the case of a 74-year-old woman who underwent revision of a Charnley THR for recurrent low-energy dislocations. A tripolar constrained acetabular component was cemented over the primary cement mantle following removal of the original liner by reaming, roughening the surface, and thoroughly irrigating and drying the primary cement. Clinical and radiological results were good, with the Oxford Hip Score improving from 11 preoperatively to 24 at 6 months postoperatively. The good short-term results of this case and the current clinical and biomechanical data encourage the use of the cement-in-cement technique for acetabular revision. Careful irrigation, drying, and roughening of the primary surface are necessary. Copyright 2012, SLACK Incorporated.
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Chang, Sanders; Sigel, Keith; Goldstein, Nathan E; Wisnivesky, Juan; Dharmarajan, Kavita V
2018-06-06
The American Society of Clinical Oncology recommends that all patients with metastatic disease receive dedicated palliative care (PC) services early in their illness, ideally via interdisciplinary care teams. We investigated the time trends of specialty palliative care consultations from the date of metastatic cancer diagnosis among patients receiving palliative radiation therapy (PRT). A shorter time interval between metastatic diagnosis and first PC consultation suggests earlier involvement of palliative care in a patient's life with metastatic cancer. In this IRB-approved retrospective analysis, patients treated with PRT for solid tumors (bone and brain) at a single tertiary care hospital between 2010 and 2016 were included. Cohorts were arbitrarily established by metastatic diagnosis within approximately two-year intervals: (1) 1/1/2010-3/27/2012; (2) 3/28/2012-5/21/2014; and (3) 5/22/2014-12/31/2016. Cox-proportional hazards regression modelling was used to compare trends of PC consultation among cohorts. Of 284 patients identified, 184 patients received PC consultation, whereas 15 patients died before receiving a PC consult. Median follow-up time until an event or censor was 257 days (range: 1,900). Patients in the most recent cohort had a shorter median time to first PC consult (57 days) compared to those in the first (374 days) and second (186 days) cohorts. On multivariable analysis, patients in the third cohort were more likely to undergo a PC consultation earlier in their metastatic illness (HR: 1.8, 95% CI: 1.2,2.8). Over a six-year period, palliative care consultation occurred earlier for metastatic patients treated with PRT at our institution. Copyright © 2018. Published by Elsevier Inc.
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Lawrence, David Wyndham; Richards, Doug; Comper, Paul; Hutchison, Michael G
2018-01-01
To determine whether earlier time to initiation of aerobic exercise following acute concussion is associated with time to full return to (1) sport and (2) school or work. A retrospective stratified propensity score survival analysis of acute (≤14 days) concussion was used to determine whether time (days) to initiation of aerobic exercise post-concussion was associated with, both, time (days) to full return to (1) sport and (2) school or work. A total of 253 acute concussions [median (IQR) age, 17.0 (15.0-20.0) years; 148 (58.5%) males] were included in this study. Multivariate Cox regression models identified that earlier time to aerobic exercise was associated with faster return to sport and school/work adjusting for other covariates, including quintile propensity strata. For each successive day in delay to initiation of aerobic exercise, individuals had a less favourable recovery trajectory. Initiating aerobic exercise at 3 and 7 days following injury was associated with a respective 36.5% (HR, 0.63; 95% CI, 0.53-0.76) and 73.2% (HR, 0.27; 95% CI, 0.16-0.45) reduced probability of faster full return to sport compared to within 1 day; and a respective 45.9% (HR, 0.54; 95% CI, 0.44-0.66) and 83.1% (HR, 0.17; 95% CI, 0.10-0.30) reduced probability of faster full return to school/work. Additionally, concussion history, symptom severity, LOC deleteriously influenced concussion recovery. Earlier initiation of aerobic exercise was associated with faster full return to sport and school or work. This study provides greater insight into the benefits and safety of aerobic exercise within the first week of the injury.
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Fink, Bernd; Schlumberger, Michael; Oremek, Damian
2017-08-01
The treatment of periprosthetic infections of hip arthroplasties typically involves use of either a single- or two-stage (with implantation of a temporary spacer) revision surgery. In patients with severe acetabular bone deficiencies, either already present or after component removal, spacers cannot be safely implanted. In such hips where it is impossible to use spacers and yet a two-stage revision of the prosthetic stem is recommended, we have combined a two-stage revision of the stem with a single revision of the cup. To our knowledge, this approach has not been reported before. (1) What proportion of patients treated with single-stage acetabular reconstruction as part of a two-stage revision for an infected THA remain free from infection at 2 or more years? (2) What are the Harris hip scores after the first stage and at 2 years or more after the definitive reimplantation? Between June 2009 and June 2014, we treated all patients undergoing surgical treatment for an infected THA using a single-stage acetabular revision as part of a two-stage THA exchange if the acetabular defect classification was Paprosky Types 2B, 2C, 3A, 3B, or pelvic discontinuity and a two-stage procedure was preferred for the femur. The procedure included removal of all components, joint débridement, definitive acetabular reconstruction (with a cage to bridge the defect, and a cemented socket), and a temporary cemented femoral component at the first stage; the second stage consisted of repeat joint and femoral débridement and exchange of the femoral component to a cementless device. During the period noted, 35 patients met those definitions and were treated with this approach. No patients were lost to followup before 2 years; mean followup was 42 months (range, 24-84 months). The clinical evaluation was performed with the Harris hip scores and resolution of infection was assessed by the absence of clinical signs of infection and a C-reactive protein level less than 10 mg/L. All
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25 CFR 273.61 - Contract revision or amendment.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 25 Indians 1 2011-04-01 2011-04-01 false Contract revision or amendment. 273.61 Section 273.61 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Contract Revision or Cancellation § 273...
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25 CFR 273.61 - Contract revision or amendment.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 25 Indians 1 2013-04-01 2013-04-01 false Contract revision or amendment. 273.61 Section 273.61 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Contract Revision or Cancellation § 273...
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25 CFR 273.61 - Contract revision or amendment.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 25 Indians 1 2012-04-01 2011-04-01 true Contract revision or amendment. 273.61 Section 273.61 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Contract Revision or Cancellation § 273...
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25 CFR 273.61 - Contract revision or amendment.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 25 Indians 1 2014-04-01 2014-04-01 false Contract revision or amendment. 273.61 Section 273.61 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Contract Revision or Cancellation § 273...
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25 CFR 273.61 - Contract revision or amendment.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Contract revision or amendment. 273.61 Section 273.61 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Contract Revision or Cancellation § 273...
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14 CFR 152.323 - Budget revision: Airport development.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Budget revision: Airport development. 152... TRANSPORTATION (CONTINUED) AIRPORTS AIRPORT AID PROGRAM Accounting and Reporting Requirements § 152.323 Budget... change in the budget estimates, the sponsor shall submit a request for budget revision on a form...
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40 CFR 35.2111 - Revised water quality standards.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Revised water quality standards. 35... ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2111 Revised water quality standards. After December 29, 1984, no grant can be awarded for projects that discharge into...
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NASA Technical Reports Server (NTRS)
Gamon, John A.; Huemmrich, K. Fred; Stone, Robert S.; Tweedie, Craig E.
2015-01-01
In the Arctic, earlier snowmelt and longer growing seasons due to warming have been hypothesized to increase vegetation productivity. Using the Normalized Difference Vegetation Index (NDVI) from both field and satellite measurements as an indicator of vegetation phenology and productivity, we monitored spatial and temporal patterns of vegetation growth for a coastal wet sedge tundra site near Barrow, Alaska over three growing seasons (2000-2002). Contrary to expectation, earlier snowmelt did not lead to increased productivity. Instead, productivity was associated primarily with precipitation and soil moisture, and secondarily with growing degree days, which, during this period, led to reduced growth in years with earlier snowmelt. Additional moisture effects on productivity and species distribution, operating over a longer time scale, were evident in spatial NDVI patterns associated with microtopography. Lower, wetter regions dominated by graminoids were more productive than higher, drier locations having a higher percentage of lichens and mosses, despite the earlier snowmelt at the more elevated sites. These results call into question the oft-stated hypothesis that earlier arctic growing seasons will lead to greater vegetation productivity. Rather, they agree with an emerging body of evidence from recent field studies indicating that early-season, local environmental conditions, notably moisture and temperature, are primary factors determining arctic vegetation productivity. For this coastal arctic site, early growing season conditions are strongly influenced by microtopography, hydrology, and regional sea ice dynamics, and may not be easily predicted from snowmelt date or seasonal average air temperatures alone. Our comparison of field to satellite NDVI also highlights the value of in-situ monitoring of actual vegetation responses using field optical sampling to obtain detailed information on surface conditions not possible from satellite observations alone.
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NASA Astrophysics Data System (ADS)
Lourens, L. J.; Konijnendijk, T.; Ziegler, M.
2015-12-01
We present the first long (~1.2 Ma) benthic oxygen isotope record from the eastern Mediterranean, based on ODP Sites 967 and 968, which clearly reflects the behavior of global climate on a glacial-interglacial scale. The age model for our record is based on tuning the elemental ratio of titanium versus aluminum (Ti/Al) against insolation. The Ti/Al record is dominated by the precession-related changes in northern African climate, i.e. monsoonal forcing, and hence largely independent of glacial-interglacial variability. We found the largest offset between our chronology and that of the widely applied, open ocean stacked record LR04 (Lisiecki and Raymo, 2005) for TVII (~624 ka), which occurred ~9 kyr earlier according to our estimates, though in agreement with the AICC2012 δDice chronology of EPICA Dome C (Bazin et al., 2013). Spectral cross-correlation analysis between our benthic δ18O record and 65°N summer insolation reveals significant amounts of power in the obliquity and precession range, with an average lag of 5.5±0.8 kyr for obliquity, and 6.0±1.0 kyr for precession. In addition, our results show that the obliquity-related time lag was smaller (3.0±3.3 kyr) prior to ~900 ka than after (5.7±1.1 kyr), suggesting that on average the glacial response time to obliquity forcing increased during the mid-Pleistocene transition, much later than assumed by Lisiecki and Raymo (2005). Finally, we found that almost all glacial terminations have a consistent phase relationship of ~45±45 degrees with respect to the precession and obliquity-driven increases in 65°N summer insolation, consistent with the general consensus that both obliquity and precession are important for deglaciation during the Late Pleistocene. Exceptions are glacial terminations TIIIb, T36 and potentially T32 (and TVII T24 and T34), which show this consistent phase relationship only with precession (only with obliquity). Our findings point towards an early (>1200 ka) onset of the Mid Pleistocene
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Revision Hip Arthroscopy Indications and Outcomes: A Systematic Review.
Sardana, Vandit; Philippon, Marc J; de Sa, Darren; Bedi, Asheesh; Ye, Lily; Simunovic, Nicole; Ayeni, Olufemi R
2015-10-01
To identify the indications and outcomes in patients undergoing revision hip arthroscopy. The electronic databases Embase, Medline, HealthStar, and PubMed were searched from 1946 to July 19, 2014. Two blinded reviewers searched, screened, and evaluated the data quality of the studies using the Methodological Index for Non-Randomized Studies scale. Data were abstracted in duplicate. Agreement and descriptive statistics are presented. Six studies were included (3 prospective case series and 3 retrospective chart reviews), with a total of 448 hips examined. The most common indications for revision hip arthroscopy included residual femoroacetabular impingement (FAI), labral tears, and chondral lesions. The mean interval between revision arthroscopy and the index procedure was 25.6 months. Overall, the modified Harris Hip Score improved by a mean of 33.6% (19.3 points) from the baseline score at 1-year follow-up. In 14.6% of patients, further surgical procedures were required, including re-revision hip arthroscopy (8.0%), total hip replacement (5.6%), and hip resurfacing (1.0%). Female patients more commonly underwent revision hip arthroscopy (59.7%). The current evidence examined in this review supports revision hip arthroscopy as a successful intervention to improve functional outcomes (modified Harris Hip Score) and relieve pain in patients with residual symptoms after primary FAI surgery, although the outcomes are inferior when compared with a matched cohort of patients undergoing primary hip arthroscopy for FAI. The main indication for revision is a candidate who has symptoms due to residual cam- or pincer-type deformity that was either unaddressed or under-resected during the index operation. However, it is important to consider that the studies included in this review are of low-quality evidence. Surgeons should consider incorporating a minimum 2-year follow-up for individuals after index hip-preservation surgery because revisions tended to occur within this
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Revision hip preservation surgery with hip arthroscopy: clinical outcomes.
Domb, Benjamin G; Stake, Christine E; Lindner, Dror; El-Bitar, Youseff; Jackson, Timothy J
2014-05-01
To analyze and report the clinical outcomes of a cohort of patients who underwent revision hip preservation with arthroscopy and determine predictors of positive and negative outcomes. During the study period from April 2008 to December 2010, all patients who underwent revision hip preservation with arthroscopy were included. This included patients who had previous open surgery and underwent revision with arthroscopy. Patient-reported outcome (PRO) scores were obtained preoperatively and at 3-month, 1-year, 2-year, and 3-year follow-up time points. Any revision surgeries and conversions to total hip arthroplasty were noted. A multiple regression analysis was performed to look for positive and negative predictive factors for improvement in PROs after revision hip arthroscopy. Forty-seven hips in 43 patients had completed 2 years' follow-up or needed total hip arthroplasty. The mean length of follow-up was 29 months (range, 24 to 47 months). Of the hips, 31 (66%) had either unaddressed or incompletely treated femoroacetabular impingement. There was a significant improvement in all PRO scores at a mean of 29 months after revision (P < .0001). The visual analog scale score improved from 7.3 ± 1.5 to 3.9 ± 2.5 (P < .0001). Improvements in the Non-Arthritic Hip Score of at least 10 points and 20 points were found in 28 hips (65%) and 19 hips (44%), respectively. Four hips in 3 patients required conversion to total hip arthroplasty. Positive predictive factors for PRO improvement were previous open surgery, pincer impingement, cam impingement, symptomatic heterotopic ossification, and segmental labral defects treated with labral reconstruction. On the basis of multiple PROs, revision hip preservation with hip arthroscopy can achieve moderately successful outcomes and remains a viable treatment strategy after failed primary hip preservation surgery. Preoperative predictors of success after revision hip arthroscopy include segmental labral defects, unaddressed or
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Age and Early Revision After Primary Total Hip Arthroplasty for Osteoarthritis.
Meyer, Zachary; Baca, Geneva; Rames, Richard; Barrack, Robert; Clohisy, John; Nam, Denis
2017-11-01
Prior reports have noted an increased risk of early revision among younger patients undergoing total hip arthroplasty (THA) but have been confounded by the inclusion of various diagnoses. The purpose of this study was to assess the revision rate and the time to revision for patients undergoing THA for osteoarthritis based on age. Patients with a diagnosis of osteoarthritis who underwent both primary and revision THA at the same institution were identified. The time between primary and revision surgery and the indication for revision were collected. Patients were stratified into 2 groups based on age at the time of primary THA: 64 years or younger (group 1) or 65 years or older (group 2). Between 1996 and 2016, a total of 4662 patients (5543 hips) underwent primary THA for a diagnosis of osteoarthritis. Of these, 100 patients (104 hips) received a revision THA (62 in group 1 and 42 in group 2). Mean age was 52.7±8.4 years in group 1 vs 73.4±6.3 years in group 2 (P<.001). There was no significant difference in mean body mass index (29.7±7.3 kg/m 2 vs 28.4±4.6 kg/m 2 , P=.30). Rate of revision was not significantly different between the groups (1.8% vs 2.0%, P=.7). Average time from primary to revision surgery was 3.0±3.2 years for group 1 and 1.1±2.1 years for group 2 (P=.001). Among patients undergoing primary THA for a diagnosis of osteoarthritis, younger age is not associated with an increased rate of early failure or revision. [Orthopedics. 2017; 40(6):e1069-e1073.]. Copyright 2017, SLACK Incorporated.
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Earlier nesting by generalist predatory bird is associated with human responses to climate change.
Smith, Shawn H; Steenhof, Karen; McClure, Christopher J W; Heath, Julie A
2017-01-01
Warming temperatures cause temporal changes in growing seasons and prey abundance that drive earlier breeding by birds, especially dietary specialists within homogeneous habitat. Less is known about how generalists respond to climate-associated shifts in growing seasons or prey phenology, which may occur at different rates across land cover types. We studied whether breeding phenology of a generalist predator, the American kestrel (Falco sparverius), was associated with shifts in growing seasons and, presumably, prey abundance, in a mosaic of non-irrigated shrub/grasslands and irrigated crops/pastures. We examined the relationship between remotely-sensed normalized difference vegetation index (NDVI) and abundance of small mammals that, with insects, constitute approximately 93% of kestrel diet biomass. We used NDVI to estimate the start of the growing season (SoGS) in irrigated and non-irrigated lands from 1992 to 2015 and tested whether either estimate of annual SoGS predicted the timing of kestrel nesting. Finally, we examined relationships among irrigated SoGS, weather and crop planting. NDVI was a useful proxy for kestrel prey because it predicted small mammal abundance and past studies showed that NDVI predicts insect abundance. NDVI-estimated SoGS advanced significantly in irrigated lands (β = -1·09 ± 0·30 SE) but not in non-irrigated lands (β = -0·57 ± 0·53). Average date of kestrel nesting advanced 15 days in the past 24 years and was positively associated with the SoGS in irrigated lands, but not the SoGS in non-irrigated lands. Advanced SoGS in irrigated lands was related to earlier planting of crops after relatively warm winters, which were more common in recent years. Despite different patterns of SoGS change between land cover types, kestrel nesting phenology shifted with earlier prey availability in irrigated lands. Kestrels may preferentially track prey in irrigated lands over non-irrigated lands because of higher quality prey on
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Baerug, Anne; Sletner, Line; Laake, Petter; Fretheim, Atle; Løland, Beate Fossum; Waage, Christin W; Birkeland, Kåre I; Jenum, Anne Karen
2018-06-01
It has previously been shown that breastfeeding may reduce the risk of type 2 diabetes in mothers with recent gestational diabetes mellitus (GDM). This study compared the cessation of predominant breastfeeding in mothers with and without recent GDM in a multi-ethnic population. From May 2008 to May 2010, healthy pregnant women attending antenatal care provided by community health services in Eastern Oslo, Norway were recruited. We included 616 women-58% non-Western-and interviewed and examined them at a mean of 15 and 28 weeks of gestation and 14 weeks' postpartum. Cox regression models examined the association between GDM, as assessed by the 2013 World Health Organization criteria, and breastfeeding cessation. Overall, 190 of the 616 (31%) mothers had GDM and they ended predominant breastfeeding earlier than mothers without GDM, with an adjusted hazard ratio (aHR) of 1.33 and 95% confidence interval (95% CI) of 1.01-1.77. Mothers of South Asian origin ended predominant breastfeeding earlier than Western European mothers in the adjusted analysis (aHR 1.53, 95% CI: 1.04-2.25), but Middle Eastern mothers did not. Recent gestational diabetes was associated with earlier cessation of predominant breastfeeding in Western European and non-Western women. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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CINAHL list of subject headings: a nursing thesaurus revised.
Fishel, C C; Graham, K E; Greer, D M; Gupta, A D; Lockwood, D K; Prime, E E
1985-04-01
The rationale and methods for revising the thesaurus of one of the major health sciences indexing tools are discussed. Computer production of the Cumulative Index to Nursing & Allied Health Literature and the possibility of online access mandated a revision of the list of subject headings. CINAHL has maintained a policy of responding to user needs and to changes in the nursing and allied health literature, and user input was encouraged during revision of the thesaurus. The methods of structural revision are described, and major changes in the thesaurus are detailed. Modification of the thesaurus is expected to have a far-reaching impact on the retrieval of information in nursing and allied health. Nursing and Allied Health (CINAHL) is now available online through DIALOG (file 218) and BRS (access code NAHL).
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CINAHL list of subject headings: a nursing thesaurus revised.
Fishel, C C; Graham, K E; Greer, D M; Gupta, A D; Lockwood, D K; Prime, E E
1985-01-01
The rationale and methods for revising the thesaurus of one of the major health sciences indexing tools are discussed. Computer production of the Cumulative Index to Nursing & Allied Health Literature and the possibility of online access mandated a revision of the list of subject headings. CINAHL has maintained a policy of responding to user needs and to changes in the nursing and allied health literature, and user input was encouraged during revision of the thesaurus. The methods of structural revision are described, and major changes in the thesaurus are detailed. Modification of the thesaurus is expected to have a far-reaching impact on the retrieval of information in nursing and allied health. Nursing and Allied Health (CINAHL) is now available online through DIALOG (file 218) and BRS (access code NAHL). PMID:3995203
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Tidal Wave II Revisited: A Review of Earlier Enrollment Projections for California Higher Education.
ERIC Educational Resources Information Center
Hayward, Gerald C.; Breneman, David W.; Estrada, Leobardo F.
This report examined enrollment projections for higher education institutions in California in relation to earlier projections conducted in the mid-1990s that forecasted steep declines in enrollment. It notes that California's remarkable economic recovery over the last several years has allowed it to fund higher education enrollment growth at a…
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Temperature variations in Greenland from 10 to 110 kyr b2k derived from the NGRIP ice core
NASA Astrophysics Data System (ADS)
Kindler, Philippe; Leuenberger, Markus; Landais, Amaelle; Guillevic, Myriam
2013-04-01
During the last ice age dramatic temperature variations of up to 16 °C took place in Greenland which are now known as Dansgaard-Oeschger-events (DO-events). They most probably originate from the North Atlantic oceanic and atmospheric circulation system and are characterised by an abrupt warming within decades followed by a gradual cooling over hundreds to thousands of years. We have determined local temperature variations for DO-event 1 to 25 in Greenland based on δ15N measurements from the NorthGRIP ice core, corresponding to the period from 10 to 110 kyr b2k. The record is a composite of measurements from two laboratories, Laboratoire des Sciences du Climat et de l'Environnement, Paris (DO 18 to 25) and the Climate and Environmental Physics Division of the Physics Institute of the University of Bern (DO 1 to 17) with new measurements from the beginning of the Holocene to DO 8. Temperature variations were reconstructed by reproducing the measured 15N/14N ratio of air enclosed in ice bubbles by the firn densification and heat diffusion model from Schwander. The reconstruction show temperature amplitudes for the DO-events ranging from 5 to 16 °C, thereby the corresponding rates of change can exceed 0.5 °C/decade. In order get an agreement between measured δ15N, Δdepth and Δage values with their modelled analogues, a lower accumulation rate than the one associated with the used ss09sea06bm1 time scale had to be assumed. We had to reduce the accumulation rate time dependently by 0 to nearly 40% with a mean reduction over the whole time period of 16%. With these adjustments both the Δdepth and the Δage values agree between model and measurements.
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Nasr, P. J.; Keene, G. S.
2015-01-01
We report a unique case of a fractured modular cobalt chromium connection taper Revitan (Zimmer, Warsaw, IN) revision prosthesis. Macroscopic examination revealed a fracture at the diaphyseal-metaphyseal junction of this modular component. This report highlights that fractures can still occur with modern modular prostheses. We are not aware of any published failures of the Revitan revision prosthesis. We also describe a unique method of retrieval for a broken well fixed uncemented femoral stem, using a custom designed extraction instrument via a through-knee approach. PMID:25793134
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18 CFR 401.6 - Proposed revisions and changes.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Proposed revisions and changes. 401.6 Section 401.6 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Comprehensive Plan § 401.6 Proposed revisions and changes...
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18 CFR 401.6 - Proposed revisions and changes.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Proposed revisions and changes. 401.6 Section 401.6 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Comprehensive Plan § 401.6 Proposed revisions and changes...
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18 CFR 401.6 - Proposed revisions and changes.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Proposed revisions and changes. 401.6 Section 401.6 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Comprehensive Plan § 401.6 Proposed revisions and changes...
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18 CFR 401.6 - Proposed revisions and changes.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Proposed revisions and changes. 401.6 Section 401.6 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Comprehensive Plan § 401.6 Proposed revisions and changes...
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40 CFR 35.2111 - Revised water quality standards.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Revised water quality standards. 35... ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2111 Revised water... stream segments which have not, at least once since December 29, 1981, had their water quality standards...
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Setting Writing Revision Goals after Assessment for Learning
ERIC Educational Resources Information Center
Huang, Shu-Chen
2015-01-01
This study examined the effects of goal setting for revision in an EFL writing classroom where principles of assessment "for" learning (AfL) were followed. Following draft writing, instruction, and assessment, college freshmen were put into control, goal, and goal+ groups. Before students started to revise their drafts, individuals in…
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Intertextuality in Psychiatry: Revising the DSM-III Charter.
ERIC Educational Resources Information Center
McCarthy, Lucille
The revision of the psychiatric profession's diagnostic taxonomy, the "Diagnostic and Statistical Manual," also known as "DSM III," is underway. The process will result in the publication of "DSM-IV." Those involved in the revision seek both to make as few changes as possible and to satisfy an entire field. The…
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18 CFR 401.6 - Proposed revisions and changes.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Proposed revisions and changes. 401.6 Section 401.6 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Comprehensive Plan § 401.6 Proposed revisions and changes...
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31 CFR 315.93 - Supplements, amendments, or revisions.
Code of Federal Regulations, 2014 CFR
2014-07-01
.... SAVINGS BONDS, SERIES A, B, C, D, E, F, G, H, J, AND K, AND U.S. SAVINGS NOTES Miscellaneous Provisions § 315.93 Supplements, amendments, or revisions. The Secretary of the Treasury may at any time, or from time to time, prescribe additional, supplemental, amendatory, or revised rules and regulations...
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40 CFR 35.2111 - Revised water quality standards.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Revised water quality standards. 35... ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2111 Revised water... stream segments which have not, at least once since December 29, 1981, had their water quality standards...
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40 CFR 35.2111 - Revised water quality standards.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Revised water quality standards. 35... ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2111 Revised water... stream segments which have not, at least once since December 29, 1981, had their water quality standards...
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Higher Childhood Red Meat Intake Frequency Is Associated with Earlier Age at Menarche.
Jansen, Erica C; Marín, Constanza; Mora-Plazas, Mercedes; Villamor, Eduardo
2016-03-09
Early age at menarche is associated with increased breast cancer risk. Red meat consumption in adolescence predicts breast cancer risk, but it is unknown whether it is also related to earlier menarche. We studied the association between intake of red meat at ages 5-12 y and age at menarche in a prospective study. We assessed usual diets with a food-frequency questionnaire in a group of 456 girls aged 8.4 ± 1.7 y and followed them for a median 5.6 y in Bogotá, Colombia. Girls were asked periodically about the occurrence and date of menarche. Median age at menarche was estimated with use of Kaplan-Meier survival probabilities by categories of red meat intake frequency. Cox proportional hazards models were used to compare the incidence of menarche by red meat intake frequency, adjusting for potential sociodemographic and dietary confounders including total energy intake and intake frequency of other animal food groups (dairy, poultry, freshwater fish, tuna/sardines, eggs, and innards). Median age at menarche was 12.4 y. After adjustment for total energy intake, maternal parity, and socioeconomic status, red meat intake frequency was inversely associated with age at menarche. When compared with girls with red meat intake <4 times/wk, those consuming it ≥2 times/d had a significantly earlier age at menarche (HR: 1.64; 95% CI: 1.11, 2.41; P-trend = 0.0009). Incidentally, we found that girls with tuna/sardine intake >1 time/wk had a significantly later age at menarche (HR: 0.62; 95% CI: 0.42, 0.90; P = 0.01) than those with intake <1 time/mo. Intake frequency of other animal food groups was not significantly associated with age at menarche. Higher red meat intake frequency during childhood is associated with an earlier age at menarche, whereas greater fatty fish intake frequency is associated with a later menarcheal age. © 2016 American Society for Nutrition.
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Revise Inc. - Getting Bought Out
NASA Astrophysics Data System (ADS)
Ehrlich, Daniel
2010-03-01
From its inception Revise Inc. was designed to be acquired by a larger firm. Revise was always tightly controlled with no outside investors. As a well-focused company of ten people we were able to engineer a major piece of semiconductor capital equipment, then sell and maintain this product in the field internationally. We made a profit in year one and every succeeding year until we were acquired. This model made us attractive to a publicly-traded acquirer, who saw an opportunity to buy a prepackaged asset that, with low risk, should add to it's earnings ratios. The technology that we brought fit, but the business argument worked with no need to exaggerate the technology's value.
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7 CFR 868.102 - Procedures for establishing and revising grade standards.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 7 2012-01-01 2012-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...
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7 CFR 868.102 - Procedures for establishing and revising grade standards.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 7 2013-01-01 2013-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...
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7 CFR 868.102 - Procedures for establishing and revising grade standards.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 7 2010-01-01 2010-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...
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7 CFR 868.102 - Procedures for establishing and revising grade standards.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 7 2014-01-01 2014-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...
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7 CFR 868.102 - Procedures for establishing and revising grade standards.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 7 2011-01-01 2011-01-01 false Procedures for establishing and revising grade....102 Procedures for establishing and revising grade standards. (a) GIPSA will develop, revise, suspend, or terminate grade standards if it determines that such action is in the public interest. GIPSA...
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NASA Astrophysics Data System (ADS)
Lawrence, Thomas; Long, Antony J.; Gehrels, W. Roland; Jackson, Luke P.; Smith, David E.
2016-11-01
The most significant climate cooling of the Holocene is centred on 8.2 kyr BP (the '8.2 event'). Its cause is widely attributed to an abrupt slowdown of the Atlantic Meridional Overturning Circulation (AMOC) associated with the sudden drainage of Laurentide proglacial Lakes Agassiz and Ojibway, but model simulations have difficulty reproducing the event with a single-pulse scenario of freshwater input. Several lines of evidence point to multiple episodes of freshwater release from the decaying Laurentide Ice Sheet (LIS) between ∼8900 and ∼8200 cal yr BP, yet the precise number, timing and magnitude of these events - critical constraints for AMOC simulations - are far from resolved. Here we present a high-resolution relative sea level (RSL) record for the period 8800 to 7800 cal yr BP developed from estuarine and salt-marsh deposits in SW Scotland. We find that RSL rose abruptly in three steps by 0.35 m, 0.7 m and 0.4 m (mean) at 8760-8640, 8595-8465, 8323-8218 cal yr BP respectively. The timing of these RSL steps correlate closely with short-lived events expressed in North Atlantic proxy climate and oceanographic records, providing evidence of at least three distinct episodes of enhanced meltwater discharge from the decaying LIS prior to the 8.2 event. Our observations can be used to test the fidelity of both climate and ice-sheet models in simulating abrupt change during the early Holocene.
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Lambda light chain revision in the human intestinal IgA response.
Su, Wen; Gordon, John N; Barone, Francesca; Boursier, Laurent; Turnbull, Wayne; Mendis, Surangi; Dunn-Walters, Deborah K; Spencer, Jo
2008-07-15
Revision of Ab L chains by secondary rearrangement in mature B cells has the potential to change the specific target of the immune response. In this study, we show for the first time that L chain revision is normal and widespread in the largest Ab producing population in man: intestinal IgA plasma cells (PC). Biases in the productive and non-productive repertoire of lambda L chains, identification of the circular products of rearrangement that have the characteristic biases of revision, and identification of RAG genes and protein all reflect revision during normal intestinal IgA PC development. We saw no evidence of IgH revision, probably due to inappropriately orientated recombination signal sequences, and little evidence of kappa-chain revision, probably due to locus inactivation by the kappa-deleting element. We propose that the lambda L chain locus is available and a principal modifier and diversifier of Ab specificity in intestinal IgA PCs.
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NASA Astrophysics Data System (ADS)
Bourne, Mark; Mac Niocaill, Conall; Thomas, Alex L.; Knudsen, Mads Faurschou; Henderson, Gideon M.
2012-06-01
Geomagnetic excursions are recognized as intrinsic features of the Earth's magnetic field. High-resolution records of field behaviour, captured in marine sedimentary cores, present an opportunity to determine the temporal and geometric character of the field during geomagnetic excursions and provide constraints on the mechanisms producing field variability. We present here the highest resolution record yet published of the Blake geomagnetic excursion (∼125 ka) measured in three cores from Ocean Drilling Program (ODP) Site 1062 on the Blake-Bahama Outer Ridge. The Blake excursion has a controversial structure and timing but these cores have a sufficiently high sedimentation rate (∼10 cm ka-1) to allow detailed reconstruction of the field behaviour at this site during the excursion. Palaeomagnetic measurements of the cores reveal rapid transitions (<500 yr) between the contemporary stable normal polarity and a completely reversed state of long duration which spans a stratigraphic interval of 0.7 m. We determine the duration of the reversed state during the Blake excursion using oxygen isotope stratigraphy, combined with 230Th excess measurements to assess variations in the sedimentation rates through the sections of interest. This provides an age and duration for the Blake excursion with greater accuracy and with constrained uncertainty. We date the directional excursion as falling between 129 and 122 ka with a duration for the deviation of 6.5±1.3 kyr. The long duration of this interval and the fully reversed field suggest the existence of a pseudo-stable, reversed dipole field component during the excursion and challenge the idea that excursions are always of short duration.
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Piper, David Z.
2016-01-01
The Black Sea is a 2200 m deep anoxic, marine sea connected to the Mediterranean Sea via the Dardanelles Strait, Marmara Sea, and the 3 km wide, 35 m deep Bosphorus Strait. The biogeochemistry of sediment from the Anatolia slope has recorded changes to the hydrography leading up to and following the input of Mediterranean water at ~9.4 ka (103 years B.P.), when global sea level rose to the level of the Bosphorus sill and high-salinity water from the Mediterranean began to spill into the then brackish lake. The water initially mixed little with the lake water but cascaded to the bottom where it remained essentially isolated for ~1.6 kyr, the time required to fill the basin from the bottom up at its present input rate. The accumulation of Mo in the seafloor sediments, a proxy of bottom-water anoxia, increased sharply at ~8.6 ka, when bacterial respiration in the bottom water advanced to SO42− reduction by the oxidation of organic detritus that settled out of the photic zone. Its accumulation remained elevated to ~5.6 ka, when it decreased 60%, only to again increase slightly at ~2.0 ka. The accumulation of Corg, a proxy of primary productivity, increased threefold to fourfold at ~7.8 ka, when upward mixing of the high-salinity bottom water replaced the then thin veneer of the brackish photic zone in less than 50 years. From that time onward, the accumulation of Corg, Mo, and additional trace metals has reflected the hydrography of the basin and Bosphorus Strait, controlled largely by climate.
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Descriptive Epidemiology of the Multicenter ACL Revision Study (MARS) Cohort
2013-01-01
Background Revision anterior cruciate ligament (ACL) reconstruction has worse outcomes than primary reconstructions. Predictors for these worse outcomes are not known. The Multicenter ACL Revision Study (MARS) Group was developed to perform a multisurgeon, multicenter prospective longitudinal study to obtain sufficient subjects to allow multivariable analysis to determine predictors of clinical outcome. Purpose To describe the formation of MARS and provide descriptive analysis of patient demographics and clinical features for the initial 460 enrolled patients to date in this prospective cohort. Study Design Cross-sectional study; Level of evidence, 2. Methods After training and institutional review board approval, surgeons began enrolling patients undergoing revision ACL reconstruction, recording patient demographics, previous ACL reconstruction methods, intra-articular injuries, and current revision techniques. Enrolled subjects completed a questionnaire consisting of validated patient-based outcome measures. Results As of April 1, 2009, 87 surgeons have enrolled a total of 460 patients (57% men; median age, 26 years). For 89%, the reconstruction was the first revision. Mode of failure as deemed by the revising surgeon was traumatic (32%), technical (24%), biologic (7%), combination (37%), infection (<1%), and no response (<1%). Previous graft present at the time of injury was 70% autograft, 27% allograft, 2% combination, and 1% unknown. Sixty-two percent were more than 2 years removed from their last reconstruction. Graft choice for revision ACL reconstruction was 45% autograft, 54% allograft, and more than 1% both allograft and autograft. Meniscus and/or chondral damage was found in 90% of patients. Conclusion The MARS Group has been able to quickly accumulate the largest revision ACL reconstruction cohort reported to date. Traumatic reinjury is deemed by surgeons to be the most common single mode of failure, but a combination of factors represents the most
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Clinical presentation of retinoblastoma in Alexandria: A step toward earlier diagnosis.
Soliman, Sameh E; Eldomiaty, Wesam; Goweida, Mohamed B; Dowidar, Amgad
2017-01-01
To evaluate the clinical presentation of retinoblastoma in Alexandria, Egypt, correlate the timing of accurate diagnosis with the presence of advanced disease and identify causes of delayed presentation. Retrospective noncomparative single institution study reviews demographic and clinical data of all new children with retinoblastoma presenting to Alexandria Main University ocular oncology clinic (OOC) from January 2012 to June 2014. Diagnosis time was from initial parental complaint to retinoblastoma diagnosis and referral time was from retinoblastoma diagnosis to presentation to the Alexandria OCC. Delayed Diagnosis and referral were counted if >2 weeks. Advanced presentation is defined as clinical TNMH (8th edition) staging of cT2 or cT3 (international intraocular retinoblastoma classification group D or E) in at least one eye or the presence of extra-ocular disease (cT4). Seventy eyes of 47 children were eligible: 52% unilateral, 7% with family history and 96% presented with leukocorea. Sixty-four percent of children had advanced intraocular disease and none had extra-ocular disease. Delayed presentation occurred in 58% of children and was significantly associated with advanced disease in both unilaterally and bilaterally affected children (p = 0.003, 0.002 respectively). The delay in diagnosis was more in unilateral cases while the delay in referral was more in bilateral cases. The main cause of delayed presentation in unilateral retinoblastoma was misdiagnosis (30%) while parental shopping for second medical opinion (30%) was the main cause in bilateral children. Delayed diagnosis is a problem affecting retinoblastoma management. Better medical education and training, health education and earlier screening are recommended to achieve earlier diagnosis.
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40 CFR 35.2111 - Revised water quality standards.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Revised water quality standards. 35.2111 Section 35.2111 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2111 Revised water quality standards. After December 29, 1984,...
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15 CFR 970.513 - Revision of a license.
Code of Federal Regulations, 2010 CFR
2010-01-01
... ENVIRONMENTAL DATA SERVICE DEEP SEABED MINING REGULATIONS FOR EXPLORATION LICENSES Issuance/Transfer/Terms... application, some details may have to be provided in the future in the form of a revision. In such instances... Administrator as a revision is a major change in one or more of: (1) The bases for certifying the original...
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Joint Line Reconstruction in Navigated Total Knee Arthroplasty Revision
2012-05-16
Revision Total Knee Arthroplasty Because of; Loosening; Instability; Impingement; or Other Reasons Accepted as Indications for TKA Exchange.; The Focus is to Determine the Precision of Joint Line Restoration in Navigated vs. Conventional Revision Total Knee Arthroplasty
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Wright, Rick W.; Huston, Laura J.; Haas, Amanda K.; Spindler, Kurt P.; Nwosu, Sam K.; Allen, Christina R.; Anderson, Allen F.; Cooper, Daniel E.; DeBerardino, Thomas M.; Dunn, Warren R.; Lantz, Brett (Brick) A.; Stuart, Michael J.; Garofoli, Elizabeth A.; Albright, John P.; Amendola, Annunziato (Ned); Andrish, Jack T.; Annunziata, Christopher C.; Arciero, Robert A.; Bach, Bernard R.; Baker, Champ L.; Bartolozzi, Arthur R.; Baumgarten, Keith M.; Bechler, Jeffery R.; Berg, Jeffrey H.; Bernas, Geoffrey A.; Brockmeier, Stephen F.; Brophy, Robert H.; Bush-Joseph, Charles A.; Butler, J. Brad; Campbell, John D.; Carey, James L.; Carpenter, James E.; Cole, Brian J.; Cooper, Jonathan M.; Cox, Charles L.; Creighton, R. Alexander; Dahm, Diane L.; David, Tal S.; Flanigan, David C.; Frederick, Robert W.; Ganley, Theodore J.; Gatt, Charles J.; Gecha, Steven R.; Giffin, James Robert; Hame, Sharon L.; Hannafin, Jo A.; Harner, Christopher D.; Harris, Norman Lindsay; Hechtman, Keith S.; Hershman, Elliott B.; Hoellrich, Rudolf G.; Hosea, Timothy M.; Johnson, David C.; Johnson, Timothy S.; Jones, Morgan H.; Kaeding, Christopher C.; Kamath, Ganesh V.; Klootwyk, Thomas E.; Levy, Bruce A.; Ma, C. Benjamin; Maiers, G. Peter; Marx, Robert G.; Matava, Matthew J.; Mathien, Gregory M.; McAllister, David R.; McCarty, Eric C.; McCormack, Robert G.; Miller, Bruce S.; Nissen, Carl W.; O'Neill, Daniel F.; Owens, Brett D.; Parker, Richard D.; Purnell, Mark L.; Ramappa, Arun J.; Rauh, Michael A.; Rettig, Arthur C.; Sekiya, Jon K.; Shea, Kevin G.; Sherman, Orrin H.; Slauterbeck, James R.; Smith, Matthew V.; Spang, Jeffrey T.; Svoboda, Steven J.; Taft, Timothy N.; Tenuta, Joachim J.; Tingstad, Edwin M.; Vidal, Armando F.; Viskontas, Darius G.; White, Richard A.; Williams, James S.; Wolcott, Michelle L.; Wolf, Brian R.; York, James J.
2015-01-01
Background Most surgeons believe that graft choice for ACL reconstruction is an important factor related to outcome. Although graft choice may be limited in the revision setting based on previously used grafts, it is still felt to be important. Hypothesis The purpose of this study was to determine if revision ACL graft choice predicts outcomes related to sports function, activity level, OA symptoms, graft re-rupture, and reoperation at two years following revision reconstruction. We hypothesized that autograft use would result in increased sports function, increased activity level, and decreased OA symptoms (as measured by validated patient reported outcome instruments). Additionally, we hypothesized that autograft use would result in decreased graft failure and reoperation rate 2 years following revision ACL reconstruction. Study Design Prospective cohort study; Level of evidence, 2. Methods Revision ACL reconstruction patients were identified and prospectively enrolled by 83 surgeons over 52 sites. Data collected included baseline demographics, surgical technique and pathology, and a series of validated patient reported outcome instruments (IKDC, KOOS, WOMAC, and Marx activity rating score). Patients were followed up at 2 years, and asked to complete the identical set of outcome instruments. Incidence of additional surgery and reoperation due to graft failure were also recorded. Multivariate regression models were used to determine the predictors (risk factors) of IKDC, KOOS, WOMAC, Marx scores, graft re-rupture, and reoperation rate at 2 years following revision surgery. Results 1205 patients were successfully enrolled with 697 (58%) males. Median age was 26. In 88% this was their first revision. 341 (28%) were undergoing revision by the surgeon that had performed the previous reconstruction. 583 (48%) underwent revision reconstruction utilizing an autograft, 590 (49%) allograft, and 32 (3%) both autograft and allograft. Median time since their last ACL
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Final June Revisions Rule State Budgets and New Unit Set-Asides TSD
This technical support document (TSD) for the final revisions to the Transport Rule shows the underlying data and calculations used to quantify the state budget revisions and new unit set-aside revisions.
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76 FR 46668 - Revision to Form No. 6
Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-03
...] Revision to Form No. 6 AGENCY: Federal Energy Regulatory Commission. ACTION: Notice of proposed rulemaking... 700 of FERC Form No. 6 (Form 6) to ensure that pipelines report interstate-only barrel and barrel-mile... 700 of their 2010 Form 6 to file a revised page 700 containing only interstate data for the years 2009...
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40 CFR 96.25 - NOX Budget permit revisions.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 20 2010-07-01 2010-07-01 false NOX Budget permit revisions. 96.25... (CONTINUED) NOX BUDGET TRADING PROGRAM AND CAIR NOX AND SO2 TRADING PROGRAMS FOR STATE IMPLEMENTATION PLANS Permits § 96.25 NOX Budget permit revisions. (a) For a NOX Budget source with a title V operating permit...
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40 CFR 97.24 - NOX Budget permit revisions.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 20 2010-07-01 2010-07-01 false NOX Budget permit revisions. 97.24... (CONTINUED) FEDERAL NOX BUDGET TRADING PROGRAM AND CAIR NOX AND SO2 TRADING PROGRAMS Permits § 97.24 NOX Budget permit revisions. (a) For a NOX Budget source with a title V operating permit, except as provided...
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Economic Analysis of 4221 Revisions Due to Periprosthetic Joint Infection in Poland.
Babiak, Ireneusz; Pędzisz, Piotr; Janowicz, Jakub; Kulig, Mateusz; Małdyk, Paweł
2017-01-26
Periprosthetic joint infection (PJI) is one of the most severe complications of total hip (THA) and total knee (TKA) arthroplasty. The aim of the study is to determine the number and type of hip and knee prosthesis revisions in Poland performed due to infection and reimbursement of the cost of septic revisions and to compare the costs of septic and aseptic revisions in Poland and other countries. The data published for the period 2009-2013 by the National Health Fund (NHF) were analysed and the average cost of septic and aseptic revisions was calculated. In the years 2009-2013, a total of 260,030 hip and knee arthroplasties including 23,027 revisions (incl. 4,221 septic) were performed in Poland. In 2013, septic revisions accounted for 1.38% of all hip replacement procedures, 2.56% of all knee replacement procedures and 14.67% of all hip revisions and 30.23% of all knee revisions. In 2013, the difference between the average cost incurred by the hospital and the NHF refund for septic revision due to PJI was at least €238 and the cost-refund gap for the entire year was €219198. 1. The system of reporting periprostheticjoint infections currently in use in Poland does not adequately reflect the current classification of PJI and reimbursement for septic revision of joint prosthesis does not match the actual costs. 2. The Polish DRG system does not distinguish between early and late PJI and fails to acknowledge basic guidelines for infection treatment currently followed in Poland and worldwide. 3. According to the DRG system, patients requiring different treatment are placed in one category. 4. Until the year 2013, the less expensive treatment of early infections had been reimbursed on the same basis as the more costly two-stage revision procedures.
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Comparison of mode of failure between primary and revision total knee arthroplasties.
Liang, H; Bae, J K; Park, C H; Kim, K I; Bae, D K; Song, S J
2018-04-01
Cognizance of common reasons for failure in primary and revision TKA, together with their time course, facilitates prevention. However, there have been few reports specifically comparing modes of failure for primary vs. revision TKA using a single prosthesis. The goal of the study was to compare the survival rates, modes of failure, and time periods associated with each mode of failure, of primary vs. revision TKA. The survival rates, modes of failure, time period for each mode of failure, and risk factors would differ between primary and revision TKA. Data from a consecutive cohort comprising 1606 knees (1174 patients) of primary TKA patients, and 258 knees (224 patients) of revision TKA patients, in all of whom surgery involved a P.F.C ® prosthesis (Depuy, Johnson & Johnson, Warsaw, IN), was retrospectively reviewed. The mean follow-up periods of primary and revision TKAs were 9.2 and 9.8 years, respectively. The average 10- and 15-year survival rates for primary TKA were 96.7% (CI 95%,±0.7%) and 85.4% (CI 95%,±2.0%), and for revision TKA 91.4% (CI 95%,±2.5%) and 80.5% (CI 95%,±4.5%). Common modes of failure included polyethylene wear, loosening, and infection. The most common mode of failure was polyethylene wear in primary TKA, and infection in revision TKA. The mean periods (i.e., latencies) of polyethylene wear and loosening did not differ between primary and revision TKAs, but the mean period of infection was significantly longer for revision TKA (1.2 vs. 4.8 years, P=0.003). Survival rates decreased with time, particularly more than 10 years post-surgery, for both primary and revision TKAs. Continuous efforts are required to prevent and detect the various modes of failure during long-term follow-up. Greater attention is necessary to detect late infection-induced failure following revision TKA. Case-control study, Level III. Copyright © 2017 Elsevier Masson SAS. All rights reserved.
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Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion
Richards, Doug; Comper, Paul; Hutchison, Michael G.
2018-01-01
Objective To determine whether earlier time to initiation of aerobic exercise following acute concussion is associated with time to full return to (1) sport and (2) school or work. Methods A retrospective stratified propensity score survival analysis of acute (≤14 days) concussion was used to determine whether time (days) to initiation of aerobic exercise post-concussion was associated with, both, time (days) to full return to (1) sport and (2) school or work. Results A total of 253 acute concussions [median (IQR) age, 17.0 (15.0–20.0) years; 148 (58.5%) males] were included in this study. Multivariate Cox regression models identified that earlier time to aerobic exercise was associated with faster return to sport and school/work adjusting for other covariates, including quintile propensity strata. For each successive day in delay to initiation of aerobic exercise, individuals had a less favourable recovery trajectory. Initiating aerobic exercise at 3 and 7 days following injury was associated with a respective 36.5% (HR, 0.63; 95% CI, 0.53–0.76) and 73.2% (HR, 0.27; 95% CI, 0.16–0.45) reduced probability of faster full return to sport compared to within 1 day; and a respective 45.9% (HR, 0.54; 95% CI, 0.44–0.66) and 83.1% (HR, 0.17; 95% CI, 0.10–0.30) reduced probability of faster full return to school/work. Additionally, concussion history, symptom severity, LOC deleteriously influenced concussion recovery. Conclusion Earlier initiation of aerobic exercise was associated with faster full return to sport and school or work. This study provides greater insight into the benefits and safety of aerobic exercise within the first week of the injury. PMID:29668716
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Gullón, Alejandra; Verdejo, José; de Miguel, Rosa; Gómez, Ana; Sanz, Jesús
2016-10-01
Late diagnosis (LD) of human immunodeficiency virus (HIV) infection continues to be a significant problem that increases disease burden both for patients and for the public health system. Guidelines have been updated in order to facilitate earlier HIV diagnosis, introducing "indicator condition-guided HIV testing". In this study, we analysed the frequency of LD and associated risk factors. We retrospectively identified those cases that could be considered missed opportunities for an earlier diagnosis. All patients newly diagnosed with HIV infection who attended Hospital La Princesa, Madrid (Spain) between 2007 and 2014 were analysed. We collected epidemiological, clinical and immunological data. We also reviewed electronic medical records from the year before the HIV diagnosis to search for medical consultations due to clinical indicators. HIV infection was diagnosed in 354 patients. The median CD4 count at presentation was 352 cells/mm(3). Overall, 158 patients (50%) met the definition of LD, and 97 (30.7%) the diagnosis of advanced disease. LD was associated with older age and was more frequent amongst immigrants. Heterosexual relations and injection drug use were more likely to be the reasons for LD than relations between men who have sex with men. During the year preceding the diagnosis, 46.6% of the patients had sought medical advice owing to the presence of clinical indicators that should have led to HIV testing. Of those, 24 cases (14.5%) were classified as missed opportunities for earlier HIV diagnosis because testing was not performed. According to these results, all health workers should pursue early HIV diagnosis through the proper implementation of HIV testing guidelines. Such an approach would prove directly beneficial to the patient and indirectly beneficial to the general population through the reduction in the risk of transmission.
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76 FR 21832 - Proposed Revision of Class E Airspace; Yakutat, AK
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-19
...-0244 Airspace Docket No. 11-AAL-05] Proposed Revision of Class E Airspace; Yakutat, AK AGENCY: Federal... proposes to revise Class E airspace at Yakutat, AK. The revision of eight Standard Instrument Approach... Administration, 222 West 7th Avenue, Box 14, Anchorage, AK 99513-7587. FOR FURTHER INFORMATION CONTACT: Martha...
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Text Revision in Deaf and Hearing Bilingual Students
ERIC Educational Resources Information Center
Teruggi, Lilia A.; Gutiérrez-Cáceres, Rafaela
2016-01-01
In this study we explored the revision process and strategies implemented by deaf and hearing students who attend the same bilingual school context (LIS and Italian). For that we analysed and compared the types and quality of revisions made by deaf and hearing participants to their first draft of a narrative text ("Frog, Where Are You?")…
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46 CFR 8.550 - Plan review and revisions.
Code of Federal Regulations, 2010 CFR
2010-10-01
... approval date, the company shall review the CAP and update all information required by § 8.530. (2) Every 5 years after the plan approval date, the Coast Guard SIP Advisor and the Company SIP Agent will review... reviewed and revised by the company at any time. The revisions must be submitted to the cognizant OCMI for...
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Emergent issues in forest plan revision: a dialogue
Susan I. Stewart; Pamela J. Jakes; Paul Monson
1998-01-01
Working with National Forest planners can raise many questions for social scientists regarding their role in planning or plan revision. Social scientists from the North Central Forest Experiment Station and the National Forest System Eastern Region debate 3 questions that continue to surface in their work with Forest Service managers on plan revision: first, what is...
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Chandler-Laney, Paula C.; Morrison, Shannon A.; Goree, Laura Lee T.; Ellis, Amy C.; Casazza, Krista; Desmond, Renee; Gower, Barbara A
2014-01-01
Objective To test the hypothesis that a breakfast meal with high carbohydrate/ low fat results in an earlier increase in postprandial glucose and insulin, a greater decrease below baseline in postprandial glucose, and an earlier return of appetite, compared to a low carbohydrate/high fat meal. Design Overweight but otherwise healthy adults (n=64) were maintained on one of two eucaloric diets: high carbohydrate/low fat (HC/LF; 55:27:18% kcals from carbohydrate: fat: protein) versus low carbohydrate/high fat (LC/HF; 43:39:18% kcals from carbohydrate: fat: protein). After 4 weeks of acclimation to the diets, participants underwent a meal test during which circulating glucose and insulin and self-reported hunger and fullness, were measured before and after consumption of breakfast from their assigned diets. Results The LC/HF meal resulted in a later time at the highest and lowest recorded glucose, higher glucose concentrations at 3 and 4 hours post-meal, and lower insulin incremental area under the curve. Participants consuming the LC/HF meal reported lower appetite 3 and 4 hours following the meal, a response that was associated with the timing of the highest and lowest recorded glucose. Conclusions Modest increases in meal carbohydrate content at the expense of fat content may facilitate weight gain over the long-term by contributing to an earlier rise and fall of postprandial glucose concentrations and an earlier return of appetite. PMID:24819342
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Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes.
Borzych-Duzalka, Dagmara; Aki, T Fazil; Azocar, Marta; White, Colin; Harvey, Elizabeth; Mir, Sevgi; Adragna, Marta; Serdaroglu, Erkin; Sinha, Rajiv; Samaille, Charlotte; Vanegas, Juan Jose; Kari, Jameela; Barbosa, Lorena; Bagga, Arvind; Galanti, Monica; Yavascan, Onder; Leozappa, Giovanna; Szczepanska, Maria; Vondrak, Karel; Tse, Kei-Chiu; Schaefer, Franz; Warady, Bradley A
2017-01-06
Little published information is available about access failure in children undergoing chronic peritoneal dialysis. Our objectives were to evaluate frequency, risk factors, interventions, and outcome of peritoneal dialysis access revision. Data were derived from 824 incident and 1629 prevalent patients from 105 pediatric nephrology centers enrolled in the International Pediatric Peritoneal Dialysis Network Registry between 2007 and 2015. In total, 452 access revisions were recorded in 321 (13%) of 2453 patients over 3134 patient-years of follow-up, resulting in an overall access revision rate of 0.14 per treatment year. Among 824 incident patients, 186 (22.6%) underwent 188 access revisions over 1066 patient-years, yielding an access revision rate of 0.17 per treatment year; 83% of access revisions in incident patients were reported within the first year of peritoneal dialysis treatment. Catheter survival rates in incident patients were 84%, 80%, 77%, and 73% at 12, 24, 36, and 48 months, respectively. By multivariate logistic regression analysis, risk of access revision was associated with younger age (odds ratio, 0.93; 95% confidence interval, 0.92 to 0.95; P<0.001), diagnosis of congenital anomalies of the kidney and urinary tract (odds ratio, 1.28; 95% confidence interval, 1.03 to 1.59; P=0.02), coexisting ostomies (odds ratio, 1.42; 95% confidence interval, 1.07 to 1.87; P=0.01), presence of swan neck tunnel with curled intraperitoneal portion (odds ratio, 1.30; 95% confidence interval, 1.04 to 1.63; P=0.02), and high gross national income (odds ratio, 1.10; 95% confidence interval, 1.02 to 1.19; P=0.01). Main reasons for access revisions included mechanical malfunction (60%), peritonitis (16%), exit site infection (12%), and leakage (6%). Need for access revision increased the risk of peritoneal dialysis technique failure or death (hazard ratio, 1.35; 95% confidence interval, 1.10 to 1.65; P=0.003). Access dysfunction due to mechanical causes doubled the risk
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Peritoneal Dialysis Access Revision in Children: Causes, Interventions, and Outcomes
Aki, T. Fazil; Azocar, Marta; White, Colin; Harvey, Elizabeth; Mir, Sevgi; Adragna, Marta; Serdaroglu, Erkin; Sinha, Rajiv; Samaille, Charlotte; Vanegas, Juan Jose; Kari, Jameela; Barbosa, Lorena; Bagga, Arvind; Galanti, Monica; Yavascan, Onder; Leozappa, Giovanna; Szczepanska, Maria; Vondrak, Karel; Tse, Kei-Chiu; Schaefer, Franz; Warady, Bradley A.
2017-01-01
Background and objectives Little published information is available about access failure in children undergoing chronic peritoneal dialysis. Our objectives were to evaluate frequency, risk factors, interventions, and outcome of peritoneal dialysis access revision. Design, setting, participants, & measurements Data were derived from 824 incident and 1629 prevalent patients from 105 pediatric nephrology centers enrolled in the International Pediatric Peritoneal Dialysis Network Registry between 2007 and 2015. Results In total, 452 access revisions were recorded in 321 (13%) of 2453 patients over 3134 patient-years of follow-up, resulting in an overall access revision rate of 0.14 per treatment year. Among 824 incident patients, 186 (22.6%) underwent 188 access revisions over 1066 patient-years, yielding an access revision rate of 0.17 per treatment year; 83% of access revisions in incident patients were reported within the first year of peritoneal dialysis treatment. Catheter survival rates in incident patients were 84%, 80%, 77%, and 73% at 12, 24, 36, and 48 months, respectively. By multivariate logistic regression analysis, risk of access revision was associated with younger age (odds ratio, 0.93; 95% confidence interval, 0.92 to 0.95; P<0.001), diagnosis of congenital anomalies of the kidney and urinary tract (odds ratio, 1.28; 95% confidence interval, 1.03 to 1.59; P=0.02), coexisting ostomies (odds ratio, 1.42; 95% confidence interval, 1.07 to 1.87; P=0.01), presence of swan neck tunnel with curled intraperitoneal portion (odds ratio, 1.30; 95% confidence interval, 1.04 to 1.63; P=0.02), and high gross national income (odds ratio, 1.10; 95% confidence interval, 1.02 to 1.19; P=0.01). Main reasons for access revisions included mechanical malfunction (60%), peritonitis (16%), exit site infection (12%), and leakage (6%). Need for access revision increased the risk of peritoneal dialysis technique failure or death (hazard ratio, 1.35; 95% confidence interval, 1
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36 CFR 223.281 - Monitoring and revising sustainable harvest levels.
Code of Federal Regulations, 2014 CFR
2014-07-01
... FOREST BOTANICAL PRODUCTS Forest Botanical Products § 223.281 Monitoring and revising sustainable harvest levels. The Forest Service shall monitor and revise sustainable harvest levels for forest botanical...
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36 CFR 223.281 - Monitoring and revising sustainable harvest levels.
Code of Federal Regulations, 2013 CFR
2013-07-01
... FOREST BOTANICAL PRODUCTS Forest Botanical Products § 223.281 Monitoring and revising sustainable harvest levels. The Forest Service shall monitor and revise sustainable harvest levels for forest botanical...
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36 CFR 223.281 - Monitoring and revising sustainable harvest levels.
Code of Federal Regulations, 2011 CFR
2011-07-01
... FOREST BOTANICAL PRODUCTS Forest Botanical Products § 223.281 Monitoring and revising sustainable harvest levels. The Forest Service shall monitor and revise sustainable harvest levels for forest botanical...
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36 CFR 223.281 - Monitoring and revising sustainable harvest levels.
Code of Federal Regulations, 2012 CFR
2012-07-01
... FOREST BOTANICAL PRODUCTS Forest Botanical Products § 223.281 Monitoring and revising sustainable harvest levels. The Forest Service shall monitor and revise sustainable harvest levels for forest botanical...
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Astronomical cycle origin of bedded chert: A middle Triassic bedded chert sequence, Inuyama, Japan
NASA Astrophysics Data System (ADS)
Ikeda, Masayuki; Tada, Ryuji; Sakuma, Hironobu
2010-09-01
Astronomical forcing is one of the main drivers of climate change, and astronomical cyclicity recorded in sediments provides a clue to understand the dynamics of the global climate system. Bedded cherts consist of rhythmic alternations of chert and shale beds. Although previous studies have hypothesized that the origin of bedded chert is related to astronomical cycles (e.g. Fischer, 1976; Hori et al., 1993), conclusive proof remains elusive. To explore this possibility, we established a continuous, high-resolution lithostratigraphy of middle Triassic bedded chert in Central Japan. The average duration of each chert-shale couplet is 20 kyr, similar to that of the precession cycle. Spectral analysis of a bed number series of thickness variations in chert beds was performed assuming that each chert-shale couplet represents a 20-kyr precession cycle. The results reveal cycles involving approximately 200, 20, 5, and 2-3 beds, corresponding to periodicities of approximately 4000, 400, 100, and 40-60 kyr, respectively. By further assuming that the 20-bed cycle represents a 405-kyr eccentricity cycle of constant and stable periodicity, we converted the bed number series to a time series. Spectral analysis of the time series revealed distinct periodicities of 3600, 117, 97, and 38 kyr, in addition to 405 kyr. Besides 3600 kyr, these periodicities agree well with the 120, 95, and 37 kyr periodicities for eccentricity cycles and the obliquity cycle during the Triassic. Moreover, we detected amplitude modulation of the approximately 100-kyr cycle of thickness variations in chert beds with a 405-kyr periodicity, which may correspond to amplitude modulation of 100-kyr climatic precession cycle with the 405-kyr periodicity. The approximately 3600-kyr periodicity described above and 1800-kyr periodicity manifested as the amplitude modulation of the 405-kyr cycle are correlated to present-day long-term eccentricity cycles of 2400 and 4800 kyr evolved by chaotic behavior of solar
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Bcl-2-interacting mediator of cell death influences autoantigen-driven deletion and TCR revision
Hale, J. Scott; Nelson, Lisa T.; Simmons, Kalynn B.; Fink, Pamela J.
2010-01-01
Peripheral CD4+Vβ5+ T cells are tolerized to an endogenous mouse mammary tumor virus superantigen either by deletion or TCR revision. Through TCR revision, RAG reexpression mediates extrathymic TCRβ rearrangement and results in a population of post-revision CD4+Vβ5− T cells expressing revised TCRβ chains. We have hypothesized that cell death pathways regulate the selection of cells undergoing TCR revision to ensure the safety and utility of the post-revision population. Here, we investigate the role of Bim-mediated cell death in autoantigen-driven deletion and TCR revision. Bim deficiency and Bcl-2 overexpression in Vβ5 transgenic (Tg) mice both impair peripheral deletion. Vβ5 Tg Bim deficient and Bcl-2 Tg mice exhibit an elevated frequency of CD4+ T cells expressing both the transgene-encoded Vβ5 chain and a revised TCRβ chain. We now show that these dual-TCR expressing cells are TCR revision intermediates, and that the population of RAG-expressing, revising CD4+ T cells is increased in Bim deficient Vβ5 Tg mice. These findings support a role for Bim and Bcl-2 in regulating the balance of survival versus apoptosis in peripheral T cells undergoing RAG-dependent TCR rearrangements during TCR revision, thereby ensuring the utility of the post-revision repertoire. PMID:21148799
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78 FR 13899 - Revision of Annual Information Return/Reports
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-01
... Information Return/Reports AGENCY: Employee Benefits Security Administration, Department of Labor. ACTION: Notice of adoption of revisions to Annual Return/Report Forms. SUMMARY: This document contains revisions to the Form 5500 Annual Return/Report filed by administrators of certain employee welfare benefit...
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Revision Proximal Interphalangeal Arthroplasty: An Outcome Analysis of 75 Consecutive Cases.
Wagner, Eric R; Luo, T David; Houdek, Matthew T; Kor, Daryl J; Moran, Steven L; Rizzo, Marco
2015-10-01
To examine the outcomes and complications associated with revision proximal interphalangeal (PIP) joint arthroplasty. An analysis of 75 consecutive revision PIP joint arthroplasties in 49 patients, performed between 1998 to 2012, was performed. The mean age at the time of surgery was 58 years. Thirty-two patients had a history of prior PIP joint trauma, and 18 patients had rheumatoid arthritis. There were 12 constrained (silicone) implants and 63 nonconstrained implants (34 pyrocarbon and 29 metal-plastic). Over the 14-year period, 19 (25%) fingers underwent a second revision surgery. Second revision surgeries were performed for infection, instability, flexion contracture, and heterotopic ossification. The 2-, 5-, and 10-year survival rates were 80%, 70%, and 70%, respectively, for patients requiring a second revision for PIP joint arthroplasty. Worse outcomes were seen with postoperative dislocations, pyrocarbon implants, and when bone grafting was required. Two operations were complicated by intraoperative fractures, but neither required stabilization. Sixteen patients undergoing revision surgery experienced a postoperative complication, including 2 infections, 1 postoperative fracture, 3 cases of heterotopic ossification, and 10 PIP joint dislocations. The volar approach and the use of a pyrocarbon implant was associated with increased rates of heterotopic ossification, whereas preoperative instability increased the rates of PIP joint dislocation following revision. At a mean of 5.3 years (range, 2-10 years) follow-up, 98% of patients had good pain relief but decreased PIP joint total arc of motion. Proximal interphalangeal joint arthroplasty in the revision setting represents a challenge for surgeons. Revision arthroplasty was associated with a 70% 5-year survival but with a high incidence of complications. Instability was associated with worse outcomes. In this series, silicone and metal-polyethylene implants had lower rates of implant failure and
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Psychometric properties of Conversion Disorder Scale- Revised (CDS) for children.
Ijaz, Tazvin; Nasir, Attikah; Sarfraz, Naema; Ijaz, Shirmeen
2017-05-01
To revise conversion disorder scale and to establish the psychometric properties of the revised scale. This case-control study was conducted from February to June, 2014, at the Government College University, Lahore, Pakistan, and comprised schoolchildren and children with conversion disorder. In order to generate items for revised version of conversion disorder scale, seven practising mental health professionals were consulted. A list of 42 items was finalised for expert ratings. After empirical validation, a scale of 40 items was administered on the participants and factor analysis was conducted. Of the240 participants, 120(50%) were schoolchildren (controls group) and 120(50%)were children with conversion disorder (clinical group).The results of factor analysis revealed five factors (swallowing and speech symptoms, motor symptoms, sensory symptoms, weakness and fatigue, and mixed symptoms) and retention of all 40 items of revised version of conversion disorder scale. Concurrent validity of the revised scale was found to be 0.81 which was significantly high. Similarly, discriminant validity of the scale was also high as both clinical and control groups had significant difference (p<0.001) in scores. Cronbach's alpha of scale was a=0.91 while item total correlation ranged from 0.50 to 0.80. The sensitivity and specificity analysis indicated that the revised conversion disorder scale was 76% sensitive to predicting conversion disorder while specificity showed that the scale was 73% accurate in specifying participants of the control group. The revised version of conversion disorder scale was a reliable and valid tool to be used for screening of children with conversion disorder.
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Structured Head and Neck CT Angiography Reporting Reduces Resident Revision Rates.
Johnson, Tucker F; Brinjikji, Waleed; Doolittle, Derrick A; Nagelschneider, Alex A; Welch, Brian T; Kotsenas, Amy L
2018-04-12
This resident-driven quality improvement project was undertaken to assess the effectiveness of structured reporting to reduce revision rates for afterhours reports dictated by residents. The first part of the study assessed baseline revision rates for head and neck CT angiography (CTA) examinations dictated by residents during afterhours call. A structured report was subsequently created based on templates on the RSNA informatics reporting website and critical findings that should be assessed for on all CTA examinations. The template was made available to residents through the speech recognition software for all head and neck CTA examinations for a duration of 2 months. Report revision rates were then compared with and without use of the structured template. The structured template was found to reduce revision rates by approximately 50% with 10/41 unstructured reports revised and 2/17 structured reports revised. We believe that structured reporting can help reduce reporting errors, particularly in term of typographical errors, train residents to evaluate complex examinations in a systematic fashion, and assist them in recalling critical findings on these examinations. Copyright © 2018 Elsevier Inc. All rights reserved.
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40 CFR 501.32 - Procedures for revision of State programs.
Code of Federal Regulations, 2010 CFR
2010-07-01
...) SEWAGE SLUDGE STATE SLUDGE MANAGEMENT PROGRAM REGULATIONS Program Approval, Revision and Withdrawal § 501... requires revision to comply with amendments to federal regulations governing sewage sludge use or disposal...
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New Mandates and Imperatives in the Revised "ACA Code of Ethics"
ERIC Educational Resources Information Center
Kaplan, David M.; Kocet, Michael M.; Cottone, R. Rocco; Glosoff, Harriet L.; Miranti, Judith G.; Moll, E. Christine; Bloom, John W.; Bringaze, Tammy B.; Herlihy, Barbara; Lee, Courtland C.; Tarvydas, Vilia M.
2009-01-01
The first major revision of the "ACA Code of Ethics" in a decade occurred in late 2005, with the updated edition containing important new mandates and imperatives. This article provides interviews with members of the Ethics Revision Task Force that flesh out seminal changes in the revised "ACA Code of Ethics" in the areas of confidentiality,…
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A multistage crucible of revision and approval shapes IPCC policymaker summaries.
Mach, Katharine J; Freeman, Patrick T; Mastrandrea, Michael D; Field, Christopher B
2016-08-01
Intergovernmental Panel on Climate Change (IPCC) member governments approve each report's summary for policymakers (SPM) by consensus, discussing and agreeing on each sentence in a plenary session with scientist authors. A defining feature of IPCC assessment, the governmental approval process builds joint ownership of current knowledge by scientists and governments. The resulting SPM revisions have been extensively discussed in anecdotes, interviews, and perspectives, but they have not been comprehensively analyzed. We provide an in-depth evaluation of IPCC SPM revisions, establishing an evidential basis for understanding their nature. Revisions associated with governmental review and approval generally expand SPMs, with SPM text growing by 17 to 53% across recent assessment reports. Cases of high political sensitivity and failure to reach consensus are notable exceptions, resulting in SPM contractions. In contrast to recent claims, we find that IPCC SPMs are as readable, for multiple metrics of reading ease, as other professionally edited assessment summaries. Across reading-ease metrics, some SPMs become more readable through governmental review and approval, whereas others do not. In an SPM examined through the entire revision process, most revisions associated with governmental review and approval occurred before the start of the government-approval plenary session. These author revisions emphasize clarity, scientific rigor, and explanation. In contrast, the subsequent plenary revisions place greater emphasis especially on policy relevance, comprehensiveness of examples, and nuances of expert judgment. Overall, the value added by the IPCC process emerges in a multistage crucible of revision and approval, as individuals together navigate complex science-policy terrain.
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A multistage crucible of revision and approval shapes IPCC policymaker summaries
Mach, Katharine J.; Freeman, Patrick T.; Mastrandrea, Michael D.; Field, Christopher B.
2016-01-01
Intergovernmental Panel on Climate Change (IPCC) member governments approve each report’s summary for policymakers (SPM) by consensus, discussing and agreeing on each sentence in a plenary session with scientist authors. A defining feature of IPCC assessment, the governmental approval process builds joint ownership of current knowledge by scientists and governments. The resulting SPM revisions have been extensively discussed in anecdotes, interviews, and perspectives, but they have not been comprehensively analyzed. We provide an in-depth evaluation of IPCC SPM revisions, establishing an evidential basis for understanding their nature. Revisions associated with governmental review and approval generally expand SPMs, with SPM text growing by 17 to 53% across recent assessment reports. Cases of high political sensitivity and failure to reach consensus are notable exceptions, resulting in SPM contractions. In contrast to recent claims, we find that IPCC SPMs are as readable, for multiple metrics of reading ease, as other professionally edited assessment summaries. Across reading-ease metrics, some SPMs become more readable through governmental review and approval, whereas others do not. In an SPM examined through the entire revision process, most revisions associated with governmental review and approval occurred before the start of the government-approval plenary session. These author revisions emphasize clarity, scientific rigor, and explanation. In contrast, the subsequent plenary revisions place greater emphasis especially on policy relevance, comprehensiveness of examples, and nuances of expert judgment. Overall, the value added by the IPCC process emerges in a multistage crucible of revision and approval, as individuals together navigate complex science-policy terrain. PMID:27532046
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78 FR 3083 - Revised Pricing for Five 2013 Products
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-15
... DEPARTMENT OF THE TREASURY United States Mint Revised Pricing for Five 2013 Products AGENCY: United States Mint, Department of the Treasury. ACTION: Notice. SUMMARY: The United States Mint is announcing revised pricing for five 2013 products. Please see the table below. 2013 retail Product price...
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Revision and Expansion of Navy Computer Adaptive Personality Scales (NCAPS)
2007-08-01
Nav Pesne Reerh Stde, an Technolg y Dii sio Revision and Expansion of Navy Computer Adaptive Personality Scales ( NCAPS ) Robert J. Schneider, Ph.D...TN-o7-12 August 2007 Revision and Expansion of Navy Computer Adaptive Personality Scales ( NCAPS ) Robert J. Schneider, Ph.D. Kerri L. Ferstl, Ph.D...03/31/2006 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Revision and Expansion of Navy Computer Adaptive Personality Scales ( NCAPS ) 5b. GRANT NUMBER 5c
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Recent revisions to and recommendations for national health expenditures accounting
Haber, Susan G.; Newhouse, Joseph P.
1991-01-01
The Health Care Financing Administration (HCFA) has importantly revised the methodology for estimating annual national health expenditures. Among other changes, the revisions estimated out-of-pocket spending directly, disaggregated expenditures to a greater degree, and reduced undercounting and double counting. Estimates of total spending and out-of-pocket spending changed. This article summarizes a meeting of a technical advisory panel, convened by HCFA, that reviewed the modifications adopted and made recommendations for future revisions. PMID:10114932
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NASA Astrophysics Data System (ADS)
Rasskazov, S.; Chebykin, E.
2012-04-01
Eastern Sayans, Siberia and Hangay, Central Mongolia are mountainous uplifts effected by Quaternary volcanism, but only the former area was covered by glaciers that were as thick as 500 m. Glaciation time intervals were marked by moraines and sub-glacial hyaloclastite-bearing volcanic edifices, whereas interglacial ones were exhibited by sub-aerial "valley" flows and cinder cones. To estimate temporal variations of maximum rates of melting and mantle upwelling in the glacial and glacial-free areas, we measured radionuclides of the U-Th system for 74 samples of the Middle-Late Pleistocene through Holocene basalts by ICP-MS technique (Chebykin et al. Russian Geol. Geophys. 2004. 45: 539-556) using mass-spectrometer Agilent 7500ce. The obtained U-Th isochron ages for the Pleistocene volcanic units in the age interval of the last 400 Kyr are mostly consistent with results of K-Ar dating. The measured (230Th/238U) ratios for the Holocene basalts from both areas are within the same range of 1.08-1.16 (parentheses denote units of activity), whereas the 50 Kyr lavas yield, respectively, the higher and lower initial (230Th0/238U) ratios (1.18-1.46 and 1.05-1.13). This discrepancy demonstrates contrast maximum rates of melting in conventional garnet peridotite sources. We suggest that this dynamical feature was provided by the abrupt Late Pleistocene deglaciation that caused the mantle decompression expressed by the earlier increasing melting beneath Eastern Sayans than beneath Hangay. In the last 400 Kyr, magmatic liquids from both Eastern Sayans and Hangay showed the overall temporal decreasing (230Th0/238U) (i.e. relative increasing rates of melting and upwelling of the mantle) with the systematically lower isotopic ratios (i.e. increased mantle activity) in the former area than in the latter. The 400 Kyr phonotephrites in Hangay showed elevated concentrations of Th (6-8 ppm) and Th/U (3.7-3.9). The high (230Th0/238U) (4.3-6.0) reflected slow fractional melting
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Predictors of surgical revision after in situ decompression of the ulnar nerve.
Krogue, Justin D; Aleem, Alexander W; Osei, Daniel A; Goldfarb, Charles A; Calfee, Ryan P
2015-04-01
This study was performed to identify factors associated with the need for revision surgery after in situ decompression of the ulnar nerve for cubital tunnel syndrome. This case-control investigation examined all patients treated at one institution with open in situ decompression for cubital tunnel syndrome between 2006 and 2011. The case patients were 44 failed decompressions that required revision, and the controls were 79 randomly selected patients treated with a single operation. Demographic data and disease-specific data were extracted from the medical records. The rate of revision surgery after in situ decompression was determined from our 5-year experience. A multivariate logistic regression model was used based on univariate testing to determine predictors of revision cubital tunnel surgery. Revision surgery was required in 19% (44 of 231) of all in situ decompressions performed during the study period. Predictors of revision surgery included a history of elbow fracture or dislocation (odds ratio [OR], 7.1) and McGowan stage I disease (OR, 3.2). Concurrent surgery with in situ decompression was protective against revision surgery (OR, 0.19). The rate of revision cubital tunnel surgery after in situ nerve decompression should be weighed against the benefits of a less invasive procedure compared with transposition. When considering in situ ulnar nerve decompression, prior elbow fracture as well as patients requesting surgery for mild clinically graded disease should be viewed as risk factors for revision surgery. Patient factors often considered relevant to surgical outcomes, including age, sex, body mass index, tobacco use, and diabetes status, were not associated with a greater likelihood of revision cubital tunnel surgery. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
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Silvicultural guide for paper birch in the northeast (revised)
L. O. Safford
1983-01-01
This revised guide provides practical information on silvicultural treatments to grow paper birch as a timber crop. It covers treatments for existing stands, the regeneration of new stands, and subsequent culture to maturity. The stocking chart has been revised to reflect results of current growth studies.
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7 CFR 277.3 - Budgets and budget revision procedures.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 4 2012-01-01 2012-01-01 false Budgets and budget revision procedures. 277.3 Section 277.3 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE... OF STATE AGENCIES § 277.3 Budgets and budget revision procedures. The preparation, content, submittal...
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7 CFR 277.3 - Budgets and budget revision procedures.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 4 2014-01-01 2014-01-01 false Budgets and budget revision procedures. 277.3 Section 277.3 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE... OF STATE AGENCIES § 277.3 Budgets and budget revision procedures. The preparation, content, submittal...
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7 CFR 277.3 - Budgets and budget revision procedures.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 4 2011-01-01 2011-01-01 false Budgets and budget revision procedures. 277.3 Section 277.3 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE... OF STATE AGENCIES § 277.3 Budgets and budget revision procedures. The preparation, content, submittal...
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7 CFR 277.3 - Budgets and budget revision procedures.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 4 2013-01-01 2013-01-01 false Budgets and budget revision procedures. 277.3 Section 277.3 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE... OF STATE AGENCIES § 277.3 Budgets and budget revision procedures. The preparation, content, submittal...
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2014-10-01
Most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome; however, graft choice for revision may be limited due to previously used grafts. Autograft use would result in increased sports function, increased activity level, and decreased osteoarthritis symptoms (as measured by validated patient-reported outcome instruments). Autograft use would result in decreased graft failure and reoperation rate 2 years after revision ACL reconstruction. Cohort study; Level of evidence, 2. Patients undergoing revision ACL reconstruction were identified and prospectively enrolled by 83 surgeons at 52 sites. Data collected included baseline demographics, surgical technique, pathologic abnormalities, and the results of a series of validated, patient-reported outcome instruments (International Knee Documentation Committee [IKDC], Knee injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], and Marx activity rating score). Patients were followed up at 2 years and asked to complete the identical set of outcome instruments. Incidences of additional surgery and reoperation due to graft failure were also recorded. Multivariate regression models were used to determine the predictors (risk factors) of IKDC, KOOS, WOMAC, Marx scores, graft rerupture, and reoperation rate at 2 years after revision surgery. A total of 1205 patients (697 [58%] males) were enrolled. The median age was 26 years. In 88% of patients, this was their first revision, and 341 patients (28%) were undergoing revision by the surgeon who had performed the previous reconstruction. The median time since last ACL reconstruction was 3.4 years. Revision using an autograft was performed in 583 patients (48%), allograft was used in 590 (49%), and both types were used in 32 (3%). Questionnaire follow-up was obtained for 989 subjects (82%), while telephone follow-up was obtained for 1112 (92
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76 FR 78015 - Revised Analysis and Mapping Procedures for Non-Accredited Levees
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-15
...] Revised Analysis and Mapping Procedures for Non-Accredited Levees AGENCY: Federal Emergency Management... comments on the proposed solution for Revised Analysis and Mapping Procedures for Non-Accredited Levees. This document proposes a revised procedure for the analysis and mapping of non-accredited levees on...
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Revision surgery of metal-on-metal hip arthroplasties for adverse reactions to metal debris.
Matharu, Gulraj S; Eskelinen, Antti; Judge, Andrew; Pandit, Hemant G; Murray, David W
2018-06-01
Background and purpose - The initial outcomes following metal-on-metal hip arthroplasty (MoMHA) revision surgery performed for adverse reactions to metal debris (ARMD) were poor. Furthermore, robust thresholds for performing ARMD revision are lacking. This article is the second of 2. The first article considered the various investigative modalities used during MoMHA patient surveillance (Matharu et al. 2018a ). The present article aims to provide a clinical update regarding ARMD revision surgery in MoMHA patients (hip resurfacing and large-diameter MoM total hip arthroplasty), with specific focus on the threshold for performing ARMD revision, the surgical strategy, and the outcomes following revision. Results and interpretation - The outcomes following ARMD revision surgery appear to have improved with time for several reasons, among them the introduction of regular patient surveillance and lowering of the threshold for performing revision. Furthermore, registry data suggest that outcomes following ARMD revision are influenced by modifiable factors (type of revision procedure and bearing surface implanted), meaning surgeons could potentially reduce failure rates. However, additional large multi-center studies are needed to develop robust thresholds for performing ARMD revision surgery, which will guide surgeons' treatment of MoMHA patients. The long-term systemic effects of metal ion exposure in patients with these implants must also be investigated, which will help establish whether there are any systemic reasons to recommend revision of MoMHAs.
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T-cell receptor revision: friend or foe?
Hale, J Scott; Fink, Pamela J
2010-01-01
T-cell receptor (TCR) revision is a process of tolerance induction by which peripheral T cells lose surface expression of an autoreactive TCR, reinduce expression of the recombinase machinery, rearrange genes encoding extrathymically generated TCRs for antigen, and express these new receptors on the cell surface. We discuss the evidence for this controversial tolerance mechanism below. Despite the apparent heresy of post-thymic gene rearrangement, we argue here that TCR revision follows the rules obeyed by maturing thymocytes undergoing gene recombination. Expression of the recombinase is carefully controlled both spatially and temporally, and may be initiated by loss of signals through surface TCRs. The resulting TCR repertoire is characterized by its diversity, self major histocompatibility complex restriction, self tolerance, and ability to mount productive immune responses specific for foreign antigens. Hence, TCR revision is a carefully regulated process of tolerance induction that can contribute to the protection of the individual against invading pathogens while preserving the integrity of self tissue. PMID:20201984
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T-cell receptor revision: friend or foe?
Hale, J Scott; Fink, Pamela J
2010-04-01
T-cell receptor (TCR) revision is a process of tolerance induction by which peripheral T cells lose surface expression of an autoreactive TCR, reinduce expression of the recombinase machinery, rearrange genes encoding extrathymically generated TCRs for antigen, and express these new receptors on the cell surface. We discuss the evidence for this controversial tolerance mechanism below. Despite the apparent heresy of post-thymic gene rearrangement, we argue here that TCR revision follows the rules obeyed by maturing thymocytes undergoing gene recombination. Expression of the recombinase is carefully controlled both spatially and temporally, and may be initiated by loss of signals through surface TCRs. The resulting TCR repertoire is characterized by its diversity, self major histocompatibility complex restriction, self tolerance, and ability to mount productive immune responses specific for foreign antigens. Hence, TCR revision is a carefully regulated process of tolerance induction that can contribute to the protection of the individual against invading pathogens while preserving the integrity of self tissue.
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Cost Implications of Primary Versus Revision Surgery in Adult Spinal Deformity.
Qureshi, Rabia; Puvanesarajah, Varun; Jain, Amit; Kebaish, Khaled; Shimer, Adam; Shen, Francis; Hassanzadeh, Hamid
2017-08-01
Adult spinal deformity (ASD) is an important problem to consider in the elderly. Although studies have examined the complications of ASD surgery and have compared functional and radiographic results of primary surgery versus revision, no studies have compared the costs of primary procedures with revisions. We assessed the in-hospital costs of these 2 surgery types in patients with ASD. The PearlDiver Database, a database of Medicare records, was used in this study. Mutually exclusive groups of patients undergoing primary or revision surgery were identified. Patients in each group were queried for age, sex, and comorbidities. Thirty-day readmission rates, 30-day and 90-day complication rates, and postoperative costs of care were assessed with multivariate analysis. For analyses, significance was set at P < 0.001. The average reimbursement of the primary surgery cohort was $57,078 ± $30,767. Reimbursement of revision surgery cohort was $52,999 ± $27,658. The adjusted difference in average costs between the 2 groups is $4773 ± $1069 (P < 0.001). The 30-day and 90-day adjusted difference in cost of care when sustaining any of the major medical complications in primary surgery versus revision surgery was insignificant. Patients undergoing primary and revision corrective procedures for ASD have similar readmission rates, lengths of stays, and complication rates. Our data showed a higher cost of primary surgery compared with revision surgery, although costs of sustaining postoperative complications were similar. This finding supports the decision to perform revision procedures in patients with ASD when indicated because neither outcomes nor costs are a hindrance to correction. Copyright © 2017 Elsevier Inc. All rights reserved.
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Wong, James Min-Leong; Liu, Yen-Liang; Graves, Stephen; de Steiger, Richard
2015-11-01
More than 15,000 primary hip resurfacing arthroplasties have been recorded by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) with 884 primary procedures requiring revision for reasons other than infection, a cumulative percent revision rate at 12 years of 11%. However, few studies have reported the survivorship of these revision procedures. (1) What is the cumulative percent rerevision rate for revision procedures for failed hip resurfacings? (2) Is there a difference in rerevision rate among different types of revision or bearing surfaces? The AOANJRR collects data on all primary and revision hip joint arthroplasties performed in Australia and after verification against health department data, checking of unmatched procedures, and subsequent retrieval of unreported procedures is able to obtain an almost complete data set relating to hip arthroplasty in Australia. Revision procedures are linked to the known primary hip arthroplasty. There were 15,360 primary resurfacing hip arthroplasties recorded of which 884 had undergone revision and this was the cohort available to study. The types of revisions were acetabular only, femoral only, or revision of both acetabular and femoral components. With the exception of the acetabular-only revisions, all revisions converted hip resurfacing arthroplasties to conventional (stemmed) total hip arthroplasties (THAs). All initial revisions for infection were excluded. The survivorship of the different types of revisions and that of the different bearing surfaces used were estimated using the Kaplan-Meier method and compared using Cox proportional hazard models. Cumulative percent revision was calculated by determining the complement of the Kaplan-Meier survivorship function at that time multiplied by 100. Of the 884 revisions recorded, 102 underwent further revision, a cumulative percent rerevision at 10 years of 26% (95% confidence interval, 19.6-33.5). There was no difference in the rate of
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Changing facial phenotype in Cohen syndrome: towards clues for an earlier diagnosis.
El Chehadeh-Djebbar, Salima; Blair, Edward; Holder-Espinasse, Muriel; Moncla, Anne; Frances, Anne-Marie; Rio, Marlène; Debray, François-Guillaume; Rump, Patrick; Masurel-Paulet, Alice; Gigot, Nadège; Callier, Patrick; Duplomb, Laurence; Aral, Bernard; Huet, Frédéric; Thauvin-Robinet, Christel; Faivre, Laurence
2013-07-01
Cohen syndrome (CS) is a rare autosomal recessive condition caused by mutations and/or large rearrangements in the VPS13B gene. CS clinical features, including developmental delay, the typical facial gestalt, chorioretinal dystrophy (CRD) and neutropenia, are well described. CS diagnosis is generally raised after school age, when visual disturbances lead to CRD diagnosis and to VPS13B gene testing. This relatively late diagnosis precludes accurate genetic counselling. The aim of this study was to analyse the evolution of CS facial features in the early period of life, particularly before school age (6 years), to find clues for an earlier diagnosis. Photographs of 17 patients with molecularly confirmed CS were analysed, from birth to preschool age. By comparing their facial phenotype when growing, we show that there are no special facial characteristics before 1 year. However, between 2 and 6 years, CS children already share common facial features such as a short neck, a square face with micrognathia and full cheeks, a hypotonic facial appearance, epicanthic folds, long ears with an everted upper part of the auricle and/or a prominent lobe, a relatively short philtrum, a small and open mouth with downturned corners, a thick lower lip and abnormal eye shapes. These early transient facial features evolve to typical CS facial features with aging. These observations emphasize the importance of ophthalmological tests and neutrophil count in children in preschool age presenting with developmental delay, hypotonia and the facial features we described here, for an earlier CS diagnosis.
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Identified research directions for using manufacturing knowledge earlier in the product lifecycle
Hedberg, Thomas D.; Hartman, Nathan W.; Rosche, Phil; Fischer, Kevin
2016-01-01
Design for Manufacturing (DFM), especially the use of manufacturing knowledge to support design decisions, has received attention in the academic domain. However, industry practice has not been studied enough to provide solutions that are mature for industry. The current state of the art for DFM is often rule-based functionality within Computer-Aided Design (CAD) systems that enforce specific design requirements. That rule-based functionality may or may not dynamically affect geometry definition. And, if rule-based functionality exists in the CAD system, it is typically a customization on a case-by-case basis. Manufacturing knowledge is a phrase with vast meanings, which may include knowledge on the effects of material properties decisions, machine and process capabilities, or understanding the unintended consequences of design decisions on manufacturing. One of the DFM questions to answer is how can manufacturing knowledge, depending on its definition, be used earlier in the product lifecycle to enable a more collaborative development environment? This paper will discuss the results of a workshop on manufacturing knowledge that highlights several research questions needing more study. This paper proposes recommendations for investigating the relationship of manufacturing knowledge with shape, behavior, and context characteristics of product to produce a better understanding of what knowledge is most important. In addition, the proposal includes recommendations for investigating the system-level barriers to reusing manufacturing knowledge and how model-based manufacturing may ease the burden of knowledge sharing. Lastly, the proposal addresses the direction of future research for holistic solutions of using manufacturing knowledge earlier in the product lifecycle. PMID:27990027
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Identified research directions for using manufacturing knowledge earlier in the product lifecycle.
Hedberg, Thomas D; Hartman, Nathan W; Rosche, Phil; Fischer, Kevin
2017-01-01
Design for Manufacturing (DFM), especially the use of manufacturing knowledge to support design decisions, has received attention in the academic domain. However, industry practice has not been studied enough to provide solutions that are mature for industry. The current state of the art for DFM is often rule-based functionality within Computer-Aided Design (CAD) systems that enforce specific design requirements. That rule-based functionality may or may not dynamically affect geometry definition. And, if rule-based functionality exists in the CAD system, it is typically a customization on a case-by-case basis. Manufacturing knowledge is a phrase with vast meanings, which may include knowledge on the effects of material properties decisions, machine and process capabilities, or understanding the unintended consequences of design decisions on manufacturing. One of the DFM questions to answer is how can manufacturing knowledge, depending on its definition, be used earlier in the product lifecycle to enable a more collaborative development environment? This paper will discuss the results of a workshop on manufacturing knowledge that highlights several research questions needing more study. This paper proposes recommendations for investigating the relationship of manufacturing knowledge with shape, behavior, and context characteristics of product to produce a better understanding of what knowledge is most important. In addition, the proposal includes recommendations for investigating the system-level barriers to reusing manufacturing knowledge and how model-based manufacturing may ease the burden of knowledge sharing. Lastly, the proposal addresses the direction of future research for holistic solutions of using manufacturing knowledge earlier in the product lifecycle.
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NASA Astrophysics Data System (ADS)
Schwartz, M. A.; Hall, A. D.; Sun, F.; Walton, D.; Berg, N.
2015-12-01
Hybrid dynamical-statistical downscaling is used to produce surface runoff timing projections for California's Sierra Nevada, a high-elevation mountain range with significant seasonal snow cover. First, future climate change projections (RCP8.5 forcing scenario, 2081-2100 period) from five CMIP5 global climate models (GCMs) are dynamically downscaled. These projections reveal that future warming leads to a shift toward earlier snowmelt and surface runoff timing throughout the Sierra Nevada region. Relationships between warming and surface runoff timing from the dynamical simulations are used to build a simple statistical model that mimics the dynamical model's projected surface runoff timing changes given GCM input or other statistically-downscaled input. This statistical model can be used to produce surface runoff timing projections for other GCMs, periods, and forcing scenarios to quantify ensemble-mean changes, uncertainty due to intermodel variability and consequences stemming from choice of forcing scenario. For all CMIP5 GCMs and forcing scenarios, significant trends toward earlier surface runoff timing occur at elevations below 2500m. Thus, we conclude that trends toward earlier surface runoff timing by the end-of-the-21st century are inevitable. The changes to surface runoff timing diagnosed in this study have implications for many dimensions of climate change, including impacts on surface hydrology, water resources, and ecosystems.
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ERIC Educational Resources Information Center
Harrington, Robert G.; And Others
1992-01-01
Examined concurrent validity between Woodcock-Johnson Psycho-Educational Battery-Revised Tests of Cognitive Ability (WJ-R, COG) (Early Development) and Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) by administering instruments to 30 normal 3, 4, and 5 year olds. WJ-R Broad Cognitive Ability and WPPSI-R Full Scale IQ and…
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Revision total knee arthroplasty in the young patient: is there trouble on the horizon?
Aggarwal, Vinay K; Goyal, Nitin; Deirmengian, Gregory; Rangavajulla, Ashwin; Parvizi, Javad; Austin, Matthew S
2014-04-02
The volume of total knee arthroplasties, including revisions, in young patients is expected to rise. The objective of this study was to compare the reasons for revision and re-revision total knee arthroplasties between younger and older patients, to determine the survivorship of revision total knee arthroplasties, and to identify risk factors associated with failure of revision in patients fifty years of age or younger. Perioperative data were collected for all total knee arthroplasty revisions performed from August 1999 to December 2009. A cohort of eighty-four patients who were fifty years of age or younger and a cohort of eighty-four patients who were sixty to seventy years of age were matched for the date of surgery, sex, and body mass index (BMI). The etiology of failure of the index total knee arthroplasty and all subsequent revision total knee arthroplasties was determined. Kaplan-Meier survival curves were used to evaluate the timing of the primary failure and the survivorship of revision knee procedures. Finally, multivariate Cox regression was used to calculate risk ratios for the influence of age, sex, BMI, and the reason for the initial revision on survival of the revision total knee arthroplasty. The most common reason for the initial revision was aseptic loosening (27%; 95% confidence interval [CI] = 19% to 38%) in the younger cohort and infection (30%; 95% CI = 21% to 40%) in the older cohort. Of the twenty-five second revisions in younger patients, 32% (95% CI = 17% to 52%) were for infection, whereas 50% (95% CI = 32% to 68%) of the twenty-six second revisions in the older cohort were for infection. Cumulative six-year survival rates were 71.0% (95% CI = 60.7% to 83.0%) and 66.1% (95% CI = 54.5% to 80.2%) for revisions in the younger and older cohorts, respectively. Infection and a BMI of ≥ 40 kg/m(2) posed the greatest risk of failure of revision procedures, with risk ratios of 2.731 (p = 0.006) and 2.934 (p = 0.009), respectively. The
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NASA Astrophysics Data System (ADS)
Huang, C.; Hinnov, L. A.; Tong, J.; Chen, Z.
2011-12-01
The mass extinctions near the Permian-Triassic boundary (PTB) resulted in the greatest dying of life on Earth. The cause of this catastrophe remains enigmatic. High-resolution chronology is crucial to understanding the recorded pattern of biotic evolution and possible causes for the extinctions. Magnetic susceptibility (MS) data from Shangsi, South China shows evidence for astronomical forcing through the PTB interval, with strong 405-kyr cycling. This allows development of an astrochronology for the PTB interval based on the 405-kyr orbital eccentricity metronome that has been proposed for the Mesozoic timescale. Radioisotope dating combined with the 405-kyr tuned MS series from Shangsi shows that the 405-kyr-cycle predominates throughout the PTB interval. In the Permian segment, ~100-kyr cyclicity dominates, and the 100-kyr-scale MS maxima correlate with high-amplitude precession-scale MS variations. Minima in the ~1.5-Myr, 405-kyr and ~100-kyr cycles converge at 252.6 Ma, approximately 200 kyr before the onset of the main mass extinction near the PTB. In the Triassic aftermath, the recorded astronomical signal is different, with predominant 405-kyr cycles and loss of 100 kyr cyclicity, and appearance of ~33 kyr (obliquity scale) cyclicity; 100-kyr cyclicity strengthens again 2 Myr later. This pattern indicates a change in the response of the depositional environment (or magnetic susceptibility) to astronomical forcing before and after the mass extinction interval. The astrochronology interpolates the timescale between the radioisotopically determined absolute dates; this facilitates estimation of ages for specific events in the PTB crisis, including magnetic reversals, biozone boundaries, and the mass extinctions. An estimated ~700 kyr duration for the Mass Extinction Interval (MEI) at Shangsi based on the 405-kyr tuning is supported by eccentricity-tuned estimates of three other sections in China (Meishan, Huangzhishan, and Heping), and two Alpine sections
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Business Education Curriculum. Revised.
ERIC Educational Resources Information Center
Alaska State Dept. of Education, Juneau. Div. of Adult and Vocational Education.
This revised curriculum gives information on the skills and knowledge students should acquire through a business education program. The competencies listed reflect the skills that employers see as necessary for success in clerical and accounting occupations. The handbook is organized in seven sections that cover the following: (1) the concept of…
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Ghosh, Amitabha; Dutt, Aparna; Ghosh, Madhura; Bhargava, Pallavi; Rao, Sulakshana
2013-01-01
The International Consortium (FTDC) that revised the diagnostic criteria for behavioural variant frontotemporal dementia (bvFTD) did not have an Asian representation. Whether the revised criteria are equally useful in the early detection of Asian bvFTD patients therefore remains largely unexplored. Earlier studies have indicated differences in clinical manifestations in Indian and other Asian bvFTD patients when compared to western groups. There is an urgent need for clarification, given the projected exponential rise in dementia in these countries and the imminent clinical trials on bvFTD. To assess how Indian bvFTD patients fulfil the FTDC criteria, hypothesizing that our patients might present differently early in the illness. In a hospital-based retrospective observational study, we assessed 48 probable bvFTD patients, diagnosed according to the FTDC criteria, for the speed with which these criteria were fulfilled, the frequency of individual symptoms and their order of appearance during the illness. Most of our patients presented with moderate to severe dementia, in spite of having relatively short onset to diagnosis times. Patients on average took 1.4 years from onset to meet the FTDC criteria, with 90% of them presenting with four or more symptoms at diagnosis. Disinhibition was the commonest symptom and the first symptom in most patients. With most patients presenting with advanced and florid disease, the FTDC criteria have little additional impact in early identification of bvFTD in India. Modifying the criteria further could allow detection of Indian patients early enough for their inclusion in future clinical trials.
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Barron, John A.; Bukry, David; Cheshire, Heather
2014-01-01
High-resolution studies of diatoms and silicoflagellates of the past 55 kyrs in cores MD02-2517/2515 from the central Gulf of California (GoC) reveal profound changes in GoC surface waters. Roperia tesselata, a diatom proxy for late winter–early spring upwelling, and Dictyocha stapedia, a subtropical silicoflagellate indicative of GoC sea surface temperatures (SSTs) > 24 °C, are common during the Holocene but rare during Marine Isotope Stage (MIS) 2 and most of MIS 3, a relationship that likely reflects a more northerly position of the North Pacific High (NPH) during the Holocene. In contrast during most of MIS 2 (~ 27–15 ka), the persistent presence of Distephanus speculum, a silicoflagellate associated with SSTs During MIS 3 (~ 55–27 ka), increased dominance of Azpeitia nodulifera (diatom) implies that stratified, tropical waters were present year round, whereas silicoflagellate assemblages suggest that stratified tropical conditions alternated with more productive, upwelling conditions on millennial timescales. Reduced biosiliceous productivity during Heinrich events likely reflected a reduction in both surface water nutrient levels and in the strength of northwest winds due to a weakened and more southerly NPH. Conversely, enhanced biosiliceous productivity during MIS 3 interstadials was probably linked to heightened nutrient levels and a strengthened NPH. Abrupt relative abundance increases of the silicoflagellate, Dictyocha aculeata, approximate the termination of MIS3 Heinrich events and may signal times when nutrient-rich deep waters associated with the resumption of enhanced Atlantic Meridional Overturning Circulation penetrated into the central Gulf.
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25 CFR 273.3 - Revision or amendment of regulations.
Code of Federal Regulations, 2010 CFR
2010-04-01
... 25 Indians 1 2010-04-01 2010-04-01 false Revision or amendment of regulations. 273.3 Section 273.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT General Provisions § 273.3 Revision or...
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25 CFR 273.3 - Revision or amendment of regulations.
Code of Federal Regulations, 2014 CFR
2014-04-01
... 25 Indians 1 2014-04-01 2014-04-01 false Revision or amendment of regulations. 273.3 Section 273.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT General Provisions § 273.3 Revision or...
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25 CFR 273.3 - Revision or amendment of regulations.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 25 Indians 1 2012-04-01 2011-04-01 true Revision or amendment of regulations. 273.3 Section 273.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT General Provisions § 273.3 Revision or...
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25 CFR 273.3 - Revision or amendment of regulations.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 25 Indians 1 2011-04-01 2011-04-01 false Revision or amendment of regulations. 273.3 Section 273.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT General Provisions § 273.3 Revision or...
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25 CFR 273.3 - Revision or amendment of regulations.
Code of Federal Regulations, 2013 CFR
2013-04-01
... 25 Indians 1 2013-04-01 2013-04-01 false Revision or amendment of regulations. 273.3 Section 273.3 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT General Provisions § 273.3 Revision or...
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7 CFR 1944.538 - Extending and revising grant agreements.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 13 2014-01-01 2013-01-01 true Extending and revising grant agreements. 1944.538... Assistance Grants § 1944.538 Extending and revising grant agreements. (a) All requests extending the original...) The State Office will advise the National Office of all requests to extend or modify the original...
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7 CFR 1944.538 - Extending and revising grant agreements.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 13 2013-01-01 2013-01-01 false Extending and revising grant agreements. 1944.538... Assistance Grants § 1944.538 Extending and revising grant agreements. (a) All requests extending the original...) The State Office will advise the National Office of all requests to extend or modify the original...
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7 CFR 1944.538 - Extending and revising grant agreements.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 13 2011-01-01 2009-01-01 true Extending and revising grant agreements. 1944.538... Assistance Grants § 1944.538 Extending and revising grant agreements. (a) All requests extending the original...) The State Office will advise the National Office of all requests to extend or modify the original...
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7 CFR 1944.538 - Extending and revising grant agreements.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 13 2012-01-01 2012-01-01 false Extending and revising grant agreements. 1944.538... Assistance Grants § 1944.538 Extending and revising grant agreements. (a) All requests extending the original...) The State Office will advise the National Office of all requests to extend or modify the original...
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Promoting Revision through Blogging in a Second Grade Classroom
ERIC Educational Resources Information Center
Young, Chase; Stover, Katie
2015-01-01
This study helped the researchers to determine if blogging as a revision strategy in a second grade classroom was beneficial. Nineteen second grade students wrote expository essays and made revisions and edits based on peer feedback in a blogging environment. Six elementary school teachers independently rated the students' writing samples using…
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Late Quaternary stratigraphy and sedimentation patterns in the western Arctic Ocean
Polyak, L.; Bischof, J.; Ortiz, J.D.; Darby, D.A.; Channell, J.E.T.; Xuan, C.; Kaufman, D.S.; Lovlie, R.; Schneider, D.A.; Eberl, D.D.; Adler, R.E.; Council, E.A.
2009-01-01
Sediment cores from the western Arctic Ocean obtained on the 2005 HOTRAX and some earlier expeditions have been analyzed to develop a stratigraphic correlation from the Alaskan Chukchi margin to the Northwind and Mendeleev-Alpha ridges. The correlation was primarily based on terrigenous sediment composition that is not affected by diagenetic processes as strongly as the biogenic component, and paleomagnetic inclination records. Chronostratigraphic control was provided by 14C dating and amino-acid racemization ages, as well as correlation to earlier established Arctic Ocean stratigraphies. Distribution of sedimentary units across the western Arctic indicates that sedimentation rates decrease from tens of centimeters per kyr on the Alaskan margin to a few centimeters on the southern ends of Northwind and Mendeleev ridges and just a few millimeters on the ridges in the interior of the Amerasia basin. This sedimentation pattern suggests that Late Quaternary sediment transport and deposition, except for turbidites at the basin bottom, were generally controlled by ice concentration (and thus melt-out rate) and transportation distance from sources, with local variances related to subsurface currents. In the long term, most sediment was probably delivered to the core sites by icebergs during glacial periods, with a significant contribution from sea ice. During glacial maxima very fine-grained sediment was deposited with sedimentation rates greatly reduced away from the margins to a hiatus of several kyr duration as shown for the Last Glacial Maximum. This sedimentary environment was possibly related to a very solid ice cover and reduced melt-out over a large part of the western Arctic Ocean.
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Total hip arthroplasty revision due to infection: a cost analysis approach.
Klouche, S; Sariali, E; Mamoudy, P
2010-04-01
The treatment of total hip arthroplasty (THA) infections is long and costly. However,the number of studies in the literature analysing the real cost of THA revision in relation to their etiology, including infection, is limited. The aim of this retrospective study was to determine the cost of revision of infected THA and to compare these costs to those of primary THA and revision of non-infected THA. We performed a retrospective cost analysis for the year 2006 using an identical analytic accounting system in each hospital department (according to internal criteria) based on allotment of direct costs and receipts for each department. From January to December 2006, 424 primary THA, 57 non-infected THA revisions and 40 THA revisions due to infection were performed. The different cost areas of the patient's treatment were identified.This included preoperative medical work-up, medicosurgical management during hospital stay,a second stay in an orthopedic rehabilitation hospital (ORH) and post-hospitalisation antibiotic therapy after revision due to infection, as well as home-based hospitalisation (HH) costs, if this was the selected alternative option. We used the national health insurance fee schedule found in the "Common classification of medical procedures" and the "General nomenclature of professional procedures" applicable in France since September 1, 2005. Hospital costs included direct costs (hospital overhead costs) and indirect costs, (medical, surgical, technical settings and net general service expenses). The calculation of HH costs and ORH costs were based on the average daily charge of these departments. The cost of primary THA was used as the reference.We then compared our surgical costs with those found for the corresponding comparable hospital stay groups (Groupes homogènes de séjour). The average hospital stay (AHS) was 7.5 +/- 1.8 days for primary THA, 8.9 +/- 2.2 days for non-infected revisions and 30.6 +/- 14.9 days for revisions due to infection
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NASA Astrophysics Data System (ADS)
Suckow, Axel; Gerber, Christoph; Kralik, Martin; Sültenfuss, Jürgen; Purtschert, Roland
2013-04-01
The gravel aquifer of the Southern Vienna Basin is a very important backup drinking water resource for the city of Vienna. A discharge location, the Fischa-Dagnitz spring in the Southern Vienna Basin, Austria, was re-investigated in 2011, five years after the gas exchange tracer test published in (Stolp et al., 2010), and sampled for stable isotopes 18O/2H, tritium, 3He, SF6 and 85Kr (Gerber et al., 2012). Additionally, new tritium time series data (Davis et al., 1967), previously not considered in Stolp et al. (2010), were included. These show a higher and earlier tritium peak of >300 TU in 1965 in the discharge of the Fischa-Dagnitz spring as compared to 221 TU in 1972 considered in Stolp et al. (2010). The new 3He, SF6 and 85Kr gas tracer data from 2011 confirm the earlier finding for 3He of Stolp et al. (2010) and indicate a more recent equilibration with the atmosphere than the water bound tracers 18O, 2H and tritium. A new modelling attempt using the Lumpy code (Suckow, 2012) confirmed the discrepancy between the tritium data and the gaseous tracers 3He, SF6 and 85Kr. No steady-state combination of local recharge (represented by an exponential model) and Schwarza river infiltration flowing through the gravel aquifer (represented by a parallel dispersion model) can equally well explain both the tritium time series and the gas tracer results. A revised conceptual model proposes that a pinching of the aquifer at unconformities in the gravel body or a fault zone known in the gravel body forces groundwater along the flow path closer to the surface and exposes it to the atmosphere. This would tend to reset the "dating" clock for the gaseous tracers 3He, SF6 and 85Kr, which can equilibrate quickly with the atmosphere, but not for tritium, which marks the transport behaviour of the water itself. These findings are of importance also for other multi-tracer assessments of groundwater movement in phreatic aquifer systems. References: Davis, G.H., Payne, B.R., Dincer, T
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IRIS Toxicological Review of Ammonia (Revised External ...
In August 2013, EPA submitted a revised draft IRIS assessment of ammonia to the agency's Science Advisory Board (SAB) and posted this draft on the IRIS website. EPA had previously released a draft of the assessment for public comment, held a public meeting about the draft, and then revised it based on the comments received. The SAB CAAC-Ammonia panel will review this draft assessment. Details about the meeting dates, times, and location are available via the Federal Register Notice posted on March 25, 2014. The SAB provided information on how the public can participate in the external peer review meetings, as well as instructions about how to provide comments to the SAB in the notice. Additional information on the SAB review of ammonia is on the SAB website. Report Information: The Toxicological Review of Ammonia was originally released for a 60-day public comment period on June 8, 2012. [Federal Register Notice Jun 8, 2012] EPA revised the toxicological review in response to the public comments received. EPA has released the revised external review draft ammonia assessment and the SAB CAAC is conducting a peer review of the scientific basis supporting the assessment that will appear in the Integrated Risk Information System (IRIS) database. Information regarding the peer review can be found at the SAB review of ammonia website. EPA is undertaking an Integrated Risk Information System (IRIS) health assessment for ammonia. IRIS is an EPA database cont
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School Safety Handbook. Revised.
ERIC Educational Resources Information Center
Association of School Business Officials International, Reston, VA.
The revised edition of this handbook represents a concerted effort to bring school safety to the forefront of business managers' daily and long-range planning activities. Although statistics show few fatalities on school grounds, schools appear to have a high frequency and incident rate of nonfatal injuries. According to the introduction, school…
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45 CFR 63.19 - Budget revisions and minor deviations.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 45 Public Welfare 1 2011-10-01 2011-10-01 false Budget revisions and minor deviations. 63.19 Section 63.19 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION GRANT PROGRAMS... Budget revisions and minor deviations. Pursuant to § 74.102(d) of this title, paragraphs (b)(3) and (b)(4...
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Merlin C. Wittrock and the Revision of Bloom's Taxonomy
ERIC Educational Resources Information Center
Krathwohl, David R.; Anderson, Lorin W.
2010-01-01
Merl Wittrock, a cognitive psychologist who had proposed a generative model of learning, was an essential member of the group that over a period of 5 years revised the "Taxonomy of Educational Objectives," originally published in 1956. This article describes the development of that 2001 revision (Anderson and Krathwohl, Editors) and Merl's…
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45 CFR 63.19 - Budget revisions and minor deviations.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 45 Public Welfare 1 2010-10-01 2010-10-01 false Budget revisions and minor deviations. 63.19 Section 63.19 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION GRANT PROGRAMS... Budget revisions and minor deviations. Pursuant to § 74.102(d) of this title, paragraphs (b)(3) and (b)(4...
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Revision Hip Arthroscopy: A Systematic Review of Diagnoses, Operative Findings, and Outcomes.
Cvetanovich, Gregory L; Harris, Joshua D; Erickson, Brandon J; Bach, Bernard R; Bush-Joseph, Charles A; Nho, Shane J
2015-07-01
To determine indications for, operative findings of, and outcomes of revision hip arthroscopy. A systematic review was registered with PROSPERO and performed based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Therapeutic clinical outcome studies reporting the indications for, operative findings of, and outcomes of revision hip arthroscopy were eligible for inclusion. All study-, patient-, and hip-specific data were extracted and analyzed. The Modified Coleman Methodology Score was used to assess study quality. Five studies were included (348 revision hip arthroscopies; 333 patients; mean age, 31.4 ± 4.2 years; 60% female patients). All 5 studies were either Level III or IV evidence. The surgeon performing revision hip arthroscopy was the same as the primary hip surgeon in only 25% of cases. The mean time between primary and revision hip arthroscopy was 27.8 ± 7.0 months (range, 2 to 193 months). Residual femoroacetabular impingement was the most common indication for and operative finding of revision hip arthroscopy (81% of cases). The most commonly reported revision procedures were femoral osteochondroplasty (24%) and acetabuloplasty (18%). The modified Harris Hip Score was used in all 5 analyzed studies, with significant (P < .05) improvements observed in all 5 studies (weighted mean, 56.8 ± 3.6 preoperatively v 72.0 ± 8.3 at final follow-up [22.4 ± 9.8 months]; P = .01). Other patient-reported outcomes (Non-Arthritic Hip Score, Hip Outcome Score, 33-item International Hip Outcome Tool, Short Form 12) showed significant improvements but were not used in all 5 analyzed studies. After revision hip arthroscopy, subsequent reported operations were hip arthroplasty in 11 patients and re-revision hip arthroscopy in 8 patients (5% total reoperation rate). Revision hip arthroscopy is most commonly performed for residual femoroacetabular impingement, with statistically significant and clinically relevant improvements
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Davies, Scott; Behbahaninia, Hirbod; Giraudeau, Mathieu; Meddle, Simone L; Waites, Kyle; Deviche, Pierre
2015-12-01
Urban animals inhabit an environment considerably different than do their non-urban conspecifics, and to persist urban animals must adjust to these novel environments. The timing of seasonal reproductive development (i.e., growth of gonads and secondary sex organs) is a fundamental determinant of the breeding period and is frequently advanced in urban bird populations. However, the underlying mechanism(s) by which birds adjust the timing of reproductive development to urban areas remain(s) largely unknown. Here, we compared the timing of vernal reproductive development in free-ranging urban and non-urban male Abert's Towhees, Melozone aberti, in Phoenix, Arizona, USA, and tested the non-mutually exclusive hypotheses that earlier reproductive development is due to improved energetic status and/or earlier increase in endocrine activity of the reproductive system. We found that urban birds initiated testicular development earlier than non-urban birds, but this disparity was not associated with differences in body condition, fat stores, or innate immune performance. These results provide no support for the hypothesis that energetic constraints are responsible for delayed reproductive development of non-urban relative to urban male Abert's Towhees. Urban birds did, however, increase their plasma luteinizing hormone, but not plasma testosterone, earlier than non-urban birds. These findings suggest that adjustment to urban areas by Abert's Towhees involves increases in the endocrine activity of the anterior pituitary gland and/or hypothalamus earlier than non-urban towhees. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
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[Revised Japanese guidelines for the clinical management of bacterial meningitis].
Ishikawa, Harumi; Kamei, Satoshi
2014-01-01
Improvement of outcomes represents the most important problem in the treatment of bacterial meningitis. To achieve such improvement, revision of the guidelines for the clinical management of bacterial meningitis in Japan has been carried out, and these revised Japanese guidelines will soon be published. The choice of specific antimicrobial agents for initial treatment in bacterial meningitis is influenced by a number of factors, including patient age, systemic symptoms, and local patterns of bacterial resistance. In the revised Japanese guidelines, antimicrobial agents based on current knowledge of the epidemiology in Japan are recommended. Bacterial meningitis is a medical emergency, and patients with this disease require immediate medical assessment and appropriate treatment. Rapid diagnosis and treatment of bacterial meningitis reduces mortality and neurological sequelae. We describe the revised Japanese guidelines for the clinical management of bacterial meningitis 2014, with a focus on adults.
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Digital images in the map revision process
NASA Astrophysics Data System (ADS)
Newby, P. R. T.
Progress towards the adoption of digital (or softcopy) photogrammetric techniques for database and map revision is reviewed. Particular attention is given to the Ordnance Survey of Great Britain, the author's former employer, where digital processes are under investigation but have not yet been introduced for routine production. Developments which may lead to increasing automation of database update processes appear promising, but because of the cost and practical problems associated with managing as well as updating large digital databases, caution is advised when considering the transition to softcopy photogrammetry for revision tasks.
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Examining the Impact of Technology on Primary Students' Revision of Written Work
ERIC Educational Resources Information Center
Lisy, Jennifer Garrette
2015-01-01
Few studies have examined the revision processes of second grade students and even fewer have explored the impact of digital writing on young students' revisions. This study utilized a within subject crossover trial using randomized block assignment (AB | BA) for counterbalancing. This study sought to determine (1) whether revising on paper versus…