Sample records for rocky flats scrub

  1. 26. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHEAST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHEAST. IN 1951, A GOOD FRIDAY ISSUE OF THE DENVER POST ANNOUNCED THE ATOMIC ENERGY COMMISSION'S PLANS TO BUILD THE ROCKY FLATS PLANT. UNDER THE HEADLINE 'THERE'S GOOD NEWS TODAY.' POLITICAL LEADERS EXPRESSED GREAT PRIDE IN THE CHOICE OF THE DENVER-BOULDER AREA AS THE SITE FOR AN ATOMIC PLANT AS QUOTED IN THE ROCKY MOUNTAIN NEWS: 'WE ARE PROUD THAT THE AREA HAS BEEN CHOSEN FOR ANOTHER IMPORTANT CONTRIBUTION TO THE NATION'S STRENGTH AND FUTURE SECURITY.' BY THE MID 1970S, PUBLIC OPINION OF THE SITE HAD CHANGED (5/4/78). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  2. 21. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHWEST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHWEST. BY THE LATE 1960S, THE SITE HAD UNDERGONE TWO MAJOR EXPANSIONS. THE FIRST EXPANSION IN 1956-57, WHEN THE TRIGGER DESIGN CHANGED AND NECESSITATED THE ADDITION OF SEVEN NEW BUILDINGS. THE SECOND LARGE EXPANSION TOOK PLACE FROM 1964-65, WHEN ROCKY FLATS BECAME THE SOLE PRODUCER OF TRIGGERS. DURING THIS EXPANSION, ELEVEN BUILDINGS WERE ADDED, PRIMARILY IN RESEARCH AND DEVELOPMENT LABORATORIES, GUARD HOUSES, AND WASTE WATER TREATMENT (7/1/69). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  3. Closing Rocky Flats by 2006

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

    Tuor, N. R.; Schubert, A. L.

    2002-02-26

    Safely accelerating the closure of Rocky Flats to 2006 is a goal shared by many: the State of Colorado, the communities surrounding the site, the U.S. Congress, the Department of Energy, Kaiser-Hill and its team of subcontractors, the site's employees, and taxpayers across the country. On June 30, 2000, Kaiser-Hill (KH) submitted to the Department of Energy (DOE), KH's plan to achieve closure of Rocky Flats by December 15, 2006, for a remaining cost of $3.96 billion (February 1, 2000, to December 15, 2006). The Closure Project Baseline (CPB) is the detailed project plan for accomplishing this ambitious closure goal.more » This paper will provide a status report on the progress being made toward the closure goal. This paper will: provide a summary of the closure contract completion criteria; give the current cost and schedule variance of the project and the status of key activities; detail important accomplishments of the past year; and discuss the challenges ahead.« less

  4. 29. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING SOUTH. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    29. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING SOUTH. IN 1983, THE PERIMETER SECURITY ZONE SURROUNDING THE PLUTONIUM OPERATIONS WAS COMPLETED. IT CONSISTED OF A DOUBLE PERIMETER FENCE, CLOSED CIRCUIT TELEVISIONS, ALARMS, AND AN UNINTERRUPTED POWER SUPPLY (7/29/83). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  5. 12. VIEW OF THE ROCKY FLATS PLANT LOOKING WEST. AFTER ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. VIEW OF THE ROCKY FLATS PLANT LOOKING WEST. AFTER 38 YEARS, WEAPONS PRODUCTION CEASED IN 1989. IN 1992, THE PLANT MISSION CHANGED FROM WEAPONS PRODUCTION TO ENVIRONMENTAL CLEAN UP AND RESTORATION. BY 1995, THE SITE HAD BEGUN TO BE DISMANTLED (6/27/95). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  6. Idaho National Engineering Laboratory code assessment of the Rocky Flats transuranic waste

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

    NONE

    1995-07-01

    This report is an assessment of the content codes associated with transuranic waste shipped from the Rocky Flats Plant in Golden, Colorado, to INEL. The primary objective of this document is to characterize and describe the transuranic wastes shipped to INEL from Rocky Flats by item description code (IDC). This information will aid INEL in determining if the waste meets the waste acceptance criteria (WAC) of the Waste Isolation Pilot Plant (WIPP). The waste covered by this content code assessment was shipped from Rocky Flats between 1985 and 1989. These years coincide with the dates for information available in themore » Rocky Flats Solid Waste Information Management System (SWIMS). The majority of waste shipped during this time was certified to the existing WIPP WAC. This waste is referred to as precertified waste. Reassessment of these precertified waste containers is necessary because of changes in the WIPP WAC. To accomplish this assessment, the analytical and process knowledge available on the various IDCs used at Rocky Flats were evaluated. Rocky Flats sources for this information include employee interviews, SWIMS, Transuranic Waste Certification Program, Transuranic Waste Inspection Procedure, Backlog Waste Baseline Books, WIPP Experimental Waste Characterization Program (headspace analysis), and other related documents, procedures, and programs. Summaries are provided of: (a) certification information, (b) waste description, (c) generation source, (d) recovery method, (e) waste packaging and handling information, (f) container preparation information, (g) assay information, (h) inspection information, (i) analytical data, and (j) RCRA characterization.« less

  7. 13. AERIAL VIEW OF THE ROCKY FLATS PLANT FROM DIRECTLY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. AERIAL VIEW OF THE ROCKY FLATS PLANT FROM DIRECTLY OVERHEAD IN 1954. IN 1950, DOW CHEMICAL COMPANY WAS CHOSEN BY THE ATOMIC ENERGY COMMISSION TO ESTABLISH THE ROCKY FLATS PLANT AS AN ATOMIC BOMB TRIGGER FABRICATION FACILITY. THE CRITERIA FOR SITING SUCH A PLANT INCLUDED A LOCATION WEST OF THE MISSISSIPPI, NORTH OF TEXAS, SOUTH OF THE NORTHERN BORDER OF COLORADO, AND EAST OF UTAH; A DRY MODERATE CLIMATE; A SUPPORTING POPULATION OF AT LEAST 25,000 PEOPLE; AND ACCESSIBILITY FROM LOS ALAMOS, NM, CHICAGO, IL, AND ST. LOUIS, MO. TWENTY-ONE AREAS IN THE UNITED STATES WERE SUGGESTED; SEVEN LOCATIONS WERE SCREENED IN THE DENVER AREA. THIS FOUR-SQUARE MILE AREA WAS SELECTED AND CONSTRUCTION BEGAN IN 1951 (8/31/54). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  8. 25. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING WEST ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    25. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING WEST - NORTHWEST IN 1974. IN 1972, 4,600 ACRES WERE PURCHASED AROUND THE SITE TO BETTER PROTECT THE BORDERS FROM TERRORISM AND INFILTRATION BY PROTESTORS. ANTI-NUCLEAR DEMONSTRATION BEGAN SHORTLY AFTER THE 1969 FIRE IN BUILDING 776/777, AND CONTINUED UNTIL PRODUCTION CEASED AT THE PLANT IN 1989 (10/7/74). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  9. 20. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHEAST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHEAST. THE PLANT WAS COMPOSED OF FOUR WIDELY SEPARATED AREAS, EACH ONE PERFORMING A DIFFERENT TYPE OF WORK. PLANT A (44), SOUTHWEST, FABRICATED PARTS FROM DEPLETED URANIUM, PLANT B (81), SOUTH, WAS ENRICHED URANIUM OPERATIONS, PLANT C (71), NORTH, PLUTONIUM OPERATIONS, AND PLANT D (91), EAST, WAS FINAL ASSEMBLY, SHIPPING AND RECEIVING (2/6/66). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  10. Establishing bounding internal dose estimates for thorium activities at Rocky Flats.

    PubMed

    Ulsh, Brant A; Rich, Bryce L; Chew, Melton H; Morris, Robert L; Sharfi, Mutty; Rolfes, Mark R

    2008-07-01

    As part of an evaluation of a Special Exposure Cohort petition filed on behalf of workers at the Rocky Flats Plant, the National Institute for Occupational Safety and Health (NIOSH) was required to demonstrate that bounding values could be established for radiation doses due to the potential intake of all radionuclides present at the facility. The main radioactive elements of interest at Rocky Flats were plutonium and uranium, but much smaller quantities of several other elements, including thorium, were occasionally handled at the site. Bounding potential doses from thorium has proven challenging at other sites due to the early historical difficulty in detecting this element through urinalysis methods and the relatively high internal dose delivered per unit intake. This paper reports the results of NIOSH's investigation of the uses of thorium at Rocky Flats and provides bounding dose reconstructions for these operations. During this investigation, NIOSH reviewed unclassified reports, unclassified extracts of classified materials, material balance and inventory ledgers, monthly progress reports from various groups, and health physics field logbooks, and conducted interviews with former Rocky Flats workers. Thorium operations included: (1) an experimental metal forming project with 240 kg of thorium in 1960; (2) the use of pre-formed parts in weapons mockups; (3) the removal of Th from U; (4) numerous analytical procedures involving trace quantities of thorium; and (5) the possible experimental use of thorium as a mold coating compound. The thorium handling operations at Rocky Flats were limited in scope, well-monitored and documented, and potential doses can be bounded.

  11. Actinides in deer tissues at the rocky flats environmental technology site.

    PubMed

    Todd, Andrew S; Sattelberg, R Mark

    2005-11-01

    Limited hunting of deer at the future Rocky Flats National Wildlife Refuge has been proposed in U.S. Fish and Wildlife planning documents as a compatible wildlife-dependent public use. Historically, Rocky Flats site activities resulted in the contamination of surface environmental media with actinides, including isotopes of americium, plutonium, and uranium. In this study, measurements of actinides [Americium-241 (241Am); Plutonium-238 (238Pu); Plutonium-239,240 (239,240Pu); uranium-233,244 (233,234U); uranium-235,236 (235,236U); and uranium-238 (238U)] were completed on select liver, muscle, lung, bone, and kidney tissue samples harvested from resident Rocky Flats deer (N = 26) and control deer (N = 1). In total, only 17 of the more than 450 individual isotopic analyses conducted on Rocky Flats deer tissue samples measured actinide concentrations above method detection limits. Of these 17 detects, only 2 analyses, with analytical uncertainty values added, exceeded threshold values calculated around a 1 x 10(-6) risk level (isotopic americium, 0.01 pCi/g; isotopic plutonium, 0.02 pCi/g; isotopic uranium, 0.2 pCi/g). Subsequent, conservative risk calculations suggest minimal human risk associated with ingestion of these edible deer tissues. The maximum calculated risk level in this study (4.73 x 10(-6)) is at the low end of the U.S. Environmental Protection Agency's acceptable risk range.

  12. 32. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHWEST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    32. AERIAL VIEW OF THE ROCKY FLATS PLANT LOOKING NORTHWEST. DURING THE 1980S, A NUMBER OF COMPLAINTS CONCERNING SAFETY AND ENVIRONMENTAL ERRORS SURFACED, CULMINATING IN THE 1989 RAID ON THE PLANT BY THE FBI FOR ALLEGED ENVIRONMENTAL INFRACTIONS. THAT SAME YEAR, PRODUCTION AT THE PLANT WAS HALTED FOR CORRECTION OF SAFETY DEFICIENCIES. BY 1991, A SERIES OF EVENTS WORLDWIDE REDUCED THE COLD WAR THREAT, AND IN 1992, THE SECRETARY OF ENERGY ANNOUNCED THAT THE MISSION AT THE PLANT WOULD BE CHANGED TO ENVIRONMENTAL RESTORATION AND WASTE MANAGEMENT, WITH THE GOAL OF CLEANING UP THE PLANT AND SITE (1989). - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  13. SCO shipments from Rocky Flats : experience and current practice

    DOT National Transportation Integrated Search

    2002-01-01

    Decommissioning activities at Rocky Flats Environmental Technology Site (RFETS) are expected to generate approximately 251,000 cubic meters of low-level radioactive waste. Almost half of this will be characterized and shipped as the Department of Tra...

  14. Risk, media, and stigma at Rocky Flats

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

    Flynn, J.; Peters, E.; Mertz, C.K.

    1998-12-01

    Public responses to nuclear technologies are often strongly negative. Events, such as accidents or evidence of unsafe conditions at nuclear facilities, receive extensive and dramatic coverage by the news media. These news stories affect public perceptions of nuclear risks and the geographic areas near nuclear facilities. One result of these perceptions, avoidance behavior, is a form of technological stigma that leads to losses in property values near nuclear facilities. The social amplification of risk is a conceptual framework that attempts to explain how stigma is created through media transmission of information about hazardous places and public perceptions and decisions. Thismore » paper examines stigma associated with the US Department of energy`s Rocky Flats facility, a major production plant in the nation`s nuclear weapons complex, located near Denver, Colorado. This study, based upon newspaper analyses and a survey of Denver area residents, finds that the social amplification theory provides a reasonable framework for understanding the events and public responses that took place in regard to Rocky Flats during a 6-year period, beginning with an FBI raid of the facility in 1989.« less

  15. Longevity and progressive abandonment of the Rocky Flats surface, Front Range, Colorado

    NASA Astrophysics Data System (ADS)

    Riihimaki, Catherine A.; Anderson, Robert S.; Safran, Elizabeth B.; Dethier, David P.; Finkel, Robert C.; Bierman, Paul R.

    2006-08-01

    The post-orogenic evolution of the Laramide landscape of the western U.S. has been characterized by late Cenozoic channel incision of basins and their adjacent ranges. One means of constraining the incision history of basins is dating the remnants of gravel-capped surfaces above modern streams. Here, we focus on an extensive remnant of the Rocky Flats surface between Golden and Boulder, Colorado, and use in situ-produced 10Be and 26Al concentrations in terrace alluvium to constrain the Quaternary history of this surface. Coal and Ralston Creeks, both tributaries of the South Platte River, abandoned the Rocky Flats surface and formed the Verdos and Slocum pediments, which are cut into Cretaceous bedrock between Rocky Flats and the modern stream elevations. Rocky Flats alluvium ranges widely in age, from > 2 Ma to ˜ 400 ka, with oldest ages to the east and younger ages closer to the mountain front. Numerical modeling of isotope concentration depth profiles suggests that individual sites have experienced multiple resurfacing events. Preliminary results indicate that Verdos and Slocum alluvium along Ralston Creek, which is slightly larger than Coal Creek, is several hundred thousand years old. Fluvial incision into these surfaces appears therefore to progress headward in response to downcutting of the South Platte River. The complex ages of these surfaces call into question any correlation of such surfaces based solely on their elevation above the modern channel.

  16. Vascular flora of the Rocky Flats area, Jefferson County, Colorado, USA

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

    Nelson, Jody K.

    The Rocky Flats Site (Site) is a U.S. Department of Energy (DOE) facility near Golden, Colorado that produced nuclear weapons components during the Cold War. Like many federal properties that have been off-limits to public access for decades, it has become a refugia for biodiversity as surrounding landscapes have been lost to agriculture and urbanization. A floristic study of the area was conducted on approximately 2,505 ha (6,189 ac) and includes the parcels currently managed and operated by DOE and the U.S. Fish and Wildlife Service (Rocky Flats National Wildlife Refuge). A flora of 630 species of vascular plants inmore » 84 families and 340 genera was documented, including 12 species endemic to the southern Rocky Mountains and seven species considered rare or imperiled by the Colorado Natural Heritage Program. The flora of the Site is characterized by a predominantly Western North American floristic element, however, an Adventive floristic element contributes the greatest number of species. The vegetation is dominated by xeric tallgrass prairie and mixed grass prairie, with areas of wetland, shrubland, and riparian woodland.« less

  17. Vascular flora of the Rocky Flats area, Jefferson County, Colorado, USA

    DOE PAGES

    Nelson, Jody K.

    2010-08-01

    The Rocky Flats Site (Site) is a U.S. Department of Energy (DOE) facility near Golden, Colorado that produced nuclear weapons components during the Cold War. Like many federal properties that have been off-limits to public access for decades, it has become a refugia for biodiversity as surrounding landscapes have been lost to agriculture and urbanization. A floristic study of the area was conducted on approximately 2,505 ha (6,189 ac) and includes the parcels currently managed and operated by DOE and the U.S. Fish and Wildlife Service (Rocky Flats National Wildlife Refuge). A flora of 630 species of vascular plants inmore » 84 families and 340 genera was documented, including 12 species endemic to the southern Rocky Mountains and seven species considered rare or imperiled by the Colorado Natural Heritage Program. The flora of the Site is characterized by a predominantly Western North American floristic element, however, an Adventive floristic element contributes the greatest number of species. The vegetation is dominated by xeric tallgrass prairie and mixed grass prairie, with areas of wetland, shrubland, and riparian woodland.« less

  18. Rocky Flats Environmental Technology Site Ecological Monitoring Program 1995 annual report

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

    NONE

    1995-05-31

    The Ecological Monitoring Program (ECMP) was established at the Rocky Flats Environmental Technology Site (Site) in September 1992. At that time, EcMP staff developed a Program Plan that was peer-reviewed by scientists from western universities before submittal to DOE RFFO in January 1993. The intent of the program is to measure several quantitative variables at different ecological scales in order to characterize the Rocky Flats ecosystem. This information is necessary to document ecological conditions at the Site in impacted and nonimpacted areas to determine if Site practices have had ecological impacts, either positive or negative. This information can be usedmore » by managers interested in future use scenarios and CERCLA activities. Others interested in impact analysis may also find the information useful. In addition, these measurements are entered into a database which will serve as a long-term information repository that will document long-term trends and potential future changes to the Site, both natural and anthropogenic.« less

  19. Vitrification of plutonium at Rocky Flats the argument for a pilot plant

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

    Moore, L.

    1996-05-01

    Current plans for stabilizing and storing the plutonium at Rocky Flats Plant fail to put the material in a form suitable for disposition and resistant to proliferation. Vitrification should be considered as an alternate technology. The vitrification should begin with a small-scale pilot plant.

  20. /sup 239/Pu contamination in snakes inhabiting the Rocky Flats Plant site

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

    Geiger, R.A.; Winsor, T.F.

    1975-01-01

    For approximately four years studies have been under way at the Rocky Flats plant to determine contamination patterns and concentrations of Pu in the biota. Contamination of the Rocky Flats environs has resulted from at least three incidents, a September 1957 fire, a May 1969 fire, and leaking barrels containing plutonium-laden cutting oil. The latter incident was considered by far the major source of the plutonium contamination. Results are reported from a study conducted to determine whether snake tissues of the area contained detectable amounts of /sup 239/Pu and, if so, at what concentrations. Eastern yellow-bellied racers (Coluber constrictor flaviventris,more » bullsnakes (Pituophis melanoleucus sayi, and prairie rattlesnakes (Crotalus viridis viridis, were collected for /sup 239/Pu bioassay of lung, liver, and bone tissues. Snakes were captured using drift fences terminating in funnel traps and by opportunistic sampling. Results led to the conclusion that snakes are not an important organism in the redistribution of /sup 239/Pu. (CH)« less

  1. Hydrology of a nuclear-processing plant site, Rocky Flats, Jefferson County, Colorado

    USGS Publications Warehouse

    Hurr, R. Theodore

    1976-01-01

    Accidental releases of contaminants resulting from the operation of the U.S. Energy Research and Development Administration's nuclear-processing and recovery plant located on Rocky Flats will move at different rates through -different parts of the hydrologic system. Rates of movement are dependent upon the magnitude of the accidental release and the hydrologic conditions at the time of the release. For example, during wet periods, a contaminant resulting from a 5,000-gallon (19,000-1itre) release on the land surface would enter the ground-water system in about 2 to 12 hours. Ground-water flow in the Rocky Flats Alluvium might move the contaminant eastward at a rate of about 3 to 11 feet (0.9 to 3.4 metres) per day, if it remains dissolved. Maximum time to a point of discharge would be about 3 years; minimum time could be a few days. A contaminant entering a stream would then move at a rate of about 60 feet (18 metres) per minute under pool-and-riffle conditions. The rate of movement might be about 420 feet (128 metres) per minute under open-channel-flow conditions following intense thunderstorms.

  2. Scrub typhus

    PubMed Central

    Rapsang, Amy G; Bhattacharyya, Prithwis

    2013-01-01

    Scrub typhus is an acute febrile illness caused by orientia tsutsugamushi, transmitted to humans by the bite of the larva of trombiculid mites. It causes a disseminated vasculitic and perivascular inflammatory lesions resulting in significant vascular leakage and end-organ injury. It affects people of all ages and even though scrub typhus in pregnancy is uncommon, it is associated with increased foetal loss, preterm delivery, and small for gestational age infants. After an incubation period of 6-21 days, onset is characterized by fever, headache, myalgia, cough, and gastrointestinal symptoms. A primary papular lesion which later crusts to form a flat black eschar, may be present. If untreated, serious complications may occur involving various organs. Laboratory studies usually reveal leukopenia, thrombocytopenia, deranged hepatic and renal function, proteinuria and reticulonodular infiltrate. Owing to the potential for severe complications, diagnosis, and decision to initiate treatment should be based on clinical suspicion and confirmed by serologic tests. A therapeutic trial of tetracycline or chloramphenicol is indicated in patients in whom the diagnosis of scrub typhus is suspected. The recommended treatment regimen for scrub typhus is doxycycline. Alternative regimens include tetracycline, chloramphenicol, azithromycin, ciprofloxacin, rifampicin, and roxithromycin. Treatment of pregnant women with azithromycin was successfully done without relapse and with favorable pregnancy outcomes. Hence, early diagnosis and treatment are essential in order to reduce the mortality and the complications associated with the disease. We searched the English-language literature for reports of scrub typhus in children, pregnant women, and non-pregnant patients with scrub typhus, using the MEDLINE/PubMed database, which includes citations from 1945 to the present time. We used the search terms ‘scrub typhus’, ‘scrub typhus’ and ‘pregnancy’, ‘scrub typhus’ and

  3. Chronic beryllium disease and beryllium sensitization at Rocky Flats: a case-control study.

    PubMed

    Viet, S M; Torma-Krajewski, J; Rogers, J

    2000-01-01

    A case-control study was conducted to evaluate the risk of chronic beryllium disease (CBD) and beryllium sensitization (SENS) associated with various levels of historical beryllium exposure at the Rocky Flats nuclear weapons facility. Fifty CBD and 74 SENS cases were matched to controls of the same age group, race, gender, and smoking status. A job exposure matrix was developed from job history data and fixed airhead (FAH) exposure data available from 1960 to 1988. Job titles and building areas were assigned factors based on exposure relative to a machinist in the Building 444 Beryllium Shop. Concurrence on these factors was obtained from past and present Rocky Flats industrial hygienists. Using the matrix, long-term mean and cumulative exposures were estimated for each subject. Both exposure estimates (p < 0.0001) and years of employment (p = 0.010) were found to be significantly higher for CBD cases as compared with their controls, but not so for the SENS cases as compared with their controls. Logistic regression analyses showed statistically significant relationships between both cumulative and mean exposure and CBD, but not for SENS. These findings suggest that reduced worker exposures might lower the future incidence of CBD, but may not necessarily lower the incidence of SENS.

  4. Cement waste-form development for ion-exchange resins at the Rocky Flats Plant

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

    Veazey, G.W.; Ames, R.L.

    1997-03-01

    This report describes the development of a cement waste form to stabilize ion-exchange resins at Rocky Flats Environmental Technology Site (RFETS). These resins have an elevated potential for ignition due to inadequate wetness and contact with nitrates. The work focused on the preparation and performance evaluation of several Portland cement/resin formulations. The performance standards were chosen to address Waste Isolation Pilot Plant and Environmental Protection Agency Resource Conservation and Recovery Act requirements, compatibility with Rocky Flats equipment, and throughput efficiency. The work was performed with surrogate gel-type Dowex cation- and anion-exchange resins chosen to be representative of the resin inventorymore » at RFETS. Work was initiated with nonactinide resins to establish formulation ranges that would meet performance standards. Results were then verified and refined with actinide-containing resins. The final recommended formulation that passed all performance standards was determined to be a cement/water/resin (C/W/R) wt % ratio of 63/27/10 at a pH of 9 to 12. The recommendations include the acceptable compositional ranges for each component of the C/W/R ratio. Also included in this report are a recommended procedure, an equipment list, and observations/suggestions for implementation at RFETS. In addition, information is included that explains why denitration of the resin is unnecessary for stabilizing its ignitability potential.« less

  5. Enclosure from DOE letter dated 7/20/07 - Table 5-2, Isotopic Compositions of Rocky Flats Plutonium and Uranium

    EPA Pesticide Factsheets

    This enclosure from a DOE letter to EPA regarding a waste container disposed at the WIPP from the Advanced Mixed Waste Treatment Project includes Table 5-2, Isotopic Compositions of Rocky Flats Plutonium and Uranium.

  6. Rocky Flats Plant: Test bed for transitioning from weapons production mission to environmental restoration, waste management, and economic development missions

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

    Benjamin, A.; Murthy, K.S.; Krenzer, R.W.

    1993-01-07

    Redirection of Rocky Flats Plant's (RF) mission is an inevitable result of changes in the worldwide social, political, and environmental factors. These changes were exemplified in the cancellation of the W-88 Warhead in January 1992, by the President of the United States. These unprecedented changes have altered the RF's traditional nuclear weapons production mission to the transition mission, i.e., cleanup, preparation for deactivation and decontamination, decommissioning, dismantlement and demolition, and when appropriate, economic development, of the facilities. The purpose of this paper is to describe the essentials of the technical approach and management actions advanced by EG G Rocky Flats,more » Inc., to organize, staff, direct, and control the activities necessary to transition the RF from its historical weapons production mission to the transition mission.« less

  7. Rocky Flats Plant: Test bed for transitioning from weapons production mission to environmental restoration, waste management, and economic development missions

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

    Benjamin, A.; Murthy, K.S.; Krenzer, R.W.

    1993-01-07

    Redirection of Rocky Flats Plant`s (RF) mission is an inevitable result of changes in the worldwide social, political, and environmental factors. These changes were exemplified in the cancellation of the W-88 Warhead in January 1992, by the President of the United States. These unprecedented changes have altered the RF`s traditional nuclear weapons production mission to the transition mission, i.e., cleanup, preparation for deactivation and decontamination, decommissioning, dismantlement and demolition, and when appropriate, economic development, of the facilities. The purpose of this paper is to describe the essentials of the technical approach and management actions advanced by EG&G Rocky Flats, Inc.,more » to organize, staff, direct, and control the activities necessary to transition the RF from its historical weapons production mission to the transition mission.« less

  8. Post-Closure Land Jurisdiction Transfer to the US Fish and Wildlife Service at Rocky Flats: Surviving the Safari Through Old Records and Other Lessons Learned

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

    Schiesswohl, S.; Hanson, M.

    The U.S. Department of Energy's (DOE's) Rocky Flats Site (Rocky Flats), located near Denver, Colorado, was listed on the Comprehensive Environmental Response, Compensation, and Liability Act National Priorities List (NPL) in 1989. Subsequent cleanup and closure activities were completed in October 2005 and the final remedy was selected in September 2006. The remedy is 'no further action' for the generally un-impacted Peripheral Operable Unit (OU), formerly known as the Buffer Zone, and institutional and physical controls with continued monitoring for the Central OU, formerly the industrialized area. The Peripheral OU has been deleted from the NPL and jurisdiction over themore » majority of land in that OU (3,953 acres) was transferred to the U.S. Fish and Wildlife Service (USFWS) on July 12, 2007, to establish the Rocky Flats National Wildlife Refuge. The remaining approximately 929 acres in the Peripheral OU were retained by DOE's Office of Legacy Management where outstanding mineral leases and mining operations exist. As mineral rights are purchased or mining operations and mineral leases are completed and fully reclaimed, jurisdiction of portions of the 929 acres will also be transferred to USFWS for inclusion into the refuge. During the almost 2 years since cleanup and closure work was completed at Rocky Flats, DOE and USFWS have worked the specific legal parameters, timing, and constraints of the 3,953-acre transfer. Many lessons have been learned, based on these early experiences. (authors)« less

  9. Plutonium release from the 903 pad at Rocky Flats.

    PubMed

    Mongan, T R; Ripple, S R; Winges, K D

    1996-10-01

    The Colorado Department of Public Health and Environment (CDH) sponsored a study to reconstruct contaminant doses to the public from operations at the Rocky Flats nuclear weapons plant. This analysis of the accidental release of plutonium from the area known as the 903 Pad is part of the CDH study. In the 1950's and 1960's, 55-gallon drums of waste oil contaminated with plutonium, and uranium were stored outdoors at the 903 Pad. The drums corroded, leaking contaminated oil onto soil subsequently carried off-site by the wind. The plutonium release is estimated using environmental data from the 1960's and 1970's and an atmospheric transport model for fugitive dust. The best estimate of total plutonium release to areas beyond plant-owned property is about 0.26 TBq (7 Ci). Off-site airborne concentrations and deposition of plutonium are estimated for dose calculation purposes. The best estimate of the highest predicted off-site effective dose is approximately 72 microSv (7.2 mrem).

  10. Epidemiologic surveillance. Annual report for EG&G Rocky Flats

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

    NONE

    1994-12-31

    Epidemiologic surveillance at U.S. Department of Energy (DOE) facilities consists of regular and systematic collection, analysis, and interpretation of data on absences resulting from illness and injury in the work force. Its purpose is to provide an early warning system for health problems occurring among employees at participating sites. Data are collected by coordinators at each site and submitted to the Epidemiologic Surveillance Data Center, located at the Oak Ridge Institute for Science and Education, where quality control procedures and analyses are carried out. Rates of absences and rates of diagnoses associated with absences are analyzed by occupation and othermore » relevant variables. They may be compared with the disease experience of different groups within the DOE work force and with populations that do not work for DOE to identify disease patterns or clusters that may be associated with work activities. This report presents the 1994 morbidity data for the Rocky Flats plant.« less

  11. Clarification of Institutional Controls at the Rocky Flats Site Central Operable Unit and Implementation of the Soil Disturbance Review Plan - 13053

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

    DiSalvo, Rick; Surovchak, Scott; Spreng, Carl

    2013-07-01

    Cleanup and closure of DOE's Rocky Flats Site in Colorado, which was placed on the CERCLA National Priority List in 1989, was accomplished under CERCLA, RCRA, and the Colorado Hazardous Waste Act (CHWA). The physical cleanup work was completed in late 2005 and all buildings and other structures that composed the Rocky Flats industrial complex were removed from the surface, but remnants remain in the subsurface. Other remaining features include two landfills closed in place with covers, four groundwater treatment systems, and surface water and groundwater monitoring systems. Under the 2006 Corrective Action Decision/Record of Decision for Rocky Flats Plantmore » (US DOE) Peripheral Operable Unit and the Central Operable Unit (CAD/ROD), the response actions selected for the Central Operable Unit (OU) are institutional controls (ICs), physical controls, and continued monitoring and maintenance. The objectives of these ICs were to prevent unacceptable exposure to remaining subsurface contamination and to prevent contaminants from mobilizing to surface water and to prevent interfering with the proper functioning of the engineered components of the remedy. An amendment in 2011 of the 2006 CAD/ROD clarified the ICs to prevent misinterpretation that would prohibit work to manage and maintain the Central OU property. The 2011 amendment incorporated a protocol for a Soil Disturbance Review Plan for work subject to ICs that requires approval from the State and public notification by DOE prior to conducting approved soil-disturbing work. (authors)« less

  12. The Critical Mass Laboratory at Rocky Flats

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

    Rothe, Robert E

    2003-10-15

    The Critical Mass Laboratory (CML) at Rocky Flats northwest of Denver, Colorado, was built in 1964 and commissioned to conduct nuclear experiments on January 28, 1965. It was built to attain more accurate and precise experimental data to ensure nuclear criticality safety at the plant than were previously possible. Prior to its construction, safety data were obtained from long extrapolations of subcritical data (called in situ experiments), calculated parameters from reactor engineering 'models', and a few other imprecise methods. About 1700 critical and critical-approach experiments involving several chemical forms of enriched uranium and plutonium were performed between then and 1988.more » These experiments included single units and arrays of fissile materials, reflected and 'bare' systems, and configurations with various degrees of moderation, as well as some containing strong neutron absorbers. In 1989, a raid by the Federal Bureau of Investigation (FBI) caused the plant as a whole to focus on 'resumption' instead of further criticality safety experiments. Though either not recognized or not admitted for a few years, that FBI raid did sound the death knell for the CML. The plant's optimistic goal of resumption evolved to one of deactivation, decommissioning, and plantwide demolition during the 1990s. The once-proud CML facility was finally demolished in April of 2002.« less

  13. US Highway 395 Widen Median and Shoulder and Install Rumble Strips Project Environmental Assessment, Edwards Air Force Base, California

    DTIC Science & Technology

    2015-12-16

    Topography of the area varies from rugged rocky mountaintops, surrounded by gravel-laden alluvial fans and aprons, to sand and clay deposits in flat valley...disposal practices resulted in releases or disposal of organic solvents that have affected groundwater. A sanitary landfill is also located in this...Great Basin scrub, Sonoran Desert scrub and desert dunes with sandy flats, dunes and sandy areas around clay slicks with Sarcobatus (greasewood

  14. DISPOSITION PATHS FOR ROCKY FLATS GLOVEBOXES: EVALUATING OPTIONS

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

    Lobdell, D.; Geimer, R.; Larsen, P.

    2003-02-27

    The Kaiser-Hill Company, LLC has the responsibility for closure activities at the Rocky Flats Environmental Technology Site (RFETS). One of the challenges faced for closure is the disposition of radiologically contaminated gloveboxes. Evaluation of the disposition options for gloveboxes included a detailed analysis of available treatment capabilities, disposal facilities, and lifecycle costs. The Kaiser-Hill Company, LLC followed several processes in determining how the gloveboxes would be managed for disposition. Currently, multiple disposition paths have been chosen to accommodate the needs of the varying styles and conditions of the gloveboxes, meet the needs of the decommissioning team, and to best managemore » lifecycle costs. Several challenges associated with developing a disposition path that addresses both the radiological and RCRA concerns as well as offering the most cost-effective solution were encountered. These challenges included meeting the radiological waste acceptance criteria of available disposal facilities, making a RCRA determination, evaluating treatment options and costs, addressing void requirements associated with disposal, and identifying packaging and transportation options. The varying disposal facility requirements affected disposition choices. Facility conditions that impacted decisions included radiological and chemical waste acceptance criteria, physical requirements, and measurement for payment options. The facility requirements also impacted onsite activities including management strategies, decontamination activities, and life-cycle cost.« less

  15. Spatial analysis of plutonium-239 + 240 and Americium-241 in soils around Rocky Flats, Colorado

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

    Litaor, M.I.

    1995-05-01

    Plutonium and american contamination of soils around Rocky Flats, Colorado resulted from past outdoor storage practices. Four previous studies produce four different Pu isopleth maps. Spatial estimation techniques were not used in the construction of these maps and were also based on an extremely small number of soil samples. The purpose of this study was to elucidate the magnitude of Pu-239 + 240 and Am-241 dispersion in the soil environment east of Rocky Flats using robust spatial estimation techniques. Soils were sampled from 118 plots of 1.01 and 4.05 ha by compositing 25 evenly spaced samples in each plot frommore » the top 0.64 cm. Plutonium-239 + 240 activity ranged from 1.85 to 53 560 Bq/kg with a mean of 1924 Bq/kg and a standard deviation of 6327 Bq/kg. Americium-241 activity ranged from 0.18 to 9990 Bq/kg with a mean of 321 Bq/kg and a standard deviation of 1143 Bq/kg. Geostatistical techniques were used to model the spatial dependency and construct isopleth maps showing Pu-239 + 240 and Am-241 distribution. The isopleth configuration was consistent with the hypothesis that the dominant dispersal mechanism of Pu-239 + 240 was wind dispersion from west to east. The Pu-239 + 240 isopleth map proposed to this study differed significantly in the direction and distance of dispersal from the previously published maps. This ispleth map as well as the Am-241 map should be used as the primary data for future risk assessment associated with public exposure to Pu-239 + 240 and Am-241. 37 refs., 7 figs., 2 tabs.« less

  16. Radioecology of natural systems. Fifteenth annual progress report, August 1, 1976--July 31, 1977. [Plutonium transport in terrestrial ecosystems at Rocky Flats Plant with emphasis on biological effects on mule deer and coyotes

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

    Whicker, F.W.

    1977-08-01

    This report summarizes project activities during the period August 1, 1976 through July 31, 1977. Four major areas of effort are reported, namely plutonium behavior in a terrestrial ecosystem at Rocky Flats, mule deer and coyote studies at Rocky Flats, ecological consequences of transuranics in the terrestrial environment, and lead geochemistry of an alpine lake ecosystem. Much of the first area of effort involved the synthesis of data and preparation of manuscripts, although some new data are reported on plutonium levels in small mammals, plant uptake of plutonium from contaminated soil, and plutonium deposition rates on macroplot 1. The mulemore » deer studies generated a substantial body of new information which will permit quantitative assessment of plutonium dispersion by deer that utilize contaminated areas. These studies involve population dynamics, movement and use patterns, food habits, ingestion rates of contaminated soil and vegetation and plutonium burdens of deer tissues. A related study of coyote food habits in summer at Rocky Flats is reported. A manuscript dealing with the question of ecological effects of transuranics was prepared. This manuscript incorporates data from Rocky Flats on characteristics of natural populations which occupy ecologically similar areas having differing levels of plutonium contamination. The lead geochemistry studies continued to generate new data but the data are not yet reported.« less

  17. Characterization of Uranium Contamination, Transport, and Remediation at Rocky Flats - Across Remediation into Post-Closure

    NASA Astrophysics Data System (ADS)

    Janecky, D. R.; Boylan, J.; Murrell, M. T.

    2009-12-01

    The Rocky Flats Site is a former nuclear weapons production facility approximately 16 miles northwest of Denver, Colorado. Built in 1952 and operated by the Atomic Energy Commission and then Department of Energy, the Site was remediated and closed in 2005, and is currently undergoing long-term surveillance and monitoring by the DOE Office of Legacy Management. Areas of contamination resulted from roughly fifty years of operation. Of greatest interest, surface soils were contaminated with plutonium, americium, and uranium; groundwater was contaminated with chlorinated solvents, uranium, and nitrates; and surface waters, as recipients of runoff and shallow groundwater discharge, have been contaminated by transport from both regimes. A region of economic mineralization that has been referred to as the Colorado Mineral Belt is nearby, and the Schwartzwalder uranium mine is approximately five miles upgradient of the Site. Background uranium concentrations are therefore elevated in many areas. Weapons-related activities included work with enriched and depleted uranium, contributing anthropogenic content to the environment. Using high-resolution isotopic analyses, Site-related contamination can be distinguished from natural uranium in water samples. This has been instrumental in defining remedy components, and long-term monitoring and surveillance strategies. Rocky Flats hydrology interlinks surface waters and shallow groundwater (which is very limited in volume and vertical and horizontal extent). Surface water transport pathways include several streams, constructed ponds, and facility surfaces. Shallow groundwater has no demonstrated connection to deep aquifers, and includes natural preferential pathways resulting primarily from porosity in the Rocky Flats alluvium, weathered bedrock, and discontinuous sandstones. In addition, building footings, drains, trenches, and remedial systems provide pathways for transport at the site. Removal of impermeable surfaces (buildings

  18. Radioecology of natural systems in Colordao. Fourteenth annual progress report, May 1, 1975--July 31, 1976. [Pu diffusion in terrestrial ecosystems at Rocky Flats Plant

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

    Whicker, F.W.

    1976-08-01

    This report summarizes project activities during the period May 1, 1975 through July 31, 1976. The major study on the distribution and levels of Pu in major components of the terrestrial ecosystem at Rocky Flats was completed. Supportive studies on the ecology and pathology of small mammals and their role in Pu transport were essentially completed as well. Detailed studies on mule deer food habits, population dynamics, and movements at Rocky Flats are progressing. These studies are designed to measure the potential of mule deer in transporting Pu to uncontrolled areas. Alpha autoradiographic studies designed to measure Pu particle sizemore » and distribution and spatial patterns in soil were initiated. Field and greenhouse transport pathways from soil to vegetation are in progress and some early results reported. The status of studies on seasonal kinetics of Cs in a montane lake and stable lead geochemistry in an alpine lake watershed are also reported.« less

  19. Rocky Flats Plant Site Environmental Report for 1992

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

    Cirrincione, D.A.; Erdmann, N.L.

    1992-12-31

    The Rocky Rats Plant Site Environmental Report provides summary information on the plant`s environmental monitoring programs and the results recorded during 1992. The report contains a compliance summary, results of environmental monitoring and other related programs, a review of environmental remediation activities, information on external gamma radiation dose monitoring, and radiation dose estimates for the surrounding population.

  20. Particulate, colloidal, and dissolved-phase associations of plutonium and americium in a water sample from well 1587 at the Rocky Flats Plant, Colorado

    USGS Publications Warehouse

    Harnish, R.A.; McKnight, Diane M.; Ranville, James F.

    1994-01-01

    In November 1991, the initial phase of a study to determine the dominant aqueous phases that control the transport of plutonium (Pu), americium (Am), and uranium (U) in surface and groundwater at the Rocky Flats Plant was undertaken by the U.S. Geological Survey. By use of the techniques of stirred-cell spiral-flow filtration and crossflow ultrafiltration, particles of three size fractions were collected from a 60-liter sample of water from well 1587 at the Rocky Flats Plant. These samples and corresponding filtrate samples were analyzed for Pu and Am. As calculated from the analysis of filtrates, 65 percent of Pu 239 and 240 activity in the sample was associated with particulate and largest colloidal size fractions. Particulate (22 percent) and colloidal (43 percent) fractions were determined to have significant activities in relation to whole-water Pu activity. Am and Pu 238 activities were too low to be analyzed. Examination and analyses of the particulate and colloidal phases indicated the presence of mineral species (iron oxyhydroxides and clay minerals) and natural organic matter that can facilitate the transport of actinides in ground water. High concentrations of the transition metals copper and zinc in the smallest colloid fractions strongly indicate a potential for organic complexation of metals, and potentially of actinides, in this size fraction.

  1. Systematic Evaluation Program (SEP) at Rocky Flats Plant: An overview of practical management issues for evaluation of natural phenomena hazards

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

    Badwan, F.M.; Herring, K.S.

    1993-08-01

    Many of the buildings at the Rocky Flats Plant were designed and built before modern standards were developed, including standards for protection against extreme natural phenomenon such as tornadoes, earthquakes, and floods. The purpose of the SEP is to establish an integrated approach to assessing the design adequacy of specific high and moderate hazard Rocky Flats facilities from a safety perspective and to establish a basis for defining any needed facility improvements. The SEP is to be carried out in three Phases. In Phase 1, topics to be evaluated and an evaluation plan for each topic were developed. Any differencesmore » between Current Design Requirements (CDR) or acceptance criteria and the design of existing facilities, will be identified during Phase 2 and assessed using an integrated systematic approach during Phase 3. The integrated assessment performed during Phase 3 provides a process for evaluating the differences between existing facility design and CDRs so that decisions on corrective actions can be made on the basis of relative risk reduction and cost effectiveness. These efforts will ensure that a balanced and integrated level of safety is achieved for long-term operation of these buildings. Through appropriate selection of topics and identification of the structures, systems, and components to be evaluated, the SEP will address outstanding design issues related to the prevention and mitigation of design basis accidents, including those arising from natural phenomena. The objective of the SEP is not to bring these buildings into strict compliance with current requirements, but rather to ensure that an adequate level of safety is achieved in an economical fashion.« less

  2. eRHIC Beam Scrubbing

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

    Zhang, S. Y.

    We propose using beam scrubbing to mitigate the electron cloud effect in the eRHIC. The bunch number is adjusted below the heat load limit, then it increases with the reduced secondary electron yield resulted from the beam scrubbing, up to the design bunch number. Since the electron density threshold of beam instability is lower at the injection, a preliminary injection scrubbing should go first, where large chromaticity can be used to keep the beam in the ring for scrubbing. After that, the beam can be ramped to full energy, allowing physics scrubbing. Simulations demonstrated that with beam scrubbing in amore » reasonable period of time, the eRHIC baseline design is feasible.« less

  3. Site vegetation report: Terrestrial vegetation survey (1993--1995) for the Rocky Flats Environmental Technology Site

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

    NONE

    1997-06-01

    The Ecological Monitoring Program (EcMP) was designed to investigate the long-term ecological trends in terrestrial and aquatic ecosystems at the US Department of energy`s (DOE`s) Rocky Flats Environmental Technology Site (Site) (DOE 1993). Field sampling was conducted during 1993, 1994, and 1995, until the program was terminated in late 1995. This report presents the terrestrial vegetation data that were gathered by the EcMP. The site is located on the Colorado Piedmont, east of the Front Range, between Boulder and Golden, approximately 25 km (16 miles) northwest of Denver. The topography and proximity of the Site to the mountain front resultmore » in an interesting mixture of prairie and mountain plant species. The Site is one of the few large, relatively undisturbed areas of its kind that remains along the Colorado Piedmont. Until 1989, the primary mission of the Site was the production of nuclear weapons components (DOE 1993). After production ceased, Site personnel shifted their focus to cleanup and closure.« less

  4. Baseline report - tall upland shrubland at the Rocky Flats Environmental Technology Site

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

    NONE

    Rocky Flats Environmental Technology Site (Site) is located on the Colorado Piedmont east of the Front Range between Boulder and Golden. At an elevation of approximately 6,000 feet, the Site contains a unique ecotonal mixture of mountain and prairie plant species, resulting from the topography and close proximity to the mountain front. The Buffer Zone surrounding the Industrial Area is one of the largest remaining undeveloped areas of its kind along the Colorado Piedmont. A number of plant communities at the Site have been identified as increasingly rare and unique by Site ecologists and the Colorado Natural Heritage Program (CNHP).more » These include the xeric tallgrass prairie, tall upland shrubland, wetlands, and Great Plains riparian woodland communities. Many of these communities support populations of increasingly rare animals as well, including the Preble`s meadow jumping mouse, grasshopper sparrow, loggerhead shrike, Merriam`s shrew, black crowned night heron, and Hops blue and Argos skipper butterflies. One of the more interesting and important plant communities at the Site is the tall upland shrubland community. It has been generally overlooked by previous Site ecological studies, probably due to its relatively small size; only 34 acres total. Although mentioned in a plant community ordination study conducted by Clark et al. and also in the Site baseline ecological study, few data were available on this plant community before the present study.« less

  5. Scrubbing liquors for nitrogen tetroxide

    NASA Technical Reports Server (NTRS)

    Thomas, J. J.

    1978-01-01

    Once it was determined that the wet scrubbing concept was the most practical solution to the N2O4 emission problem, it became important to optimize the composition of the scrubbing liquor. Several reagents were cited in the literature as being advantageous in scrubbing NO2. Experiments were conducted on a model wet scrubber in order to verify and rank the performances of these scrubbing liquors. The most efficient scrubbing liquor found experimentally was a 10% sodium sulfite solution.

  6. Plutonium-239 + 240 and Americium-241 in soils east of Rocky Flats, Colorado

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

    Litaor, M.I.; Barth, G.R.; Molzer, P.C.

    1994-11-01

    Soils east of the Rocky Flats (RF) near Golden, CO, were contaminated with Pu-239 + 240 and Am-241 as a result of past waste-storage practices. The physiocochemical parameters that govern the actinides distribution in the soil are poorly understood. Twenty-six soil pits at various distances and directions from a contaminated site at RF were excavated, sampled, and analyzed for actinide activities as well as selected physical, chemical, and mineralogical attributes. Plutonium-239+240 and Am-241 activities in the soils ranged form 164 280 Bq/kg to 0.0037 Bq/kg, decreasing with distance from the source. More than 90% of the Pu-239 + 240 andmore » Am-241 activities were confined to the upper 12 cm of the soil, regardless of the soil characteristics, or distance and direction from the source. Evidence of preferential transport in macropores formed along decayed root channels was observed in four soil pits and had translocated Pu-239 + 240 to a depth of 90 cm. This transport mechanism increased by a factor of 30 the level of Pu-239 + 240 activity at this depth. Earthworm activity is probably important in the redistribution of actinides in the upper 40 cm of many of the soils investigated. Planning of future remedial activities at RF should consider the findings of this contaminant-transport study. 34 refs., 5 figs., 2 tabs.« less

  7. 4. VIEW LOOKING SOUTHEAST AT BUILDING 444. (1/1/98) Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. VIEW LOOKING SOUTHEAST AT BUILDING 444. (1/1/98) - Rocky Flats Plant, Non-Nuclear Production Facility, South of Cottonwood Avenue, west of Seventh Avenue & east of Building 460, Golden, Jefferson County, CO

  8. 5. VIEW LOOKING NORTHWEST OF BUILDING 444. (1/1/98) Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. VIEW LOOKING NORTHWEST OF BUILDING 444. (1/1/98) - Rocky Flats Plant, Non-Nuclear Production Facility, South of Cottonwood Avenue, west of Seventh Avenue & east of Building 460, Golden, Jefferson County, CO

  9. 7. Photographic copy of photograph (Source: National Archives, Rocky Mountain ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. Photographic copy of photograph (Source: National Archives, Rocky Mountain Region, Denver, Salt River Project History, Final History to 1916. p. 506) Interior view of transformer house. No date. CA. 1916. - Theodore Roosevelt Dam, Transformer House, Salt River, Tortilla Flat, Maricopa County, AZ

  10. Neuropsychiatric Manifestations of Scrub Typhus.

    PubMed

    Mahajan, Sanjay K; Mahajan, Sanyam K

    2017-01-01

    Scrub typhus is caused by Orientia tsutsugamushi characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillan-Barré syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature.

  11. 7. Photographic copy of photograph (Source: National Archives, Rocky Mountain ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. Photographic copy of photograph (Source: National Archives, Rocky Mountain Region, Denver, Salt River Project History, Final History to 1916. p. 504) Inside Roosevelt power plant showing size of valve. CA. 1916. - Theodore Roosevelt Dam, Power Plant, Salt River, Tortilla Flat, Maricopa County, AZ

  12. Neuropsychiatric Manifestations of Scrub Typhus

    PubMed Central

    Mahajan, Sanjay K.; Mahajan, Sanyam K.

    2017-01-01

    Scrub typhus is caused by Orientia tsutsugamushi characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillan-Barré syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature. PMID:28694624

  13. Status epilepticus in scrub typhus.

    PubMed

    Kalita, Jayantee; Mani, Vinita E; Bhoi, Sanjeev K; Misra, Usha K

    2016-07-01

    Scrub typhus is an emerging infection, and there is little information about status epilepticus (SE) in scrub typhus. We report the clinical spectrum and outcome of SE in scrub typhus. In a 3-year prospective hospital-based observational study, all scrub typhus patients with SE were included. Scrub typhus was diagnosed by immunochromatography assay. SE was defined if convulsions lasted longer than 5 min. The patients' demographic, clinical, computed tomography (CT), magnetic resonance imaging (MRI), and electroencephalography (EEG) findings were noted. Response to antiepileptic drugs (AEDs) and outcome at 1 month and 1 year were recorded. Between 2012 and 2014, there were 66 patients with scrub typhus admitted with central nervous system (CNS) involvement, 10 (15.2%) of whom had SE (generalized convulsions in 5, secondary generalized in one). The median age of the patients was 34 (range 18-71) years and seven were female. The duration of SE ranged between 10 min and 48 h. SE responded to one AED in five patients, two AEDs in three patients, and more than two AEDs in two patients. Cranial MRI findings were normal. All patients recovered completely with doxycycline by 1 month and AED was withdrawn by 8 months in all. Although 15% patients with scrub typhus may have SE, they have good outcome. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  14. Scrub typhus islands in the Taiwan area and the association between scrub typhus disease and forest land use and farmer population density: geographically weighted regression

    PubMed Central

    2013-01-01

    Background The Taiwan area comprises the main island of Taiwan and several small islands located off the coast of the Southern China. The eastern two-thirds of Taiwan are characterized by rugged mountains covered with tropical and subtropical vegetation. The western region of Taiwan is characterized by flat or gently rolling plains. Geographically, the Taiwan area is diverse in ecology and environment, although scrub typhus threatens local human populations. In this study, we investigate the effects of seasonal and meteorological factors on the incidence of scrub typhus infection among 10 local climate regions. The correlation between the spatial distribution of scrub typhus and cultivated forests in Taiwan, as well as the relationship between scrub typhus incidence and the population density of farm workers is examined. Methods We applied Pearson’s product moment correlation to calculate the correlation between the incidence of scrub typhus and meteorological factors among 10 local climate regions. We used the geographically weighted regression (GWR) method, a type of spatial regression that generates parameters disaggregated by the spatial units of analysis, to detail and map each regression point for the response variables of the standardized incidence ratio (SIR)-district scrub typhus. We also applied the GWR to examine the explanatory variables of types of forest-land use and farm worker density in Taiwan in 2005. Results In the Taiwan Area, scrub typhus endemic areas are located in the southeastern regions and mountainous townships of Taiwan, as well as the Pescadore, Kinmen, and Matou Islands. Among these islands and low-incidence areas in the central western and southwestern regions of Taiwan, we observed a significant correlation between scrub typhus incidence and surface temperature. No similar significant correlation was found in the endemic areas (e.g., the southeastern region and the mountainous area of Taiwan). Precipitation correlates positively

  15. Scrub typhus islands in the Taiwan area and the association between scrub typhus disease and forest land use and farmer population density: geographically weighted regression.

    PubMed

    Tsai, Pui-Jen; Yeh, Hsi-Chyi

    2013-04-29

    The Taiwan area comprises the main island of Taiwan and several small islands located off the coast of the Southern China. The eastern two-thirds of Taiwan are characterized by rugged mountains covered with tropical and subtropical vegetation. The western region of Taiwan is characterized by flat or gently rolling plains. Geographically, the Taiwan area is diverse in ecology and environment, although scrub typhus threatens local human populations. In this study, we investigate the effects of seasonal and meteorological factors on the incidence of scrub typhus infection among 10 local climate regions. The correlation between the spatial distribution of scrub typhus and cultivated forests in Taiwan, as well as the relationship between scrub typhus incidence and the population density of farm workers is examined. We applied Pearson's product moment correlation to calculate the correlation between the incidence of scrub typhus and meteorological factors among 10 local climate regions. We used the geographically weighted regression (GWR) method, a type of spatial regression that generates parameters disaggregated by the spatial units of analysis, to detail and map each regression point for the response variables of the standardized incidence ratio (SIR)-district scrub typhus. We also applied the GWR to examine the explanatory variables of types of forest-land use and farm worker density in Taiwan in 2005. In the Taiwan Area, scrub typhus endemic areas are located in the southeastern regions and mountainous townships of Taiwan, as well as the Pescadore, Kinmen, and Matou Islands. Among these islands and low-incidence areas in the central western and southwestern regions of Taiwan, we observed a significant correlation between scrub typhus incidence and surface temperature. No similar significant correlation was found in the endemic areas (e.g., the southeastern region and the mountainous area of Taiwan). Precipitation correlates positively with scrub typhus incidence in

  16. Scrub typhus: Clinical spectrum and outcome.

    PubMed

    Venkategowda, Pradeep M; Rao, S Manimala; Mutkule, Dnyaneshwar P; Rao, Mallela V; Taggu, Alai N

    2015-04-01

    Scrub typhus is one of the differential diagnoses for fever with thrombocytopenia. ARDS associated with Scrub typhus has high morbidity and mortality. To evaluate clinical features, lab values, and outcome in patients with scrub typhus and comparison in patients with or without ARDS. A prospective observational study was conducted on 109 patients with febrile illness and thrombocytopenia during a period of 12 months. All 109 patients were tested with both Immune-chromatography test and Weil felix test. Patients having either Immune-chromatography test/Weil felix test positive have been included and considered as scrub typhus positive whereas negative for both Immune-chromatography and Weil felix test were excluded. Clinical features, lab parameters, and outcome were evaluated in all patients with scrub typhus. Statistical analysis used in this study was T-test. Among 58 patients who were included (After exclusion of 51 patients among total of 109 patients) 34 patients had no ARDS and 24 patients had ARDS. The clinical feature like dyspnoea, cough, low blood pressure (MAP<65 mmHg), IVC collapsibility (by ultrasound) and laboratory parameters like decreased Hemoglobin, Hematocrit, Serum albumin, and increased serum creatinine, serum total bilirubin, SGOT, SGPT, LDH, CPK, and serum lactate were statistically significant (P < 0.0001) in scrub typhus patients group with ARDS. The higher titers of Weil-felix can be correlated with more severe form of disease according to our observation. All 34 Scrub typhus patients without ARDS recovered completely. Among 24 Scrub typhus patients with ARDS, 22 patients recovered, and 2 patients died. Scrub typhus is an important differential diagnosis in a patients having fever with thrombocytopenia. Scrub typhus associated with ARDS has high morbidity and mortality. Early diagnosis and treatment with doxycycline can prevent the occurrence of ARDS.

  17. Evaluation of Vitrification Processing Step for Rocky Flats Incinerator Ash

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

    Wigent, W.L.; Luey, J.K.; Scheele, R.D.

    In 1997, Pacific Northwest National Laboratory (PNNL) staff developed a processing option for incinerator ash at the Rocky Flats Environmental Technology Sites (RFETS). This work was performed with support from Los Alamos National Laboratory (LANL) and Safe Sites of Colorado (SSOC). A description of the remediation needs for the RFETS incinerator ash is provided in a report summarizing the recommended processing option for treatment of the ash (Lucy et al. 1998). The recommended process flowsheet involves a calcination pretreatment step to remove carbonaceous material followed by a vitrification processing step for a mixture of glass tit and calcined incinerator ash.more » Using the calcination pretreatment step to remove carbonaceous material reduced process upsets for the vitrification step, allowed for increased waste loading in the final product, and improved the quality of the final product. Figure 1.1 illustrates the flow sheet for the recommended processing option for treatment of RFETS incinerator ash. In 1998, work at PNNL further developed the recommended flow sheet through a series of studies to better define the vitrification operating parameters and to address secondary processing issues (such as characterizing the offgas species from the calcination process). Because a prototypical rotary calciner was not available for use, studies to evaluate the offgas from the calcination process were performed using a benchtop rotary calciner and laboratory-scale equipment (Lucy et al. 1998). This report focuses on the vitrification process step after ash has been calcined. Testing with full-scale containers was performed using ash surrogates and a muffle furnace similar to that planned for use at RFETS. Small-scale testing was performed using plutonium-bearing incinerator ash to verify performance of the waste form. Ash was not obtained from RFETS because of transportation requirements to calcine the incinerator ash prior to shipment of the material. Because

  18. Acceptable knowledge document for INEEL stored transuranic waste -- Rocky Flats Plant waste. Revision 2

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

    NONE

    1998-01-23

    This document and supporting documentation provide a consistent, defensible, and auditable record of acceptable knowledge for waste generated at the Rocky Flats Plant which is currently in the accessible storage inventory at the Idaho National Engineering and Environmental Laboratory. The inventory consists of transuranic (TRU) waste generated from 1972 through 1989. Regulations authorize waste generators and treatment, storage, and disposal facilities to use acceptable knowledge in appropriate circumstances to make hazardous waste determinations. Acceptable knowledge includes information relating to plant history, process operations, and waste management, in addition to waste-specific data generated prior to the effective date of the RCRAmore » regulations. This document is organized to provide the reader a comprehensive presentation of the TRU waste inventory ranging from descriptions of the historical plant operations that generated and managed the waste to specific information about the composition of each waste group. Section 2 lists the requirements that dictate and direct TRU waste characterization and authorize the use of the acceptable knowledge approach. In addition to defining the TRU waste inventory, Section 3 summarizes the historical operations, waste management, characterization, and certification activities associated with the inventory. Sections 5.0 through 26.0 describe the waste groups in the inventory including waste generation, waste packaging, and waste characterization. This document includes an expanded discussion for each waste group of potential radionuclide contaminants, in addition to other physical properties and interferences that could potentially impact radioassay systems.« less

  19. Acute pancreatitis associated with scrub typhus.

    PubMed

    Sv, Padmavathi Devi; M, Aruna; Kumar, Anil Cv; Krishna Reddy, Hari; Bl, Sangeetha; Siva Kumar, V

    2017-01-01

    Scrub typhus, or tsutsugamushi fever, is a zoonosis of rural Asia and the western Pacific islands. The causative organism, Orientia (formerly Rickettsia) tsutsugamushi, is transmitted to humans by the bite of a larval Leptotrombidium mite (chigger). Scrub typhus may have gastrointestinal presentations, such as acute acalculous cholecystitis, duodenal ulcer perforation, peritonitis and gastric ulceration. Acute pancreatitis with scrub typhus has been reported rarely. We report a patient of scrub typhus complicated by acute pancreatitis and acute kidney injury. © The Author(s) 2016.

  20. One hospital's clinical evaluation of brushless scrubbing.

    PubMed

    Berman, Mara

    2004-02-01

    BRUSHLESS SCRUBBING rapidly is becoming an accepted method for surgical hand scrubbing. AN EVALUATION was undertaken at an acute care hospital in the southeastern United States to examine brushless scrubbing before laminectomy, craniotomy, and colectomy procedures. PATIENTS DID NOT SHOW an increase in postoperative surgical site infections when the brushless scrubbing product was used. SATISFACTION AND COMPLIANCE among users of the product was positive.

  1. Acute Cholecystitis in Patients with Scrub Typhus.

    PubMed

    Lee, Hyun; Ji, Misuk; Hwang, Jeong-Hwan; Lee, Ja-Yeon; Lee, Ju-Hyung; Chung, Kyung Min; Lee, Chang-Seop

    2015-11-01

    Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.

  2. Epidemiologic characteristics of scrub typhus on Jeju Island

    PubMed Central

    2017-01-01

    OBJECTIVES Scrub typhus is the most common febrile disease in Korea during the autumn. Jeju Island is the largest island in South Korea and has a distinctive oceanic climate. This study aimed to identify epidemiologic characteristics of scrub typhus on Jeju Island. METHODS From January 2011 to December 2016, 446 patients were diagnosed with scrub typhus on Jeju Island. The patients’ personal data and the environmental factors that might be related to scrub typhus were investigated and retrospectively analyzed. RESULTS The median age of the patients was 58-years-old (range, 8 to 91) and 43% of them worked in the agricultural, forestry or livestock industry. Regardless of their job, 87% of the patients had a history of either working outdoors or of other activities before developing scrub typhus. The south and southeast regions of Jeju Island, especially Namwon-eup, showed the highest incidence of scrub typhus. Workers in mandarin orange orchards seemed to be the highest risk group for scrub typhus infection. CONCLUSIONS Scrub typhus on Jeju Island showed unique characteristics. To efficiently prevent scrub typhus, each year individual regional approaches should be developed based on the epidemiologic characteristics of the disease. PMID:28823118

  3. Epidemiologic characteristics of scrub typhus on Jeju Island.

    PubMed

    Lee, Sung Uk

    2017-01-01

    Scrub typhus is the most common febrile disease in Korea during the autumn. Jeju Island is the largest island in South Korea and has a distinctive oceanic climate. This study aimed to identify epidemiologic characteristics of scrub typhus on Jeju Island. From January 2011 to December 2016, 446 patients were diagnosed with scrub typhus on Jeju Island. The patients' personal data and the environmental factors that might be related to scrub typhus were investigated and retrospectively analyzed. The median age of the patients was 58-years-old (range, 8 to 91) and 43% of them worked in the agricultural, forestry or livestock industry. Regardless of their job, 87% of the patients had a history of either working outdoors or of other activities before developing scrub typhus. The south and southeast regions of Jeju Island, especially Namwon-eup, showed the highest incidence of scrub typhus. Workers in mandarin orange orchards seemed to be the highest risk group for scrub typhus infection. Scrub typhus on Jeju Island showed unique characteristics. To efficiently prevent scrub typhus, each year individual regional approaches should be developed based on the epidemiologic characteristics of the disease.

  4. Predictors of Severity in Pediatric Scrub Typhus.

    PubMed

    Narayanasamy, Dinesh Kumar; Arun Babu, Thirunavukkarasu; Vijayadevagaran, Vijayasankar; Kittu, Devi; Ananthakrishnan, Shanthi

    2018-01-24

    To identify the factors that can predict the severity of scrub typhus in children. This prospective study was conducted at a tertiary care teaching hospital between November 2014 to October 2016. All children <12y of age admitted with fever for more than 7d and positive IgM ELISA for scrub typhus were included in the study. These children were followed during the hospital course and their laboratory results, response to treatment and complications were documented. Cases of 'severe scrub typhus' were identified based on criteria from published adult and pediatric studies. Out of 930 children with fever for more than 7d, IgM ELISA for scrub typhus was positive in 230 children. Ninety one (40.6%) cases fulfilled the criteria of 'severe scrub typhus' in children. Out of 45 factors, 27 potential factors were studied. The multivariate analysis identified 5 factors, breathlessness (OR: 6.85, 95%CI: 2.69 to 9.87), altered sensorium (OR: 11.48, 95% CI 3.43 to 10.19), leucocytosis (OR: 3.38, 95% CI 1.12 to 10.16), hypoalbuminemia (OR: 10.78, 95% CI 2.66 to 48.76), and hyponatremia (OR: 10.08, 95% CI 2.11 to 23.42) to be significantly associated with the 'severe scrub typhus' cases. Breathlessness, altered sensorium, leucocytosis, hypoalbuminemia, and hyponatremia predict severity in childhood scrub typhus. Presence of these factors should alert the treating physician regarding the need for intensive monitoring, treatment or referral.

  5. Environmental Aspects of Two Volatile Organic Compound Groundwater Treatment Designs at the Rocky Flats Site - 13135

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

    Michalski, Casey C.; DiSalvo, Rick; Boylan, John

    2013-07-01

    DOE's Rocky Flats Site in Colorado is a former nuclear weapons production facility that began operations in the early 1950's. Because of releases of hazardous substances to the environment, the federally owned property and adjacent offsite areas were placed on the CERCLA National Priorities List in 1989. The final remedy was selected in 2006. Engineered components of the remedy include four groundwater treatment systems that were installed before closure as CERCLA-accelerated actions. Two of the systems, the Mound Site Plume Treatment System and the East Trenches Plume Treatment System, remove low levels of volatile organic compounds using zero-valent iron media,more » thereby reducing the loading of volatile organic compounds in surface water resulting from the groundwater pathway. However, the zero-valent iron treatment does not reliably reduce all volatile organic compounds to consistently meet water quality goals. While adding additional zero-valent iron media capacity could improve volatile organic compound removal capability, installation of a solar powered air-stripper has proven an effective treatment optimization in further reducing volatile organic compound concentrations. A comparison of the air stripper to the alternative of adding additional zero-valent iron capacity to improve Mound Site Plume Treatment System and East Trenches Plume Treatment System treatment based on several key sustainable remediation aspects indicates the air stripper is also more 'environmentally friendly'. These key aspects include air pollutant emissions, water quality, waste management, transportation, and costs. (authors)« less

  6. Hemorrhagic Transformation of Scrub Typhus Encephalitis: A Rare Entity.

    PubMed

    Kim, H-C; Yoon, K-W; Yoo, D-S; Cho, C-S

    2015-12-01

    Central nervous system (CNS) involvement of scrub typhus infection is well known. Most CNS involvement of scrub typhus infection present as meningitis or encephalitis. We report on a patient suffering from hemorrhagic transformation of intracranial lesions caused by Orientia tsutsugamushi. A 53-year-old female farmer who was infected by scrub typhus was treated with doxycycline and recovered from the systemic illness. However, headache persisted. Brain radiologic studies revealed acute intracranial hemorrhage and enhancing lesion, which implied a CNS involvement. Hemorrhagic transformation of encephalitis by scrub typhus is very rare complication and to our best knowledge, this is the first report of hemorrhagic transformation of scrub typhus encephalitis. Clinician should consider the possibility of hemorrhagic transformation of encephalitis in cases of scrub typhus infection.

  7. Multiple eschars in scrub typhus: a case report.

    PubMed

    Koraluru, Munegowda; Nandigam, Manideep; Bairy, Indira; Vidyasagar, Sudha; Varma, Muralidhar

    2017-01-01

    Eschar in scrub typhus aids in early diagnosis and institution of appropriate therapy; however, the eschar positivity rates vary greatly in endemic regions. Multiple eschars in scrub typhus are a rare presentation. Our patient presented with fever and multiple eschars and was empirically started on doxycycline. Nested polymerase chain reaction from all the four eschars and from EDTA blood were positive for 56-kDa type-specific antigen which is specific for Orientia tsutsugamushi The patient recovered completely after 7 days of antibiotic treatment. He was from an area where scrub typhus was not observed previously. An eschar in an acute febrile patient from the "tsutsugamushi triangle" is a valuable sign in scrub typhus diagnosis. A search for multiple eschars in scrub typhus must be made by clinicians. © The Author(s) 2016.

  8. Equipment evaluation for low density polyethylene encapsulated nitrate salt waste at the Rocky Flats Plant

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

    Yamada, W.I.; Faucette, A.M.; Jantzen, R.C.

    1993-08-30

    Mixed wastes at the Rocky Flats Plant (RFP) are subject to regulation by the Resource Conservation and Recovery Act (RCRA). Polymer solidification is being developed as a final treatment technology for several of these mixed wastes, including nitrate salts. Encapsulation nitrate salts with low density polyethylene (LDPE) has been the preliminary focus of the RFP polymer solidification effort. Literature reviews, industry surveys, and lab-scale and pilot-scale tests have been conducted to evaluate several options for encapsulating nitrate salts with LDPE. Most of the effort has focused on identifying compatible drying and extrusion technologies. Other processing options, specifically meltration and non-heatedmore » compounding machines, were also investigated. The best approach appears to be pretreatment of the nitrate salt waste brine in either a vertical or horizontal thin film evaporator followed by compounding of the dried waste with LDPE in an intermeshing, co-rotating, twin-screw extruder. Additional pilot-scale tests planned for the fall of 1993 should further support this recommendation. Preliminary evaluation work indicates that meltration is not possible at atmospheric pressure with the LDPE (Chevron PE-1409) provided by RFP. However, meltration should be possible at atmospheric pressure using another LDPE formulation with altered physical and rheological properties: Lower molecular weight and lower viscosity (Epoline C-15). Contract modifications are now in process to allow a follow-on pilot scale demonstration. Questions regarding changed safety and physical properties of the resultant LDPE waste form due to use of the Epoline C-15 will be addressed. No additional work with non-heated mixer compounder machines is planned at this time.« less

  9. A Markov decision process for managing habitat for Florida scrub-jays

    USGS Publications Warehouse

    Johnson, Fred A.; Breininger, David R.; Duncan, Brean W.; Nichols, James D.; Runge, Michael C.; Williams, B. Ken

    2011-01-01

    Florida scrub-jays Aphelocoma coerulescens are listed as threatened under the Endangered Species Act due to loss and degradation of scrub habitat. This study concerned the development of an optimal strategy for the restoration and management of scrub habitat at Merritt Island National Wildlife Refuge, which contains one of the few remaining large populations of scrub-jays in Florida. There are documented differences in the reproductive and survival rates of scrubjays among discrete classes of scrub height (<120 cm or "short"; 120-170 cm or "optimal"; .170 cm or "tall"; and a combination of tall and optimal or "mixed"), and our objective was to calculate a state-dependent management strategy that would maximize the long-term growth rate of the resident scrub-jay population. We used aerial imagery with multistate Markov models to estimate annual transition probabilities among the four scrub-height classes under three possible management actions: scrub restoration (mechanical cutting followed by burning), a prescribed burn, or no intervention. A strategy prescribing the optimal management action for management units exhibiting different proportions of scrub-height classes was derived using dynamic programming. Scrub restoration was the optimal management action only in units dominated by mixed and tall scrub, and burning tended to be the optimal action for intermediate levels of short scrub. The optimal action was to do nothing when the amount of short scrub was greater than 30%, because short scrub mostly transitions to optimal height scrub (i.e., that state with the highest demographic success of scrub-jays) in the absence of intervention. Monte Carlo simulation of the optimal policy suggested that some form of management would be required every year. We note, however, that estimates of scrub-height transition probabilities were subject to several sources of uncertainty, and so we explored the management implications of alternative sets of transition probabilities

  10. Commercial Decommissioning at DOE's Rocky Flats

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

    Freiboth, C.; Sandlin, N.; Schubert, A.

    2002-02-25

    Due in large part to the number of nuclear facilities that make up the DOE complex, DOE-EM work has historically been paperwork intensive and driven by extensive regulations. Requirements for non-nuclear facilities are often grouped with those of nuclear facilities, driving up costs. Kaiser-Hill was interested in applying a commercial model to demolition of these facilities and wanted to apply necessary and sufficient standards to the work activities, but avoid applying unnecessary requirements. Faced with demolishing hundreds of uncontaminated or non-radiologically contaminated facilities, Kaiser-Hill has developed a subcontracting strategy to drastically reduce the cost of demolishing these facilities at Rockymore » Flats. Aiming to tailor the demolition approach of such facilities to more closely follow commercial practices, Kaiser-Hill recently released a Request for Proposals (RFP) for the demolition of the site's former central administration facility. The RFP significantly reduced requirements for compliance with specific DOE directives. Instead, the RFP required subcontractors to comply with health and safety requirements commonly found in the demolition of similar facilities in a commercial setting. This resulted in a number of bids from companies who have normally not bid on DOE work previously and at a reduced cost over previous approaches. This paper will discuss the details of this subcontracting strategy.« less

  11. Endemic Scrub Typhus in South America.

    PubMed

    Weitzel, Thomas; Dittrich, Sabine; López, Javier; Phuklia, Weerawat; Martinez-Valdebenito, Constanza; Velásquez, Katia; Blacksell, Stuart D; Paris, Daniel H; Abarca, Katia

    2016-09-08

    Scrub typhus is a life-threatening zoonosis caused by Orientia tsutsugamushi organisms that are transmitted by the larvae of trombiculid mites. Endemic scrub typhus was originally thought to be confined to the so called "tsutsugamushi triangle" within the Asia-Pacific region. In 2006, however, two individual cases were detected in the Middle East and South America, which suggested that the pathogen was present farther afield. Here, we report three autochthonous cases of scrub typhus caused by O. tsutsugamushi acquired on Chiloé Island in southern Chile, which suggests the existence of an endemic focus in South America. (Funded by the Chilean Comisión Nacional de Investigación Científica y Tecnológica and the Wellcome Trust.).

  12. Effect of surgical hand scrub time on subsequent bacterial growth.

    PubMed

    Wheelock, S M; Lookinland, S

    1997-06-01

    In this experimental study, the researchers evaluated the effect of surgical hand scrub time on subsequent bacterial growth and assessed the effectiveness of the glove juice technique in a clinical setting. In a randomized crossover design, 25 perioperative staff members scrubbed for two or three minutes in the first trial and vice versa in the second trial, after which the wore sterile surgical gloves for one hour under clinical conditions. The researchers then sampled the subjects' nondominant hands for bacterial growth, cultured aliquots from the sampling solution, and counted microorganisms. Scrubbing for three minutes produced lower mean log bacterial counts than scrubbing for two minutes. Although the mean bacterial count differed significantly (P = .02) between the two-minute and three-minute surgical hand scrub times, it fell below 0.5 log, which is the threshold for practical and clinical significance. This finding suggests that a two-minute surgical hand scrub is clinically as effective as a three-minute surgical had scrub. The glove juice technique demonstrated sensitivity and reliability in enumerating bacteria on the hands of perioperative staff members in a clinical setting.

  13. Scrub typhus: audit of an outbreak.

    PubMed

    Krishna, Mani Ram; Vasuki, B; Nagaraju, K

    2015-06-01

    To document the epidemiological, clinical and laboratory profile of all children with scrub typhus at a tertiary care centre in Chennai between September 2010 and June 2011. The case records of all children admitted and diagnosed with scrub typhus between September 2010 and June 2011 were analysed to look for salient clinical and laboratory parameters. During the study period, 52 children were admitted with scrub typhus in the authors' hospital. The presenting complaints included fever in all cases. Other symptoms included swelling of legs (50 %) and vomiting (45 %). 13 % presented with CNS symptoms. The commonest physical findings included eschar (67 %), hepatomegaly (94 %), splenomegaly (73 %) and third spacing (67 %). Salient lab parameters included packed cell volume (PCV) <30 (48 %), leucocytosis (56 %), positive C-reactive protein (CRP) (92 %), hypoalbuminemia (79 %). Common complications included acute kidney injury (10 %) and peripheral gangrene (4 %). There was no mortality in the present case series. The clinical profile of children with scrub typhus in a tertiary care centre is reported. Eschar and hepatosplenomegaly with a high CRP value is helpful in diagnosis. All patients responded well to the treatment.

  14. Scrubbing technique for needleless connectors to minimize contamination risk.

    PubMed

    Satou, K; Kusanagi, R; Nishizawa, A; Hori, S

    2018-03-21

    This study aimed to investigate the appropriate scrubbing technique for needleless connectors to minimize contamination risk. To demonstrate a highly effective scrubbing technique to physically eliminate bacteria, needleless connectors were contaminated with Geobacillus stearothermophilus spores and then scrubbed. The study showed that the highest bacterial elimination rate was achieved by scrubbing an access port in a straight line with an alcohol cotton swab, applying a force that was almost equal to an arterial compression haemostasis to the access port, and repeating this procedure once using a new alcohol cotton swab. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  15. Rocky Martian Plain

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The rocky Martian plain surrounding Viking 2 is seen in high resolution in this 85-degree panorama sweeping from north at the left to east at right during the Martian afternoon on September 5. Large blocks litter the surface. Some are porous, sponge-like rocks like the one at the left edge (size estimate: 1 1/2 to 2 feet); others are dense and fine-grained, such as the very bright rounded block (1 to 1 1/2 feet across) toward lower right. Pebbled surface between the rocks is covered in places by small drifts of very fine material similar to drifts seen at the Viking 1 landing site some 4600 miles to the southwest. The fine-grained material is banked up behind some rocks, but wind tails seen by Viking 1 are not well-developed here. On the right horizon, flat-topped ridges or hills are illuminated by the afternoon sun. Slope of the horizon is due to the 8-degree tilt of the spacecraft.

  16. Use of a Sensitive Microplate Enzyme-Linked Immunosorbent Assay in a Retrospective Serological Analysis of a Laboratory Population at Risk to Infection with Typhus Group Rickettsiae

    DTIC Science & Technology

    1980-01-01

    Rocky Mountain spotted fever (3, 12, 20, 30), typhus, and scrub typhus rickettsiae. In a sum- and scrub typhus (38). Many, however, were mary and...and M. J. Synder. 197ti murine typhus in sera from Indonesians. Trans. R. ’.oc. Prompt confirmation of Rocky Mountain spotted fever "Trop. Med Hyg

  17. Rocky Flats CAAS System Recalibrated, Retested, and Analyzed to Install in the Criticality Experiments Facility at the Nevada Test Site

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

    Kim, S; Heinrichs, D; Biswas, D

    2009-05-27

    Neutron detectors and control panels transferred from the Rocky Flats Plant (RFP) were recalibrated and retested for redeployment to the CEF. Testing and calibration were successful with no failure to any equipment. Detector sensitivity was tested at a TRIGA reactor, and the response to thermal neutron flux was satisfactory. MCNP calculated minimum fission yield ({approx} 2 x 10{sup 15} fissions) was applied to determine the thermal flux at selected detector positions at the CEF. Thermal flux levels were greater than 6.39 x 10{sup 6} (n/cm{sup 2}-sec), which was about four orders of magnitude greater than the minimum alarm flux. Calculationsmore » of detector survivable distances indicate that, to be out of lethal area, a detector needs to be placed greater than 15 ft away from a maximum credible source. MCNP calculated flux/dose results were independently verified by COG. CAAS calibration and the testing confirmed that the RFP CAAS system is performing its functions as expected. New criteria for the CAAS detector placement and 12-rad zone boundaries at the CEF are established. All of the CAAS related documents and hardware have been transferred from LLNL to NSTec for installation at the CEF high bay areas.« less

  18. Scrub Typhus Outbreak in a Remote Primary School, Bhutan, 2014.

    PubMed

    Tshokey, Tshokey; Graves, Stephen; Tshering, Dorji; Phuntsho, Kelzang; Tshering, Karchung; Stenos, John

    2017-08-01

    Scrub typhus in Bhutan was first reported in 2009. We investigated an outbreak of scrub typhus in a remote primary school during August-October 2014. Delay in recognition and treatment resulted in 2 deaths from meningoencephalitis. Scrub typhus warrants urgent public health interventions in Bhutan.

  19. Spatiotemporal Dynamics of Scrub Typhus Transmission in Mainland China, 2006-2014

    PubMed Central

    Hu, Wen-Biao; Haque, Ubydul; Weppelmann, Thomas A.; Wang, Yong; Liu, Yun-Xi; Li, Xin-Lou; Sun, Hai-Long; Sun, Yan-Song; Clements, Archie C. A.; Li, Shen-Long; Zhang, Wen-Yi

    2016-01-01

    Background Scrub typhus is endemic in the Asia-Pacific region including China, and the number of reported cases has increased dramatically in the past decade. However, the spatial-temporal dynamics and the potential risk factors in transmission of scrub typhus in mainland China have yet to be characterized. Objective This study aims to explore the spatiotemporal dynamics of reported scrub typhus cases in mainland China between January 2006 and December 2014, to detect the location of high risk spatiotemporal clusters of scrub typhus cases, and identify the potential risk factors affecting the re-emergence of the disease. Method Monthly cases of scrub typhus reported at the county level between 2006 and 2014 were obtained from the Chinese Center for Diseases Control and Prevention. Time-series analyses, spatiotemporal cluster analyses, and spatial scan statistics were used to explore the characteristics of the scrub typhus incidence. To explore the association between scrub typhus incidence and environmental variables panel Poisson regression analysis was conducted. Results During the time period between 2006 and 2014 a total of 54,558 scrub typhus cases were reported in mainland China, which grew exponentially. The majority of cases were reported each year between July and November, with peak incidence during October every year. The spatiotemporal dynamics of scrub typhus varied over the study period with high-risk clusters identified in southwest, southern, and middle-eastern part of China. Scrub typhus incidence was positively correlated with the percentage of shrub and meteorological variables including temperature and precipitation. Conclusions The results of this study demonstrate areas in China that could be targeted with public health interventions to mitigate the growing threat of scrub typhus in the country. PMID:27479297

  20. Spatiotemporal Dynamics of Scrub Typhus Transmission in Mainland China, 2006-2014.

    PubMed

    Wu, Yi-Cheng; Qian, Quan; Soares Magalhaes, Ricardo J; Han, Zhi-Hai; Hu, Wen-Biao; Haque, Ubydul; Weppelmann, Thomas A; Wang, Yong; Liu, Yun-Xi; Li, Xin-Lou; Sun, Hai-Long; Sun, Yan-Song; Clements, Archie C A; Li, Shen-Long; Zhang, Wen-Yi

    2016-08-01

    Scrub typhus is endemic in the Asia-Pacific region including China, and the number of reported cases has increased dramatically in the past decade. However, the spatial-temporal dynamics and the potential risk factors in transmission of scrub typhus in mainland China have yet to be characterized. This study aims to explore the spatiotemporal dynamics of reported scrub typhus cases in mainland China between January 2006 and December 2014, to detect the location of high risk spatiotemporal clusters of scrub typhus cases, and identify the potential risk factors affecting the re-emergence of the disease. Monthly cases of scrub typhus reported at the county level between 2006 and 2014 were obtained from the Chinese Center for Diseases Control and Prevention. Time-series analyses, spatiotemporal cluster analyses, and spatial scan statistics were used to explore the characteristics of the scrub typhus incidence. To explore the association between scrub typhus incidence and environmental variables panel Poisson regression analysis was conducted. During the time period between 2006 and 2014 a total of 54,558 scrub typhus cases were reported in mainland China, which grew exponentially. The majority of cases were reported each year between July and November, with peak incidence during October every year. The spatiotemporal dynamics of scrub typhus varied over the study period with high-risk clusters identified in southwest, southern, and middle-eastern part of China. Scrub typhus incidence was positively correlated with the percentage of shrub and meteorological variables including temperature and precipitation. The results of this study demonstrate areas in China that could be targeted with public health interventions to mitigate the growing threat of scrub typhus in the country.

  1. Clinical proteomic analysis of scrub typhus infection.

    PubMed

    Park, Edmond Changkyun; Lee, Sang-Yeop; Yun, Sung Ho; Choi, Chi-Won; Lee, Hayoung; Song, Hyun Seok; Jun, Sangmi; Kim, Gun-Hwa; Lee, Chang-Seop; Kim, Seung Il

    2018-01-01

    Scrub typhus is an acute and febrile infectious disease caused by the Gram-negative α-proteobacterium Orientia tsutsugamushi from the family Rickettsiaceae that is widely distributed in Northern, Southern and Eastern Asia. In the present study, we analysed the serum proteome of scrub typhus patients to investigate specific clinical protein patterns in an attempt to explain pathophysiology and discover potential biomarkers of infection. Serum samples were collected from three patients (before and after treatment with antibiotics) and three healthy subjects. One-dimensional sodium dodecyl sulphate-polyacrylamide gel electrophoresis followed by liquid chromatography-tandem mass spectrometry was performed to identify differentially abundant proteins using quantitative proteomic approaches. Bioinformatic analysis was then performed using Ingenuity Pathway Analysis. Proteomic analysis identified 236 serum proteins, of which 32 were differentially expressed in normal subjects, naive scrub typhus patients and patients treated with antibiotics. Comparative bioinformatic analysis of the identified proteins revealed up-regulation of proteins involved in immune responses, especially complement system, following infection with O. tsutsugamushi , and normal expression was largely rescued by antibiotic treatment. This is the first proteomic study of clinical serum samples from scrub typhus patients. Proteomic analysis identified changes in protein expression upon infection with O. tsutsugamushi and following antibiotic treatment. Our results provide valuable information for further investigation of scrub typhus therapy and diagnosis.

  2. Estimating the burden of scrub typhus: A systematic review.

    PubMed

    Bonell, Ana; Lubell, Yoel; Newton, Paul N; Crump, John A; Paris, Daniel H

    2017-09-01

    Scrub typhus is a vector-borne zoonotic disease that can be life-threatening. There are no licensed vaccines, or vector control efforts in place. Despite increasing awareness in endemic regions, the public health burden and global distribution of scrub typhus remains poorly known. We systematically reviewed all literature from public health records, fever studies and reports available on the Ovid MEDLINE, Embase Classic + Embase and EconLit databases, to estimate the burden of scrub typhus since the year 2000. In prospective fever studies from Asia, scrub typhus is a leading cause of treatable non-malarial febrile illness. Sero-epidemiological data also suggest that Orientia tsutsugamushi infection is common across Asia, with seroprevalence ranging from 9.3%-27.9% (median 22.2% IQR 18.6-25.7). A substantial apparent rise in minimum disease incidence (median 4.6/100,000/10 years, highest in China with 11.2/100,000/10 years) was reported through passive national surveillance systems in South Korea, Japan, China, and Thailand. Case fatality risks from areas of reduced drug-susceptibility are reported at 12.2% and 13.6% for South India and northern Thailand, respectively. Mortality reports vary widely around a median mortality of 6.0% for untreated and 1.4% for treated scrub typhus. Limited evidence suggests high mortality in complicated scrub typhus with CNS involvement (13.6% mortality), multi-organ dysfunction (24.1%) and high pregnancy miscarriage rates with poor neonatal outcomes. Scrub typhus appears to be a truly neglected tropical disease mainly affecting rural populations, but increasingly also metropolitan areas. Rising minimum incidence rates have been reported over the past 8-10 years from countries with an established surveillance system. A wider distribution of scrub typhus beyond Asia is likely, based on reports from South America and Africa. Unfortunately, the quality and quantity of the available data on scrub typhus epidemiology is currently too

  3. Estimating the burden of scrub typhus: A systematic review

    PubMed Central

    Bonell, Ana; Lubell, Yoel; Newton, Paul N.; Crump, John A.

    2017-01-01

    Background Scrub typhus is a vector-borne zoonotic disease that can be life-threatening. There are no licensed vaccines, or vector control efforts in place. Despite increasing awareness in endemic regions, the public health burden and global distribution of scrub typhus remains poorly known. Methods We systematically reviewed all literature from public health records, fever studies and reports available on the Ovid MEDLINE, Embase Classic + Embase and EconLit databases, to estimate the burden of scrub typhus since the year 2000. Findings In prospective fever studies from Asia, scrub typhus is a leading cause of treatable non-malarial febrile illness. Sero-epidemiological data also suggest that Orientia tsutsugamushi infection is common across Asia, with seroprevalence ranging from 9.3%–27.9% (median 22.2% IQR 18.6–25.7). A substantial apparent rise in minimum disease incidence (median 4.6/100,000/10 years, highest in China with 11.2/100,000/10 years) was reported through passive national surveillance systems in South Korea, Japan, China, and Thailand. Case fatality risks from areas of reduced drug-susceptibility are reported at 12.2% and 13.6% for South India and northern Thailand, respectively. Mortality reports vary widely around a median mortality of 6.0% for untreated and 1.4% for treated scrub typhus. Limited evidence suggests high mortality in complicated scrub typhus with CNS involvement (13.6% mortality), multi-organ dysfunction (24.1%) and high pregnancy miscarriage rates with poor neonatal outcomes. Interpretation Scrub typhus appears to be a truly neglected tropical disease mainly affecting rural populations, but increasingly also metropolitan areas. Rising minimum incidence rates have been reported over the past 8–10 years from countries with an established surveillance system. A wider distribution of scrub typhus beyond Asia is likely, based on reports from South America and Africa. Unfortunately, the quality and quantity of the available data on

  4. Clinical Score to Differentiate Scrub Typhus and Dengue: A Tool to Differentiate Scrub Typhus and Dengue.

    PubMed

    Mitra, Shubhanker; Gautam, Ira; Jambugulam, Mohan; Abhilash, Kundavaram Paul Prabhakar; Jayaseeelan, Vishalakshi

    2017-01-01

    Dengue and scrub typhus share similar clinical and epidemiological features, and are difficult to differentiate at initial presentation. Many places are endemic to both these infections where they comprise the majority of acute undifferentiated febrile illnesses. We aimed to develop a score that can differentiate scrub typhus from dengue. In this cross-sectional study, 188 cases of scrub typhus and 201 cases of dengue infection who presented to the emergency department or medicine outpatient clinic from September 2012 to April 2013 were included. Univariate followed by multivariate logistic regression analysis was performed to identify clinical features and laboratory results that were significantly different between the two groups. Each variable was assigned scores based on the strength of association and receiver operating characteristics area under the curve (ROC-AUC) was generated and compared. Six scoring models were explored to ascertain the model with the best fit. Model 2 was developed using the following six variables: oxygen saturation (>90%, ≤90%), total white blood cell count (<4000, 4001-7000 and >7000 cells/cumm), hemoglobin (≤14 and >14 g/dL), total bilirubin (<2 and ≥2 mg/dL), serum glutamic oxaloacetic transaminase (>200 and ≥200 IU/dL), and altered sensorium (present or absent). Each variable was assigned scores based on its strength of association. The AUC-ROC curve (95% confidence interval) for model 2 was 0.84 (0.79-0.89). At the cut off score of 13, the sensitivity and specificity were 85% and 77% respectively, with a higher score favoring dengue. In areas of high burden of ST and dengue, model 2 (the "clinical score to differentiate scrub typhus and dengue fever") is a simple and rapid clinical scoring system that may be used to differentiate scrub typhus and dengue at initial presentation.

  5. Rockies

    Atmospheric Science Data Center

    2014-05-15

    article title:  Front Range of the Rockies     View ... north and east. Denver is situated just east of the Front Range of the Rocky Mountains, located in the lower right of the images. The ... of erosion. Scattered cumulus clouds floating above the mountain peaks are visible in these images, and stand out most dramatically in ...

  6. The lived experiences of operating theatre scrub nurses learning technical scrub skills 'I'm doing this right, aren't I? Am I doing this right?'

    PubMed

    Radford, Eleanor J; Fotis, Theo

    2018-01-01

    Operating theatre scrub nurses (OTSNs) are not required to have undertaken a secondary or specialist post-registration theatre qualification to work in the operating theatre (OT) setting in the UK. From the systematic review there is only very limited literature or research in how technical scrub skills are acquired. This study explores the lived experiences of OTSNs learning technical scrub skills. The study employed the qualitative methodology of interpretative phenomenological analysis. Data was collected from six participating OTSNs using semi-structured interviews. Four superordinate themes emerged: How technical scrub skills are established, Gatekeepers, How the learner feels whilst learning and, Reflections of the experienced scrub nurse. The study found that the experiences of OTSNs learning technical scrub skills are varied and a variety of teaching and learning methods are utilised. These experiences were influenced by the team, mentor and surgeon within the OT environment. Lived experiences were also influenced by organisational structure and service pressures within the NHS.

  7. Alluvial Scrub Vegetation in Coastal Southern California

    Treesearch

    Ted L. Hanes; Richard D. Friesen; Kathy Keane

    1989-01-01

    Certain floodplain systems in southern California sustain a unique scrub vegetation rather than riparian woodlands due to a lack of perennial water. Alluvial scrub occurs on outwash fans and riverine deposits along the coastal side of major mountains of southern California. This vegetation type is adapted to severe floods and erosion, nutrient-poor substrates, and the...

  8. Is it time for brushless scrubbing with an alcohol-based agent?

    PubMed

    Gruendemann, B J; Bjerke, N B

    2001-12-01

    The practice of surgical scrubbing in perioperative settings is changing rapidly. This article presents information about eliminating the traditional scrub brush technique and using an alcohol formulation for surgical hand scrubs. Also covered are antimicrobial agents, relevant US Food and Drug Administration classifications, skin and fingernail care, and implementation of changes. The article challenges surgical team members to evaluate a new and different approach to surgical hand scrubbing.

  9. Rocky road in the Rockies: Challenges to biodiversity

    USGS Publications Warehouse

    Tomback, Diana F.; Kendall, Katherine C.; Baron, Jill S.

    2002-01-01

    To people worldwide, the Rocky Mountains of the United States and Canada represent a last bastion of nature in its purest and rawest form-unspoiled forests teeming with elk and deer stalked by mountain lions and grizzly bears; bald eagles nesting near lakes and rivers; fat, feisty native trout in rushing mountain streams; and dazzling arrays of wildflowers in lush meadows. In fact, the total biodiversity of the Rocky Mountains is considerable, with relatively high diversity in birds, mammals, butterflies, reptiles, and conifers (Ricketts et al. 1999) and with geographic variation in the flora and fauna of alpine, forest, foothill, and adjacent shortgrass prairie and shrub communities over more than 20 degrees of latitude and more than 10' of longitude. Although the biodiversity of most North American regions has declined because of anthropogenic influences, the perception remains that the biodiversity of the Rocky Mountains is intact. This view exists in part because the Rocky Mountains are remote from urban centers, in part because so much of the land comprises protected areas such as national parks and wilderness areas, and in part because of wishful thinking-that nothing bad could happen to the biodiversity that is so much a part of the history, national self-image, legends, nature films, and movies of the United States and Canada. Despite modern technology and the homogenization and globalization of their cities and towns, at heart North Americans still regard their land as the New World, with pristine nature and untamed landscapes epitomized by the Rockies. The reality is that the biodiversity of the Rocky Mountains has not been free of anthropogenic influences since the West was settled in the 1800s, and in fact it was altered by Native Americans for centuries prior to settlement. A number of escalating problems and consequences of management choices are currently changing Rocky Mountain ecological communities at a dizzying pace. In Order to maintain some

  10. Scrub Typhus Incidence Modeling with Meteorological Factors in South Korea.

    PubMed

    Kwak, Jaewon; Kim, Soojun; Kim, Gilho; Singh, Vijay P; Hong, Seungjin; Kim, Hung Soo

    2015-06-29

    Since its recurrence in 1986, scrub typhus has been occurring annually and it is considered as one of the most prevalent diseases in Korea. Scrub typhus is a 3rd grade nationally notifiable disease that has greatly increased in Korea since 2000. The objective of this study is to construct a disease incidence model for prediction and quantification of the incidences of scrub typhus. Using data from 2001 to 2010, the incidence Artificial Neural Network (ANN) model, which considers the time-lag between scrub typhus and minimum temperature, precipitation and average wind speed based on the Granger causality and spectral analysis, is constructed and tested for 2011 to 2012. Results show reliable simulation of scrub typhus incidences with selected predictors, and indicate that the seasonality in meteorological data should be considered.

  11. Scrub Typhus Incidence Modeling with Meteorological Factors in South Korea

    PubMed Central

    Kwak, Jaewon; Kim, Soojun; Kim, Gilho; Singh, Vijay P.; Hong, Seungjin; Kim, Hung Soo

    2015-01-01

    Since its recurrence in 1986, scrub typhus has been occurring annually and it is considered as one of the most prevalent diseases in Korea. Scrub typhus is a 3rd grade nationally notifiable disease that has greatly increased in Korea since 2000. The objective of this study is to construct a disease incidence model for prediction and quantification of the incidences of scrub typhus. Using data from 2001 to 2010, the incidence Artificial Neural Network (ANN) model, which considers the time-lag between scrub typhus and minimum temperature, precipitation and average wind speed based on the Granger causality and spectral analysis, is constructed and tested for 2011 to 2012. Results show reliable simulation of scrub typhus incidences with selected predictors, and indicate that the seasonality in meteorological data should be considered. PMID:26132479

  12. Chest radiographic manifestations of scrub typhus.

    PubMed

    Abhilash, Kpp; Mannam, P R; Rajendran, K; John, R A; Ramasami, P

    2016-01-01

    Respiratory system involvement in scrub typhus is seen in 20-72% of patients. In endemic areas, good understanding and familiarity with the various radiologic findings of scrub typhus are essential in identifying pulmonary complications. Patients admitted to a tertiary care center with scrub typhus between October 2012 and September 2013 and had a chest X ray done were included in the analysis. Details and radiographic findings were noted and factors associated with abnormal X-rays were analyzed. The study cohort contained 398 patients. Common presenting complaints included fever (100%), generalized myalgia (83%), headache (65%), dyspnea (54%), cough (24.3%), and altered sensorium (14%). Almost half of the patients (49.4%) had normal chest radiographs. Common radiological pulmonary abnormalities included pleural effusion (14.6%), acute respiratory distress syndrome (14%), airspace opacity (10.5%), reticulonodular opacities (10.3%), peribronchial thickening (5.8%), and pulmonary edema (2%). Cardiomegaly was noted in 3.5% of patients. Breathlessness, presence of an eschar, platelet counts of <20,000 cells/cumm, and total serum bilirubin >2 mg/dL had the highest odds of having an abnormal chest radiograph. Patients with an abnormal chest X-ray had a higher requirement of noninvasive ventilation (odds ratio [OR]: 13.98; 95% confidence interval CI: 5.89-33.16), invasive ventilation (OR: 18.07; 95% CI: 6.42-50.88), inotropes (OR: 8.76; 95% CI: 4.35-17.62), higher involvement of other organ systems, longer duration of hospital stay (3.18 ± 3 vs. 7.27 ± 5.58 days; P< 0.001), and higher mortality (OR: 4.63; 95% CI: 1.54-13.85). Almost half of the patients with scrub typhus have abnormal chest radiographs. Chest radiography should be included as part of basic evaluation at presentation in patients with scrub typhus, especially in those with breathlessness, eschar, jaundice, and severe thrombocytopenia.

  13. Associated factors and clinical implications of serum aminotransferase elevation in scrub typhus.

    PubMed

    Su, Tung-Hung; Liu, Chun-Jen; Shu, Pei-Yun; Fu, Yang-Hsien; Chang, Chi-Hsien; Jao, Ping; Kao, Jia-Horng

    2016-12-01

    Timely diagnosis and prompt treatment can reduce the complications of scrub typhus. It is thus important to find easy laboratory tests to help in the diagnosis, especially in patients without eschar at initial presentation. Because serum aminotransferase elevation is common in scrub typhus, its associated factors and clinical implications need further investigations. We conducted a retrospective study in Kinmen, Taiwan, to collect clinically suspected scrub typhus patients notified to Taiwan Centers for Disease Control for confirmation during 2005-2010. Scrub typhus was diagnosed and Orientia tsutsugamushi was genotyped by serological or molecular assays. The laboratory data and clinical information were recorded for analysis. Overall, 344 suspected scrub typhus patients were reported to Taiwan Centers for Disease Control and 288 of them were certified scrub typhus. Scrub typhus patients had significantly more thrombocytopenia, serum aminotransferase elevation (76% vs. 54%, p = 0.001), higher frequency of fever, eschar, and lymphadenopathy, compared with nontyphus patients. Hepatic dysfunction in scrub typhus was associated with older age, longer fever duration, and absence of lymphadenopathy, but seemed to be unrelated to the rickettsial genotypes. Multivariate analysis showed that serum aminotransferase elevation (odds ratio: 3.75; p = 0.003; 95% confidence interval: 1.56-9.01) independently predicted scrub typhus. Furthermore, in suspected scrub typhus patients without eschar, 92% of true typhus patients had serum aminotransferase elevation compared with the nontyphus ones (odds ratio: 6.47; p = 0.028, 95% confidence interval: 1.23-34.11). Hepatic dysfunction in scrub typhus patients is associated with older age, longer fever duration, and absence of lymphadenopathy. Serum aminotransferase elevation can aid in the diagnosis of scrub typhus, especially in suspected patients without eschar. Copyright © 2014. Published by Elsevier B.V.

  14. Climate variability, animal reservoir and transmission of scrub typhus in Southern China

    PubMed Central

    Li, Xiaoning; Ma, Yu; Tao, Xia; Wu, Xinwei

    2017-01-01

    Objectives We aimed to evaluate the relationships between climate variability, animal reservoirs and scrub typhus incidence in Southern China. Methods We obtained data on scrub typhus cases in Guangzhou every month from 2006 to 2014 from the Chinese communicable disease network. Time-series Poisson regression models and distributed lag nonlinear models (DLNM) were used to evaluate the relationship between risk factors and scrub typhus. Results Wavelet analysis found the incidence of scrub typhus cycled with a period of approximately 8–12 months and long-term trends with a period of approximately 24–36 months. The DLNM model shows that relative humidity, rainfall, DTR, MEI and rodent density were associated with the incidence of scrub typhus. Conclusions Our findings suggest that the incidence scrub typhus has two main temporal cycles. Determining the reason for this trend and how it can be used for disease control and prevention requires additional research. The transmission of scrub typhus is highly dependent on climate factors and rodent density, both of which should be considered in prevention and control strategies for scrub typhus. PMID:28273079

  15. Climate variability, animal reservoir and transmission of scrub typhus in Southern China.

    PubMed

    Wei, Yuehong; Huang, Yong; Li, Xiaoning; Ma, Yu; Tao, Xia; Wu, Xinwei; Yang, Zhicong

    2017-03-01

    We aimed to evaluate the relationships between climate variability, animal reservoirs and scrub typhus incidence in Southern China. We obtained data on scrub typhus cases in Guangzhou every month from 2006 to 2014 from the Chinese communicable disease network. Time-series Poisson regression models and distributed lag nonlinear models (DLNM) were used to evaluate the relationship between risk factors and scrub typhus. Wavelet analysis found the incidence of scrub typhus cycled with a period of approximately 8-12 months and long-term trends with a period of approximately 24-36 months. The DLNM model shows that relative humidity, rainfall, DTR, MEI and rodent density were associated with the incidence of scrub typhus. Our findings suggest that the incidence scrub typhus has two main temporal cycles. Determining the reason for this trend and how it can be used for disease control and prevention requires additional research. The transmission of scrub typhus is highly dependent on climate factors and rodent density, both of which should be considered in prevention and control strategies for scrub typhus.

  16. [Case of imported scrub typhus contracted in Myanmar].

    PubMed

    Matsumura, Yasufumi; Shimizu, Tsunehiro

    2009-05-01

    Scrub typhus is widespread in rural south and southeastern Asia and the western Pacific. The scrub typhus incidence is the highest among vector-borne diseases in Japan, but imported cases are extremely rare. A 49-year-old man admitted for persistent fever, headache, and rash after returning from Myanmar had been exposed to mosquito and tick bites while doing a 12-day forest inventory in Myanmar. On admission, he had a generalized maculopapular rash but no apparent eschars characteristic of scrub typhus. Blood examination and abdominal ultrasonography showed elevated liver enzymes, thrombocytopenia, and hepatosplenomegaly. Repeated blood smears and blood cultures were negative for malaria infection and bacteremia. Dengue fever was denied by both PCR and serology. The patient deteriorated on the ninth day and suffered complications of rhabdomyolysis, pneumonia, and enteritis. Based on a tentative diagnosis of typhoid fever or rickettiosis, we administratered ceftriaxone and minocycline, which dramatically reduced clinical signs and symptoms. After discharge on day 19, immunofluorescence assay showed significantly increased antibodies for Orienta tsutsugamushi serotype Gilliam, first discovered in Myanmar. All serological results were negative for other rickettioses, leptospirosis and Q fever. Given the many travelers from Japan visiting endemic scrub typhus areas, we must recognize cases of imported scrub typhus among those travelers with fever and rash returning from endemic areas.

  17. Masticophis flagellum selects florida scrub habitat at multiple spatial scales

    USGS Publications Warehouse

    Halstead, B.J.; Mushinsky, H.R.; McCoy, E.D.

    2009-01-01

    The use of space by individual animals strongly influences the spatial extent, abundance, and growth rates of their populations. We analyzed the spatial ecology and habitat selection of Masticophis flagellum (the coachwhip) at three different scales to determine which habitats are most important to this species. Home ranges and mean daily displacements of M. flagellum in Florida were large compared to individuals in other populations of this species. Home ranges contained a greater proportion of Florida scrub habitat than did the study site as a whole, and individuals selected Florida scrub habitat within their home ranges. For both selection of the home range within the study site and selection of habitats within the home range, mesic cutthroat and hydric swamp habitats were avoided. Standardized selection ratios of Florida scrub patches were positively correlated with lizard abundance. Several non-mutually exclusive mechanisms, including foraging success (prey abundance, prey vulnerability, and foraging efficiency), abundance of refugia, and thermoregulatory opportunity may underlie the selection of Florida scrub by M. flagellum. Historic rarity and anthropogenic loss and fragmentation of Florida scrub habitat, coupled with the long-distance movements, large home ranges, and selection of Florida scrub by M. flagellum, indicate that large contiguous tracts of land containing Florida scrub will be essential for the persistence of M. flagellum in central Florida. ?? 2009 by The Herpetologists' League, Inc.

  18. Scrub Typhus: An Emerging Neglected Tropical Disease in Nepal.

    PubMed

    Upadhyaya, B P; Shakya, G; Adhikari, S; Rijal, N; Acharya, J; Maharjan, L; Marasini, B R

    2016-05-01

    Scrub typhus is a neglected tropical disease and is under reported from Nepal. The objective of this study was to investigate the sero-epidemiology of scrub typhus in patients suffering from acute febrile illness. A total of 434 specimens collected from July to November 2015 at National Public Health Laboratory (NPHL) were investigated for detection of immunoglobulin M (IgM) antibody to Orientiatsutsugamushi.The Scrub Typhus Detect TM kit (InBios, USA) was used to detect the antibodies to O.tsutsugamushi in human serum. Randomly selected 10% positive specimens were used for confirmation by dot- enzyme-linked immunosorbent assay and indirect immunofluorescence assay. Of the total, 175 (40.3%) were positive for IgM antibodies to O. tsutsugamushi. Positive results of scrub typhus were highest among female in 11-20 year followed by males in 41-50 years age group. The IgM antibodies to O. tsutusugamushi were positive in specimens of various geographical regions including 30 districts of Nepal. Positive cases were found in various ecological regions of Nepal. Scrub typhus is one of the neglected tropical diseases in Nepal. Patients with acute febrile illness should be investigated for scrub typhus with high priority. There is an urgent need of reliable and affordable diagnostic tests at all level of health facilities of Nepal. Surveillance and public health awareness about the disease transmission and preventive measures needs to be initiated.

  19. Distribution of Eschar in Pediatric Scrub Typhus.

    PubMed

    Rose, Winsley; Rajan, Roshni J; Punnen, Anu; Ghosh, Urmi

    2016-10-01

    Identifying an eschar in scrub typhus is useful for initiation of prompt and appropriate antibiotic therapy. The distribution of eschars in all children <15 years of age admitted with confirmed scrub typhus over a 5 year period is described. Of 431 children admitted with scrub typhus, eschars were present in 176 (40.8%) children with the following distribution: head, face and neck, 33 (19.1%); axillae, 37 (21%); chest and abdomen, 21 (11.9%); genitalia, inguinal region and buttocks, 58 (33%); back, 8 (4.5%); upper extremities, 13 (7.4%); and lower extremities, 5 (2.8%). The commonest sites of eschars were scrotum (27 of 106; 25.5%) and axillae (15 of 106; 14.2%) in males and axillae (22 of 70; 31.4%) and groin (16 of 70; 22.9%) in females. Eschars were seen within skin folds in 100 of 176 (56.8%) children. Children should be carefully examined for the presence of eschar especially in the skin folds of the genitalia, axillae and groin to make an early diagnosis of scrub typhus. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Seroprevalence of Scrub Typhus Infection in Arunachal Pradesh, India.

    PubMed

    Jakharia, Aniruddha; Borkakoty, Biswajyoti; Biswas, Dipankar; Yadav, Kaushal; Mahanta, Jagadish

    2016-10-01

    Scrub typhus is a major reason for febrile illness, caused by a bacterium Orientia tsutsugamushi, a rickettsial pathogen. Few outbreaks of scrub typhus have been reported from Arunachal Pradesh in recent past. However, there is lack of seroprevalence data from the region. In this regard, this study was undertaken using archival serum sample available from seven districts of Arunachal Pradesh. This serological study was conducted in Regional Medical Research Center for NE Region, Dibrugarh. Reactivity to IgG class of antibodies against scrub typhus was done using Scrub typhus detect IgG ELISA kit as per manufacturer's protocol. Seroprevalence of scrub typhus in seven districts of Arunachal Pradesh was found to be 40% (120/300). The age-specific scrub typhus seroprevalence rose steadily from 5.6% in children <10 years of age to 61.8% in persons aged ≥40 years (p = 0.0001). Prevalence is lowest in Papumpare (25.9%) and highest in East Siang (72.5%) (p = 0.0001). The seroprevalence in males and females was very similar, however, the female prevalence increases from age group ≥30 years (p = 0.053). Moreover, among the farmers, the seroprevalence is higher (58.3%) (p = 0.0001). As clinical symptoms overlap with other viral/bacterial infections, scrub typhus infection should be considered in differential diagnosis of any acute febrile illness in this part of the country. In view of the high prevalence, empirical therapy of doxycycline/azithromycin may be done in cases of undiagnosed fever. Active surveillance has to be done to understand exact magnitude, epidemiological aspects, and distribution of vector and disease of this reemerging neglected tropical disease.

  1. Development and implementation of a scrub habitat compensation plan for Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Schmalzer, Paul A.; Breininger, David R.; Adrian, Frederic W.; Schaub, Ron; Duncan, Brean W.

    1994-01-01

    Kennedy Space Center (KSC), located on Merritt Island on the east coast of central Florida, is one of three remaining major populations of the Florida Scrub Jay (Aphelocoma coerulescens coerulescens), listed as threatened by the U.S. Fish and Wildlife Service (USFWS) since 1987. Construction of new facilities by the National Aeronautics and Space Administration (NASA) on KSC over the next five years has the potential to impact up to 193 ac (78.1 ha) of Scrub Jay habitat. Under an early consultation process with the Endangered Species Office of the USFWS, NASA agreed to a compensation plan for loss of Scrub Jay habitat. The compensation plan required NASA to restore or create scrub on KSC at a 2:1 ratio for that lost. The compensation plan emphasized restoration of scrub habitat that is of marginal or declining suitability to Scrub Jays because it has remained unburned. Although prescribed burning has been conducted by the USFWS Merritt Island National Wildlife Refuge (MINWR) for more than ten years, significant areas of scrub remain unburned because they have been excluded from fire management units or because landscape fragmentation and a period of fire suppression allowed scrub to reach heights and diameters that are fire resistant. For such areas, mechanical cutting followed by prescribed burning was recommended for restoration. A second part of the restoration plan is an experimental study of scrub reestablishment (i.e., creation) on abandoned, well drained agricultural sites by planting scrub oaks and other scrub plants. The compensation plan identified 260 ac (105 ha) of scrub restoration in four areas and a 40 ac (16 ha) scrub creation site. Monitoring of restoration sites required under the plan included: establishing permanent vegetation sample transects before treatment and resampling annually for ten years after treatment, and color banding Scrub Jays to determine territories prior to treatment followed by monitoring reproductive success and survival for

  2. Fate and transport of plutonium-239 + 240 and Americium-241 in the soil of Rocky Flats, Colorado

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

    Litaor, M.I.; Barth, G.R.; Zika, E.M.

    1996-07-01

    Actinides contamination of soils around Rocky Flats, CO, resulted from leaking drums of Pu-contaminated oil stored at an outdoor site. The transport of these actinides through the soil to groundwater was studied using an advanced monitoring system (MS). The fully automated, remotely controlled MS gathered real-time data on soil water content, groundwater level, and timing of gravitationally flowing water. Controlled rain simulations coupled with measurements of volume flux and actinide activities provided essential information about the fate and transport of Pu-239 + 240 and Am-241. Volume fluxes at most sampling locations were similar, regardless of the antecedent moisture or themore » duration, frequency, and intensity of the simulated rain. Actinide activities were not correlated with the measured volume flux, or the duration, frequency, and intensity of the simulated rain. Flow was facilitated primarily via macropore channeling. The relatively short residence time precluded a continuous interaction between the soil and the flowing water, which minimized the movement of actinides in the soil. Actinide activities in the interstitial water collected from the upper 20 cm of the soil were significantly higher (P>0.001) than water collected at deeper sampling depths (20-70 cm). Actinide activity in water samples from the deepest sampling depth (40-70 cm) did not exceed 0.4 Bq/L. These results suggest that, under the experimental conditions, the movement of actinides was restricted to the top 20 cm. A transport mechanism involving discrete Pu oxide particles, coupled with macropore channeling is proposed to explain the observed actinide activities in the soil. 31 refs., 6 figs., 7 tabs.« less

  3. Clinical manifestations of scrub typhus.

    PubMed

    Rajapakse, Senaka; Weeratunga, Praveen; Sivayoganathan, Sriharan; Fernando, Sumadhya Deepika

    2017-02-01

    The mite-borne rickettsial zoonosis scrub typhus is widely prevalent in parts of Southeast and Far East Asia, and northern Australia. The disease is an acute febrile illness, associated with rash and often an eschar, which responds dramatically to treatment with antibiotics. In some cases it results in a serious illness leading to multiple organ involvement and death. The disease manifestations are thought to result from a systemic vasculitis, caused by both direct effects of the organisms as well as an exaggerated immune response, although little is understood about its pathogenesis. A wide spectrum of clinical manifestations, affecting nearly every organ system, have been described with scrub typhus. Some of these manifestations are serious and life threatening. In this systematic review, we summarise the typical and atypical manifestations of scrub typhus reported in the literature. Awareness of these unusual manifestations will hopefully guide clinicians towards diagnosing the condition early, and initiating early appropriate antibiotics and other supportive measures. © The Author 2017. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. Spacecraft surgical scrub system

    NASA Technical Reports Server (NTRS)

    Abbate, M.

    1980-01-01

    Ease of handling and control in zero gravity and minimizing the quantity of water required were prime considerations. The program tasks include the selection of biocidal agent from among the variety used for surgical scrub, formulation of a dispensing system, test, and delivery of flight dispensers. The choice of an iodophore was based on effectiveness on single applications, general familiarity among surgeons, and previous qualification for space use. The delivery system was a choice between the squeeze foamer system and impregnated polyurethane foam pads. The impregnated foam pad was recommended because it is a simpler system since the squeeze foamer requires some applicator to effectively clean the skin surfaces, whereas the form pad is the applicator and agent combined. Testing demonstrated that both systems are effective for use as surgical scrubs.

  5. A review of the global epidemiology of scrub typhus.

    PubMed

    Xu, Guang; Walker, David H; Jupiter, Daniel; Melby, Peter C; Arcari, Christine M

    2017-11-01

    Scrub typhus is a serious public health problem in the Asia-Pacific area. It threatens one billion people globally, and causes illness in one million people each year. Caused by Orientia tsutsugamushi, scrub typhus can result in severe multiorgan failure with a case fatality rate up to 70% without appropriate treatment. The antigenic heterogeneity of O. tsutsugamushi precludes generic immunity and allows reinfection. As a neglected disease, there is still a large gap in our knowledge of the disease, as evidenced by the sporadic epidemiologic data and other related public health information regarding scrub typhus in its endemic areas. Our objective is to provide a systematic analysis of current epidemiology, prevention and control of scrub typhus in its long-standing endemic areas and recently recognized foci of infection.

  6. A review of the global epidemiology of scrub typhus

    PubMed Central

    Xu, Guang; Jupiter, Daniel; Melby, Peter C.; Arcari, Christine M.

    2017-01-01

    Scrub typhus is a serious public health problem in the Asia-Pacific area. It threatens one billion people globally, and causes illness in one million people each year. Caused by Orientia tsutsugamushi, scrub typhus can result in severe multiorgan failure with a case fatality rate up to 70% without appropriate treatment. The antigenic heterogeneity of O. tsutsugamushi precludes generic immunity and allows reinfection. As a neglected disease, there is still a large gap in our knowledge of the disease, as evidenced by the sporadic epidemiologic data and other related public health information regarding scrub typhus in its endemic areas. Our objective is to provide a systematic analysis of current epidemiology, prevention and control of scrub typhus in its long-standing endemic areas and recently recognized foci of infection. PMID:29099844

  7. Large scale database scrubbing using object oriented software components.

    PubMed

    Herting, R L; Barnes, M R

    1998-01-01

    Now that case managers, quality improvement teams, and researchers use medical databases extensively, the ability to share and disseminate such databases while maintaining patient confidentiality is paramount. A process called scrubbing addresses this problem by removing personally identifying information while keeping the integrity of the medical information intact. Scrubbing entire databases, containing multiple tables, requires that the implicit relationships between data elements in different tables of the database be maintained. To address this issue we developed DBScrub, a Java program that interfaces with any JDBC compliant database and scrubs the database while maintaining the implicit relationships within it. DBScrub uses a small number of highly configurable object-oriented software components to carry out the scrubbing. We describe the structure of these software components and how they maintain the implicit relationships within the database.

  8. Habitat model for the Florida Scrub Jay on John F. Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Breininger, David R.

    1992-01-01

    The Florida Scrub Jay is endemic to Florida. The John F. Kennedy Space Center (KSC) provides habitat for one of the three largest populations of the Florida Scrub Jay. This threatened bird occupies scrub, slash pine flatwoods, disturbed scrub, and coastal strand on KSC. Densities of Florida Scrub Jays were shown to vary with habitat characteristics but not necessarily with vegetation type. Relationships between Florida Scrub Jay densities and habitat characteristics were used to develop a habitat model to provide a tool to compare alternative sites for new facilities and to quantify environmental impacts. This model is being tested using long term demographic studies of colorbanded Florida Scrub Jays. Optimal habitat predicted by the model has greater than or equal to 50 percent of the shrub canopy comprised of scrub oaks, 20-50 percent open space or scrub oak vegetation within 100 m of a ruderal edge, less than or equal to 15 percent pine canopy cover, a shrub height of 120-170 cm, and is greater than or equal to 100 m from a forest. This document reviews life history, social behavior, food, foraging habitat, cover requirements, characteristics of habitat on KSC, and habitat preferences of the Florida Scrub Jay. Construction of the model and its limitations are discussed.

  9. Scrub typhus: radiological and clinical findings in abdominopelvic involvement.

    PubMed

    Kim, Kun Yung; Song, Ji Soo; Park, Eun Hae; Jin, Gong Yong

    2017-03-01

    To describe the clinical and radiological findings of abdominopelvic involvement in scrub typhus. Abdominopelvic computed tomography (CT) of 78 patients with scrub typhus were evaluated by two readers. The presence of gallbladder wall thickening, arterial inhomogeneous enhancement of the liver, periportal edema, splenic infarction, hepatomegaly, splenomegaly, ascites, pleural effusion, and sites of lymphadenopathy were evaluated. Patients were divided into four clinical subgroups according to laboratory findings. Association between imaging findings and subgroups was analyzed by Chi squared test or Fisher's exact test. The most common CT finding was hepatomegaly (74.4%), followed by splenomegaly (66.7%). The majority of patients had at least three areas of abdominopelvic lymphadenopathy (71.8%). Pelvic lymphadenopathy was most commonly seen when eschar was found in the ipsilateral lower extremity (left, n = 5/7; right, n = 8/13). Significant association between hepatic dysfunction and perigastric lymphadenopathy was documented (p = 0.03). Scrub typhus has a spectrum of variable clinical and radiological findings mimicking those of acute hepatitis. Diffuse abdominopelvic lymphadenopathy involving the retroperitoneum and pelvic area may aid in early diagnosis of scrub typhus. Perigastric lymphadenopathy could be a sign of severe scrub typhus combined with hepatic dysfunction.

  10. Scrub typhus associated hepatic dysfunction and abdominal CT findings

    PubMed Central

    Park, Man Je; Lee, Hyoun Soo; Shim, Sang Goon; Kim, So Hee

    2015-01-01

    Objective: This retrospective study investigated abnormal hepatic dysfunction and abdominal computed tomography (CT) findings in scrub typhus. Methods: Three hundred forty nine adult patients were diagnosed with scrub typhus. Ninety four underwent abdominal CT. The CT images were reviewed by the attending radiologist. Patient data of history, symptoms, signs, and results of laboratory tests were collected from the electronic medical records. Results: In 349 patients with scrub typhus, elevation of aspartate aminotransferase (78.5%) and alanine aminotransferase (63.0%) were dominant compared to alkaline phosphatase (27.2%) and total bilirubin (16.1%). Abdominal CT findings of 94 patients were, in descending order of frequency, enlarged lymph node (53.2%), inhomogeneous enhancement of liver (47.9%), splenomegaly (46.8%), ascites (28.7%), low attenuation of periportal areas (27.7%), gallbladder wall thickening (17.0%), and splenic infarct (6.4%). Also, the level of aspartate aminotransferase tended to be elevated according to the number of CT findings (P= 0.028) Conclusions: We found that abdominal CT manifestations of scrub typhus with elevated aminotransferases were varied and not specific. However, knowledge of these findings may evoke the recognition of scrub typhus by clinicians in endemic areas. PMID:26101478

  11. Activation of the coagulation cascade in patients with scrub typhus.

    PubMed

    Lee, Hee-Jeong; Park, Chi-Young; Park, Sang-Gon; Yoon, Na-Ra; Kim, Dong-Min; Chung, Choon-Hae

    2017-09-01

    This retrospective study aimed to evaluate the levels of coagulation factors and presence of disseminated intravascular coagulation (DIC) in patients with scrub typhus. We included patients confirmed to have scrub typhus at the Chosun University Hospital between September 2004 and December 2009. The DIC scores were evaluated in 365 patients and 36 healthy controls. The median concentrations of fibrinogen, d-dimer, and fibrin/fibrinogen degradation products (FDP) were compared between patients and healthy controls (p<0.001 for all tests). Patients with scrub typhus had longer prothrombin time and lower platelet counts than the controls. Major bleeding was observed in 18/365 patients with scrub typhus. Fifty-one (14.0%) patients presented with severe complications of scrub typhus. Overt DIC and thrombocytopenia (<100,000 platelets/mm 3 ) were observed more frequently in patients with bleeding and severe illness. Furthermore, median platelet counts were low in both groups. Approximately 2.7% (n=10) and 16.4% (n=60) patients with scrub typhus had overt DIC, as defined by the International Society on Thrombosis and Hemostasis DIC score (DIC1) and the DIC-scoring template with a fibrinogen/C-reactive protein-ratio (DIC2), respectively. Three (16.7%) and 10 (55.6%) patients with bleeding had overt DIC, as defined by the DIC1 and DIC2, respectively. Seven (13.7%) and 26 (51%) patients with severe illness had overt DIC, as defined by DIC1 and DIC2, respectively. In conclusion, activation of the coagulation system is an important feature of scrub typhus and is correlated with severe disease, including bleeding. This is the first study to report a relationship between DIC and scrub typhus. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Urbanization of Scrub Typhus Disease in South Korea

    PubMed Central

    Park, Sang-Won; Ha, Na-Young; Ryu, Boyeong; Bang, Ji Hwan; Song, Hoyeon; Kim, Yuri; Kim, Gwanghun; Oh, Myoung-don; Cho, Nam-Hyuk; Lee, Jong-koo

    2015-01-01

    Background Scrub typhus is an endemic disease in Asia. It has been a rural disease, but indigenous urban cases have been observed in Seoul, South Korea. Urban scrub typhus may have a significant impact because of the large population. Methods Indigenous urban scrub typhus was epidemiologically identified in Seoul, the largest metropolitan city in South Korea, using national notifiable disease data from 2010 to 2013. For detailed analysis of clinical features, patients from one hospital that reported the majority of cases were selected and compared to a historic control group. Chigger mites were prospectively collected in the city using a direct chigger mite-collecting trap, and identified using both phenotypic and 18S rDNA sequencing analyses. Their infection with Orientia tsutsugamushi was confirmed by sequencing the 56-kDa antigen gene. Results Eighty-eight cases of urban scrub typhus were determined in Seoul. The possible sites of infection were mountainous areas (56.8%), city parks (20.5%), the vicinity of one’s own residence (17.0%), and riversides (5.7%). Eighty-seven chigger mites were collected in Gwanak mountain, one of the suspected infection sites in southern Seoul, and seventy-six (87.4%) of them were identified as Helenicula miyagawai and eight (9.2%) as Leptotrombidium scutellare. Pooled DNA extracted from H. miyagawai mites yielded O. tsutsugamushi Boryong strain. Twenty-six patients from one hospital showed low APACHE II score (3.4 ± 2.7), low complication rate (3.8%), and no hypokalemia. Conclusions We identified the presence of indigenous urban scrub typhus in Seoul, and a subgroup of them had mild clinical features. The chigger mite H. miyagawai infected with O. tsutsugamushi within the city was found. In endemic area, urban scrub typhus needs to be considered as one of the differential febrile diseases and a target for prevention. PMID:26000454

  13. Urbanization of scrub typhus disease in South Korea.

    PubMed

    Park, Sang-Won; Ha, Na-Young; Ryu, Boyeong; Bang, Ji Hwan; Song, Hoyeon; Kim, Yuri; Kim, Gwanghun; Oh, Myoung-don; Cho, Nam-Hyuk; Lee, Jong-koo

    2015-05-01

    Scrub typhus is an endemic disease in Asia. It has been a rural disease, but indigenous urban cases have been observed in Seoul, South Korea. Urban scrub typhus may have a significant impact because of the large population. Indigenous urban scrub typhus was epidemiologically identified in Seoul, the largest metropolitan city in South Korea, using national notifiable disease data from 2010 to 2013. For detailed analysis of clinical features, patients from one hospital that reported the majority of cases were selected and compared to a historic control group. Chigger mites were prospectively collected in the city using a direct chigger mite-collecting trap, and identified using both phenotypic and 18S rDNA sequencing analyses. Their infection with Orientia tsutsugamushi was confirmed by sequencing the 56-kDa antigen gene. Eighty-eight cases of urban scrub typhus were determined in Seoul. The possible sites of infection were mountainous areas (56.8%), city parks (20.5%), the vicinity of one's own residence (17.0%), and riversides (5.7%). Eighty-seven chigger mites were collected in Gwanak mountain, one of the suspected infection sites in southern Seoul, and seventy-six (87.4%) of them were identified as Helenicula miyagawai and eight (9.2%) as Leptotrombidium scutellare. Pooled DNA extracted from H. miyagawai mites yielded O. tsutsugamushi Boryong strain. Twenty-six patients from one hospital showed low APACHE II score (3.4 ± 2.7), low complication rate (3.8%), and no hypokalemia. We identified the presence of indigenous urban scrub typhus in Seoul, and a subgroup of them had mild clinical features. The chigger mite H. miyagawai infected with O. tsutsugamushi within the city was found. In endemic area, urban scrub typhus needs to be considered as one of the differential febrile diseases and a target for prevention.

  14. Diagnosis of scrub typhus.

    PubMed

    Janardhanan, Jeshina; Trowbridge, Paul; Varghese, George M

    2014-12-01

    Scrub typhus is an acute febrile illness that, if untreated, can result in considerable morbidity and mortality. One of the primary reasons for delays in the treatment of this potentially fatal infection is the difficulty in diagnosing the condition. Diagnosis is often complicated because of the combination of non-specific symptoms that overlap with other infections commonly found in endemic areas and the poor available diagnostics. In the majority of the endemic settings, diagnosis still relies on the Weil-Felix test, which is neither sensitive nor specific. Other methods of testing have become available, but at this time, these remain insufficient to provide the rapid point-of-care diagnostics that would be necessary to significantly change the management of this infection by providers in endemic areas. This article reviews the currently available diagnostic tools for scrub typhus and their utility in the clinical setting.

  15. The clinical characteristics of pleural effusion in scrub typhus.

    PubMed

    Kim, Hyung Ho; Chung, Jong-Hoon; Kim, Dong-Min; Yun, Na Ra; Lee, Jun; Kwon, Yong Eun; Yoon, Sung Ho; Lee, Seung Il; Han, Mi Ah

    2016-06-11

    The aim of this study is to identify the factors associated with the occurrence of pleural effusion and to investigate the characteristics of pleural effusion in scrub typhus. We conducted a retrospective analysis of the medical records of scrub typhus patients between January 2004 and December 2011 at Chosun University Hospital in South Korea. A total of 445 scrub typhus patients were divided into the following two groups: without (n = 352) or with pleural effusion (n = 93). The data of 18 scrub typhus patients who underwent thoracentesis were summarized. Multivariate analysis demonstrated that the following factors were associated with the occurrence of pleural effusion in scrub typhus: older age (odds ratio [OR] = 1.029, P = 0.037, confidence interval [CI] = 1.002-1.056); male gender (OR = 1.924, P = 0.020, CI = 1.109-3.340); presence of heart failure (OR = 2.628, P = 0.039, CI = 1.052-6.565); and lower albumin (OR = 0.107, P ≤ 0.001, CI = 0.058-0.196). Most pleural effusion presentations were bilateral (88 %) and small (91 %). The effusion had transudate characteristics in 7 patients and exudate characteristics in 11 patients based on Light's criteria. This study provided the first data regarding the following four independent risk factors associated with the occurrence of pleural effusion: older age; male gender; the presence of heart failure; and lower albumin. The pleural effusion presentations in scrub typhus patients were bilateral and small in most cases, with transudate and/or exudate characteristics.

  16. Separation of iodine from mercury containing scrubbing solutions

    DOEpatents

    Burger, Leland L.; Scheele, Randall D.

    1979-01-01

    Radioactive iodines can be recovered from a nitric acid scrub solution containing mercuric nitrate by passing a current through the scrub solution to react the iodine with the mercuric nitrate to form mercuric iodate which precipitates out. The mercuric iodate can then be reacted to recover the radioiodine for further processing into a form suitable for long-term storage and to recover the mercury for recycling.

  17. Scrub Typhus: An Emerging Threat

    PubMed Central

    Chakraborty, Sayantani; Sarma, Nilendu

    2017-01-01

    Scrub typhus is caused by Orientia tsutsugamushi (formerly Rickettsia) and is transmitted to humans by an arthropod vector of the Trombiculidae family (Leptotrombidium deliense and L. akamushi). It is the most common re-emerging Rickettsial infection in India and many other South East Asian countries. In fact, scrub typhus is confined geographically to the Asia Pacific region, a billion people are at risk and nearly a million cases are reported every year. Scrub typhus appears particularly to be distributed in the tsutsugamushi triangle which is distributed over a very wide area of 13 million km2 bound by Japan in the east, through China, the Philippines, tropical Australia in the south, and west through India, Pakistan, possibly to Tibet to Afghanistan, and southern parts of the USSR in the north. Eschar is the characteristic lesion that starts as a vesicular lesion at the site of mite feeding. Later, an ulcer forms with black necrotic center and an erythematous border along with regional lymphadenopathy. Other features are fever, maculopapular rash starting from the trunk, and spreading to the limbs. It may affect the central nervous system, cardiovascular system, renal, respiratory, and gastrointestinal systems. Serious complication in the form of myocarditis, pneumonia, meningoencephalitis, acute renal failure, gastrointestinal bleeding, and even acute respiratory distress syndrome may develop. Tetracycline or chloramphenicol remains the main stay of therapy. PMID:28979009

  18. STUDIES ON SCRUB TYPHUS

    PubMed Central

    Smadel, Joseph E.; Rights, Fred L.; Jackson, Elizabeth B.

    1946-01-01

    A complement-fixing antigen specific for scrub typhus occurs in the body fluids and tissues of infected mice, white rats, and cotton rats. The specific serological substance is demonstrable only in those animals which develop a rapidly fatal disease after an incubation period of a few days. Such an experimental infection is induced in mice and rats by the intravenous injection of suspensions of yolk sac rich in R. orientalis. Ether extraction is an important step in the preparation of a complement-fixing antigen from tissues of mice dying with scrub typhus. The Imphal No. 8 and Calcutta strains of R. orientalis are indistinguishable on the basis of complement fixation and cross-immunity tests. The complement-fixing antigen in body fluids of infected mice and rats and in our preparations of tissues from such animals occurs as a soluble antigen. Under the proper conditions the soluble antigen can be stored or dehydrated without loss of serological activity. PMID:19871518

  19. Carbon dioxide scrubbing capabilities of two new nonpowered technologies.

    PubMed

    Norfleet, William; Horn, Wayne

    2003-01-01

    Current guidance for survivors aboard a disabled submarine (DISSUB) recommends the use of the "stir-and-fan" method of carbon dioxide (CO2) scrubbing in which the contents of canisters of lithium hydroxide (LiOH) are dispersed onto horizontal surfaces. This technique is objectionable because it releases large quantities of fine, caustic LiOH dust and it utilizes LiOH inefficiently. This report presents the results of laboratory studies of the CO2 scrubbing capabilities of two new products that might improve on "stir-and-fan": the Battelle Curtain (BC) and the Micropore Reactive Plastic Curtain (RPC). Experiments took place within a sealed hyperbaric chamber. CO2 was added to the chamber at a known mass flow that reproduced what might be encountered in a "worst-case" DISSUB scenario. Natural convection alone circulated gas within the chamber. The mass of BCs or RPCs necessary to limit CO2 to 3% for about 2 days was determined. The total scrubbing capacity (mass of CO2 scrubbed per unit mass of agent) of the BC was 0.756 +/- 0.012 (mean +/- SD), and the comparable value for the RPC was 0.808 +/- 0.007. Both products provided a scrubbing capacity that is close to the stoichiometric limit of the reaction (0.919). Neither product released sufficient caustic dust to prevent handling by a trained individual wearing no personal protective equipment.

  20. Severe Fever with Thrombocytopenia Syndrome in Patients Suspected of Having Scrub Typhus.

    PubMed

    Wi, Yu Mi; Woo, Hye In; Park, Dahee; Lee, Keun Hwa; Kang, Cheol-In; Chung, Doo Ryeon; Peck, Kyong Ran; Song, Jae-Hoon

    2016-11-01

    To determine prevalence of severe fever with thrombocytopenia syndrome in South Korea, we examined serum samples from patients with fever and insect bite history in scrub typhus-endemic areas. During the 2013 scrub typhus season, prevalence of this syndrome among patients suspected of having scrub typhus was high (23.0%), suggesting possible co-infection.

  1. Rapid Increase in Scrub Typhus Incidence in Mainland China, 2006-2014.

    PubMed

    Wu, Yi-Cheng; Qian, Quan; Magalhaes, Ricardo J Soares; Han, Zhi-Hai; Haque, Ubydul; Weppelmann, Thomas A; Hu, Wen-Biao; Liu, Yun-Xi; Sun, Yan-Song; Zhang, Wen-Yi; Li, Shen-Long

    2016-03-01

    Scrub typhus is a vector-borne disease, which has recently reemerged in China. In this study, we describe the distribution and incidence of scrub typhus cases in China from 2006 to 2014 and quantify differences in scrub typhus cases with respect to sex, age, and occupation. The results of our study indicate that the annual incidence of scrub typhus has increased during the study period. The number of cases peaked in 2014, which was 12.8 times greater than the number of cases reported in 2006. Most (77.97%) of the cases were reported in five provinces (Guangdong, Yunnan, Anhui, Fujian, and Shandong). Our study also demonstrates that the incidence rate of scrub typhus was significantly higher in females compared to males (P < 0.001) and was highest in the 60-69 year age group, and that farmers had a higher incidence rate than nonfarmers (P < 0.001). Different seasonal trends were identified in the number of reported cases between the northern and southern provinces of China. These findings not only demonstrate that China has experienced a large increase in scrub typhus incidence, but also document an expansion in the geographic distribution throughout the country. © The American Society of Tropical Medicine and Hygiene.

  2. [Parameters optimization and cleaning efficiency evaluation of attrition scrubbing remediation of Pb-contaminated soil].

    PubMed

    Yang, Wen; Huang, Jin-lou; Peng, Hui-qing; Li, Si-tuo

    2013-09-01

    Attrition scrubbing was used to remediate lead contaminated-site soil, and the main purpose was to remove fine particles and lead contaminants from the surface of sand. The optimal parameters of attrition scrubbing were determined by orthogonal experiment, and three soil samples with different lead concentration were subjected to attrition scrubbing experiments. The results showed that the optimal scrubbing parameters were: a solid ratio of 70% dry matter, a temperature of 25 degrees C, an attrition time of 30 min, and an attrition speed of 1200 r x min(-1). Before attrition scrubbing, the screening and analysis of soil showed that in all three soil samples, lead was mainly enriched on sand and fine particles, and the distribution of lead was highly correlated to the organic matter. After attrition scrubbing, the washing efficiency of the original state lead contaminated sand soil in triplicates was 67.61%, 31.71% and 41.01%, respectively, which indicates that attrition scrubbing can remove part of the fine soil and lead contaminants from the surface of sand, to accomplish the purpose of pollutants enrichment. Scanning electron microscopy (SEM) analysis showed that the sand surface became smooth after attrition scrubbing. The results above show that attrition scrubbing has a good washing effect for the remediation of lead contaminated sand soil.

  3. Clinical Profile of Scrub Typhus in Pregnancy in Sub-Himalayan Region.

    PubMed

    Kumar, Ritesh; Thakur, Surinder; Bhawani, Rajesh; Kanga, Anil; Ranjan, Asha

    2016-10-01

    Scrub typhus is rare in pregnancy, but it has now become an important cause of febrile illness in pregnancy in sub-Himalayan region of India. Only a few case reports have been published so far, and they show adverse maternal and fetal outcomes. No consensus has been reached till now regarding treatment. All the pregnant patients irrespective of period of gestation admitted with febrile illness with positive IgM ELISA for scrub typhus with or without eschar were included. The clinical profile was observed using a detailed history of symptoms, travel, recreation, agricultural activities, treatment record prior to admission, and a detailed examination, and the treatment outcome was noted. Fever workup including cultures, CXR, CSF analysis, serology for scrub was done. IgM scrub typhus was done by kit method manufactured by InBios Intertational, Inc. We observed in total 14 pregnant patients out of which eight were in the the second trimester and six were in the third trimester. The clinical features of the disease observed for pregnant females were the same as for nonpregnant females. There was no difference in the severity of scrub typhus between pregnant and nonpregnant women. No mortality was found in these patients. On follow-up, they had normal peripartum and postpartum periods. All were treated with azithromycin 500 mg once a day for 5 days. Although rare, scrub typhus should be considered in differential diagnosis of fever in pregnant patients especially in scrub season. Azithromycin should be the drug of choice in pregnancy as it has no adverse effect on fetus and pregnancy outcome.

  4. Avagard hand antisepsis vs. traditional scrub in 3600 pediatric urologic procedures.

    PubMed

    Weight, Christopher J; Lee, Michael C; Palmer, Jeffrey S

    2010-07-01

    Avagard is a waterless, scrubless, and brushless hand antiseptic approved by the Food and Drug Administration as a replacement for traditional presurgical brush hand scrubbing. We evaluated the use of Avagard compared with hand brush scrub preparation for inpatient and outpatient pediatric urological operations. We evaluated the first 1800 patients for whom we used Avagard as a preoperative hand antiseptic and compared them with the last 1800 consecutive patients for whom we performed traditional antiseptic-impregnated hand-brush scrubbing. All patients underwent a variety of inpatient and outpatient open, endoscopic, and laparoscopic pediatric urological procedures. Patients were monitored postoperatively for wound infection, and patients and surgeon were monitored for side effects. A cost analysis was performed. The incidence of wound infection was 2/1800 (0.11%) in the Avagard group and 3/1800 (0.17%) in the hand-scrub group (P > .99 Fisher's exact test). All wound infections were successfully treated with a single course of oral antibiotics. No side effects for the patients or surgeon were noted, including skin irritations or allergic reactions in either group. The traditional hand scrub is nearly 2 times more expensive per application than Avagard. The incidence of wound infections in pediatric urological procedures is low (0.09%). We observe that Avagard provides comparable hand antisepsis to the traditional surgical scrub in a variety of pediatric urological procedures. Avagard is superior to the surgical hand scrub in cost-effectiveness and time efficiency. Urologists should consider using Avagard for hand antisepsis before surgery. Copyright 2010 Elsevier Inc. All rights reserved.

  5. Nurse Plants vs. Nurse Objects: Effects of Woody Plants and Rocky Cavities on the Recruitment of the Pilosocereus leucocephalus Columnar Cactus

    PubMed Central

    Munguía-Rosas, Miguel Angel; Sosa, Vinicio J.

    2008-01-01

    Background and Aims Most studies on cactus recruitment have focused on the role of woody plants as seedling facilitators. Although the spatial association of cacti with objects had been described, the mechanisms underlying this association remain unknown. The aims of this study were to identify which mechanisms facilitate the establishment of a columnar cactus under the shade and protection of objects and to compare these mechanisms with those involved in plant–plant facilitation. Methods Three split-split-plot field experiments were conducted to compare the effects of two microhabitats (inside rocky cavities and beneath plant canopies) on seed removal, germination, seedling survivorship and dry weight. Flat, open spaces were used as the control. For each microhabitat, the effect of seed or seedling protection and substrate limitation were explored; aboveground microclimate and some soil properties were also characterized. Key Results The permanence of superficial seeds was greater inside rocky cavities than beneath woody plant canopies or on flat, open areas. Germination was similar in cavities and beneath plant canopies, but significantly higher than on flat, open areas. Seedling survivorship was greater beneath plant canopies than inside cavities or on flat, open spaces. Conclusions The mechanisms of plant facilitation are different from those of object facilitation. There are seed–seedling conflicts involved in the recruitment of P. leucocephalus: nurse plants favour mainly seedling survivorship by providing a suitable microenvironment, while nurse objects mainly favour seed permanence, by protecting them from predators. PMID:18056054

  6. Magmatic gas scrubbing: Implications for volcano monitoring

    USGS Publications Warehouse

    Symonds, R.B.; Gerlach, T.M.; Reed, M.H.

    2001-01-01

    Despite the abundance of SO2(g) in magmatic gases, precursory increases in magmatic SO2(g) are not always observed prior to volcanic eruption, probably because many terrestrial volcanoes contain abundant groundwater or surface water that scrubs magmatic gases until a dry pathway to the atmosphere is established. To better understand scrubbing and its implications for volcano monitoring, we model thermochemically the reaction of magmatic gases with water. First, we inject a 915??C magmatic gas from Merapi volcano into 25??C air-saturated water (ASW) over a wide range of gas/water mass ratios from 0.0002 to 100 and at a total pressure of 0.1 MPa. Then we model closed-system cooling of the magmatic gas, magmatic gas-ASW mixing at 5.0 MPa, runs with varied temperature and composition of the ASW, a case with a wide range of magmatic-gas compositions, and a reaction of a magmatic gas-ASW mixture with rock. The modeling predicts gas and water compositions, and, in one case, alteration assemblages for a wide range of scrubbing conditions; these results can be compared directly with samples from degassing volcanoes. The modeling suggests that CO2(g) is the main species to monitor when scrubbing exists; another candidate is H2S(g), but it can be affected by reactions with aqueous ferrous iron. In contrast, scrubbing by water will prevent significant SO2(g) and most HCl(g) emissions until dry pathways are established, except for moderate HCl(g) degassing from pH 100 t/d (tons per day) of SO2(g) in addition to CO2(g) and H2S(g) should be taken as a criterion of magma intrusion. Finally, the modeling suggests that the interpretation of gas-ratio data requires a case-by-case evaluation since ratio changes can often be produced by several mechanisms; nevertheless, several gas ratios may provide useful indices for monitoring the drying out of gas pathways. Published by Elsevier Science B.V.

  7. Use of Multiplex Real-Time PCR To Diagnose Scrub Typhus.

    PubMed

    Tantibhedhyangkul, Wiwit; Wongsawat, Ekkarat; Silpasakorn, Saowaluk; Waywa, Duangdao; Saenyasiri, Nuttawut; Suesuay, Jintapa; Thipmontree, Wilawan; Suputtamongkol, Yupin

    2017-05-01

    Scrub typhus, caused by Orientia tsutsugamushi , is a common cause of acute undifferentiated febrile illness in the Asia-Pacific region. However, its nonspecific clinical manifestation often prevents early diagnosis. We propose the use of PCR and serologic tests as diagnostic tools. Here, we developed a multiplex real-time PCR assay using hydrolysis (TaqMan) probes targeting O. tsutsugamushi 47-kDa, groEL , and human interferon beta (IFN-β gene) genes to improve early diagnosis of scrub typhus. The amplification efficiency was higher than 94%, and the lower detection limit was 10 copies per reaction. We used a human gene as an internal DNA quality and quantity control. To determine the sensitivity of this PCR assay, we selected patients with confirmed scrub typhus who exhibited a clear 4-fold increase in the level of IgG and/or IgM. The PCR assay result was positive in 45 of 52 patients, indicating a sensitivity of 86.5% (95% confidence interval [CI]: 74.2 to 94.4). The PCR assessment was negative for all 136 non-scrub typhus patients, indicating a specificity of 100% (95% CI: 97.3 to 100). In addition, this test helped diagnose patients with inconclusive immunofluorescence assay (IFA) results and using single blood samples. In conclusion, the real-time PCR assay proposed here is sensitive and specific in diagnosing scrub typhus. Combining PCR and serologic tests will improve the diagnosis of scrub typhus among patients presenting with acute febrile illness. Copyright © 2017 American Society for Microbiology.

  8. Multiscale Speciation of U and Pu at Chernobyl, Hanford, Los Alamos, McGuire AFB, Mayak, and Rocky Flats.

    PubMed

    Batuk, Olga N; Conradson, Steven D; Aleksandrova, Olga N; Boukhalfa, Hakim; Burakov, Boris E; Clark, David L; Czerwinski, Ken R; Felmy, Andrew R; Lezama-Pacheco, Juan S; Kalmykov, Stepan N; Moore, Dean A; Myasoedov, Boris F; Reed, Donald T; Reilly, Dallas D; Roback, Robert C; Vlasova, Irina E; Webb, Samuel M; Wilkerson, Marianne P

    2015-06-02

    The speciation of U and Pu in soil and concrete from Rocky Flats and in particles from soils from Chernobyl, Hanford, Los Alamos, and McGuire Air Force Base and bottom sediments from Mayak was determined by a combination of X-ray absorption fine structure (XAFS) spectroscopy and X-ray fluorescence (XRF) element maps. These experiments identify four types of speciation that sometimes may and other times do not exhibit an association with the source terms and histories of these samples: relatively well ordered PuO2+x and UO2+x that had equilibrated with O2 and H2O under both ambient conditions and in fires or explosions; instances of small, isolated particles of U as UO2+x, U3O8, and U(VI) species coexisting in close proximity after decades in the environment; alteration phases of uranyl with other elements including ones that would not have come from soils; and mononuclear Pu-O species and novel PuO2+x-type compounds incorporating additional elements that may have occurred because the Pu was exposed to extreme chemical conditions such as acidic solutions released directly into soil or concrete. Our results therefore directly demonstrate instances of novel complexity in the Å and μm-scale chemical speciation and reactivity of U and Pu in their initial formation and after environmental exposure as well as occasions of unexpected behavior in the reaction pathways over short geological but significant sociological times. They also show that incorporating the actual disposal and site conditions and resultant novel materials such as those reported here may be necessary to develop the most accurate predictive models for Pu and U in the environment.

  9. PRECIPITATION CHEMISTRY OF MAGNESIUM SULFITE HYDRATES IN MAGNESIUM OXIDE SCRUBBING

    EPA Science Inventory

    The report gives results of laboratory studies defining the precipitation chemistry of MgSO3 hydrates. The results apply to the design of Mg-based scrubbing processes for SO2 removal from combustion flue gas. In Mg-based scrubbing processes, MgSO3 precipitates as either trihydrat...

  10. Guillan-Barré syndrome following scrub typus: two case reports.

    PubMed

    Sakai, Katsuya; Ishii, Nobuyuki; Ebihara, Yuka; Mochizuki, Hitoshi; Shiomi, Kazutaka; Nakazato, Masamitsu

    2016-08-31

    Case 1: A 66-year-old man was admitted because of progressive gait disturbance and dysphagia after developing red rash. He was diagnosed as Guillain-Barré syndrome (GBS) and treated by intravenous immunoglobulin therapy (IVIg). Two weeks later, he could swallow and walk without any abnormalities. Case 2: A 58-year-old woman was admitted because of gait disturbance, bilateral peripheral facial nerve palsies, and respiratory failure one week after developing fever and rash. She was diagnosed as GBS and treated with IVIg. She underwent mechanical ventilation, while she could wean off it one month later and her limb strengths improved. We confirmed both patients had scrub typhus by serological studies. Peripheral neuropathy is one of the complications of scrub typhus. In addition, this disease sometimes leads to severe GBS. GBS should be included in differential diagnosis when peripheral neuropathies develop in the course of treating scrub typhus, and we should keep in mind that scrub typhus is one of the causes of GBS.

  11. DSP Synthesis Algorithm for Generating Florida Scrub Jay Calls

    NASA Technical Reports Server (NTRS)

    Lane, John; Pittman, Tyler

    2017-01-01

    A prototype digital signal processing (DSP) algorithm has been developed to approximate Florida scrub jay calls. The Florida scrub jay (Aphelocoma coerulescens), believed to have been in existence for 2 million years, living only in Florida, has a complicated social system that is evident by examining the spectrograms of its calls. Audio data was acquired at the Helen and Allan Cruickshank Sanctuary, Rockledge, Florida during the 2016 mating season using three digital recorders sampling at 44.1 kHz. The synthesis algorithm is a first step at developing a robust identification and call analysis algorithm. Since the Florida scrub jay is severely threatened by loss of habitat, it is important to develop effective methods to monitor their threatened population using autonomous means.

  12. A Spatiotemporal Database to Track Human Scrub Typhus Using the VectorMap Application

    PubMed Central

    Kelly, Daryl J.; Foley, Desmond H.; Richards, Allen L.

    2015-01-01

    Scrub typhus is a potentially fatal mite-borne febrile illness, primarily of the Asia-Pacific Rim. With an endemic area greater than 13 million km2 and millions of people at risk, scrub typhus remains an underreported, often misdiagnosed febrile illness. A comprehensive, updatable map of the true distribution of cases has been lacking, and therefore the true risk of disease within the very large endemic area remains unknown. The purpose of this study was to establish a database and map to track human scrub typhus. An online search using PubMed and the United States Armed Forces Pest Management Board Literature Retrieval System was performed to identify articles describing human scrub typhus cases both within and outside the traditionally accepted endemic regions. Using World Health Organization guidelines, stringent criteria were used to establish diagnoses for inclusion in the database. The preliminary screening of 181 scrub typhus publications yielded 145 publications that met the case criterion, 267 case records, and 13 serosurvey records that could be georeferenced, describing 13,739 probable or confirmed human cases in 28 countries. A map service has been established within VectorMap (www.vectormap.org) to explore the role that relative location of vectors, hosts, and the pathogen play in the transmission of mite-borne scrub typhus. The online display of scrub typhus cases in VectorMap illustrates their presence and provides an up-to-date geographic distribution of proven scrub typhus cases. PMID:26678263

  13. A Spatiotemporal Database to Track Human Scrub Typhus Using the VectorMap Application.

    PubMed

    Kelly, Daryl J; Foley, Desmond H; Richards, Allen L

    2015-12-01

    Scrub typhus is a potentially fatal mite-borne febrile illness, primarily of the Asia-Pacific Rim. With an endemic area greater than 13 million km2 and millions of people at risk, scrub typhus remains an underreported, often misdiagnosed febrile illness. A comprehensive, updatable map of the true distribution of cases has been lacking, and therefore the true risk of disease within the very large endemic area remains unknown. The purpose of this study was to establish a database and map to track human scrub typhus. An online search using PubMed and the United States Armed Forces Pest Management Board Literature Retrieval System was performed to identify articles describing human scrub typhus cases both within and outside the traditionally accepted endemic regions. Using World Health Organization guidelines, stringent criteria were used to establish diagnoses for inclusion in the database. The preliminary screening of 181 scrub typhus publications yielded 145 publications that met the case criterion, 267 case records, and 13 serosurvey records that could be georeferenced, describing 13,739 probable or confirmed human cases in 28 countries. A map service has been established within VectorMap (www.vectormap.org) to explore the role that relative location of vectors, hosts, and the pathogen play in the transmission of mite-borne scrub typhus. The online display of scrub typhus cases in VectorMap illustrates their presence and provides an up-to-date geographic distribution of proven scrub typhus cases.

  14. Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings.

    PubMed

    Yun, Jae Sung; Song, Ji Soo; Choi, Eun Jung; Hwang, Jeong-Hwan; Lee, Chang-Seop; Park, Eun Hae

    2017-03-01

    AbstractCentral nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.

  15. Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings

    PubMed Central

    Yun, Jae Sung; Song, Ji Soo; Choi, Eun Jung; Hwang, Jeong-Hwan; Lee, Chang-Seop; Park, Eun Hae

    2017-01-01

    Central nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus. PMID:28115665

  16. Diagnostic validation of selected serological tests for detecting scrub typhus.

    PubMed

    Koraluru, Munegowda; Bairy, Indira; Varma, Muralidhar; Vidyasagar, Sudha

    2015-07-01

    Clinical diagnosis of scrub typhus is often difficult because the symptoms are very similar to those of other febrile illness such as dengue, leptospirosis, malaria and other viral hemorrhagic fevers. Though better diagnostic tests are available for rickettsial diseases and scrub typhus elsewhere, the Weil-Felix test is still commonly used in India, mainly because microimmunofluorescence assays (M-IFA) were not available in India till recently and relevant staff had insufficient training. The present study was performed to investigate the performance of M-IFA, IgM ELISA, and Weil-Felix test on 546 non-repeated serum samples from subjects suspected of having scrub typhus. One hundred and forty-three of these 546 samples were positive by M-IFA; these cases were also confirmed clinically to have scrub typhus based on their dramatic responses to doxycycline therapy. IgM ELISA was positive in 122 of the 143 M-IFA positive cases and the Weil-Felix test in 96. Though the Weil-Felix test is a heterophile agglutination test, it was found in this study to have good specificity but far too little sensitivity to use as a routine diagnostic test. IgM ELISA can be a good substitute for M-IFA. Incorporation of multiple prototype antigens on M-IFA slides is likely one of the reasons for its superior performance. As newer and better diagnostic assays become available for scrub typhus diagnosis in developed countries, it will be imperative to also use such tests in other endemic countries to prevent over- or under-diagnosis of scrub typhus. © 2015 The Societies and Wiley Publishing Asia Pty Ltd.

  17. A Systematic Review of Mortality from Untreated Scrub Typhus (Orientia tsutsugamushi).

    PubMed

    Taylor, Andrew J; Paris, Daniel H; Newton, Paul N

    2015-01-01

    Scrub typhus, a bacterial infection caused by Orientia tsutsugamushi, is increasingly recognized as an important cause of fever in Asia, with an estimated one million infections occurring each year. Limited access to health care and the disease's non-specific symptoms mean that many patients are undiagnosed and untreated, but the mortality from untreated scrub typhus is unknown. This review systematically summarizes the literature on the untreated mortality from scrub typhus and disease outcomes. A literature search was performed to identify patient series containing untreated patients. Patients were included if they were symptomatic and had a clinical or laboratory diagnosis of scrub typhus and excluded if they were treated with antibiotics. The primary outcome was mortality from untreated scrub typhus and secondary outcomes were total days of fever, clinical symptoms, and laboratory results. A total of 76 studies containing 89 patient series and 19,644 patients were included in the final analysis. The median mortality of all patient series was 6.0% with a wide range (min-max) of 0-70%. Many studies used clinical diagnosis alone and had incomplete data on secondary outcomes. Mortality varied by location and increased with age and in patients with myocarditis, delirium, pneumonitis, or signs of hemorrhage, but not according to sex or the presence of an eschar or meningitis. Duration of fever was shown to be long (median 14.4 days Range (9-19)). Results show that the untreated mortality from scrub typhus appears lower than previously reported estimates. More data are required to clarify mortality according to location and host factors, clinical syndromes including myocarditis and central nervous system disease, and in vulnerable mother-child populations. Increased surveillance and improved access to diagnostic tests are required to accurately estimate the untreated mortality of scrub typhus. This information would facilitate reliable quantification of DALYs and

  18. Risk factors associated with severe scrub typhus in Shandong, northern China.

    PubMed

    Zhang, Luyan; Zhao, Zhongtang; Bi, Zhenwang; Kou, Zengqiang; Zhang, Meng; Yang, Li; Zheng, Li

    2014-12-01

    The aim of this study was to identify risk factors associated with severe scrub typhus, in order to provide a reference for clinical decision-making. A case-control study was conducted of scrub typhus patients who presented at local hospitals between 2010 and 2013. In total, 46 patients with severe scrub typhus complications (cases) and 194 without severe complications (controls) were included. There were significant differences in the duration of illness before effective antibiotic therapy, lymphadenopathy, rash, blood platelet count, white blood cell (WBC) count, percentage neutrophils, and percentage lymphocytes between the case and control groups. Multivariate analysis demonstrated that the following four factors were significantly associated with the severe complications of scrub typhus: (1) duration of illness before effective antibiotic therapy (odds ratio (OR) 2.287, 95% confidence interval (CI) 1.096-4.770); (2) the presence of a rash (OR 3.694, 95% CI 1.300-10.495); (3) lymphadenopathy (OR 2.438, 95% CI 1.090-5.458); (4) blood platelet count <100×10(9)/l (OR 2.226, 95% CI 1.002-4.946). This study indicates that improved diagnosis and timely treatment are important factors for the prevention of severe scrub typhus. When scrub typhus patients present with a rash, lymphadenopathy, or blood platelet count <100×10(9)/l, clinicians should be alert to the appearance of severe complications. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. Meteorological factors and risk of scrub typhus in Guangzhou, southern China, 2006–2012

    PubMed Central

    2014-01-01

    Background Scrub typhus is becoming the most common vector born disease in Guangzhou, southern China. In this study, we aimed to examine the effect of weather patterns on the incidence of Scrub typhus in the subtropical city of Guangzhou for the period 2006–2012, and assist public health prevention and control measures. Methods Scrub typhus reported cases during the period of 2006–2012 in Guangzhou were obtained from National Notifiable Disease Report System (NNDRS). Simultaneous meteorological data including temperature, relative humidity, atmospheric pressure, sunshine, and rainfall were obtained from the documentation of the Guangzhou Meteorological Bureau. A negative binomial regression was used to identify the relationship between meteorological variables and scrub typhus. Results Annual incidence rates of scrub typhus from 2006 to 2012 were 3.25, 2.67, 3.81, 4.22, 4.41, 5.12, and 9.75 (per 100 000) respectively. Each 1°C rise in temperature corresponded to an increase of 14.98% (95% CI 13.65% to 16.33%) in the monthly number of scrub typhus cases, while a 1 hPa rise in atmospheric pressure corresponded to a decrease in the number of cases by 8.03% (95% CI −8.75% to −7.31%). Similarly, a 1 hour rise in sunshine corresponded to an increase of 0.17% or 0.54%, and a 1 millimeter rise in rainfall corresponded to an increase of 0.05% or 0.10%, in the monthly number of scrub typhus cases, depending on the variables considered in the model. Conclusion Our study provided evidence that climatic factors were associated with occurrence of scrub typhus in Guangzhou city, China. Temperature, duration of sunshine, and rainfall were positively associated with scrub typhus incidence, while atmospheric pressure was inversely associated with scrub typhus incidence. These findings should be considered in the prediction of future patterns of scrub typhus transmission. PMID:24620733

  20. Surgical scrubbing: can we clean up our carbon footprints by washing our hands?

    PubMed

    Somner, J E A; Stone, N; Koukkoulli, A; Scott, K M; Field, A R; Zygmunt, J

    2008-11-01

    A growing scientific consensus states that the global climate is changing and that human activity is responsible for these changes. It folLows that each of us has a responsibility to look at how our own lives impact on the environment. This study aimed to investigate water use during surgical scrubbing. Two water delivery systems were assessed to see whether technological innovation can promote more 'environmentally friendly' scrubbing behaviour. At least 10 different individuals, comprising surgeons, assistants and scrub nurses, were observed at two sites. Twenty-five separate surgical scrubs were observed in each location and the length of time for which the tap was on recorded. The tap was on during surgical scrubbing for a mean of 2 min 23 s at Gartnavel General Hospital (maximum: 4 min 37 s; minimum: 49 s; SD: 55 s) and for a mean of 1 min 7 s at Stobhill Hospital (maximum: 2 min 25 s; minimum: 19 s; SD: 33 s). The mean 'tap on' time (in seconds) at Gartnavel was significantly greater than that at Stobhill [t(39.5)=P<0.001]. A different tap design resulted in a net saving of 5.7 L of hot water, approximately 600 kJ of energy and 80 g of carbon dioxide emitted per surgical scrub. Surgical scrubbing is a ubiquitous procedure performed daily in healthcare settings. A simple technological solution can reduce water and energy use by modifying hand-washing behaviour and thereby reduce the carbon footprint of surgical scrubbing.

  1. Prevalence of scrub typhus in pyrexia of unknown origin and assessment of interleukin-8, tumor necrosis factor-alpha, and interferon-gamma levels in scrub typhus-positive patients.

    PubMed

    Rizvi, Meher; Sultan, Asfia; Chowdhry, Madhav; Azam, Mohd; Khan, Fatima; Shukla, Indu; Khan, Haris M

    2018-01-01

    Scrub typhus is lesser known cause of fever of unknown origin in India. Even if there have been reports documenting the prevalence of scrub typhus in different parts of India, it is still an unknown entity, and clinicians usually do not consider it as differential diagnosis. The present study was performed to document the prevalence of scrub typhus among febrile patients in western part of Uttar Pradesh and to assess the clinical profile of infected patients on the one hand and knowledge, attitude, and practices among clinicians on the other. A total of 357 adult patients with fever of more than 5-day duration were recruited. All patients underwent complete physical examination, and detailed clinical history was elicited as per predesigned pro forma. After primary screening to rule out malaria, enteric fever, and leptospirosis infection, secondary screening for scrub typhus was done by rapid screen test and IgM ELISA. Scrub typhus infection was positive in 91 (25.5%) cases. The most common symptoms among the patients were fever (100%), pain in abdomen (79.1%), pedal edema 56 (61.5%), rash 44 (48.3%), headache 44 (48.3%), vomiting 42 (46.1%), constipation 33 (36.2%), cough 28 (30.7%), and lymphadenopathy 20 (21.9%). The median values of interleukin-8, interferon-gamma, and tumor necrosis factor-alpha in healthy controls were 15.54 pg/ml, 7.77 pg/ml, and 54.1 pg/ml, respectively, while the median values of these cytokines in scrub typhus-positive patients were 21.04 pg/ml, 8.74 pg/ml, and 73.8 pg/ml, respectively. Our results highlight that scrub typhus infection is an important cause of pyrexia of unknown origin, and active surveillance is necessary to assess the exact magnitude and distribution of the disease.

  2. Rocky Mountain spotted fever

    MedlinePlus

    ... spotted fever on the foot Rocky Mountain spotted fever, petechial rash Antibodies Deer and dog tick References McElligott SC, Kihiczak GG, Schwartz RA. Rocky Mountain spotted fever and other rickettsial infections. In: Lebwohl MG, Heymann ...

  3. [Epidemiology of scrub typhus and influencing factors in Yunnan province, 2006-2013].

    PubMed

    Sun, Y; Shi, C; Li, X L; Fang, L Q; Cao, W C

    2018-01-10

    Objective: To understand the epidemiological characteristics of scrub typhu s and influencing factors in Yunnan province, and provide further information for the prevention and control of scrub typhus. Methods: Based on the incidence data of scrub typhus reported in Yunnan from 2006 to 2013, the epidemiological characteristics of scrub typhus were analyzed and related environmental factors were identified with panel negative binomial regression model. Results: A total of 8 980 scrub typhus cases were reported during 2006-2013 in Yunnan. The average annual incidence was 2.46/100 000, with an uptrend observed. Natural focus expansion was found, affecting 71.3% of the counties in 2013. The epidemic mainly occurred in summer and autumn with the incidence peak during July-October. The annual incidence was higher in females than in males. More cases occurred in children and farmers, the proportions of cases in farmers and pre-school aged children showed an obvious increase. Panel negative binomial regression model indicated that the transmission risk of scrub typhus was positive associated with monthly temperature and monthly relative humidity. Furthermore, an "U" pattern between the risk and the increased coverage of cropland and grassland as well as an "inverted-U" pattern between the risk and increased coverage of shrub were observed. Conclusion: It is necessary to strengthen the scrub typhus surveillance in warm and moist areas as well as the areas with high coverage of cropland and grassland in Yunnan, and the health education in children and farmers who are at high risk.

  4. Management of Florida Scrub for Threatened and Endangered Species

    DTIC Science & Technology

    1998-12-01

    for Florida scrub: 1. The exotic species, cogon grass ( Imperata cylindrica ), may become common in degraded scrubs. This is an aggressive, invasive...34Cogongrass, Imperata cylindrica (L.) Beauv.: A good grass gone bad!" Botany Circular No. 28, Florida Dept. Agric. & Consumer Services, Division of Plant...Industry, Gainesville, FL. Colvin, D.L., Gaffney, J., and Shilling, D. G. 1994. "Cogongrass ( Imperata cylindrica (L.) Beauv.) Biology, ecology and

  5. Comparison of Scrub Typhus Meningitis with Acute Bacterial Meningitis and Tuberculous Meningitis.

    PubMed

    Kakarlapudi, Svas Raju; Chacko, Anila; Samuel, Prasanna; Verghese, Valsan Philip; Rose, Winsley

    2018-01-15

    To compare scrub typhus meningitis with bacterial and tuberculous meningitis. Children aged <15 years admitted with meningitis were screened and those who fit criteria for diagnosis of scrub typhus meningitis (n=48), bacterial meningitis (n=44) and tuberculous meningitis (n=31) were included for analysis. Clinical features, investigations and outcomes were compared between the three types of meningitis. Mean age, duration of fever at presentation, presence of headache and, altered sensorium and presence of hepatomegaly/splenomegaly were statistically significantly different between the groups. Scrub typhus had statistically significant thrombocytopenia, shorter hospital stay and a better neurological and mortality outcome. Sub-acute presentation of meningitis in older age group children, and good outcome is associated with scrub typhus when compared to bacterial and tuberculous meningitis.

  6. SHAWNEE LIME/LIMESTONE SCRUBBING COMPUTERIZED DESIGN/COST-ESTIMATE MODEL USERS MANUAL

    EPA Science Inventory

    The manual gives a general description of the Shawnee lime/limestone scrubbing computerized design/cost-estimate model and detailed procedures for using it. It describes all inputs and outputs, along with available options. The model, based on Shawnee Test Facility scrubbing data...

  7. Concept-match medical data scrubbing. How pathology text can be used in research.

    PubMed

    Berman, Jules J

    2003-06-01

    In the normal course of activity, pathologists create and archive immense data sets of scientifically valuable information. Researchers need pathology-based data sets, annotated with clinical information and linked to archived tissues, to discover and validate new diagnostic tests and therapies. Pathology records can be used for research purposes (without obtaining informed patient consent for each use of each record), provided the data are rendered harmless. Large data sets can be made harmless through 3 computational steps: (1) deidentification, the removal or modification of data fields that can be used to identify a patient (name, social security number, etc); (2) rendering the data ambiguous, ensuring that every data record in a public data set has a nonunique set of characterizing data; and (3) data scrubbing, the removal or transformation of words in free text that can be used to identify persons or that contain information that is incriminating or otherwise private. This article addresses the problem of data scrubbing. To design and implement a general algorithm that scrubs pathology free text, removing all identifying or private information. The Concept-Match algorithm steps through confidential text. When a medical term matching a standard nomenclature term is encountered, the term is replaced by a nomenclature code and a synonym for the original term. When a high-frequency "stop" word, such as a, an, the, or for, is encountered, it is left in place. When any other word is encountered, it is blocked and replaced by asterisks. This produces a scrubbed text. An open-source implementation of the algorithm is freely available. The Concept-Match scrub method transformed pathology free text into scrubbed output that preserved the sense of the original sentences, while it blocked terms that did not match terms found in the Unified Medical Language System (UMLS). The scrubbed product is safe, in the restricted sense that the output retains only standard medical

  8. Evaluation of a permeable reactive barrier technology for use at Rocky Flats Environmental Technology Site (RFETS)

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

    DWYER,BRIAN P.

    2000-01-01

    Three reactive materials were evaluated at laboratory scale to identify the optimum treatment reagent for use in a Permeable Reactive Barrier Treatment System at Rocky Flats Environmental Technology Site (RFETS). The contaminants of concern (COCS) are uranium, TCE, PCE, carbon tetrachloride, americium, and vinyl chloride. The three reactive media evaluated included high carbon steel iron filings, an iron-silica alloy in the form of a foam aggregate, and a peculiar humic acid based sorbent (Humasorb from Arctech) mixed with sand. Each material was tested in the laboratory at column scale using simulated site water. All three materials showed promise for themore » 903 Mound Site however, the iron filings were determined to be the least expensive media. In order to validate the laboratory results, the iron filings were further tested at a pilot scale (field columns) using actual site water. Pilot test results were similar to laboratory results; consequently, the iron filings were chosen for the fill-scale demonstration of the reactive barrier technology. Additional design parameters including saturated hydraulic conductivity, treatment residence time, and head loss across the media were also determined and provided to the design team in support of the final design. The final design was completed by the Corps of Engineers in 1997 and the system was constructed in the summer of 1998. The treatment system began fill operation in December, 1998 and despite a few problems has been operational since. Results to date are consistent with the lab and pilot scale findings, i.e., complete removal of the contaminants of concern (COCs) prior to discharge to meet RFETS cleanup requirements. Furthermore, it is fair to say at this point in time that laboratory developed design parameters for the reactive barrier technology are sufficient for fuel scale design; however,the treatment system longevity and the long-term fate of the contaminants are questions that remain unanswered

  9. Differential diagnosis of scrub typhus meningitis from tuberculous meningitis using clinical and laboratory features.

    PubMed

    Valappil, Ashraf V; Thiruvoth, Sohanlal; Peedikayil, Jabir M; Raghunath, Praveenkumar; Thekkedath, Manojan

    2017-12-01

    The involvement of the central nervous system in the form of meningitis or meningoencephalitis is common in scrub typhus and is an important differential diagnosis of other lymphocytic meningitis like tuberculous meningitis (TBM). The aim of this study was to identify the clinical and laboratory parameters that may be helpful in differentiating scrub typhus meningitis from TBM. We compared of the clinical and laboratory features of 57 patients admitted with scrub typhus meningitis or TBM during a 3-year period. Patients who had abnormal cerebrospinal fluid (CSF) and positive scrub typhus enzyme-linked immunosorbent assay serology (n=28) were included in the scrub typhus meningitis group, while the TBM group included those who satisfied the consensus diagnostic criteria of TBM (n=29). Compared with the TBM group, the mean duration of symptoms was less in patients with scrub typhus meningitis, who also had a lower magnitude of neurological deficits, such as altered mental status and cranial nerve and motor deficits. Patients with scrub typhus meningitis had a lower CSF white blood-cell count (WBC) than the TBM group (130.8±213 195±175 cells/mm 3 , P=0.002), lower CSF protein elevation (125±120 vs. 195.2±108.2mg/dl, P=0.002), and higher CSF sugar (70.1±32.4 vs. 48.7±23.4mg/dl, P=0.006). Features predictive of the diagnosis of scrub typhus meningitis included the absence of neurological impairment at presentation, blood serum glutamic-oxaloacetic transaminase>40 international units (IU)/L, serum glutamic-pyruvic transaminase>60 IU/L, total blood leukocyte count>10,000/mm 3 , CSF protein<100mg/dl, CSF sugar>50mg/dl, CSF WBC<100 cells/mm 3 . All patients with scrub typhus meningitis recovered completely following doxycycline therapy CONCLUSIONS: This study suggests that, clinical features, including duration of fever, neurological deficits at presentation and laboratory parameters such as CSF pleocytosis,CSF protein elevation, CSF sugar levels and liver enzyme

  10. Factors that influence the non-technical skills performance of scrub nurses: a prospective study.

    PubMed

    Kang, Evelyn; Massey, Debbie; Gillespie, Brigid M

    2015-12-01

    To identify and describe the factors that impact on the performance of scrub nurses' non-technical skills performance during the intra-operative phase of surgery. Non-technical skills have been identified as important precursors to errors in the operating room. However, few studies have investigated factors influencing non-technical skills of scrub nurses. Prospective observational study. Structured observations were performed on a sample of 182 surgical procedures across eight specialities by two trained observers from August 2012-April 2013 at two hospital sites. Participants were purposively selected scrub nurses. Bivariate correlations and a multiple linear regression model were used to identify associations among length of surgery, patients' acuity using the American Society of Anesthesiologists classification system, team familiarity, number of occasions scout nurses leave the operating room, change of scout nurse and the outcome, the non-technical skills performance of scrub nurses. Patient acuity and team familiarity were the strongest predictors of scrub nurses' non-technical skills performance at hospital site A. There were no correlations between the predictors and the performance of scrub nurses at hospital site B. A dedicated surgical team and patient acuity potentially influence the performance of scrub nurses' non-technical skills. Familiarity with team members foster advanced planning, thus minimizing distractions and interruptions that impact on scrub nurses' performance. Development of interventions aimed at improving non-technical skills has the potential to make a substantial difference and enhance patient care. © 2015 John Wiley & Sons Ltd.

  11. Endemic Scrub Typhus–like Illness, Chile

    PubMed Central

    Balcells, M. Elvira; Rabagliati, Ricardo; García, Patricia; Poggi, Helena; Oddó, David; Concha, Marcela; Abarca, Katia; Jiang, Ju; Richards, Allen L.; Fuerst, Paul A.

    2011-01-01

    We report a case of scrub typhus in a 54-year-old man who was bitten by several terrestrial leeches during a trip to Chiloé Island in southern Chile in 2006. A molecular sample, identified as related to Orientia tsutsugamushi based on the sequence of the16S rRNA gene, was obtained from a biopsy specimen of the eschar on the patient’s leg. Serologic analysis showed immunoglobulin G conversion against O. tsutsugamushi whole cell antigen. This case and its associated molecular analyses suggest that an Orientia-like agent is present in the Western Hemisphere that can produce scrub typhus–like illness. The molecular analysis suggests that the infectious agent is closely related, although not identical, to members of the Orientia sp. from Asia. PMID:21888791

  12. Simultaneous stack gas scrubbing wastewater purification

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Variations of a process for removing sulfur dioxide from stack gases and using it to treat municipal waste water are described. The once-through system lowers the pH of the scrubbing water from minor depressions to a pH of about 2.5 under certain conditions. A recycle system uses iron for catalytic oxidation of sulfurous acid to sulfuric acid allowing very large amounts of sulfur dioxide to be absorbed in a small portion of water. The partial recycle system uses municipal wastewater and iron as a scrubbing medium, followed by neutralization of the wastewater with lime to produce an iron hydroxide precipitation which, when removed, produces tertiary quality treated wastewater. The SO2 scrubber is described, test results are analyzed, and a preliminary capital cost estimate for the three processes is included.

  13. Chronic beryllium disease and cancer risk estimates with uncertainty for beryllium released to the air from the Rocky Flats Plant.

    PubMed Central

    McGavran, P D; Rood, A S; Till, J E

    1999-01-01

    Beryllium was released into the air from routine operations and three accidental fires at the Rocky Flats Plant (RFP) in Colorado from 1958 to 1989. We evaluated environmental monitoring data and developed estimates of airborne concentrations and their uncertainties and calculated lifetime cancer risks and risks of chronic beryllium disease to hypothetical receptors. This article discusses exposure-response relationships for lung cancer and chronic beryllium disease. We assigned a distribution to cancer slope factor values based on the relative risk estimates from an occupational epidemiologic study used by the U.S. Environmental Protection Agency (EPA) to determine the slope factors. We used the regional atmospheric transport code for Hanford emission tracking atmospheric transport model for exposure calculations because it is particularly well suited for long-term annual-average dispersion estimates and it incorporates spatially varying meteorologic and environmental parameters. We accounted for model prediction uncertainty by using several multiplicative stochastic correction factors that accounted for uncertainty in the dispersion estimate, the meteorology, deposition, and plume depletion. We used Monte Carlo techniques to propagate model prediction uncertainty through to the final risk calculations. We developed nine exposure scenarios of hypothetical but typical residents of the RFP area to consider the lifestyle, time spent outdoors, location, age, and sex of people who may have been exposed. We determined geometric mean incremental lifetime cancer incidence risk estimates for beryllium inhalation for each scenario. The risk estimates were < 10(-6). Predicted air concentrations were well below the current reference concentration derived by the EPA for beryllium sensitization. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 PMID:10464074

  14. Tsutsugamushi Disease (Scrub Typhus) Meningoencephalitis in North Eastern India: A Prospective Study.

    PubMed

    Sharma, S R; Masaraf, H; Lynrah, K G; Lyngdoh, M

    2015-01-01

    Scrub typhus is rampant in northern, eastern, and southern India. Central nervous system involvement in the form of meningitis or meningoencephalitis is common in scrub typhus. As specific laboratory methods remain inadequate or inaccessible in developing countries, prompt diagnosis is often difficult. The aim of this study was to characterize neurological complications in scrub typhus from northeastern region of India. We did a prospective study of scrub meningoencephalitis at North Eastern Indira Gandhi Regional Institute of Medical Sciences among patients admitted to hospital between October 2009 and November 2011. The diagnosis was made based on the clinical pictures, presence of an eschar, and a positive Weil-Felix test (WFT) with a titer of >1:160 and if required a positive scrub IgM enzyme-linked immunosorbent assay. Lumbar puncture was performed in patients with headache, nuchal rigidity, altered sensorium or cranial nerve deficits, and magnetic resonance imaging (MRI) brain performed if needed. Twenty-three patients of scrub typhus meningitis that were serologically confirmed were included in the study. There were 13 males and 10 females. Fever ≥1 week was the most common manifestation (39.1%). Interestingly, none had an eschar. Median cerebrospinal fluid (CSF) cell count, lymphocyte percentage, CSF protein, CSF glucose/blood glucose, CSF ADA were 17 cells/μL, 90%, 86 mg/dL, 0.6605 and 3.6 U/mL, respectively. All patients were treated with doxycycline. There was no mortality in our study. Absence of Eschar does not rule out scrub typhus. Clinical features and CSF findings can mimic tuberculous meningitis so misdiagnosis may lead to unwarranted prolonged empirical antituberculous therapy in cases of lymphocytic meningoencephalitis. Delay in treatment can be potentially fatal. WFT still serves as a useful and affordable diagnostic tool for this disease in resource-poor countries.

  15. A study of muscle involvement in scrub typhus.

    PubMed

    Kalita, Jayantee; Misra, Usha K; Mani, Vinita E; Mahadevan, Anita; Shankar, Susrala K

    2015-01-15

    Patients with scrub typhus often complain of myalgia, but a comprehensive study on muscle dysfunction is lacking. We therefore report the clinical, electromyographic and muscle biopsy findings in patients with scrub typhus. Consecutive patients with scrub typhus were included, and their clinical and laboratory findings were noted. The patients with myalgia or weakness and elevated serum creatine kinase (CK) were considered to have muscle involvement. Electromyography (EMG) and muscle biopsy were done in some patients. Patients were treated with doxycycline 200mg daily for 7 days, and their clinical and biochemical outcome on discharge and one month were evaluated. 13 out of 33 (39.4%) patients had muscle involvement and their CK levels ranged between 287 and 3166 (859 ± 829) U/L. EMG revealed short duration polyphasic potentials, and muscle histopathology revealed evidence of vasculitis. There were significant correlations between severity of weakness and CK levels (r = -0.6; p < 0.001), platelet counts (r = 0.4; p = 0.04), duration of illness (r = -0.4; p = 0.01) and disability on discharge (r = -0.4; p = 0.04). Patients with muscle involvement had more severe illness evidenced by a lower Glasgow Coma Scale score (p < 0.001), thrombocytopenia (p = 0.05) and greater disability on discharge (p = 0.007), when compared to those without muscle involvement. All the patients had complete recovery following doxycycline therapy, and CK levels also normalized. Muscle dysfunction was present in 39% patients with scrub typhus. Although muscle histopathology showed evidence of vasculitis, patients responded to doxycycline. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Analyzing the effectiveness of a frame-level redundancy scrubbing technique for SRAM-based FPGAs

    DOE PAGES

    Tonfat, Jorge; Lima Kastensmidt, Fernanda; Rech, Paolo; ...

    2015-12-17

    Radiation effects such as soft errors are the major threat to the reliability of SRAM-based FPGAs. This work analyzes the effectiveness in correcting soft errors of a novel scrubbing technique using internal frame redundancy called Frame-level Redundancy Scrubbing (FLR-scrubbing). This correction technique can be implemented in a coarse grain TMR design. The FLR-scrubbing technique was implemented on a mid-size Xilinx Virtex-5 FPGA device used as a case study. The FLR-scrubbing technique was tested under neutron radiation and fault injection. Implementation results demonstrated minimum area and energy consumption overhead when compared to other techniques. The time to repair the fault ismore » also improved by using the Internal Configuration Access Port (ICAP). Lastly, neutron radiation test results demonstrated that the proposed technique is suitable for correcting accumulated SEUs and MBUs.« less

  17. Analyzing the effectiveness of a frame-level redundancy scrubbing technique for SRAM-based FPGAs

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

    Tonfat, Jorge; Lima Kastensmidt, Fernanda; Rech, Paolo

    Radiation effects such as soft errors are the major threat to the reliability of SRAM-based FPGAs. This work analyzes the effectiveness in correcting soft errors of a novel scrubbing technique using internal frame redundancy called Frame-level Redundancy Scrubbing (FLR-scrubbing). This correction technique can be implemented in a coarse grain TMR design. The FLR-scrubbing technique was implemented on a mid-size Xilinx Virtex-5 FPGA device used as a case study. The FLR-scrubbing technique was tested under neutron radiation and fault injection. Implementation results demonstrated minimum area and energy consumption overhead when compared to other techniques. The time to repair the fault ismore » also improved by using the Internal Configuration Access Port (ICAP). Lastly, neutron radiation test results demonstrated that the proposed technique is suitable for correcting accumulated SEUs and MBUs.« less

  18. Molecular detection of Orientia tsutsugamushi from suspected scrub typhus cases.

    PubMed

    Srinivasan, Seethalakshmi; Menon, Thangam

    2017-01-01

    Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The disease is under-diagnosed in India, because of low index of suspicion and also due to its nonspecific presentation, and lack of confirmatory diagnostic tests. This study was undertaken to diagnose scrub typhus in patients with undifferentiated fevers by serology and molecular methods. A total of 68 blood samples were collected from patients clinically suspected to have scrub typhus. After transportation to the laboratory, the serum was separated from the blood and subjected to rapid card test. The ethylenediaminetetraacetic acid blood samples were subjected to DNA extraction using QIAamp DNA Mini Kit followed by nested polymerase chain reaction (nPCR). 24/68 (35.29%) cases showed the presence of antibody against scrub typhus by serology. 6/68 (8.8%) patients showed the presence of outer membrane protein antigen gene 56 kDa by nPCR. 5/24 serology positive cases showed the presence of 56 kDa outer membrane protein antigen gene by nPCR. A large number of cases positive by serology were negative by PCR which may indicate a low sensitivity of this test either due to low copy numbers or due to excess host DNA. Delay in treatment may increase disease severity and leads to higher mortality. Thus, molecular methods of diagnosis may aid in the early diagnosis of infection and enable prompt treatment. This is the first report on the diagnosis of scrub typhus in the suburbs of Chennai using molecular methods and reemphasizes the need for increased awareness of rickettsial infections in rural areas.

  19. Scrub typhus re-emergence in India: Contributing factors and way forward.

    PubMed

    Ranjan, Jai; Prakash, John Antony Jude

    2018-06-01

    Scrub typhus is a mite borne infectious disease which has re-emerged in India in the 3rd millennium after years of quiescence. In this review, the authors hypothesize the various factors responsible for resurgence of this disease. The main drivers that could have contributed to the upsurge in scrub typhus cases in past two decades are changes in land use land cover (LULC) and urbanisation which are; as a result of the population explosion, causing a strain on sanitation and also increased diversion of forest land for agricultural use. In addition, the availability of better tests, changes in antimicrobial use, climate change also could have impacted the epidemiology, which is showing an upward trend as is evidenced by increasing reports and concomitant publications from India on scrub typhus. Scrub typhus cases are supposed to increase in the coming years as factors like global warming, urbanisation, changes in LULC and rise in AMR (anti-microbial resistance) will be difficult or impossible to control. Therefore, increasing awareness of public and health care professionals regarding scrub typhus coupled with availability of rapid diagnostic assays and implementation of appropriate treatment protocols for control of AFI (acute febrile illness) especially at the community level will help mitigate the scenario in the long run. Copyright © 2018. Published by Elsevier Ltd.

  20. Acute transverse myelitis following scrub typhus: A case report and review of the literature.

    PubMed

    Ryu, Hyun-Seung; Moon, Bong Ju; Park, Jae-Young; Kim, Sang-Deok; Seo, Seung-Kwon; Lee, Jung-Kil

    2018-01-19

    Context Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi. The disease can usually involve the lungs, heart, liver, spleen and brain through hematogenous dissemination. However, very rarely, acute transverse myelitis in the spinal cord develops from scrub typhus. We present a case of acute transverse myelitis following scrub typhus with a review of the literature. Findings A 66-year-old male visited a hospital for general myalgia, mild headache, and fever in October. He was noted to have thick, black papule skin on his abdomen, which was highly suggestive of scrub typhus. To confirm the diagnosis, O. tsutsugamushi antibody titers were examined and detected highly in serum by an indirect fluorescence antibody assay. Doxycycline, the standard treatment for scrub typhus, was administered. However, after seven days of treatment, he rapidly developed weakness in the right leg, paresthesia in both lower limbs, and voiding difficulty. Spinal magnetic resonance imaging (MRI) revealed lesions with high signal intensity involving the spinal cord at the thoracolumbar junction. Paraparesis gradually improved following steroid pulse therapy for five days. At one-year follow-up, he could walk without cane. Conclusions Orientia tsutsugamushi causes scrub typhus, which can affect not only the brain, but also the spinal cord. Although acute transverse myelitis develops rarely from scrub typhus, this should be considered as differential diagnosis in patients of fever with neurological deficit in endemic areas.

  1. A Rocky Planet Forms

    NASA Image and Video Library

    2018-01-25

    An artist's rendition of how a rocky planet forms. As a rocky planet forms, the planet-forming material gathers in a process known as "accretion." It grows larger in size, and increases in temperature, along with the pressure at its core. The energy from this initial planet forming process causes the planet's elements to heat up and melt. Upon melting, layers form and separate. The heavier elements sink to the bottom, the lighter ones float to the top. This material then separates into layers as it cools, which is known as "differentiation." A fully formed planet slowly emerges, with an upper layer known as the crust, the mantle in the middle, and a solid iron core. InSight is short for Interior Exploration using Seismic Investigations, Geodesy and Heat Transport. The InSight mission will help answer key questions about how the rocky planets of the solar system, as well as how rocky exoplanets, formed. So while InSight is a Mars mission, it's also more than a Mars mission. The lander seeks the fingerprints of the processes that formed the rocky planets of the solar system, more than 4 billion years ago. It measures the planet's "vital signs:" its "pulse" (seismology), "temperature" (heat flow) and "reflexes" (precision tracking). https://photojournal.jpl.nasa.gov/catalog/PIA22233

  2. Scrub typhus as a possible aetiology of Guillain-Barré syndrome: two cases.

    PubMed

    Lee, M-S; Lee, J-H; Lee, H-S; Chang, H; Kim, Y-S; Cho, K-H; Ahn, S-H; Song, J-H; Yoo, M; Han, J-K; Park, H-Y

    2009-09-01

    Neurological complications of scrub typhus are reported to be rare. Peripheral nervous system involvement has been reported in only one case. We present two cases of Guillan-Barré syndrome (GBS) associated with scrub typhus. In both cases, the findings of an elevated indirect immunofluorescent antibody titer for Orientia tsutsugamushi and nerve conduction study showing sensory-motor polyneuropathy, have led us to believe that scrub typhus could be one of the antecedent illnesses associated with GBS.

  3. CO2 study shows effects on scrub oak environment

    NASA Technical Reports Server (NTRS)

    2000-01-01

    CO2 study site manager and plant physiologist Graham Hymus (left) examines scrub oak foliage while project engineer David Johnson (right) looks on. The life sciences study is showing that rising levels of carbon dioxide in our atmosphere, caused by the burning of fossil fuels, could spur plant growth globally. The site of KSC's study is a natural scrub oak area near the Vehicle Assembly Building. Twelve-foot areas of scrub oak have been enclosed in 16 open-top test chambers into which CO2 has been blown. Five scientists from NASA and the Smithsonian Environmental Research Center in Edgewater, Md., work at the site to monitor experiments and keep the site running. Scientists hope to continue the study another five to 10 years. More information on this study can be found in Release No. 57- 00.

  4. Hot, Rocky World Artist Concept

    NASA Image and Video Library

    2015-07-30

    This artist's rendition shows one possible appearance for the planet HD 219134b, the nearest confirmed rocky exoplanet found to date outside our solar system. The planet is 1.6 times the size of Earth, and whips around its star in just three days. Scientists predict that the scorching-hot planet -- known to be rocky through measurements of its mass and size -- would have a rocky, partially molten surface with geological activity, including possibly volcanoes. http://photojournal.jpl.nasa.gov/catalog/PIA19833

  5. Assessing the effectiveness of scrub management at the landscape scale using rapid field assessment and remote sensing.

    PubMed

    Redhead, John; Cuevas-Gonzales, Maria; Smith, Geoffrey; Gerard, France; Pywell, Richard

    2012-04-30

    Controlling scrub encroachment is a major challenge for conservation management on chalk grasslands. However, direct comparisons of scrub removal methods have seldom been investigated, particularly at the landscape scale. Effective monitoring of grassland scrub is problematic as it requires simultaneous information on large scale patterns in scrub cover and fine-scale changes in the grassland community. This study addressed this by combining analysis of aerial imagery with rapid field surveys in order to compare the effectiveness of four scrub management strategies on Defence Training Estate Salisbury Plain, UK. Study plots were sited within areas undergoing management and in unmanaged controls. Controls showed dramatic increases in scrub cover, with encroachment of a mean 1096 m(2) per hectare over ten years. Whilst all management strategies were effective in reducing scrub encroachment, they differed in their ability to influence regeneration of scrub and grassland quality. There was a general trend, evident in both the floral community and scrub levels, of increased effectiveness with increasing management intensity. The dual methodology proved highly effective, allowing rapid collection of data over a range of variables and spatial scales unavailable to each method individually. The methodology thus demonstrates potential for a useful monitoring tool. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. STATUS OF SO2 SCRUBBING TECHNOLOGIES

    EPA Science Inventory

    The paper presents the extent of current sulfur dioxide (SO2) scrubber applications on electricity generating units in the U.S. and abroad. The technical performance of recent SO2 scrubber installations is discussed. Recently reported technical innovations to SO2 scrubbing tech...

  7. Prevalence and risk factors for scrub typhus in South India.

    PubMed

    Trowbridge, Paul; P, Divya; Premkumar, Prasanna S; Varghese, George M

    2017-05-01

    To determine the prevalence and risk factors of scrub typhus in Tamil Nadu, South India. We performed a clustered seroprevalence study of the areas around Vellore. All participants completed a risk factor survey, with seropositive and seronegative participants acting as cases and controls, respectively, in a risk factor analysis. After univariate analysis, variables found to be significant underwent multivariate analysis. Of 721 people participating in this study, 31.8% tested seropositive. By univariate analysis, after accounting for clustering, having a house that was clustered with other houses, having a fewer rooms in a house, having fewer people living in a household, defecating outside, female sex, age >60 years, shorter height, lower weight, smaller body mass index and smaller mid-upper arm circumference were found to be significantly associated with seropositivity. After multivariate regression modelling, living in a house clustered with other houses, female sex and age >60 years were significantly associated with scrub typhus exposure. Overall, scrub typhus is much more common than previously thought. Previously described individual environmental and habitual risk factors seem to have less importance in South India, perhaps because of the overall scrub typhus-conducive nature of the environment in this region. © 2017 John Wiley & Sons Ltd.

  8. AmeriFlux US-KS2 Kennedy Space Center (scrub oak)

    DOE Data Explorer

    Drake, Bert [Smithsonian Environmental Research Center; Hinkle, Ross [University of Central Florida

    2016-01-01

    This is the AmeriFlux version of the carbon flux data for the site US-KS2 Kennedy Space Center (scrub oak). Site Description - The Kennedy Space Center Scrub Oak site is located within the Merritt Island National Wildlife Refuge at the Kennedy Space Center (KSC) on the east coast of central Florida. Situated in a 10 ha scrub oak ecosystem, the surrounding stand was completely burned by a prescribed fire in 1996. The purpose of the burn was to control understory fuel load, which has been a common practice since 1969. Within a few weeks of the 1996 burn, the stand began to naturally regenerate from roots and rhizomes. Most scrub oak stands in the region undergo a 7 to 10 year disturbance cycle, mostly related to fire or hurricane activity. A severe drought gripped most of Florida beginning in 1998 until the later half of 2001 resulting in four years of relatively low amount of annual rainfall. Exceptionally high annual rainfall amount in 2004 was the result of a pair of hurricanes that hit the area in August and September of 2004. Prevaling wind directions for the site are as follows: W to NW in the winter, afternoon E sea breeze in the summer.

  9. Assessing Hydrologic Impacts of Land Configuration Changes Using an Integrated Hydrologic Model at the Rocky Flats Environmental Technology Site, Colorado

    NASA Astrophysics Data System (ADS)

    Prucha, R. H.; Dayton, C. S.; Hawley, C. M.

    2002-12-01

    The Rocky Flats Environmental Technology Site (RFETS) in Golden, Colorado, a former Department of Energy nuclear weapons manufacturing facility, is currently undergoing closure. The natural semi-arid interaction between surface and subsurface flow at RFETS is complex and complicated by the industrial modifications to the flow system. Using a substantial site data set, a distributed parameter, fully-integrated hydrologic model was developed to assess the hydrologic impact of different hypothetical site closure configurations on the current flow system and to better understand the integrated hydrologic behavior of the system. An integrated model with this level of detail has not been previously developed in a semi-arid area, and a unique, but comprehensive, approach was required to calibrate and validate the model. Several hypothetical scenarios were developed to simulate hydrologic effects of modifying different aspects of the site. For example, some of the simulated modifications included regrading the current land surface, changing the existing surface channel network, removing subsurface trenches and gravity drain flow systems, installing a slurry wall and geotechnical cover, changing the current vegetative cover, and converting existing buildings and pavement to permeable soil areas. The integrated flow model was developed using a rigorous physically-based code so that realistic design parameters can simulate these changes. This code also permitted evaluation of changes to complex integrated hydrologic system responses that included channelized and overland flow, pond levels, unsaturated zone storage, groundwater heads and flow directions, and integrated water balances for key areas. Results generally show that channel flow offsite decreases substantially for different scenarios, while groundwater heads generally increase within the reconfigured industrial area most of which is then discharged as evapotranspiration. These changes have significant implications to

  10. Scrub typhus in rural Rajasthan and a review of other Indian studies.

    PubMed

    Masand, Rupesh; Yadav, Ritesh; Purohit, Alok; Tomar, Balvir Singh

    2016-05-01

    Scrub typhus is an acute febrile illness which has been reported from various parts of India with Rajasthan recently joining the list of affected states. To report a series of paediatric scrub typhus cases from rural Rajasthan. Retrospective review of children with scrub typhus admitted to the wards and paediatric intensive care unit (PICU) of a tertiary-care hospital. The study was undertaken over an 8-month period from May to December 2013. All patients with a clinical presentation and/or serological confirmation of scrub typhus who tested negative for malaria, enteric fever, dengue, leptospirosis and urinary tract infection (UTI) were included. A range of investigations were undertaken including IgM-ELISA for scrub typhus, followed by appropriate medical management. Thirty patients satisfied the inclusion criteria. The mean (SD, range) age of the patients was 8·56 (3·43, 3-16) years. The most common clinical features were fever (n = 30, 100%), headache (n = 20, 66%), myalgia (n = 15, 50%), hepatosplenomegaly (n = 18, 60%) and pallor (n = 5, 16%). Typical features such as eschar and rash were observed in only one (3·3%) and three (10%) patients, respectively; none had generalised lymphadenopathy or conjunctival congestion. IgM-ELISA for scrub typhus was positive in 28 patients (93·3%) and 27 responded to doxycycline within 24-72 hours. One of the three patients who required PICU support responded to intravenous chloramphenicol and, of the other two (6·6%), one died of acute respiratory distress syndrome and the other owing to acute renal failure. A high index of suspicion is essential for early diagnosis and prevention of complications in scrub typhus together with prompt referral from rural areas to a higher centre. Awareness of the disease manifestations may further help to prevent excessive investigations in patients presenting with non-specific febrile illness and reduce the economic burden to the family and society in resource

  11. Scrub typhus in rural Rajasthan and a review of other Indian studies.

    PubMed

    Masand, Rupesh; Yadav, Ritesh; Purohit, Alok; Tomar, Balvir Singh

    2016-01-09

    Scrub typhus is an acute febrile illness which has been reported from various parts of India with Rajasthan recently joining the list of affected states. To report a series of paediatric scrub typhus cases from rural Rajasthan. Retrospective review of children with scrub typhus admitted to the wards and paediatric intensive care unit (PICU) of a tertiary-care hospital. The study was undertaken over an 8-month period from May to December 2013. All patients with a clinical presentation and/or serological confirmation of scrub typhus who tested negative for malaria, enteric fever, dengue, leptospirosis and urinary tract infection (UTI) were included. A range of investigations were undertaken including IgM-ELISA for scrub typhus, followed by appropriate medical management. Thirty patients satisfied the inclusion criteria. The mean (SD, range) age of the patients was 8·56 (3·43, 3-16) years. The most common clinical features were fever (n = 30, 100%), headache (n = 20, 66%), myalgia (n = 15, 50%), hepatosplenomegaly (n = 18, 60%) and pallor (n = 5, 16%). Typical features such as eschar and rash were observed in only one (3·3%) and three (10%) patients, respectively; none had generalised lymphadenopathy or conjunctival congestion. IgM-ELISA for scrub typhus was positive in 28 patients (93·3%) and 27 responded to doxycycline within 24-72 hours. One of the three patients who required PICU support responded to intravenous chloramphenicol and, of the other two (6·6%), one died of acute respiratory distress syndrome and the other owing to acute renal failure. A high index of suspicion is essential for early diagnosis and prevention of complications in scrub typhus together with prompt referral from rural areas to a higher centre. Awareness of the disease manifestations may further help to prevent excessive investigations in patients presenting with non-specific febrile illness and reduce the economic burden to the family and society in resource

  12. FLY ASH RECYCLE IN DRY SCRUBBING

    EPA Science Inventory

    The paper describes the effects of fly ash recycle in dry scrubbing. (Previous workers have shown that the recycle of product solids improves the utilization of slaked lime--Ca(OH)2--for sulfur dioxide (SO2) removal by spray dryers with bag filters.) In laboratory-scale experimen...

  13. Non-technical skills of the operating theatre scrub nurse: literature review.

    PubMed

    Mitchell, Lucy; Flin, Rhona

    2008-07-01

    This paper is a report of a review to identify the non-technical (cognitive and social) skills used by scrub nurses. Recognition that failures in non-technical skills contributed to accidents in high-risk industries led to the development of research programmes to study the role of cognition and social interactions in operational safety. Recently, psychological research in operating theatres has revealed the importance of non-technical skills in safe and efficient performance. Most of the studies to date have focused on anaesthetists and surgeons. On-line sources and university library catalogues, publications of the Association for Perioperative Practice, National Association of Theatre Nurses and Association of Peri-Operative Registered Nurses were searched in 2007. Studies were included in the review if they presented data from scrub nurses on one or more of their non-technical skills. These findings were examined in relation to an existing medical non-technical skills framework with categories of communication, teamwork, leadership, situation awareness and decision-making. Of 424 publications retrieved, 13 were reviewed in detail. Ten concerned communication and eight of those also had data on teamwork. In 11 papers teamwork was examined, and one focused on nurses' situation awareness, teamwork and communication. None of the papers we reviewed examined leadership or decision-making by scrub nurses. Further work is needed to identify formally the non-technical skills which are important to the role of scrub nurse and then to design training in the identified non-technical skills during the education and development of scrub nurses.

  14. Meteorological factors affecting scrub typhus occurrence: a retrospective study of Yamagata Prefecture, Japan, 1984-2014.

    PubMed

    Seto, J; Suzuki, Y; Nakao, R; Otani, K; Yahagi, K; Mizuta, K

    2017-02-01

    Climate change, by its influence on the ecology of vectors might affect the occurrence of vector-borne diseases. This study examines the effects of meteorological factors in Japan on the occurrence of scrub typhus, a mite-borne zoonosis caused by Orientia tsutsugamushi. Using negative binomial regression, we analysed the relationships between meteorological factors (including temperature, rainfall, snowfall) and spring-early summer cases of scrub typhus in Yamagata Prefecture, Japan, during 1984-2014. The average temperature in July and August of the previous year, cumulative rainfall in September of the previous year, snowfall throughout the winter, and maximum depth of snow cover in January and February were positively correlated with the number of scrub typhus cases. By contrast, cumulative rainfall in July of the previous year showed a negative relationship to the number of cases. These associations can be explained by the life-cycle of Leptotrombidium pallidum, a predominant vector of spring-early summer cases of scrub typhus in northern Japan. Our findings show that several meteorological factors are useful to estimate the number of scrub typhus cases before the endemic period. They are applicable to establish an early warning system for scrub typhus in northern Japan.

  15. Surveillance of potential hosts and vectors of scrub typhus in Taiwan.

    PubMed

    Kuo, Chi-Chien; Lee, Pei-Lung; Chen, Chun-Hsung; Wang, Hsi-Chieh

    2015-12-01

    Scrub typhus is a lethal infectious disease vectored by larval trombiculid mites (i.e. chiggers) infected with Orientia tsutsugamushi (OT) and recent decades have witnessed an emergence of scrub typhus in several countries. Identification of chigger species and their vertebrate hosts is fundamental for the assessment of human risks to scrub typhus under environmental changes, but intensive and extensive survey of chiggers and their hosts is still lacking in Taiwan. Chiggers were collected from shrews and rodents in nine counties of Taiwan and were assayed for OT infections with nested polymerase chain reaction (PCR). PCR products were further sequenced to reveal probable OT strains. Rodents were assessed for OT exposure by immunofluorescent antibody assay. Lastly, incidence rate of scrub typhus in each county was associated with loads and prevalence of chigger infestations, seropositivity rate in rodents, and OT positivity rate in chiggers. Rattus losea was the most abundant (48.7% of 1,285 individuals) and widespread (occurred in nine counties) small mammal species and hosted the majority of chiggers (76.4% of 128,520 chiggers). Leptotrombidium deliense was the most common (64.9% of all identified chiggers) and widespread (occurred in seven counties) chigger species but was replaced by Leptotrombidium pallidum or Leptotrombidium scutellare during the cold seasons in two counties (Matsu and Kinmen) where winter temperatures were lower than other study sites. Seropositivity rate for OT exposure in 876 assayed rodents was 43.0% and OT positivity rate in 347 pools of chiggers was 55.9%, with 15 OT strains identified in the 107 successfully sequenced samples. Incidence rate of scrub typhus was positively correlated with chigger loads, prevalence of chigger infestations, seropositivity rate but not OT positivity rate in chiggers. Our study reveals R. losea as the primary host for chiggers and there exists a geographical and seasonal variation in chigger species in

  16. Acid gas scrubbing by composite solvent-swollen membranes

    DOEpatents

    Matson, Stephen L.; Lee, Eric K. L.; Friesen, Dwayne T.; Kelly, Donald J.

    1988-01-01

    A composite immobilized liquid membrane suitable for acid gas scrubbing is disclosed. The membrane is a solvent-swollen polymer and a microporous polymeric support, the solvent being selected from a class of highly polar solvents containing at least one atom selected from nitrogen, oxygen, phosphorous and sulfur, and having a boiling point of at least 100.degree. C. and a solubility parameter of from about 7.5 to about 13.5 (cal/cm.sup.3 -atm).sup.1/2. Such solvents are homogeneously distributed through the solvent-swollen polymer from 20% to 95% by weight. Also disclosed are methods of acid gas scrubbing of high- and low-Btu gas effluents with such solvent-swollen membranes.

  17. Acid gas scrubbing by composite solvent-swollen membranes

    DOEpatents

    Matson, S.L.; Lee, E.K.L.; Friesen, D.T.; Kelly, D.J.

    1988-04-12

    A composite immobilized liquid membrane suitable for acid gas scrubbing is disclosed. The membrane is a solvent-swollen polymer and a microporous polymeric support, the solvent being selected from a class of highly polar solvents containing at least one atom selected from nitrogen, oxygen, phosphorus and sulfur, and having a boiling point of at least 100 C and a solubility parameter of from about 7.5 to about 13.5 (cal/cm[sup 3]-atm)[sup 1/2]. Such solvents are homogeneously distributed through the solvent-swollen polymer from 20% to 95% by weight. Also disclosed are methods of acid gas scrubbing of high- and low-Btu gas effluents with such solvent-swollen membranes. 3 figs.

  18. Evaluation of a waterless, scrubless chlorhexidine gluconate/ethanol surgical scrub for antimicrobial efficacy.

    PubMed

    Mulberrry, G; Snyder, A T; Heilman, J; Pyrek, J; Stahl, J

    2001-12-01

    A new waterless surgical hand preparation containing 1% chlorhexidine gluconate (CHG) and 61% ethyl alcohol was evaluated for antimicrobial efficacy in comparison with a standard 4% CHG surgical scrub and a 61% ethyl alcohol control. Clinical studies were based on the Tentative Final Monograph for Health-Care Antiseptic Drug Products (TFM) (proposed rule) and the Standard Test Method for Evaluation of Surgical Hand Scrub Formulations (ASTM E1115-91). Two randomized, blinded, well-controlled clinical studies involving 137 healthy subjects were conducted to evaluate the antimicrobial effectiveness of the CHG/ethanol hand preparation in producing an immediate and persistent reduction in the normal bacterial flora of the hands. The CHG/ethanol hand preparation was applied without scrubbing or the use of water, and a standard 4% CHG reference product was applied with a scrub brush in 2 traditional 3-minute surgical scrubs. In 1 study, a 61% ethanol vehicle control treatment was applied without scrubbing or use of water. During a 5-day period, each study subject performed a series of 11 surgical scrubs with 1 of the test treatments. After the first treatment on days 1, 2, and 5, surgical gloves were worn for 3 or 6 hours. Bacterial samples were taken with the glove-juice technique at 1 minute, 3 hours, and 6 hours after treatment. The immediate bactericidal effect of the CHG/ethanol hand preparation after a single application resulted in a 2.5-log reduction in normal flora. This bactericidal effect persisted throughout the studies and eventually increased to a 3.6-log reduction after the 11th scrub on day 5. The log reductions of the CHG/ethanol hand preparation proved to be significantly better (P <.05) than that of the 4% CHG product at each sampling interval on days 1 and 2 and the sampling at 6 hours on day 5 and significantly better than the 61% ethanol vehicle at all times. The combination of 1% CHG and 61% ethanol had significantly greater microbial reduction than

  19. Serological Diagnosis of Acute Scrub Typhus in Southern India: Evaluation of InBios Scrub Typhus Detect IgM Rapid Test and Comparison with other Serological Tests.

    PubMed

    Anitharaj, Velmurugan; Stephen, Selvaraj; Pradeep, Jothimani; Park, Sungman; Kim, Seung-Han; Kim, Young Jin; Kim, Eun-Ye; Kim, Yoon-Won

    2016-11-01

    Scrub Typhus (ST) is being reported from different parts of India in the recent past. However, the diagnosis and confirmation of ST cases require specific serological and molecular diagnostic tests. Both rapid and conventional ELISA tests need to be properly evaluated. Evaluation of a new ST IgM Immunochromatography (ICT) test kit (InBios Scrub Typhus Detect IgM Rapid Test) and compare it with another rapid kit, conventional ELISA kit and Weil-Felix (WF) test. This prospective study was carried out in Mahatma Gandhi Medical College and Research Institute, Puducherry, during November 2015 to June 2016. Clinically suspected 220 ST patients were examined by a new kit, InBios Scrub Typhus Detect IgM Rapid Test, taking the conventional InBios Scrub Typhus Detect IgM ELISA as reference. Additional comparison was made with ImmuneMed Scrub Typhus Rapid, and WF test (single OXK titers ≥1:320). Statistical analysis was performed (Chi-square, Spearman's correlation and Kappa) using IBM SPSS Statistics 17 for Windows (SPSS Inc; Chicago, USA). Percentage Sensitivity, Specificity, Positive Predictive and Negative Predictive Values for InBios, ImmuneMed and WF were 99.25, 93.02, 95.68, 98.77; 94.87, 94.19, 96.21, 92.05 and 50.38, 95.51, 94.29, 56.67 respectively. A total of 134 patients were positive in reference standard InBios IgM ELISA. This new rapid ST IgM kit validated for the first time in India, showed good sensitivity and specificity. As a Point-of-Care (PoC) test, the kit would be helpful in both urban and remote rural parts of India.

  20. Serological Diagnosis of Acute Scrub Typhus in Southern India: Evaluation of InBios Scrub Typhus Detect IgM Rapid Test and Comparison with other Serological Tests

    PubMed Central

    Anitharaj, Velmurugan; Pradeep, Jothimani; Park, Sungman; Kim, Seung-Han; Kim, Young Jin; Kim, Eun-Ye; Kim, Yoon-Won

    2016-01-01

    Introduction Scrub Typhus (ST) is being reported from different parts of India in the recent past. However, the diagnosis and confirmation of ST cases require specific serological and molecular diagnostic tests. Both rapid and conventional ELISA tests need to be properly evaluated. Aim Evaluation of a new ST IgM Immunochromatography (ICT) test kit (InBios Scrub Typhus Detect IgM Rapid Test) and compare it with another rapid kit, conventional ELISA kit and Weil-Felix (WF) test. Materials and Methods This prospective study was carried out in Mahatma Gandhi Medical College and Research Institute, Puducherry, during November 2015 to June 2016. Clinically suspected 220 ST patients were examined by a new kit, InBios Scrub Typhus Detect IgM Rapid Test, taking the conventional InBios Scrub Typhus Detect IgM ELISA as reference. Additional comparison was made with ImmuneMed Scrub Typhus Rapid, and WF test (single OXK titers ≥1:320). Statistical analysis was performed (Chi-square, Spearman’s correlation and Kappa) using IBM SPSS Statistics 17 for Windows (SPSS Inc; Chicago, USA). Results Percentage Sensitivity, Specificity, Positive Predictive and Negative Predictive Values for InBios, ImmuneMed and WF were 99.25, 93.02, 95.68, 98.77; 94.87, 94.19, 96.21, 92.05 and 50.38, 95.51, 94.29, 56.67 respectively. A total of 134 patients were positive in reference standard InBios IgM ELISA. Conclusion This new rapid ST IgM kit validated for the first time in India, showed good sensitivity and specificity. As a Point-of-Care (PoC) test, the kit would be helpful in both urban and remote rural parts of India. PMID:28050364

  1. The Effects of Surgical Hand Scrubbing Protocols on Skin Integrity and Surgical Site Infection Rates: A Systematic Review.

    PubMed

    Liu, Liang Qin; Mehigan, Sinead

    2016-05-01

    This systematic review aimed to critically appraise and synthesize updated evidence regarding the effect of surgical-scrub techniques on skin integrity and the incidence of surgical site infections. Databases searched include the Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Embase, and Cochrane Central. Our review was limited to eight peer-reviewed, randomized controlled trials and two nonrandomized controlled trials published in English from 1990 to 2015. Comparison models included traditional hand scrubbing with chlorhexidine gluconate or povidone-iodine against alcohol-based hand rubbing, scrubbing with a brush versus without a brush, and detergent-based antiseptics alone versus antiseptics incorporating alcohol solutions. Evidence showed that hand rubbing techniques are as effective as traditional scrubbing and seem to be better tolerated. Hand rubbing appears to cause less skin damage than traditional scrub protocols, and scrub personnel tolerated brushless techniques better than scrubbing using a brush. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  2. Support for Systematic Code Reviews with the SCRUB Tool

    NASA Technical Reports Server (NTRS)

    Holzmann, Gerald J.

    2010-01-01

    SCRUB is a code review tool that supports both large, team-based software development efforts (e.g., for mission software) as well as individual tasks. The tool was developed at JPL to support a new, streamlined code review process that combines human-generated review reports with program-generated review reports from a customizable range of state-of-the-art source code analyzers. The leading commercial tools include Codesonar, Coverity, and Klocwork, each of which can achieve a reasonably low rate of false-positives in the warnings that they generate. The time required to analyze code with these tools can vary greatly. In each case, however, the tools produce results that would be difficult to realize with human code inspections alone. There is little overlap in the results produced by the different analyzers, and each analyzer used generally increases the effectiveness of the overall effort. The SCRUB tool allows all reports to be accessed through a single, uniform interface (see figure) that facilitates brows ing code and reports. Improvements over existing software include significant simplification, and leveraging of a range of commercial, static source code analyzers in a single, uniform framework. The tool runs as a small stand-alone application, avoiding the security problems related to tools based on Web browsers. A developer or reviewer, for instance, must have already obtained access rights to a code base before that code can be browsed and reviewed with the SCRUB tool. The tool cannot open any files or folders to which the user does not already have access. This means that the tool does not need to enforce or administer any additional security policies. The analysis results presented through the SCRUB tool s user interface are always computed off-line, given that, especially for larger projects, this computation can take longer than appropriate for interactive tool use. The recommended code review process that is supported by the SCRUB tool consists of

  3. A comparative study of hepatitis caused by scrub typhus and viral hepatitis A in South Korea.

    PubMed

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Byeon, Yu Mi; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo; Han, Mi Ah

    2011-11-01

    We compared clinical features and laboratory findings of 104 patients with hepatitis A and 197 patients with scrub typhus. Nausea, vomiting, abdominal pain, hepatomegaly, and jaundice were common in patient with hepatitis A, and fever and headache were significantly more common in patients with scrub typhus. At presentation, an alanine aminotransferase (ALT) level ≥ 500 U/L was observed in 1% of scrub typhus patients and in 87.5% of hepatitis A patients (P < 0.001). A bilirubin level ≥ 1.3 mg/dL was observed in 16.8% of scrub typhus patients and 90.4% of hepatitis A patients. The ALT:lactate dehydrogenase ratio was ≤ 5 in 97.4% of the patients with scrub typhus and > 5 in 95.2% of those with hepatitis A (P < 0.001). Fever, headache, rash, and eschar are findings that indicate scrub typhus. An ALT level ≥ 500 U/L (adjusted odds ratio = 0.011) a bilirubin level ≥ 1.3 (adjusted odds ratio = 0.024), an ALT:lactate dehydrogenase ratio > 5, and hepatomegaly are indications of viral hepatitis A.

  4. A Comparative Study of Hepatitis Caused by Scrub Typhus and Viral Hepatitis A in South Korea

    PubMed Central

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Byeon, Yu Mi; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo; Han, Mi Ah

    2011-01-01

    We compared clinical features and laboratory findings of 104 patients with hepatitis A and 197 patients with scrub typhus. Nausea, vomiting, abdominal pain, hepatomegaly, and jaundice were common in patient with hepatitis A, and fever and headache were significantly more common in patients with scrub typhus. At presentation, an alanine aminotransferase (ALT) level ≥ 500 U/L was observed in 1% of scrub typhus patients and in 87.5% of hepatitis A patients (P < 0.001). A bilirubin level ≥ 1.3 mg/dL was observed in 16.8% of scrub typhus patients and 90.4% of hepatitis A patients. The ALT:lactate dehydrogenase ratio was ≤ 5 in 97.4% of the patients with scrub typhus and > 5 in 95.2% of those with hepatitis A (P < 0.001). Fever, headache, rash, and eschar are findings that indicate scrub typhus. An ALT level ≥ 500 U/L (adjusted odds ratio = 0.011) a bilirubin level ≥ 1.3 (adjusted odds ratio = 0.024), an ALT:lactate dehydrogenase ratio > 5, and hepatomegaly are indications of viral hepatitis A. PMID:22049041

  5. Factors Affecting Florida Scrub-Jay Nest Survival on Ocala National Forest, Florida

    Treesearch

    Kathleen Franzreb; Stan Zarnoch

    2011-01-01

    One of the main populations of the Florida scrub-jay (Aphelocoma coerulescens), a federally threatened species, occurs on Ocala National Forest, Florida. We determined the nest survival rate (DSR) of 474 nests of Florida scrub-jays in stands subject to sand pine reforestation management after timber harvesting or wildfire on Ocala National Forest. We used the...

  6. Scrub typhus cases in a teaching hospital in Penghu, Taiwan, 2006-2010.

    PubMed

    Wang, Ying-Chuan; Chen, Po-Chuan; Lee, Kwai-Fong; Wu, Yu-Cheng; Chiu, Chun-Hsiang

    2013-03-01

    Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi (previously called Rickettsia tsutsugamushi). The severity of this disease varies from only mild symptoms to death, and its manifestations are nonspecific. Therefore, clinicians may not correctly diagnose scrub typhus early enough for successful treatment. Reports of infections in travelers returning from Asia to their home countries are increasingly common. Thus, it is important that even clinicians in nonepidemic regions be alert for this disease. Here we describe the epidemiological aspects and clinical manifestations of scrub typhus encountered at a teaching hospital in Penghu, Taiwan, over the past 5 years. A total of 126 patients were confirmed to be positive for scrub typhus at the hospital from 2006 to 2010. All cases were confirmed by the Centers for Disease Control and Prevention or its contract laboratory through pathogen isolation and an indirect immunofluorescence assay. Medical records of these patients were reviewed, and demographic and clinical characteristics, laboratory data, seasonal data, geographic distribution, complications, and outcome were analyzed. The incidence of scrub typhus peaked in individuals aged 0-10 and 51-60 years, with the highest incidence among those ≤10 years of age. No significant difference was noted between sexes. Fever was the most common symptom (93.6%), followed by chills (23.8%), cough (18.3%), and headache (14.3%). Eschars were observed in 78 (61.9%) patients, with the axilla being the most frequent site (n=17; 21.8%). Most patients were retirees (n=63; 50%), followed by students (n=16; 12.7%). Patients were more likely to live in rural areas than urban areas. Scrub typhus was epidemic in the spring (April to June) and fall (October to December) in a bimodal distribution similar to that observed in Japan. Leukocytosis was not common, but most patients had abnormal C-reactive protein levels, thrombocytopenia, and elevated liver function

  7. Bayesian spatial modelling and the significance of agricultural land use to scrub typhus infection in Taiwan.

    PubMed

    Wardrop, Nicola A; Kuo, Chi-Chien; Wang, Hsi-Chieh; Clements, Archie C A; Lee, Pei-Fen; Atkinson, Peter M

    2013-11-01

    Scrub typhus is transmitted by the larval stage of trombiculid mites. Environmental factors, including land cover and land use, are known to influence breeding and survival of trombiculid mites and, thus, also the spatial heterogeneity of scrub typhus risk. Here, a spatially autoregressive modelling framework was applied to scrub typhus incidence data from Taiwan, covering the period 2003 to 2011, to provide increased understanding of the spatial pattern of scrub typhus risk and the environmental and socioeconomic factors contributing to this pattern. A clear spatial pattern in scrub typhus incidence was observed within Taiwan, and incidence was found to be significantly correlated with several land cover classes, temperature, elevation, normalized difference vegetation index, rainfall, population density, average income and the proportion of the population that work in agriculture. The final multivariate regression model included statistically significant correlations between scrub typhus incidence and average income (negatively correlated), the proportion of land that contained mosaics of cropland and vegetation (positively correlated) and elevation (positively correlated). These results highlight the importance of land cover on scrub typhus incidence: mosaics of cropland and vegetation represent a transitional land cover type which can provide favourable habitats for rodents and, therefore, trombiculid mites. In Taiwan, these transitional land cover areas tend to occur in less populated and mountainous areas, following the frontier establishment and subsequent partial abandonment of agricultural cultivation, due to demographic and socioeconomic changes. Future land use policy decision-making should ensure that potential public health outcomes, such as modified risk of scrub typhus, are considered.

  8. Development and evaluation of a new alcohol-based surgical hand scrub formulation with persistent antimicrobial characteristics and brushless application.

    PubMed

    Hobson, D W; Woller, W; Anderson, L; Guthery, E

    1998-10-01

    Since the introduction in the 1970s of surgical hand scrub formulations that contain 4% chlorhexidine gluconate (CHG), new surgical scrub formulations that have improved efficacy, persistence, or significantly improved use characteristics have not been forthcoming. In addition, the manufacturer's labeling for popular hand scrub products generally requires scrub times in excess of 6 minutes, whereas current practical needs call for products with substantially shorter scrub times. A new alcohol-based surgical scrub formulation, which has ingredients that provide emollient, surfactant, and antimicrobial persistence characteristics to complement the rapid and broad-spectrum antiseptic qualities of alcohol, has been developed in an effort to address these current practical needs. The relative efficacy of a new alcohol-based surgical scrub formulation that contains ingredients that provide surfactant and antimicrobial persistence characteristics was compared with that of commercial 4% CHG and 7.5% povidone iodine (PVPI) formulations with use of human subjects. Hand antimicrobial count sampling was performed by using standardized "glove juice" methodology. The efficacy and persistence results of the new formulation showed statistically significant improvement over both CHG and PVPI at a substantially lessened scrub time (3 minutes). In addition, use of the new formulation without a scrub brush produced results statistically similar to 3-minute applications with either a brush or a sponge. The new alcohol-based formulation demonstrates promise as a new surgical hand scrub formulation with antimicrobial and use characteristics that are significantly improved over current CHG and PVPI formulations. These studies demonstrate the suitability of this formulation for use as a surgical hand scrub and for brushless application.

  9. Frequent contamination of nursing scrubs is associated with specific care activities.

    PubMed

    Thom, Kerri A; Escobar, Daniel; Boutin, Mallory A; Zhan, Min; Harris, Anthony D; Johnson, J Kristie

    2018-05-01

    The objective of this article is to assess health care worker (HCW) and patient care factors associated with bacterial contamination of scrubs. We performed a cohort study of critical care HCWs. Participants were given 4 sets of new scrubs; each set was sampled 8 times during the 8-month study period on random days in the last 4 hours of the shift. Total colony counts and presence of prespecified pathogenic bacteria were assessed. Generalized estimating equation was used to identify factors associated with contamination. There were 720 samples obtained from 90 HCWs; 30% of samples were contaminated with pathogenic bacteria. Multivariate analysis showed that providing care for patients with wounds (odds ratio [OR], 1.75; 95% confidence interval [CI], 1.17-2.62; P < .01) or giving a bath (OR, 1.46; 95% CI, 0.96-2.22; P = .07) was associated with higher odds of scrub contamination. A second model showed the average log colony count of bacterial contamination of scrubs was higher when a bath was given (log colony count difference, 0.21; P = .05) but lower among HCWs assigned to care for at least 1 patient on contact precautions (log colony count difference, 0.28; P < .01). HCW attire was frequently contaminated with bacteria. Providing care for patients with wounds or giving a bath were associated with scrub contamination by pathogenic bacteria. However, the amount of contamination was lower among HCWs who were assigned to care for patients on contact precautions. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  10. The genotypes of Orientia tsutsugamushi, identified in scrub typhus patients in northern Vietnam.

    PubMed

    Nguyen, Hang L K; Pham, Hang T T; Nguyen, Tinh V; Hoang, Phuong Vm; Le, Mai T Q; Takemura, Taichiro; Hasebe, Futoshi; Hayasaka, Daisuke; Yamada, Akio; Hotta, Kozue

    2017-03-01

    There are an estimated one million patients with scrub typhus in the Asia-Pacific region. There are few reports describing the incidence of scrub typhus in Vietnam. Blood samples collected from 63 patients clinically diagnosed as having scrub typhus from July 2015 to September 2016 were subjected to genotyping of Orientia tsutsugamushi. Of these patients, 42 (67%) tested positive for O. tsutsugamushi, and the most common genotype was identified to be Karp (55%). Other genotypes, TA763, Gilliam type in Japan variant, and Kato were also found in 17%, 17% and 12% of patients, respectively. To better understand the epidemiological landscape of scrub typhus in Vietnam, a countrywide study is needed. LC110330-LC110333, LC110336-LC110351 and LC214804-LC214825. © The Author 2017. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Re-caching by Western scrub-jays (Aphelocoma californica) cannot be attributed to stress.

    PubMed

    Thom, James M; Clayton, Nicola S

    2013-01-01

    Western scrub-jays (Aphelocoma californica) live double lives, storing food for the future while raiding the stores of other birds. One tactic scrub-jays employ to protect stores is "re-caching"-relocating caches out of sight of would-be thieves. Recent computational modelling work suggests that re-caching might be mediated not by complex cognition, but by a combination of memory failure and stress. The "Stress Model" asserts that re-caching is a manifestation of a general drive to cache, rather than a desire to protect existing stores. Here, we present evidence strongly contradicting the central assumption of these models: that stress drives caching, irrespective of social context. In Experiment (i), we replicate the finding that scrub-jays preferentially relocate food they were watched hiding. In Experiment (ii) we find no evidence that stress increases caching. In light of our results, we argue that the Stress Model cannot account for scrub-jay re-caching.

  12. Epidemiology of scrub typhus and the eschars patterns in South Korea from 2008 to 2012.

    PubMed

    Park, Ji-Hyuk; Kim, Sun-Ja; Youn, Seung-Ki; Park, Kisoo; Gwack, Jin

    2014-01-01

    In South Korea, scrub typhus is the most common acute febrile illness in autumn. We analyzed scrub typhus cases reported from 2008 to 2012 to describe the epidemiology of scrub typhus as well as eschar patterns. A total of 30,478 cases were reported from 2008 to 2012; the incidence rates were higher in the southern and western regions of South Korea. The common clinical symptoms of confirmed scrub typhus cases from 2010 to 2012 were fever/chills (95.2%), eschars (78.9%), and myalgia (61.7%). The primary sites of eschars were the lower extremities (19.0%), abdomen/waist (13.4%), and axilla (11.5%) in men and the shoulder/frontal chest (15.1%), lower extremities (14.5%), and abdomen/waist (13.6%) in women. Regardless of gender, eschars tended to be more on the lower extremities among the leisure activities group. Among the occupational farm work group, who usually lived in rural areas, eschars appeared most frequently on the abdomen/waist in men and on the shoulder/frontal chest in women. Eschar patterns were influenced by gender and activities. These results could facilitate the prevention of scrub typhus and clarify the current status of scrub typhus in South Korea.

  13. Rocky Mountains

    NASA Image and Video Library

    2015-05-06

    On April 29, 2015 the Moderate Resolution Imaging Spectroradiometer (MODIS) aboard NASA’s Terra satellite captured a true-color image of a typical spring scene in the western United State: snow-crowned Rocky Mountains rising above the faintly greening plains. The Rocky Mountains stretch from British Columbia, Canada to the Rio Grande in New Mexico, a span of roughly 3,000 miles, and contains many of the highest peaks in the continental United States. The tallest, Mount Elbert, rises 14,400 ft. (4,401 m) above sea level, and is located in the San Isabel National Forest, near Leadville, Colorado. This image covers seven Rocky Mountain states. From north to south they are: Montana and Idaho, Wyoming; Utah (with the Great Salt Lake visible) and Colorado; Arizona and New Mexico. To the east, the Great Plain states captured are, from north to south: North Dakota, South Dakota, Nebraska, Kansas, Oklahoma and northwestern Texas. Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

  14. Leptospirosis Scrub Typhus and Colorado Tick Fever Like Disease in Korea

    DTIC Science & Technology

    1991-01-24

    leptospirosis in humanm, serological surveys will also be done in bovine and swine populations to assess the distribution, serotypes and prevalence of...34AD-A2 35 000 AD______ GRANT NO: DAND17-88-Z-8042 TITLE: LEPTOSPIROSIS , SCRUB TYPHUS AND COLORADO TICK FEVER LIKE DISEASE IN KOREA PRINCIPAL...21702-5012 63807A 63807D809 AN A315678 11. TITLE (Inc•ude Security Classfication) LEPTOSPIROSIS , SCRUB TYPHUS AND COLORADO TICK FEVER LIKE DISEASE IN

  15. Scrub typhus in Uttarakhand & adjoining Uttar Pradesh: Seasonality, clinical presentations & predictors of mortality.

    PubMed

    Bhargava, Anurag; Kaushik, Reshma; Kaushik, Rajeev Mohan; Sharma, Anita; Ahmad, Sohaib; Dhar, Minakshi; Mittal, Garima; Khanduri, Sushant; Pant, Priyannk; Kakkar, Rajesh

    2016-12-01

    Scrub typhus is a re-emerging mite-borne rickettsiosis, which continues to be underdiagnosed, with lethal consequences. The present study was conducted to determine the seasonality, clinical presentation and predictors of mortality in patients with scrub typhus at a tertiary care teaching hospital in northern India. Scrub typhus was suspected in patients attending the hospital as per the standard case definition and serological evidence was obtained by performing an IgM ELISA. A total of 284 patients with scrub typhus from urban and rural areas were seen, predominantly from July to November. The most common clinical presentation was a bilateral community-acquired pneumonia (CAP), which resembled pneumonia due to atypical pathogens and often progressed to acute respiratory distress syndrome (ARDS). An acute undifferentiated febrile illness (AUFI) or a febrile illness associated with altered sensorium, aseptic meningitis, shock, abdominal pain, gastrointestinal bleeding or jaundice was also seen. Eschars were seen in 17 per cent of patients, and thrombocytopenia, transaminitis and azotaemia were frequent. There were 24 deaths (8.5%) caused predominantly by ARDS and multi-organ dysfunction. The mortality in patients with ARDS was high (37%). ARDS [odds ratio (OR)=38.29, 95% confidence interval (CI): 9.93, 147.71] and acute kidney injury (OR=8.30, 95% CI: 2.21, 31.21) were the major predictors of death. The present findings indicate that scrub typhus may be considered a cause of CAP, ARDS, AUFI or a febrile illness with multisystem involvement, in Uttarakhand and Uttar Pradesh, especially from July to November. Empiric therapy of CAP may include doxycycline or azithromycin to ensure coverage of underlying unsuspected scrub typhus.

  16. The status of island scrub oak (Quercus pacifica on Catalina Island, California

    Treesearch

    Denise A. Knapp

    2002-01-01

    The island scrub oak is characterized by a shrubby (to 2 meters) or arborescent (to 5 meters or taller) growth form. It is the dominant species of the scrub oak chaparral community on Catalina Island, which occupies approximately 25 percent of the 76 square-mile island, primarily on north-facing slopes. The Santa Catalina Island Conservancy, which owns and manages 88...

  17. Effect of Latitude and Seasonal Variation on Scrub Typhus, South Korea, 2001–2013

    PubMed Central

    Jeung, Ye Sul; Kim, Choon-Mee; Yun, Na Ra; Kim, Seok-Won; Han, Mi Ah; Kim, Dong-Min

    2016-01-01

    In South Korea, scrub typhus is one of the most common rickettsial diseases. The number of scrub typhus patients has increased in South Korea, a total of 69,210 cases were reported from 2001 to 2013. The seasonality and relation of scrub typhus cases to latitude were analyzed in this article using data obtained from the National Notifiable Diseases Surveillance System website of the Korea Centers for Disease Control and Prevention. The incidence of scrub typhus tended to increase in the later months of the year, especially in October–December. In general, lower latitudes were associated with a later peak incidence. Our results suggest for the first time that the monthly observed incidence tended to increase in the later months of the year as the latitude decreased, and on a yearly basis in Korea. PMID:26503283

  18. The Surgical Scrub. Learning Activity Package.

    ERIC Educational Resources Information Center

    Runge, Lillian

    This learning activity package on the surgical scrub is one of a series of 12 titles developed for use in health occupations education programs. Materials in the package include objectives, a list of materials needed, a list of definitions, information sheets, reviews (self evaluations) of portions of the content, and answers to reviews. These…

  19. Regional body wave tomography of the Peruvian flat slab

    NASA Astrophysics Data System (ADS)

    Young, B. E.; Wagner, L. S.; Knezevic Antonijevic, S.; Kumar, A.; Beck, S. L.; Long, M. D.; Tavera, H.

    2013-12-01

    Local travel time data from the PerU Lithosphere and Slab Experiment (PULSE) were used to create three dimensional tomographic models of Vp and Vs above the flat slab in southern Peru. In the flat slab subduction regions of Peru and central Chile/Argentina, the Nazca plate subducts normally to a depth of ~100 km and then bends and progresses subhorizontally for several hundreds of kilometers before it resumes steep subduction. The Peruvian flat slab segment, located between 3°S and 15°S, corresponds to a gap in the volcanic arc and far-field thick-skinned deformation in the Eastern Cordillera. Despite ongoing research, there is still little consensus on the causes and consequences of flat slab subduction. In western North American, it has been suggested that flat subduction may have been responsible for the formation of the Rocky Mountains and ignimbrite flare-up during the Laramide orogeny. Preliminary tomography results show high shear wave velocities above the slab for a region that coincides with the location of the Nazca ridge, a 200 km wide bathymetric high that is currently subducting at ~15°S. Meanwhile, P wave velocities appear to be relatively normal. North of the ridge location, shear wave velocities can be separated into sublinear high (near the coast) and low (inland) velocity zones oriented approximately parallel to the trench. This geometry corresponds well with the organization of geotectonic and morphological terrains in Peru. High shear wave velocities above the slab are consistent with results from the 2000-2002 CHARGE deployment in central Chile/Argentina. This could indicate the presence of silica enriched, dry continental lithosphere, or it may be due to the presence of an anisotropic layer of hydrous phases directly above the slab. Future comparisons with results from Rayleigh wave tomography aim to address the role of anisotropy in observed shear wave velocities above flat slabs.

  20. Increased level and interferon-γ production of circulating natural killer cells in patients with scrub typhus.

    PubMed

    Kang, Seung-Ji; Jin, Hye-Mi; Cho, Young-Nan; Kim, Seong Eun; Kim, Uh Jin; Park, Kyung-Hwa; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung; Park, Yong-Wook

    2017-07-01

    Natural killer (NK) cells are essential immune cells against several pathogens. Not much is known regarding the roll of NK cells in Orientia tsutsugamushi infection. Thus, this study aims to determine the level, function, and clinical relevance of NK cells in patients with scrub typhus. This study enrolled fifty-six scrub typhus patients and 56 health controls (HCs). The patients were divided into subgroups according to their disease severity. A flow cytometry measured NK cell level and function in peripheral blood. Circulating NK cell levels and CD69 expressions were significantly increased in scrub typhus patients. Increased NK cell levels reflected disease severity. In scrub typhus patients, tests showed their NK cells produced higher amounts of interferon (IFN)-γ after stimulation with interleukin (IL)-12 and IL-18 relative to those of HCs. Meanwhile, between scrub typhus patients and HCs, the cytotoxicity and degranulation of NK cells against K562 were comparable. CD69 expressions were recovered to the normal levels in the remission phase. This study shows that circulating NK cells are activated and numerically increased, and they produced more IFN-γ in scrub typhus patients.

  1. Increased level and interferon-γ production of circulating natural killer cells in patients with scrub typhus

    PubMed Central

    Cho, Young-Nan; Kim, Seong Eun; Kim, Uh Jin; Park, Kyung-Hwa; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung

    2017-01-01

    Background Natural killer (NK) cells are essential immune cells against several pathogens. Not much is known regarding the roll of NK cells in Orientia tsutsugamushi infection. Thus, this study aims to determine the level, function, and clinical relevance of NK cells in patients with scrub typhus. Methodology/Principal findings This study enrolled fifty-six scrub typhus patients and 56 health controls (HCs). The patients were divided into subgroups according to their disease severity. A flow cytometry measured NK cell level and function in peripheral blood. Circulating NK cell levels and CD69 expressions were significantly increased in scrub typhus patients. Increased NK cell levels reflected disease severity. In scrub typhus patients, tests showed their NK cells produced higher amounts of interferon (IFN)-γ after stimulation with interleukin (IL)-12 and IL-18 relative to those of HCs. Meanwhile, between scrub typhus patients and HCs, the cytotoxicity and degranulation of NK cells against K562 were comparable. CD69 expressions were recovered to the normal levels in the remission phase. Conclusions This study shows that circulating NK cells are activated and numerically increased, and they produced more IFN-γ in scrub typhus patients. PMID:28750012

  2. Multistate modeling of habitat dynamics: Factors affecting Florida scrub transition probabilities

    USGS Publications Warehouse

    Breininger, D.R.; Nichols, J.D.; Duncan, B.W.; Stolen, Eric D.; Carter, G.M.; Hunt, D.K.; Drese, J.H.

    2010-01-01

    Many ecosystems are influenced by disturbances that create specific successional states and habitat structures that species need to persist. Estimating transition probabilities between habitat states and modeling the factors that influence such transitions have many applications for investigating and managing disturbance-prone ecosystems. We identify the correspondence between multistate capture-recapture models and Markov models of habitat dynamics. We exploit this correspondence by fitting and comparing competing models of different ecological covariates affecting habitat transition probabilities in Florida scrub and flatwoods, a habitat important to many unique plants and animals. We subdivided a large scrub and flatwoods ecosystem along central Florida's Atlantic coast into 10-ha grid cells, which approximated average territory size of the threatened Florida Scrub-Jay (Aphelocoma coerulescens), a management indicator species. We used 1.0-m resolution aerial imagery for 1994, 1999, and 2004 to classify grid cells into four habitat quality states that were directly related to Florida Scrub-Jay source-sink dynamics and management decision making. Results showed that static site features related to fire propagation (vegetation type, edges) and temporally varying disturbances (fires, mechanical cutting) best explained transition probabilities. Results indicated that much of the scrub and flatwoods ecosystem was resistant to moving from a degraded state to a desired state without mechanical cutting, an expensive restoration tool. We used habitat models parameterized with the estimated transition probabilities to investigate the consequences of alternative management scenarios on future habitat dynamics. We recommend this multistate modeling approach as being broadly applicable for studying ecosystem, land cover, or habitat dynamics. The approach provides maximum-likelihood estimates of transition parameters, including precision measures, and can be used to assess

  3. Clinico - Laboratory Profile of Scrub Typhus - An Emerging Rickettsiosis in India.

    PubMed

    Narayanasamy, Dinesh Kumar; Arunagirinathan, Arul Kumaran; Kumar, Revathi Krishna; Raghavendran, V D

    2016-11-01

    To study the clinical and laboratory profile of pediatric scrub typhus in rural south India. This is a descriptive study of the clinical and laboratory features of 117 children with IgM ELISA proven scrub typhus out of 448 children, who were admitted in the Pediatric ward of a tertiary care hospital, during the study period of November 2014 through March 2015. Fever was present in all 117 children, with mean duration of fever at admission as 9 d. Gastrointestinal tract was the most commonly affected system, seen in 51 % of children. Cough (82 %), myalgia (70 %), vomiting (68 %), headache (45 %) and pain abdomen (42 %) were the most common symptoms of scrub typhus. Hepatomegaly (70), splenomegaly (53 %), pallor (50 %) and eschar (41 %) were the common clinical findings in children with scrub typhus. Out of 49 children with eschar, 32 were associated with regional lymphadenopathy, which was commonly seen in axillary, neck and groin regions. Leucocytosis (50 %), anemia (56 %), increased SGOT / SGPT (47 %), thrombocytopenia (41 %), hypoalbuminemia (40 %) and hyponatremia (40 %) were the common lab features. Shock (46 %), myocarditis (24 %) and pneumonia (16 %) were the common complications seen in these children. This study showed that early treatment for scrub typhus results in a good outcome in terms of early recovery and nil mortality. Regional lymphadenopathy is a marker of hidden or developing eschar. Total count and differential count should be interpreted on the background of the duration of fever. Since IgM ELISA, which is diagnostic of scrub typhus may not be widely available, any febrile child coming from rural area with hepatosplenomegaly, pallor, eschar, generalised / regional lymphadenopathy, anemia, leucocytosis, thrombocytopenia and increased Aspartate transaminase (AST) /Alanine aminotransferase (ALT) should be started on empirical Doxycycline or Azithromycin in order to prevent life threatening complications secondary to delay in

  4. [Spatio-temporal distribution of scrub typhus and related influencing factors in coastal beach area of Yancheng, China].

    PubMed

    Chen, Y Z; Li, F; Xu, H; Huang, L C; Gu, Z G; Sun, Z Y; Yan, G J; Zhu, Y J; Tang, C

    2016-02-01

    In order to provide better programs on monitoring, early warning and prevention of Scrub Typhus in the coastal beach area, temporal-spatial distribution characteristics of scrub typhus were summarized. Relationships between temporal-spatial clustering of Scrub Typhus, meteorological factors, rodent distribution and the biological characteristics in coastal beach area of Yancheng city, were studied. Reports on network-based Scrub Typhus epidemics and information on population, weather situation through monitoring those stations, from 2005 to 2014 were collected and processed, in the coastal beach area of Yancheng city. Distribution, density of the population concerned and seasonal fluctuation on rodents were monitored in coastal beach area, from April 2011 to December, 2013. METHODS as descriptive statistics, space-time permutation scantistics, autocorrelation and Cross-correlation analysis etc, were used to analyze the temporal-spatial distribution of Scrub Typhus and correlation with rodent distribution, density fluctuation and meteorological indexes. Zero-inflated Pearson (ZIP) regression model was contributed according to the distribution of related data. All methods were calculated under Excel 2003, SPSS 16.0, Mapinfo 11.0, Satscan 9.0 and Stata/SE 10.0 softwares. (1) The incidence of Scrub Typhus was gradually increasing and the highest incidence of the year was seen in 2014, as 5.81/10 million. There was an autumn peak of Scrub typhus, with the highest incidence rate as 12.02/10 million in November. The incidence rate of Scrub typhus appeared high in Binhai, Dafeng and Xiangshui, with the average incidence rates appeared as 3.30/10 million, 3.21/10 million and 2.79/10 million, respectively. There were 12 towns with high incidence rates in the coastal beach area, with incidence rate showed between 4.41/10 and 10.03/10 million. (2) There were three incidence clusters of Scrub typhus seen in 25 towns, between October 2012 and November 2012 in Dongtai, Dafeng

  5. Symposium 9: Rocky Mountain futures: preserving, utilizing, and sustaining Rocky Mountain ecosystems

    USGS Publications Warehouse

    Baron, Jill S.; Seastedt, Timothy; Fagre, Daniel B.; Hicke, Jeffrey A.; Tomback, Diana; Garcia, Elizabeth; Bowen, Zachary H.; Logan, Jesse A.

    2013-01-01

    In 2002 we published Rocky Mountain Futures, an Ecological Perspective (Island Press) to examine the cumulative ecological effects of human activity in the Rocky Mountains. We concluded that multiple local activities concerning land use, hydrologic manipulation, and resource extraction have altered ecosystems, although there were examples where the “tyranny of small decisions” worked in a positive way toward more sustainable coupled human/environment interactions. Superimposed on local change was climate change, atmospheric deposition of nitrogen and other pollutants, regional population growth, and some national management policies such as fire suppression.

  6. Flat and complex temperate reefs provide similar support for fish: Evidence for a unimodal species-habitat relationship

    PubMed Central

    Pickering, Emily A.; Adler, Alyssa M.; Taylor, J. Christopher; Peterson, Charles H.

    2017-01-01

    Structural complexity, a form of habitat heterogeneity, influences the structure and function of ecological communities, generally supporting increased species density, richness, and diversity. Recent research, however, suggests the most complex habitats may not harbor the highest density of individuals and number of species, especially in areas with elevated human influence. Understanding nuances in relationships between habitat heterogeneity and ecological communities is warranted to guide habitat-focused conservation and management efforts. We conducted fish and structural habitat surveys of thirty warm-temperate reefs on the southeastern US continental shelf to quantify how structural complexity influences fish communities. We found that intermediate complexity maximizes fish abundance on natural and artificial reefs, as well as species richness on natural reefs, challenging the current paradigm that abundance and other fish community metrics increase with increasing complexity. Naturally occurring rocky reefs of flat and complex morphologies supported equivalent abundance, biomass, species richness, and community composition of fishes. For flat and complex morphologies of rocky reefs to receive equal consideration as essential fish habitat (EFH), special attention should be given to detecting pavement type rocky reefs because their ephemeral nature makes them difficult to detect with typical seafloor mapping methods. Artificial reefs of intermediate complexity also maximized fish abundance, but human-made structures composed of low-lying concrete and metal ships differed in community types, with less complex, concrete structures supporting lower numbers of fishes classified largely as demersal species and metal ships protruding into the water column harboring higher numbers of fishes, including more pelagic species. Results of this study are essential to the process of evaluating habitat function provided by different types and shapes of reefs on the seafloor

  7. Flat and complex temperate reefs provide similar support for fish: Evidence for a unimodal species-habitat relationship.

    PubMed

    Paxton, Avery B; Pickering, Emily A; Adler, Alyssa M; Taylor, J Christopher; Peterson, Charles H

    2017-01-01

    Structural complexity, a form of habitat heterogeneity, influences the structure and function of ecological communities, generally supporting increased species density, richness, and diversity. Recent research, however, suggests the most complex habitats may not harbor the highest density of individuals and number of species, especially in areas with elevated human influence. Understanding nuances in relationships between habitat heterogeneity and ecological communities is warranted to guide habitat-focused conservation and management efforts. We conducted fish and structural habitat surveys of thirty warm-temperate reefs on the southeastern US continental shelf to quantify how structural complexity influences fish communities. We found that intermediate complexity maximizes fish abundance on natural and artificial reefs, as well as species richness on natural reefs, challenging the current paradigm that abundance and other fish community metrics increase with increasing complexity. Naturally occurring rocky reefs of flat and complex morphologies supported equivalent abundance, biomass, species richness, and community composition of fishes. For flat and complex morphologies of rocky reefs to receive equal consideration as essential fish habitat (EFH), special attention should be given to detecting pavement type rocky reefs because their ephemeral nature makes them difficult to detect with typical seafloor mapping methods. Artificial reefs of intermediate complexity also maximized fish abundance, but human-made structures composed of low-lying concrete and metal ships differed in community types, with less complex, concrete structures supporting lower numbers of fishes classified largely as demersal species and metal ships protruding into the water column harboring higher numbers of fishes, including more pelagic species. Results of this study are essential to the process of evaluating habitat function provided by different types and shapes of reefs on the seafloor

  8. The scrub oak forests of the anthracite region

    Treesearch

    C. F. Burnham; M. J. Ferree; F. E. Cunningham

    1947-01-01

    A small portion of our forest land has probably always been covered with scrub oak. There is some evidence of this in fragments handed down to us about certain areas by early historians and travelers.

  9. Severe scrub typhus infection: Clinical features, diagnostic challenges and management

    PubMed Central

    Peter, John Victor; Sudarsan, Thomas I; Prakash, John Anthony J; Varghese, George M

    2015-01-01

    Scrub typhus infection is an important cause of acute undifferentiated fever in South East Asia. The clinical picture is characterized by sudden onset fever with chills and non-specific symptoms that include headache, myalgia, sweating and vomiting. The presence of an eschar, in about half the patients with proven scrub typhus infection and usually seen in the axilla, groin or inguinal region, is characteristic of scrub typhus. Common laboratory findings are elevated liver transaminases, thrombocytopenia and leukocytosis. About a third of patients admitted to hospital with scrub typhus infection have evidence of organ dysfunction that may include respiratory failure, circulatory shock, mild renal or hepatic dysfunction, central nervous system involvement or hematological abnormalities. Since the symptoms and signs are non-specific and resemble other tropical infections like malaria, enteric fever, dengue or leptospirosis, appropriate laboratory tests are necessary to confirm diagnosis. Serological assays are the mainstay of diagnosis as they are easy to perform; the reference test is the indirect immunofluorescence assay (IFA) for the detection of IgM antibodies. However in clinical practice, the enzyme-linked immuno-sorbent assay is done due to the ease of performing this test and a good sensitivity and sensitivity when compared with the IFA. Paired samples, obtained at least two weeks apart, demonstrating a ≥ 4 fold rise in titre, is necessary for confirmation of serologic diagnosis. The mainstay of treatment is the tetracycline group of antibiotics or chloramphenicol although macrolides are used alternatively. In mild cases, recovery is complete. In severe cases with multi-organ failure, mortality may be as high as 24%. PMID:26261776

  10. Studies on Typhus and Spotted Fever.

    DTIC Science & Technology

    1986-09-01

    Rocky Mountain spotted fever , scrub typhus, trench fever, R. prowazekil, R. mooseri, R. Canada, R...rickettsia- static action: erythromycin and rifampin. Although erythromycin aiready had proven to be unreliable in the treatment of Rocky Mountain spotted fever , the...DC. 9. DuPont, H. L., R. B. Hornick, A. T. Dawkins, G. G. heiner. I. B. Fabrikant, C. L. Wisseman. Jr, and T. E. Woodward. 1VU1. Rocky Mountain spotted fever :

  11. Clinical Evaluation of Rapid Diagnostic Test Kit for Scrub Typhus with Improved Performance.

    PubMed

    Kim, Young-Jin; Park, Sungman; Premaratna, Ranjan; Selvaraj, Stephen; Park, Sang-Jin; Kim, Sora; Kim, Donghwan; Kim, Min Soo; Shin, Dong Hoon; Choi, Kyung-Chan; Kwon, Soon-Hwan; Seo, Wonjun; Lee, Nam Taek; Kim, Seung-Han; Kang, Heui Keun; Kim, Yoon-Won

    2016-08-01

    Diagnosis of scrub typhus is challenging due to its more than twenty serotypes and the similar clinical symptoms with other acute febrile illnesses including leptospirosis, murine typhus and hemorrhagic fever with renal syndrome. Accuracy and rapidity of a diagnostic test to Orientia tsutsugamushi is an important step to diagnose this disease. To discriminate scrub typhus from other diseases, the improved ImmuneMed Scrub Typhus Rapid Diagnostic Test (RDT) was evaluated in Korea and Sri Lanka. The sensitivity at the base of each IgM and IgG indirect immunofluorescent assay (IFA) in Korean patients was 98.6% and 97.1%, and the specificity was 98.2% and 97.7% respectively. The sensitivity and specificity for retrospective diagnosis at the base of IFA in Sri Lanka was 92.1% and 96.1%. ImmuneMed RDT was not reactive to any serum from seventeen diseases including hemorrhagic fever with renal syndrome (n = 48), leptospirosis (n = 23), and murine typhus (n = 48). ImmuneMed RDT shows superior sensitivity (98.6% and 97.1%) compared with SD Bioline RDT (84.4% at IgM and 83.3% at IgG) in Korea. The retrospective diagnosis of ImmuneMed RDT exhibits 94.0% identity with enzyme-linked Immunosorbent assay (ELISA) using South India patient serum samples. These results suggest that this RDT can replace other diagnostic tests and is applicable for global diagnosis of scrub typhus. This rapid and accurate diagnosis will be beneficial for diagnosing and managing scrub typhus.

  12. A metallicity recipe for rocky planets

    NASA Astrophysics Data System (ADS)

    Dawson, Rebekah I.; Chiang, Eugene; Lee, Eve J.

    2015-10-01

    Planets with sizes between those of Earth and Neptune divide into two populations: purely rocky bodies whose atmospheres contribute negligibly to their sizes, and larger gas-enveloped planets possessing voluminous and optically thick atmospheres. We show that whether a planet forms rocky or gas-enveloped depends on the solid surface density of its parent disc. Assembly times for rocky cores are sensitive to disc solid surface density. Lower surface densities spawn smaller planetary embryos; to assemble a core of given mass, smaller embryos require more mergers between bodies farther apart and therefore exponentially longer formation times. Gas accretion simulations yield a rule of thumb that a rocky core must be at least 2M⊕ before it can acquire a volumetrically significant atmosphere from its parent nebula. In discs of low solid surface density, cores of such mass appear only after the gas disc has dissipated, and so remain purely rocky. Higher surface density discs breed massive cores more quickly, within the gas disc lifetime, and so produce gas-enveloped planets. We test model predictions against observations, using planet radius as an observational proxy for gas-to-rock content and host star metallicity as a proxy for disc solid surface density. Theory can explain the observation that metal-rich stars host predominantly gas-enveloped planets.

  13. Two decades of change in a coastal scrub community: songbird responses to plant succession

    Treesearch

    Mary K. Chase; Aaron L. Holmes; Thomas Gardali; Grant Ballard; Geoffrey R. Geupel; Nadav Nur

    2005-01-01

    Coastal scrub habitats in California are threatened by habitat loss, fragmentation, and degradation. Local and statewide declines have been observed in several birds that breed in coastal scrub, most notably the California Gnatcatcher (Polioptila californica; Atwood 1993), but also include more common species such as the Whitecrowned Sparrow...

  14. Kennedy Space Center Florida Scrub-Jay Compensation Plan

    NASA Technical Reports Server (NTRS)

    Pitcock, Taylor Morgan (Compiler)

    2014-01-01

    Many organizations have interest in using NASA property on KSC. The purpose of this document is to consolidate the goals of ecosystem management associated with Florida Scrub-Jays and compliance with the Endangered Species Act (ESA) in order to streamline and reduce the costs of facility planning, impact assessment, and impact minimization. This will simplify the process and reduce regulatory uncertainty.However, the resulting process must be consistent with the Merritt Island National Wildlife Refuge (MINWR) Comprehensive Conservation Plan (CCP). In addition, this document considers anticipated construction impacts on KSC during the next 10 years and summarizes priorities in a spatially explicit manner. The document describes anticipated compensation requirements to facilitate restoration of degraded habitat in areas most important to the KSC Scrub-Jay population through resources provided to MINWR. The plan assumes that all construction on KSC is compensated on KSC.

  15. Wet scrubbing of biomass producer gas tars using vegetable oil

    NASA Astrophysics Data System (ADS)

    Bhoi, Prakashbhai Ramabhai

    The overall aims of this research study were to generate novel design data and to develop an equilibrium stage-based thermodynamic model of a vegetable oil based wet scrubbing system for the removal of model tar compounds (benzene, toluene and ethylbenzene) found in biomass producer gas. The specific objectives were to design, fabricate and evaluate a vegetable oil based wet scrubbing system and to optimize the design and operating variables; i.e., packed bed height, vegetable oil type, solvent temperature, and solvent flow rate. The experimental wet packed bed scrubbing system includes a liquid distributor specifically designed to distribute a high viscous vegetable oil uniformly and a mixing section, which was designed to generate a desired concentration of tar compounds in a simulated air stream. A method and calibration protocol of gas chromatography/mass spectroscopy was developed to quantify tar compounds. Experimental data were analyzed statistically using analysis of variance (ANOVA) procedure. Statistical analysis showed that both soybean and canola oils are potential solvents, providing comparable removal efficiency of tar compounds. The experimental height equivalent to a theoretical plate (HETP) was determined as 0.11 m for vegetable oil based scrubbing system. Packed bed height and solvent temperature had highly significant effect (p0.05) effect on the removal of model tar compounds. The packing specific constants, Ch and CP,0, for the Billet and Schultes pressure drop correlation were determined as 2.52 and 2.93, respectively. The equilibrium stage based thermodynamic model predicted the removal efficiency of model tar compounds in the range of 1-6%, 1-4% and 1-2% of experimental data for benzene, toluene and ethylbenzene, respectively, for the solvent temperature of 30° C. The NRTL-PR property model and UNIFAC for estimating binary interaction parameters are recommended for modeling absorption of tar compounds in vegetable oils. Bench scale

  16. Predictors of acute myocarditis in complicated scrub typhus: an endemic province in the Republic of Korea.

    PubMed

    Chin, Jung Yeon; Kang, Ki-Woon; Moon, Kyung Min; Kim, Jongwoo; Choi, Yu Jeong

    2018-03-01

    Scrub typhus is known as a self-limited infectious disease. Cardiac complication is uncommon and usually not life-threatening. Until now, few cases of fulminant myocarditis by scrub typhus have been reported. So, we investigated incidence and predictors of acute myocarditis in severe scrub typhus. We retrospectively reviewed 89 patients among 91 scrub typhus confirmed patients who examined an echocardiogram and cardiac biomarkers from 2005 to 2015 in the intensive care unit at our hospital. We excluded two patients who didn't have electrocardiography. Patients were divided into two groups and compared between scrub typhus with (n = 13) and without (n = 76) acute myocarditis. Age, sex, and underlying diseases were similar between the groups. The existence of eschar and duration of general ache and fever were similar between the groups. However, patients with acute myocarditis had more elevated total bilirubin, high incidence of ST elevations and paroxysmal atrial fibrillation (PAF) than those without acute myocarditis. Receiver operating characteristic analysis showed that the PAF was a predictor of myocarditis with a sensitivity of 70% and specificity of 84%. Predictive power of combination of ST-segment elevation and PAF was significantly associated with myocarditis in the multivariate analysis (odds ratio, 1.57; 95% confidence interval [CI], 1.21 to 11.7; p = 0.041) and area under the curve was 0.947 (95% CI, 0.878 to 0.983; p < 0.001). Acute myocarditis with scrub typhus may be more common than previously reported. Patients with high bilirubin and PAF are at increased risk of acute myocarditis with scrub typhus. These patients warrant closer follow-up and echocardiogram would be needed.

  17. Predictors of acute myocarditis in complicated scrub typhus: an endemic province in the Republic of Korea

    PubMed Central

    Chin, Jung Yeon; Kang, Ki-Woon; Moon, Kyung Min; Kim, Jongwoo; Choi, Yu Jeong

    2018-01-01

    Background/Aims Scrub typhus is known as a self-limited infectious disease. Cardiac complication is uncommon and usually not life-threatening. Until now, few cases of fulminant myocarditis by scrub typhus have been reported. So, we investigated incidence and predictors of acute myocarditis in severe scrub typhus. Methods We retrospectively reviewed 89 patients among 91 scrub typhus confirmed patients who examined an echocardiogram and cardiac biomarkers from 2005 to 2015 in the intensive care unit at our hospital. We excluded two patients who didn’t have electrocardiography. Patients were divided into two groups and compared between scrub typhus with (n = 13) and without (n = 76) acute myocarditis. Results Age, sex, and underlying diseases were similar between the groups. The existence of eschar and duration of general ache and fever were similar between the groups. However, patients with acute myocarditis had more elevated total bilirubin, high incidence of ST elevations and paroxysmal atrial fibrillation (PAF) than those without acute myocarditis. Receiver operating characteristic analysis showed that the PAF was a predictor of myocarditis with a sensitivity of 70% and specificity of 84%. Predictive power of combination of ST-segment elevation and PAF was significantly associated with myocarditis in the multivariate analysis (odds ratio, 1.57; 95% confidence interval [CI], 1.21 to 11.7; p = 0.041) and area under the curve was 0.947 (95% CI, 0.878 to 0.983; p < 0.001). Conclusions Acute myocarditis with scrub typhus may be more common than previously reported. Patients with high bilirubin and PAF are at increased risk of acute myocarditis with scrub typhus. These patients warrant closer follow-up and echocardiogram would be needed. PMID:28226202

  18. Fire alters patterns of genetic diversity among 3 lizard species in Florida Scrub habitat.

    PubMed

    Schrey, Aaron W; Ashton, Kyle G; Heath, Stacy; McCoy, Earl D; Mushinsky, Henry R

    2011-01-01

    The Florida Sand Skink (Plestiodon reynoldsi), the Florida Scrub Lizard (Sceloporus woodi), and the Six-lined Racerunner (Aspidoscelis sexlineata) occur in the threatened and fire-maintained Florida scrub habitat. Fire may have different consequences to local genetic diversity of these species because they each have different microhabitat preference. We collected tissue samples of each species from 3 sites with different time-since-fire: Florida Sand Skink n = 73, Florida Scrub Lizard n = 70, and Six-lined Racerunner n = 66. We compared the effect of fire on genetic diversity at microsatellite loci for each species. We screened 8 loci for the Florida Sand Skink, 6 loci for the Florida Scrub Lizard, and 6 loci for the Six-lined Racerunner. We also tested 2 potential driving mechanisms for the observed change in genetic diversity, a metapopulation source/sink model and a local demographic model. Genetic diversity varied with fire history, and significant genetic differentiation occurred among sites. The Florida Scrub Lizard had highest genetic variation at more recently burned sites, whereas the Florida Sand Skink and the Six-lined Racerunner had highest genetic variation at less recently burned sites. Habitat preferences of the Florida Sand Skink and the Florida Scrub Lizard may explain their discordant results, and the Six-lined Racerunner may have a more complicated genetic response to fire or is acted on at a different geographic scale than we have investigated. Our results indicate that these species may respond to fire in a more complicated manner than predicted by our metapopulation model or local demographic model. Our results show that the population-level responses in genetic diversity to fire are species-specific mandating conservation management of habitat diversity through a mosaic of burn frequencies.

  19. A New Population Estimate for the Florida Scrub Jay on Merritt Island National Wildlife Refuge

    NASA Technical Reports Server (NTRS)

    Breininger, David R.

    1989-01-01

    The variable circular plot method was used to sample avifauna within different vegetation types determined from aerial imagery. The Florida Scrub Jay (Aphelocoma coerulescens coerulescens) population was estimated to range between 1,415 and 3,603 birds. Approximately half of the scrub and slash pine habitat appeared to be unused by Florida Scrub Jay, probably because the slash pine cover was too dense or the oak cover was too sparse. Results from the study suggest that the entire state population may be much lower than believed because the size of two of the three largest populations may have been overestimated.

  20. Simultaneous stack-gas scrubbing and waste water treatment

    NASA Technical Reports Server (NTRS)

    Poradek, J. C.; Collins, D. D.

    1980-01-01

    Simultaneous treatment of wastewater and S02-laden stack gas make both treatments more efficient and economical. According to results of preliminary tests, solution generated by stack gas scrubbing cycle reduces bacterial content of wastewater. Both processess benefit by sharing concentrations of iron.

  1. Etiologies of Acute Undifferentiated Fever and Clinical Prediction of Scrub Typhus in a Non-Tropical Endemic Area

    PubMed Central

    Jung, Ho-Chul; Chon, Sung-Bin; Oh, Won Sup; Lee, Dong-Hyun; Lee, Ho-Jin

    2015-01-01

    Scrub typhus usually presents as acute undifferentiated fever. This cross-sectional study included adult patients presenting with acute undifferentiated fever defined as any febrile illness for ≤ 14 days without evidence of localized infection. Scrub typhus cases were defined by an antibody titer of a ≥ fourfold increase in paired sera, a ≥ 1:160 in a single serum using indirect immunofluorescence assay, or a positive result of the immunochromatographic test. Multiple regression analysis identified predictors associated with scrub typhus to develop a prediction rule. Of 250 cases with known etiology of acute undifferentiated fever, influenza (28.0%), hepatitis A (25.2%), and scrub typhus (16.4%) were major causes. A prediction rule for identifying suspected cases of scrub typhus consisted of age ≥ 65 years (two points), recent fieldwork/outdoor activities (one point), onset of illness during an outbreak period (two points), myalgia (one point), and eschar (two points). The c statistic was 0.977 (95% confidence interval = 0.960–0.994). At a cutoff value ≥ 4, the sensitivity and specificity were 92.7% (79.0–98.1%) and 90.9% (86.0–94.3%), respectively. Scrub typhus, the third leading cause of acute undifferentiated fever in our region, can be identified early using the prediction rule. PMID:25448236

  2. Retro-action model for the erosion of rocky coasts

    NASA Astrophysics Data System (ADS)

    Sapoval, B.; Baldassarri, A.

    2009-12-01

    Rocky coasts are estimated to represent 75% of the world’s shorelines [1]. We discuss various situations where the formation of rocky coast morphology could be attributed to the retro-action of the coast morphology on the erosive power of the see. In the case of rocky coasts, erosion can spontaneously create irregular seashores. But, in turn, the geometrical irregularity participates to the damping of sea-waves, decreasing the average wave amplitude and erosive power. There may then exist a mutual self-stabilization of the waves amplitude together with the irregular morphology of the coast. A simple model of such stabilization is discussed. It leads, through a complex dynamics of the earth-sea interface, to the spontaneous appearance of an irregular sea-shore. The final coast morphology is found to depend on the morphology/damping coupling of the coast and on the possible existence of built-in correlations within the coast lithologic properties. This is illustrated in the figure. In the limit case where the morphology/damping coupling is weak and when the earth lithology distribution exhibit only short range correlations, the process spontaneously build fractal morphologies with a dimension close to 4/3 [2]. It is shown that this dimension refers to the dimension of the so-called accessible perimeter in gradient percolation. However, even rugged but non-fractal sea-coasts morphology may emerge for strong damping or during the erosion process. When the distributions of the lithologies exhibit long range correlations, a variety of complex morphologies are obtained which mimics observed coastline complexity, well beyond simple fractality. On a somewhat different perspective, the design of breakwaters is suggested to be improved by using global irregular geometry with features sizes of the order of the wave-length of the sea oscillations. [1] R. A. Davis, Jr, D. M. Fitzgerald, Beaches and Coasts,(Blackwell, Oxford 2004). [2] B. Sapoval, A. Baldassarri, A. Gabrielli

  3. Climate change and the Rocky Mountains: Chapter 20

    USGS Publications Warehouse

    Byrne, James M.; Fagre, Daniel B.; MacDonald, Ryan; Muhlfeld, Clint C.

    2014-01-01

    For at least half of the year, the Rocky Mountains are shrouded in snow that feeds a multitude of glaciers. Snow and ice eventually melt into rivers that have eroded deep valleys that contain rich aquatic and terrestrial ecosystems. Because the Rocky Mountains are the major divide on the continent, rainfall and melt water from glaciers and snowfields feed major river systems that run to the Pacific, Atlantic, and Arctic oceans. The Rockies truly are the water tower for much of North America, and part of the Alpine backbone of North and South America. For purposes of this chapter, we limit our discussion to the Rocky Mountains of the Canadian provinces of Alberta and British Columbia, and the U.S. states of Montana, Idaho, Wyoming, and Colorado. Similar to other mountain systems, the altitude of the Rocky Mountains condenses the weather, climate and ecosystems of thousands of kilometres of latitude into very short vertical distances. In one good day, a strong hiker can journey by foot from the mid-latitude climates of the great plains of North America to an arctic climate near the top of Rocky Mountain peaks. The steep climatic gradients of mountain terrain create some of the most diverse ecosystems in the world, but it is those rapid changes in microclimate and ecology that make mountains sensitive to climate change. The energy budget in mountains varies dramatically not only with elevation but with slope and aspect. A modest change in the slope of the terrain over short distances may radically change the solar radiation available in that location. Shaded or north facing slopes have very different microclimates than the same elevations in a sunlit location, or for a hill slope facing south. The complexities associated with the mountain terrain of the Rockies compound complexities of weather and climate to create diverse, amazing ecosystems. This chapter addresses the impacts of climate change on Rocky Mountain ecosystems in light of their complexities and

  4. Cytokine network in scrub typhus: high levels of interleukin-8 are associated with disease severity and mortality.

    PubMed

    Astrup, Elisabeth; Janardhanan, Jeshina; Otterdal, Kari; Ueland, Thor; Prakash, John A J; Lekva, Tove; Strand, Øystein A; Abraham, O C; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M

    2014-02-01

    Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the Asia-Pacific region. Mortality is high if untreated, and even with treatment as high as 10-20%, further knowledge of the immune response during scrub typhus is needed. The current study was aimed at comparing plasma levels of a variety of inflammatory mediators in scrub typhus patients and controls in South India in order to map the broader cytokine profile and their relation to disease severity and clinical outcome. We examined plasma levels of several cytokines in scrub typhus patients (n = 129) compared to healthy controls (n = 31) and infectious disease controls (n = 31), both in the acute phase and after recovery, by multiplex technology and enzyme immunoassays. Scrub typhus patients were characterized by marked changes in the cytokine network during the acute phase, differing not only from healthy controls but also from infectious disease controls. While most of the inflammatory markers were raised in scrub typhus, platelet-derived mediators such as RANTES were markedly decreased, probably reflecting enhanced platelet activation. Some of the inflammatory markers, including various chemokines (e.g., interleukin-8, monocyte chemoattractant peptide-1 and macrophage inflammatory protein-1β) and downstream markers of inflammation (e.g., C-reactive protein and pentraxin-3), were also associated with disease severity and mortality during follow-up, with a particular strong association with interleukin-8. Our findings suggest that scrub typhus is characterized by a certain cytokine profile that includes dysregulated levels of a wide range of mediators, and that this enhanced inflammation could contribute to disease severity and clinical outcome.

  5. Rocky Mountain spotted fever in children.

    PubMed

    Woods, Charles R

    2013-04-01

    Rocky Mountain spotted fever is typically undifferentiated from many other infections in the first few days of illness. Treatment should not be delayed pending confirmation of infection when Rocky Mountain spotted fever is suspected. Doxycycline is the drug of choice even for infants and children less than 8 years old. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. [Evaluation of a waterless, scrubless chlorhexidine gluconate/ethanol surgical scrub and povidone-iodine for antimicrobial efficacy].

    PubMed

    Choi, Jeong Sil

    2008-02-01

    The purpose of this study was to compare 1% chlorhexidine-gluconate/61% ethanol (CHG/Ethanol) emollient and 7.5% povidone-iodine (PVI) scrub for antimicrobial,residual effect, and skin condition. CHG/Ethanol emollient hand hygiene was performed waterless, and brushless by operating doctors and nurses (N=20). PVI hand washing was performed with water and a brush (N=20) for 5 min. The subjects were asked to press their left hand in hand-shaped agar before a surgical scrub, immediately after a surgical scrub and after the operation. The amount of isolated microorganisms were calculated by counting the number of divided areas(1 x 1 cm, 160 cell) which were culture positive in the hand culture plate. The skin condition was evaluated. The antimicrobial count of CHG/Ethanol emollient and PVI immediately post surgical scrub was 0.0 vs. 4.1 (p>.05), and after the operation was 0.1 vs. 37.8 (p>.05)respectively. The Residual effect of CHG/Ethanol emollient immediately post surgical scrub and after the operation were 0.0 vs. 0.1 (p>.05), and PVI were 4.1 vs. 37.8 (p>.05)respectively. The skin condition and satisfaction of CHG/Ethanol emollient was higher than PVI (p<.05). The antimicrobial effect between CHG/Ethanol emollient and PVI were the same. Considering skin condition, satisfaction and allergic reaction CHG/Ethanol emollient for surgical scrub is recommended in Korea.

  7. 1. Topographic view of the Rocky Creek Bridge and the ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Topographic view of the Rocky Creek Bridge and the Oregon coast, view looking east - Rocky Creek Bridge, Spanning Rocky Creek on Oregon Coast Highway (U.S. Route 101), Depoe Bay, Lincoln County, OR

  8. Colour coding scrubs as a means of improving perioperative communication.

    PubMed

    Litak, Dominika

    2011-05-01

    Effective communication within the operating department is essential for achieving patient safety. A large part of the perioperative communication is non-verbal. One type of non-verbal communication is 'object communication', the most common form of which is clothing. The colour coding of clothing such as scrubs has the potential to optimise perioperative communication with the patients and between the staff. A colour contains a coded message, and is a visual cue for an immediate identification of personnel. This is of key importance in the perioperative environment. The idea of colour coded scrubs in the perioperative setting has not been much explored to date and, given the potential contributiontowards improvement of patient outcomes, deserves consideration.

  9. The Correlation of Endoscopic Findings and Clinical Features in Korean Patients with Scrub Typhus: A Cohort Study.

    PubMed

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo

    2016-01-01

    Scrub typhus is an infectious disease caused by Orientia tsutsugamushi-induced systemic vasculitis, but the involvement of the gastrointestinal tract and the endoscopic findings associated with scrub typhus are not well understood. We performed a prospective study and recommend performing esophagogastroduodenoscopy (EGD) for all possible scrub typhus patients, regardless of gastrointestinal symptoms. Gastrointestinal symptoms, endoscopic findings and clinical severity based on organ involvement and ICU admission were analyzed. Gastrointestinal symptoms occurred in up to 76.4% of scrub typhus patients. The major endoscopic findings were ulcers (43/127, 33.9%). Interestingly, 7.1% (9/127) of the patients presented with esophageal candidiasis. There was no correlation between the presence or absence of gastrointestinal symptoms and the endoscopic grade (P = 0.995). However, there was a positive correlation between the clinical severity and the endoscopic findings (P = 0.001). Sixty-three percent of the patients presented with erosion or ulcers on prospectively performed endoscopic evaluations, irrespective of gastrointestinal symptoms. Gastrointestinal symptoms did not reflect the need for endoscopy. Scrub typhus patients could have significant endoscopic abnormalities even in the absence of gastrointestinal symptoms.

  10. Root competition slows growth of p1antings on unprepared sites in scrub oak

    Treesearch

    E. F. McNamara; Irvin C. Reigner

    1955-01-01

    Planting experiments during the past 7 years on the Dilldown Unit of the Delaware-Lehigh Experimental Forest in Pennsylvania and elsewhere in the scrub oak type have been aimed at finding methods for converting the scrub cover to more valuable timber types at least cost. Some sort of site preparation has been recognized from the beginning as essential to successful...

  11. Development and characterization of microsatellite loci for the endangered scrub Lupine, Lupinus aridorum (Fabaceae)

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

    Ricono, Angela; Bupp, Glen; Peterson, Cheryl

    Microsatellite primers were developed in scrub lupine ( Lupinus aridorum, Fabaceae), an endemic species to Florida that is listed as endangered in the United States, to assess connectivity among populations, identify hybrids, and examine genetic diversity. We isolated and characterized 12 microsatellite loci polymorphic in scrub lupine or in closely related species (i.e., sky-blue lupine [ L. diffusus] and Gulf Coast lupine [ L. westianus]). Loci showed low to moderate polymorphism, ranging from two to 14 alleles per locus and 0.01 to 0.86 observed heterozygosity. In conclusion, these loci are the first developed for Florida species of lupine and willmore » be used to determine differentiation among species and to aid in conservation of the endangered scrub lupine.« less

  12. Development and characterization of microsatellite loci for the endangered scrub Lupine, Lupinus aridorum (Fabaceae)

    DOE PAGES

    Ricono, Angela; Bupp, Glen; Peterson, Cheryl; ...

    2015-04-01

    Microsatellite primers were developed in scrub lupine ( Lupinus aridorum, Fabaceae), an endemic species to Florida that is listed as endangered in the United States, to assess connectivity among populations, identify hybrids, and examine genetic diversity. We isolated and characterized 12 microsatellite loci polymorphic in scrub lupine or in closely related species (i.e., sky-blue lupine [ L. diffusus] and Gulf Coast lupine [ L. westianus]). Loci showed low to moderate polymorphism, ranging from two to 14 alleles per locus and 0.01 to 0.86 observed heterozygosity. In conclusion, these loci are the first developed for Florida species of lupine and willmore » be used to determine differentiation among species and to aid in conservation of the endangered scrub lupine.« less

  13. Cytokine Network in Scrub Typhus: High Levels of Interleukin-8 Are Associated with Disease Severity and Mortality

    PubMed Central

    Astrup, Elisabeth; Janardhanan, Jeshina; Otterdal, Kari; Ueland, Thor; Prakash, John A. J.; Lekva, Tove; Strand, Øystein A.; Abraham, O. C.; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M.

    2014-01-01

    Background Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the Asia-Pacific region. Mortality is high if untreated, and even with treatment as high as 10–20%, further knowledge of the immune response during scrub typhus is needed. The current study was aimed at comparing plasma levels of a variety of inflammatory mediators in scrub typhus patients and controls in South India in order to map the broader cytokine profile and their relation to disease severity and clinical outcome. Methodology/Principal Findings We examined plasma levels of several cytokines in scrub typhus patients (n = 129) compared to healthy controls (n = 31) and infectious disease controls (n = 31), both in the acute phase and after recovery, by multiplex technology and enzyme immunoassays. Scrub typhus patients were characterized by marked changes in the cytokine network during the acute phase, differing not only from healthy controls but also from infectious disease controls. While most of the inflammatory markers were raised in scrub typhus, platelet-derived mediators such as RANTES were markedly decreased, probably reflecting enhanced platelet activation. Some of the inflammatory markers, including various chemokines (e.g., interleukin-8, monocyte chemoattractant peptide-1 and macrophage inflammatory protein-1β) and downstream markers of inflammation (e.g., C-reactive protein and pentraxin-3), were also associated with disease severity and mortality during follow-up, with a particular strong association with interleukin-8. Conclusions/Significance Our findings suggest that scrub typhus is characterized by a certain cytokine profile that includes dysregulated levels of a wide range of mediators, and that this enhanced inflammation could contribute to disease severity and clinical outcome. PMID:24516677

  14. Diagnostic evaluation of rapid tests for scrub typhus in the Indian population is needed.

    PubMed

    Shivalli, Siddharudha

    2016-05-12

    Owing to frequent outbreaks witnessed in different parts of the country in the recent past, scrub typhus is being described as a re-emerging infectious disease in India. Differentiating scrub typhus from other endemic diseases like malaria, leptospirosis, dengue fever, typhoid, etc. is difficult due to overlapping clinical features and a lower positivity for eschars in Asian populations. Hence, the diagnosis heavily relies on laboratory tests. Costs and the need of technical expertise limit the wide use of indirect immunoperoxidase or immunofluorescence assays, ELISA and PCR. The Weil-Felix test is the most commonly used and least expensive serological test, but lacks both sensitivity and specificity. Hence, the diagnosis of scrub typhus is often delayed or overlooked. With due consideration of the cost, rapidity, single test result and simplicity of interpretation, rapid diagnostic tests have come into vogue. However, evaluation of rapid diagnostic tests for scrub typhus in the Indian population is needed to justify or discourage their use. Research studies are needed to find the most suitable test in terms of the rapidity of the result, simplicity of the procedure, ease of interpretation and cost to be used in the Indian populace.

  15. ACUTE CHOLECYSTITIS AS AN UNUSUAL PRESENTATION OF SCRUB TYPHUS: A REPORT OF TWO CASES AND REVIEW OF THE LITERATURE.

    PubMed

    Charoenphak, Sirima; Rattanawong, Pattara; Sungkanuparph, Somnuek

    2017-01-01

    Scrub typhus rarely presents with acute cholecystitis. We present 2 cases of scrub typhus with cholecystitis. The first patient is a 62 year old female who presented to the hospital with fever and body aches for 1 week and right upper quadrant abdominal pain for 3 days. She gave a history of an insect bite 2 weeks previously. She was diagnosed as having acute cholecystitis and underwent cholecystectomy. She continued with fever post-operatively and physical examination revealed an eschar. She had an immunofluorescence assay (IFA) performed that revealed a high IgM titer for Orientia tsutsugamushi. She was diagnosed as having scrub typhus, treated with doxycycline and she recovered completely. The second patient also presented to the hospital with a 1 week history of fever and upper quadrant abdominal pain. She was diagnosed with having cholecystitis. Her symptoms did not improve with intravenous antibiotics and further investigation revealed elevated titers for O. tsutsugamushi and Leptospira interrogans. She was diagnosed as having a co-infection of scrub typhus and leptospirosis and treated with doxycycline. She recovered completely. Patients from scrub typhus endemic regions who present with acute cholecystitis but do not respond to traditional treatment should be tested for scrub typhus and leptospirosis and should have a careful admission physical examination looking for eschar formation, since scrub typhus may present with acute cholecystitis.

  16. Development of a behavioural marker system for scrub practitioners' non-technical skills (SPLINTS system).

    PubMed

    Mitchell, Lucy; Flin, Rhona; Yule, Steven; Mitchell, Janet; Coutts, Kathy; Youngson, George

    2013-04-01

    Adverse events still occur despite ongoing efforts to reduce harm to patients. Contributory factors to adverse events are often due to limitations in clinicians' non-technical skills (e.g. communication, situation awareness), rather than deficiencies in technical competence. We developed a behavioural rating system to provide a structured means for teaching and assessing scrub practitioners' (i.e. nurse, technician, operating department practitioner) non-technical skills. Psychologists facilitated focus groups (n = 4) with experienced scrub practitioners (n = 16; 4 in each group) to develop a preliminary taxonomy. Focus groups reviewed lists of non-technical-skill-related behaviours that were extracted from an interview study. The focus groups labelled skill categories and elements and also provided examples of good and poor behaviours for those skills. An expert panel (n = 2 psychologists; n = 1 expert nurse) then used an iterative process to individually and collaboratively review and refine those data to produce a prototype skills taxonomy. A preliminary taxonomy containing eight non-technical skill categories with 28 underlying elements was produced. The expert panel reduced this to three categories (situation awareness, communication and teamwork, task management), each with three underlying elements. The system was called the Scrub Practitioners' List of Intraoperative Non-Technical Skills system. A scoring system and a user handbook were also developed. A prototype behavioural rating system for scrub practitioners' non-technical skills was developed, to aid in teaching and providing formative assessment. This important aspect of performance is not currently explicitly addressed in any educational route to qualify as a scrub practitioner. © 2012 Blackwell Publishing Ltd.

  17. Scrub typhus caused by Orientia tsutsugamushi Kawasaki-related genotypes in Shandong Province, northern China.

    PubMed

    Zhang, Luyan; Bi, Zhenwang; Kou, Zengqiang; Yang, Huili; Zhang, Aihua; Zhang, Shoufeng; Meng, Xiangpeng; Zheng, Li; Zhang, Meng; Yang, Hui; Zhao, Zhongtang

    2015-03-01

    Orientia tsutsugamushi, the causative agent of scrub typhus, is an obligate intracellular bacterium and characterized by dramatic genetic diversity. To elucidate the genotypes of O. tsutsugamushi populating in patients in Shandong Province, a new epidemic zone in China, we sequenced partial of the 56-kDa type-specific antigen gene (TSA) and identified the genotypes of 43 O. tsutsugamushi samples from human patients confirmed with scrub typhus from 2010 to 2013. All of the 43 sequences are in the same clade, 39 of them are in one branch and the other four sequences, nominated as SH1002, SH1306, SH1309, and SH1307 are in four separate branches. To clarify the clinical characterizations caused by Kawasaki-related genotypes, we studied the clinical profiles of these 43 scrub typhus patients. Most patients (88.1%) were farmers lived in rural areas. They presented with fever (100.0%), headache (79.1%), dizziness (32.6%), generalized myalgia (48.8%), fatigue (53.5%), anorexia (53.5%), facial flushing (23.3%), conjunctival congestion (11.6%), skin rashes (58.1%) and lymphadenopathy (23.3%). Eschar (97.7%) was quite common in patients, which provided doctors with a luminous clue for diagnosis of scrub typhus. Thrombocytopenia was seen in 23.1% of patients, and three patients (7.0%) had bronchopneumonia. There was no death report in Shandong Province during the study period. The present study provides beneficial data for clinical, serological, and molecular diagnosis of scrub typhus infections, and also provides foundations for subsequent studies. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Effects of clarithromycin treatment in scrub typhus in children: comparison with chloramphenicol and azithromycin.

    PubMed

    Lee, Min; Kim, June; Jo, Dae Sun

    2017-04-01

    Chloramphenicol and tetracycline are not recommended for treating scrub typhus in pediatric patients because of potential side effects, such as aplastic anemia or tooth discoloration. While clarithromycin has recently been used in adults, few reports have been published on its effects in pediatric patients. We report the clinical profiles of pediatric scrub typhus and the effects of clarithromycin on scrub typhus in children. We retrospectively analyzed medical records of 56 children with scrub typhus who were admitted between 2004 and 2013 to Chonbuk National University Hospital, Jeonju, Korea. Cases were divided into 3 groups based on thetreatment drug (chloramphenicol, azithromycin, and clarithromycin). We compared their clinical manifestations and laboratory findings. All patients exhibited fever and rash. Other common clinical manifestations were eschars (66%), lymphadenopathy (48%), upper respiratory symptoms (42%), abdominal pain (32%), and hepatosplenomegaly (14%). Elevated levels of C-reactive protein, erythrocyte sedimentation rates, aspartate transaminase, and alanine transaminase were detected in 95%, 96%, 84%, and 77% of patients, respectively. Additionally, decreased platelet and white blood cell levels were observed in 43% and 36% of patients, respectively. There were no statistical differences between the treatment groups in mean age ( P =0.114) or sex ( P =0.507). However, time to defervescence after the treatments differed significantly, being the shortest in the clarithromycin group ( P =0.019). All patients recovered without complications related to the disease or drugs. Clarithromycin was as effective as chloramphenicol and azithromycin in pediatric scrub typhus patients and may be used as a first-line treatment drug.

  19. Scrub typhus causing neonatal hepatitis with acute liver failure-A case series.

    PubMed

    Vajpayee, Shailja; Gupta, R K; Gupta, M L

    2017-05-01

    Neonatal hepatitis with acute liver failure due to varied etiology including various infections is reported in the past. Scrub typhus as a cause of neonatal hepatitis has rarely been reported in literature. A high index of clinical suspicion is required for early diagnosis and timely treatment. Severity and prognosis of the disease varies widely because several different strains of Orientia tsutsugamushi exist with different virulence. Delayed diagnosis can result in complication and significant morbidity and mortality. Here, we report three cases of neonatal hepatitis with acute liver failure caused by scrub typhus to increase awareness.

  20. Jet Surface Interaction Scrubbing Noise from High Aspect-Ratio Rectangular Jets

    NASA Technical Reports Server (NTRS)

    Khavaran, Abbas; Bozak, Richard F.

    2015-01-01

    Concepts envisioned for the future of civil air transport consist of unconventional propulsion systems in the close proximity of the airframe. Distributed propulsion system with exhaust configurations that resemble a high aspect ratio rectangular jet are among geometries of interest. Nearby solid surfaces could provide noise shielding for the purpose of reduced community noise. Interaction of high-speed jet exhaust with structure could also generate new sources of sound as a result of flow scrubbing past the structure, and or scattered noise from sharp edges. The present study provides a theoretical framework to predict the scrubbing noise component from a high aspect ratio rectangular exhaust in proximity of a solid surface. The analysis uses the Greens function (GF) to the variable density Pridmore-Brown equation in a transversely sheared mean flow. Sources of sound are defined as the auto-covariance function of second-rank velocity fluctuations in the jet plume, and are modeled using a RANS-based acoustic analogy approach. Acoustic predictions are presented in an 8:1 aspect ratio rectangular exhaust at three subsonic Mach numbers. The effect of nearby surface on the scrubbing noise component is shown on both reflected and shielded sides of the plate.

  1. Renal Manifestation in Scrub Typhus during a Major Outbreak in Central Nepal.

    PubMed

    Sedhain, A; Bhattarai, G R

    2017-01-01

    Renal involvement and acute kidney injury (AKI) are common clinical manifestations seen in scrub typhus, a vector-borne tropical disease. There are no data on renal manifestation in scrub typhus in Nepal. We conducted a prospective study to analyze the incidence, urinary abnormalities, course, severity, outcome, and the predictors of AKI in patients with scrub typhus during a major outbreak in Central Nepal. Total 1398 patients admitted with acute febrile illness were subjected for Scrub Typhus Detect™ Immunoglobulin M (IgM) enzyme-linked immunosorbent assay (ELISA) test, of which 502 (35.90%) patients tested positive and were included in the study. Mean age of the patients was 30.37 ± 18.81 years (range, 1-79 years) with 26.29% in the pediatric age group. Female-to-male ratio was 1.26:1. Mean duration of fever was 6.8 ± 3.1 days. Mean IgM ELISA value for scrub typhus was 2.17 ± 1.70 without difference in AKI and non-AKI groups (2.17 ± 1.76 vs. 2.16 ± 1.62; P = 0.94). Urinary abnormalities were seen in 42.3% of patients. Mean serum creatinine was 1.37 ± 0.69 mg/dl with significant difference in two groups (1.85 ± 0.87 vs. 1.03 ± 0.17; P = 0.003). AKI was seen in 35.8% of patients with majority having Stage 1 AKI (68.3%) followed by Stage 2 (34.1%) and Stage 3 (1.2%). Hemodialysis was required for 3.94% of patients. In 54% of patients, AKI occurred in fifth and sixth day of fever. ICU admission was required for 18.73% of patients and 8.57% required ventilator support. Mortality rate was 1.79%, which was higher among patients with AKI (2.96% vs. 1.0%; P = 0.106). Multivariate analysis revealed that the presence of pneumonia, shock, and acute respiratory distress syndrome predicted the development of AKI.

  2. Molecular characterization of Orientia tsutsugamushi serotypes causing scrub typhus outbreak in southern region of Andhra Pradesh, India.

    PubMed

    Usha, K; Kumar, E; Kalawat, Usha; Kumar, B Siddhartha; Chaudhury, A; Gopal, D V R Sai

    2016-10-01

    Scrub typhus is a vector-borne zoonotic infection caused by Orientiatsutsugamushi. Local epidemiology of the circulating serotypes of scrub typhus is not available from most parts of India. We conducted this study for the diagnosis of scrub typhus using IgM ELISA and to detect O. tsutsugamushi serotypes circulating in southern Andhra Pradesh, India. Samples were collected from patients clinically suspected to have scrub typhus and were subjected to IgM ELISA to measure IgM antibodies against O. tsutsugamushi. Nested polymerase chain reaction (PCR) was performed targeting strain-specific regions in ELISA-positive samples. Of a total of 663 samples, 258 (38.91%) were found to be positive by IgM ELISA. Serotypes could be detected in 230 (34.69%) samples only. Only two serotypes, Karp and Kawasaki, were found in the serum samples, with the former being predominant. The dual infection of Karp and Kawasaki serotypes was found in seven patients. Other serotypes such as Gilliam, Kuroki and Kato were not detected in the samples. The nested PCR products proved useful in presumptively identifying the endemic O. tsutsugamushi serotypes. The present study could be significant in understanding scrub typhus epidemiology in this region.

  3. The Correlation of Endoscopic Findings and Clinical Features in Korean Patients with Scrub Typhus: A Cohort Study

    PubMed Central

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo

    2016-01-01

    Scrub typhus is an infectious disease caused by Orientia tsutsugamushi-induced systemic vasculitis, but the involvement of the gastrointestinal tract and the endoscopic findings associated with scrub typhus are not well understood. We performed a prospective study and recommend performing esophagogastroduodenoscopy (EGD) for all possible scrub typhus patients, regardless of gastrointestinal symptoms. Gastrointestinal symptoms, endoscopic findings and clinical severity based on organ involvement and ICU admission were analyzed. Gastrointestinal symptoms occurred in up to 76.4% of scrub typhus patients. The major endoscopic findings were ulcers (43/127, 33.9%). Interestingly, 7.1% (9/127) of the patients presented with esophageal candidiasis. There was no correlation between the presence or absence of gastrointestinal symptoms and the endoscopic grade (P = 0.995). However, there was a positive correlation between the clinical severity and the endoscopic findings (P = 0.001). Sixty-three percent of the patients presented with erosion or ulcers on prospectively performed endoscopic evaluations, irrespective of gastrointestinal symptoms. Gastrointestinal symptoms did not reflect the need for endoscopy. Scrub typhus patients could have significant endoscopic abnormalities even in the absence of gastrointestinal symptoms. PMID:27195943

  4. Scrub typhus in the northern provinces of Vietnam: an observational study of admissions to a national referral hospital.

    PubMed

    Nadjm, Behzad; Thuy, Pham T; Trang, Van D; Ha, Le Dang; Kinh, Nguyen V; Wertheim, Heiman F

    2014-11-01

    Scrub typhus is a common cause of fever in parts of South East and Southern Asia. Little is known about the disease burden in Vietnam. A 2-year observational study of scrub typhus at a tertiary referral hospital in northern Vietnam was carried out. Diagnosis was based on a single serological test in patients with suggestive clinical symptoms. Scrub typhus was diagnosed in 3.5% (251/7226) of admissions. Cases occurred throughout the year, with incidence highest in the summer. Although complications were common, mortality was low (1.2%; 3/251). These data suggest that scrub typhus is common, with a seasonal distribution in northern Vietnam. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  5. Retrospective Cognition by Food-Caching Western Scrub-Jays

    ERIC Educational Resources Information Center

    de Kort, S.R.; Dickinson, A.; Clayton, N.S.

    2005-01-01

    Episodic-like memory, the retrospective component of cognitive time travel in animals, needs to fulfil three criteria to meet the behavioral properties of episodic memory as defined for humans. Here, we review results obtained with the cache-recovery paradigm with western scrub-jays and conclude that they fulfil these three criteria. The jays…

  6. Rocky Mountain Research Station: 2002 Research Accomplishments

    Treesearch

    Rick Fletcher

    2003-01-01

    The Rocky Mountain Research Station is one of six regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 14-state territory encompassing the Great Basin, Southwest, Rocky Mountains and parts of the Great...

  7. Rocky Mountain Research Station: 2004 Research Accomplishments

    Treesearch

    Rick Fletcher

    2005-01-01

    The Rocky Mountain Research Station is one of six regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 14-state territory encompassing the Great Basin, Southwest, Rocky Mountains, and parts of the Great...

  8. Season-dependent and independent responses of Mediterranean scrub to light conditions.

    PubMed

    Zunzunegui, María; Díaz-Barradas, Mari Cruz; Jáuregui, Juan; Rodríguez, Herminia; Álvarez-Cansino, Leonor

    2016-05-01

    Semi-arid plant species cope with excess of solar radiation with morphological and physiological adaptations that assure their survival when other abiotic stressors interact. At the leaf level, sun and shade plants may differ in the set of traits that regulate environmental stressors. Here, we evaluated if leaf-level physiological seasonal response of Mediterranean scrub species (Myrtus communis, Halimium halimifolium, Rosmarinus officinalis, and Cistus salvifolius) depended on light availability conditions. We aimed to determine which of these responses prevailed independently of the marked seasonality of Mediterranean climate, to define a leaf-level strategy in the scrub community. Thirty six leaf response variables - involving gas exchange, water status, photosystem II photochemical efficiency, photosynthetic pigments and leaf structure - were seasonally measured in sun exposed and shaded plants under field conditions. Physiological responses showed a common pattern throughout the year, in spite of the marked seasonality of the Mediterranean climate and of species-specific differences in the response to light intensity. Variables related to light use, CO2 assimilation, leaf pigment content, and LMA (leaf mass area) presented differences that were consistent throughout the year, although autumn was the season with greater contrast between sun and shade plants. Our data suggest that in Mediterranean scrub shade plants the lutein pool could have an important role in the photoprotection of the photosynthetic tissues. There was a negative linear correlation between the ratio lutein/total chlorophylls and the majority of leaf level variables. The combined effect of abiotic stress factors (light and drought or light and cold) was variable-specific, in some cases enhancing differences between sun and shade plants, while in others leading to unified strategies in all scrub species. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. Rocky Mountain Research Station: 2011 Annual Accomplishments

    Treesearch

    Rick Fletcher

    2011-01-01

    The Rocky Mountain Research Station is one of seven regional units that make up the USDA Forest Service Research and Development organization ­ the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 12-state territory encompassing the Great Basin, Southwest, Rocky Mountains, and parts of the Great Plains...

  10. Rocky Mountain Research Station: 2003 Research Accomplishments

    Treesearch

    Rick Fletcher

    2004-01-01

    The Rocky Mountain Research Station is one of six regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 14-state territory encompassing the Great Basin, Southwest, Rocky Mountains and parts of the Great...

  11. Rocky Mountain Research Station: 2010 Research Accomplishments

    Treesearch

    Rick Fletcher

    2010-01-01

    The Rocky Mountain Research Station is one of seven regional units that make up the USDA Forest Service Research and Development organization ­ the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 12-state territory encompassing the Great Basin, Southwest, Rocky Mountains, and parts of the Great Plains...

  12. Epidemic characteristics and spatio-temporal patterns of scrub typhus during 2006-2013 in Tai'an, Northern China.

    PubMed

    Zheng, L; Yang, H-L; Bi, Z-W; Kou, Z-Q; Zhang, L-Y; Zhang, A-H; Yang, L; Zhao, Z-T

    2015-08-01

    Tai'an, a famous cultural tourist district, is a new endemic foci of scrub typhus in northern China. Frequent reports of travel-acquired cases and absence of effective vaccine indicated a significant health problem of scrub typhus in Tai'an. Thus, descriptive epidemiological methods and spatial-temporal scan statistics were used to describe the epidemic characteristics and detect the significant clusters of the high incidence of scrub typhus at the town level in Tai'an. Results of descriptive epidemiological analysis showed a total of 490 cases were reported in Tai'an with the annual average incidence ranging from 0·48 to 2·27/100 000 during 2006-2013. Females, the elderly and farmers are the high-risk groups. Monthly changes of scrub typhus cases indicated an obvious epidemic period in autumn. Spatial-temporal distribution analysis, showed significant clusters of high incidence mainly located in eastern and northern Tai'an. Our study suggests that more effective, targeted measures for local residents should be implemented in the eastern and northern areas of Tai'an in autumn. Meanwhile, it may prove beneficial for health policy makers to advise travellers to take preventive measures in order to minimize the risk of infection of scrub typhus in Tai'an.

  13. Clinical profile and outcome of children with scrub typhus from Chennai, South India.

    PubMed

    Ganesh, Ramaswamy; Suresh, Natarajan; Pratyusha, L L; Janakiraman, Lalitha; Manickam, Mani; Andal, A

    2018-06-01

    Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. We prospectively studied the clinico-laboratory profile and outcome of 358 children aged 1 day to 18 years diagnosed with scrub typhus from Chennai, South India. All children (100%) had fever. Eschar was seen in 67%. All children were treated with oral doxycycline and those with complications were treated with intravenous chloramphenicol/azithromycin. Rapid defervescence (within 48 h) after initiation of doxycline was seen in 306 (85%) and 52 (14.5%) developed complications. Multivariate logistic regression analysis revealed that children who had an elevated aspartate amino transferase (> 120 IU/L) and the presence of thrombocytopenia (platelet count less than 1 lac cells/mm 3 ) at admission had high risk of developing complications. The overall mortality rate in this series was 0.8%. Our 4-year study highlights the clinico-laboratory profile of Scrub typhus in children from Chennai, South India. Early recognition and prompt treatment reduces the complication and mortality. What is Known: • Scrub typhus is endemic to tsutsugamushi triangle, a geographical triangle extending from northern Japan in the east to Pakistan and Afghanistan in the west and northern Australia in the south. • There is paucity of data regarding its clinico-laboratory profile in neonates as well as its predictors of outcome. What is New: • Children who had an elevated AST and the presence of thrombocytopenia at admission had high risk of developing complications.

  14. Oil prospects attract workover dollars. [Rocky Mountains

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

    Stremel, K.

    1983-12-01

    Anticipating stable crude oil prices and low service costs, Rocky Mountain operators plan to maintain strong workover programs next year. Deflated service costs are allowing operators to complete more workovers without appropriating more capital, and they plan to take advantage of the bargain prices available in the oilpatch. Workover activity next year will be concentrated in major oil producing basins of the Rockies.

  15. Bolstering Skin Grafts With a Surgical Scrub Brush: A Cost-effective Solution.

    PubMed

    Buller, Mitchell; Lee, Thomas J; Davis, Jared; Wilhelmi, Bradon J

    2017-01-01

    Objective: The objective of this article is to review the methods currently used for the bolstering of skin grafts and compare their advantages and disadvantages with those of the dry, sterile surgical scrub brush. We report a series of cases performed at a single institution and compare the cost-effectiveness, application, and limitations of this method with other options for skin graft bolstering. Methods: A PubMed search using the parameters "(bolster) AND skin graft" was conducted, yielding 85 results. A total of 40 publications met the criteria for our literature review. The costs of the foam bolsters utilized as stents for skin grafts were obtained from the Central Supply and Resource Division of the University of Louisville Hospital for a cost analysis. The cost per square centimeter of each bolster material was calculated. Results: At $0.003/cm 2 , the 3M Reston foam is the most inexpensive of the 3 bolster materials analyzed. The dry, sterile surgical scrub brush has a similar cost at $0.006/cm 2 but carries the advantage of sterility. The material cost of negative pressure wound therapy is $0.47/cm 2 , and the cost of the system as a whole makes it a much more expensive alternative. In 6 patients with defects of varying size and location, the scrub brush bolster showed a near 100% graft take and no complications. Conclusions: The dry, sterile surgical scrub brush presents a readily available and low-cost option for the stenting of small skin grafts and should be considered a viable method in the armamentarium of available skin graft bolsters.

  16. Scrub-successional bird community dynamics in young and mature longleaf pine-wiregrass savannahs

    USGS Publications Warehouse

    Krementz, D.G.; Christie, J.S.

    1999-01-01

    Public agencies are required to manage for threatened and endangered species and for biodiversity. However, at times, management for threatened and endangered species precludes consideration of other species. We investigated how managing for red-cockaded woodpeckers (Picoides borealis) and biodiversity at the Savannah River Site (SRS), South Carolina, affected communities of bird species that use early-successional scrub habitat (hereafter, scrub-successional species). Management for red-cockaded woodpeckers at the SRS involved both (1) manipulating mature longleaf pine (Pinus palustris)-wiregrass (Andropogon spp.) stands via canopy thinning, removal of midstory trees, and prescribed burning; and (2) even-aged timber harvesting. The former management practice encouraged red-cockaded woodpeckers to establish new colonies in previously unoccupied stands (hereafter, 'recruitment' stands). The latter management practice is used to remove off-site planted pines and replant with preferred longleaf pines. We conducted a constant-effort mist net study in recruitment and regenerating stands (stands clearcut and planted with longleaf pine) during the breeding seasons of 1995-96. We hypothesized that the scrub-successional bird community in recruitment stands would have greater species richness and higher survival and reproductive rates per species than in regenerating stands. However, recruitment stands always had fewer scrub-successional species (1995:36 species; 1996:31 species) than regenerating stands (1995:54 species; 1996:55 species), and all species that occurred in recruitment stands also occurred in regenerating stands. Species which commonly occurred in both recruitment and regenerating stands had similar adult:juvenile ratios (P > 0.15) and relative proportion of adults in breeding condition (P > 0.05). We detected no difference in survival rates of Bachman's sparrows (Aimophila aestivalis), indigo buntings (Passerina cyanea), and of 'combined' scrub

  17. Late glacial aridity in southern Rocky Mountains

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

    Davis, O K; Pitblado, B L

    While the slopes of the present-day Colorado Rocky Mountains are characterized by large stands of subalpine and montane conifers, the Rockies of the late glacial looked dramatically different. Specifically, pollen records suggest that during the late glacial, Artemisia and Gramineae predominated throughout the mountains of Colorado. At some point between 11,000 and 10,000 B.P., however, both Artemisia and grasses underwent a dramatic decline, which can be identified in virtually every pollen diagram produced for Colorado mountain sites, including Como Lake (Sangre de Cristo Mountains), Copley Lake and Splains; Gulch (near Crested Butte), Molas Lake (San Juan Mountains), and Redrock Lakemore » (Boulder County). Moreover, the same pattern seems to hold for pollen spectra derived for areas adjacent to Colorado, including at sites in the Chuska Mountains of New Mexico and in eastern Wyoming. The implications of this consistent finding are compelling. The closest modem analogues to the Artemisia- and Gramineae-dominated late-glacial Colorado Rockies are found in the relatively arid northern Great Basin, which suggests that annual precipitation was much lower in the late-glacial southern Rocky Mountains than it was throughout the Holocene.« less

  18. Rocky desertification in Southwest China: Impacts, causes, and restoration

    NASA Astrophysics Data System (ADS)

    Jiang, Zhongcheng; Lian, Yanqing; Qin, Xiaoqun

    2014-05-01

    Rocky desertification, which is relatively less well known than desertification, refers to the processes and human activities that transform a karst area covered by vegetation and soil into a rocky landscape. It has occurred in various countries and regions, including the European Mediterranean and Dinaric Karst regions of the Balkan Peninsula, Southwest China on a large scale, and alarmingly, even in tropical rainforests such as Haiti and Barbados, and has had tremendous negative impacts to the environment and social and economic conditions at local and regional scales. The goal of this paper is to provide a thorough review of the impacts, causes, and restoration measures of rocky desertification based on decades of studies in the southwest karst area of China and reviews of studies in Europe and other parts of the world. The low soil formation rate and high permeability of carbonate rocks create a fragile and vulnerable environment that is susceptible to deforestation and soil erosion. Other natural processes related to hydrology and ecology could exacerbate rocky desertification. However, disturbances from a wide variety of human activities are ultimately responsible for rocky desertification wherever it has occurred. This review shows that reforestation can be successful in Southwest China and even in the Dinaric Karst region when the land, people, water, and other resources are managed cohesively. However, new challenges may arise as more frequent droughts and extreme floods induced by global climate change and variability may slow the recovery process or even expand rocky desertification. This review is intended to bring attention to this challenging issue and provide information needed to advance research and engineering practices to combat rocky desertification and to aid in sustainable development.

  19. Self-Scrubbing Coal -- an integrated approach to clean air

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

    Harrison, K.E.

    1997-12-31

    Carefree Coal is coal cleaned in a proprietary dense-media cyclone circuit, using ultrafine magnetite slurries, to remove noncombustible material, including up to 90% of the pyritic sulfur. Deep cleaning alone, however, cannot produce a compliance fuel from coals with high organic sulfur contents. In these cases, Self-Scrubbing Coal will be produced. Self-Scrubbing Coal is produced in the same manner as Carefree Coal except that the finest fraction of product from the cleaning circuit is mixed with limestone-based additives and briquetted. The reduced ash content of the deeply-cleaned coal will permit the addition of relatively large amounts of sorbent without exceedingmore » boiler ash specifications or overloading electrostatic precipitators. This additive reacts with sulfur dioxide (SO{sub 2}) during combustion of the coal to remove most of the remaining sulfur. Overall, sulfur reductions in the range of 80--90% are achieved. After nearly 5 years of research and development of a proprietary coal cleaning technology coupled with pilot-scale validation studies of this technology and pilot-scale combustion testing of Self-Scrubbing Coal, Custom Coals Corporation organized a team of experts to prepare a proposal in response to DOE`s Round IV Program Opportunity Notice for its Clean Coal Technology Program under Public Law 101-121 and Public Law 101-512. The main objective of the demonstration project is the production of a coal fuel that will result in up to 90% reduction in sulfur emissions from coal-fired boilers at a cost competitive advantage over other technologies designed to accomplish the same sulfur emissions and over naturally occurring low sulfur coals.« less

  20. Bulldozer better than poisons for preparing scrub oak planting sites

    Treesearch

    W. E. McQuilkin

    1951-01-01

    Before scrub oak lands can be reforested, some cheap and effective way of preparing planting sites must be found. Chemical weed killers have been tried, but they proved to be impractical for general use (see Northeastern Research Note 6).

  1. Canine epidermal lipid sampling by skin scrub revealed variations between different body sites and normal and atopic dogs

    PubMed Central

    2014-01-01

    Background Previously, we evaluated a minimally invasive epidermal lipid sampling method called skin scrub, which achieved reproducible and comparable results to skin scraping. The present study aimed at investigating regional variations in canine epidermal lipid composition using the skin scrub technique and its suitability for collecting skin lipids in dogs suffering from certain skin diseases. Eight different body sites (5 highly and 3 lowly predisposed for atopic lesions) were sampled by skin scrub in 8 control dogs with normal skin. Additionally, lesional and non-lesional skin was sampled from 12 atopic dogs and 4 dogs with other skin diseases by skin scrub. Lipid fractions were separated by high performance thin layer chromatography and analysed densitometrically. Results No significant differences in total lipid content were found among the body sites tested in the control dogs. However, the pinna, lip and caudal back contained significantly lower concentrations of ceramides, whereas the palmar metacarpus and the axillary region contained significantly higher amounts of ceramides and cholesterol than most other body sites. The amount of total lipids and ceramides including all ceramide classes were significantly lower in both lesional and non-lesional skin of atopic dogs compared to normal skin, with the reduction being more pronounced in lesional skin. The sampling by skin scrub was relatively painless and caused only slight erythema at the sampled areas but no oedema. Histological examinations of skin biopsies at 2 skin scrubbed areas revealed a potential lipid extraction from the transition zone between stratum corneum and granulosum. Conclusions The present study revealed regional variations in the epidermal lipid and ceramide composition in dogs without skin abnormalities but no connection between lipid composition and predilection sites for canine atopic dermatitis lesions. The skin scrub technique proved to be a practicable sampling method for canine

  2. Comparison of minocycline and azithromycin for the treatment of mild scrub typhus in northern China.

    PubMed

    Zhao, Minxing; Wang, Ting; Yuan, Xiaoyu; Du, Weiming; Lin, Miaoxin; Shen, Yanbo

    2016-09-01

    Scrub typhus, caused by Orientia tsutsugamushi, has recently emerged in northern China where the disease had not been known to exist. Although doxycycline and azithromycin are the recommended agents for the treatment of scrub typhus, clinical responses depend both on the susceptibilities of various O. tsutsugamushi strains and the severity of the disease. A retrospective analysis was conducted on patients diagnosed with mild scrub typhus from August 2013 to January 2016 in the Affiliated Hospital of Nantong University, northern China. A total of 40 patients who received minocycline treatment and 34 patients who received azithromycin treatment were included in the analysis. All patients except one defervesced within 120 h after initiating antimicrobial therapy. Kaplan-Meier curves in association with log-rank test showed that the median time to defervescence was significantly shorter for the minocycline-treated group than the azithromycin-treated group (P = 0.003). There were no serious adverse events during treatment. No relapse occurred in either group during the 1-month follow-up period. In conclusion, both minocycline and azithromycin are effective and safe for the treatment of mild scrub typhus, but minocycline is more active than azithromycin against O. tsutsugamushi infection acquired in northern China. Copyright © 2016 Elsevier B.V. and International Society of Chemotherapy. All rights reserved.

  3. Rocky core solubility in Jupiter and giant exoplanets.

    PubMed

    Wilson, Hugh F; Militzer, Burkhard

    2012-03-16

    Gas giants are believed to form by the accretion of hydrogen-helium gas around an initial protocore of rock and ice. The question of whether the rocky parts of the core dissolve into the fluid H-He layers following formation has significant implications for planetary structure and evolution. Here we use ab initio calculations to study rock solubility in fluid hydrogen, choosing MgO as a representative example of planetary rocky materials, and find MgO to be highly soluble in H for temperatures in excess of approximately 10,000 K, implying the potential for significant redistribution of rocky core material in Jupiter and larger exoplanets.

  4. High seroprevalence of antibodies against spotted fever and scrub typhus bacteria in patients with febrile Illness, Kenya.

    PubMed

    Thiga, Jacqueline W; Mutai, Beth K; Eyako, Wurapa K; Ng'ang'a, Zipporah; Jiang, Ju; Richards, Allen L; Waitumbi, John N

    2015-04-01

    Serum samples from patients in Kenya with febrile illnesses were screened for antibodies against bacteria that cause spotted fever, typhus, and scrub typhus. Seroprevalence was 10% for spotted fever group, <1% for typhus group, and 5% for scrub typhus group. Results should help clinicians expand their list of differential diagnoses for undifferentiated fevers.

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

    Not Available

    This volume contains appendices for the following: Rocky Flats Plant and Idaho National Engineering Laboratory waste process information; TRUPACT-II content codes (TRUCON); TRUPACT-II chemical list; chemical compatibility analysis for Rocky Flats Plant waste forms; chemical compatibility analysis for waste forms across all sites; TRU mixed waste characterization database; hazardous constituents of Rocky Flats Transuranic waste; summary of waste components in TRU waste sampling program at INEL; TRU waste sampling program; and waste analysis data.

  6. Rocky Mountain Research Station: 2012-2013 Annual Report

    Treesearch

    Cass Cairns

    2013-01-01

    The Rocky Mountain Research Station is one of seven regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 12-state territory encompassing the Great Basin, Southwest, Rocky Mountains, and parts of the...

  7. Rocky Mountain Research Station: Looking back on 2014

    Treesearch

    Cass Cairns

    2015-01-01

    The Rocky Mountain Research Station (RMRS) is one of seven regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 12-state territory encompassing the Great Basin, Southwest, Rocky Mountains and parts of...

  8. Scrubbing masks magmatic degassing during repose at Cascade-Range and Aleutian-Arc volcanoes

    USGS Publications Warehouse

    Symonds, Robert B.; Janik, C.J.; Evans, William C.; Ritchie, B.E.; Counce, Dale; Poreda, R.J.; Iven, Mark

    2003-01-01

    Between 1992 and 1998, we sampled gas discharges from ≤173°C fumaroles and springs at 12 quiescent but potentially restless volcanoes in the Cascade Range and Aleutian Arc (CRAA) including Mount Shasta, Mount Hood, Mount St. Helens, Mount Rainier, Mount Baker, Augustine Volcano, Mount Griggs, Trident, Mount Mageik, Aniakchak Crater, Akutan, and Makushin. For each site, we collected and analyzed samples to characterize the chemical (H2O, CO2, H2S, N2, CH4, H2, HCl, HF, NH3, Ar, O2, He) and isotopic (δ13C of CO2, 3He/4He, 40Ar/36Ar, δ34S, δ13C of CH4, δ15N, and δD and δ18O of water) compositions of the gas discharges, and to create baseline data for comparison during future unrest. The chemical and isotopic data show that these gases contain a magmatic component that is heavily modified from scrubbing by deep hydrothermal (150° - 350°C) water (primary scrubbing) and shallow meteoric water (secondary scrubbing). The impact of scrubbing is most pronounced in gas discharges from bubbling springs; gases from boiling-point fumaroles and superheated vents show progressively less impact from scrubbing. The most effective strategies for detecting gas precursors to future CRAA eruptions are to measure periodically the emission rates of CO2 and SO2, which have low and high respective solubilities in water, and to monitor continuously CO2 concentrations in soils around volcanic vents. Timely resampling of fumaroles can augment the geochemical surveillance program by watching for chemical changes associated with drying of fumarolic pathways (all CRAA sites), increases in gas geothermometry temperatures (Mount Mageik, Trident, Mount Baker, Mount Shasta), changes in δ13C of CO2 affiliated with magma movement (all CRAA site), and increases in 3He/4He coupled with intrusion of new magma (Mount Rainier, Augustine Volcano, Makushin, Mount Shasta). Repose magmatic degassing may discharge substantial amounts of S and Cl into the edifices of Mount Baker and several other CRAA

  9. Effects of fire on composition, biomass, and nutrients in oak scrub vegetation on John F. Kennedy Space Center, Florida

    NASA Technical Reports Server (NTRS)

    Schmalzer, Paul A.; Hinkle, C. Ross

    1987-01-01

    Four stands of oak scrub two, four, eight, and 25 years since fire were sampled with permanent 15 m line transects. Percent cover by species was determined. Plant samples were analyzed for a variety of substances. Transects were resurveyed in 1985 for vegetation parameters. Nutrient pools in biomass were calculated from biomass data and tissue nutrient concentrations. Soil nutrient pools were calculated from nutrient concentrations and bulk density. Species distribution and soil chemical properties were found to be closely related to water table depth. The following fire-related conclusions are reached: (1) major structural changes occur in scrub after fire in that shrub height is reduced and requires four to six years to exceed 1 m; (2) reduction in shrub height affects the suitability of scrub for the Florida scrub jay (3) live biomass increases with time since fire; (4) nutrient concentrations in live biomass do not change with time since fire; (5) species composition and richness are little changed after fire; and (6) imposition of a continued regime of burning on a three-year cycle may have adverse impacts not indicated by the recovery of scrub from a single fire.

  10. An Assessment of Fission Product Scrubbing in Sodium Pools Following a Core Damage Event in a Sodium Cooled Fast Reactor

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

    Bucknor, M.; Farmer, M.; Grabaskas, D.

    The U.S. Nuclear Regulatory Commission has stated that mechanistic source term (MST) calculations are expected to be required as part of the advanced reactor licensing process. A recent study by Argonne National Laboratory has concluded that fission product scrubbing in sodium pools is an important aspect of an MST calculation for a sodium-cooled fast reactor (SFR). To model the phenomena associated with sodium pool scrubbing, a computational tool, developed as part of the Integral Fast Reactor (IFR) program, was utilized in an MST trial calculation. This tool was developed by applying classical theories of aerosol scrubbing to the decontamination ofmore » gases produced as a result of postulated fuel pin failures during an SFR accident scenario. The model currently considers aerosol capture by Brownian diffusion, inertial deposition, and gravitational sedimentation. The effects of sodium vapour condensation on aerosol scrubbing are also treated. This paper provides details of the individual scrubbing mechanisms utilized in the IFR code as well as results from a trial mechanistic source term assessment led by Argonne National Laboratory in 2016.« less

  11. Rocky Mountain Research Station: 2013-2014 Annual Report

    Treesearch

    Cass Cairns

    2014-01-01

    The Rocky Mountain Research Station is one of seven regional units that make up the USDA Forest Service Research and Development organization - the most extensive natural resources research organization in the world. We maintain 12 field laboratories throughout a 12-state territory encompassing the Great Basin, Southwest, Rocky Mountains and parts of the Great...

  12. Study on comprehensive planning of rocky desertification in karst area of Chongqing

    NASA Astrophysics Data System (ADS)

    Zang, Yajun

    2017-11-01

    Chongqing is a key area for comprehensive treatment of rocky desertification in karst areas of china. Strengthening the comprehensive management of karst rocky desertification area, for the maintenance of ecological safety of Three Gorges Reservoir area, expanding the karst rocky desertification area people survival and development space, and improving the regional ecological conditions, have important practical significance to the construction of ecological civilization and building a harmonious society. Based on the investigation, analysis and arrangement of the data in the rocky desertification area, the paper puts forward the corresponding measures and phased targets for the treatment of the Rocky Desertification in the karst areas of Chongqing.

  13. Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

    PubMed

    Webster, Joan; Croger, Sarah; Lister, Carolyn; Doidge, Michelle; Terry, Michael J; Jones, Ian

    2010-03-01

    Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. Eight hundred twenty-seven participants undergoing elective or emergency obstetric, gynecological, general, orthopaedic, breast or urological surgery in an Australian tertiary hospital were enrolled. Complete follow-up data were available for 811 patients (98.1%). Operating room lists were randomly allocated to a 'Mask group' (all non-scrubbed staff wore a mask) or 'No Mask group' (none of the non-scrubbed staff wore masks). The primary end point, SSI was identified using in-patient surveillance; post discharge follow-up and chart reviews. The patient was followed for up to six weeks. Overall, 83 (10.2%) surgical site infections were recorded; 46/401 (11.5%) in the Masked group and 37/410 (9.0%) in the No Mask group; odds ratio (OR) 0.77 (95% confidence interval (CI) 0.49 to 1.21), p = 0.151. Independent risk factors for surgical site infection included: any pre-operative stay (adjusted odds ratio [aOR], 0.43 (95% CI, 0.20; 0.95), high BMI aOR, 0.38 (95% CI, 0.17; 0.87), and any previous surgical site infection aOR, 0.40 (95% CI, 0.17; 0.89). Surgical site infection rates did not increase when non-scrubbed operating room personnel did not wear a face mask.

  14. Coincidence between geographical distribution of Leptotrombidium scutellare and scrub typhus incidence in South Korea.

    PubMed

    Roh, Jong Yul; Song, Bong Gu; Park, Won Il; Shin, Eun Hee; Park, Chan; Park, Mi-Yeoun; Chang, Kyu Sik; Lee, Wook Gyo; Lee, Hee Il; Shin, E-Hyun

    2014-01-01

    To clarify the geographical distribution of scrub typhus vectors in Korea, a survey of larval trombiculid mites was conducted from 2005 to 2007 by collecting wild small mammals twice a year (spring and autumn) at 24 sites nationwide. A total of 67,325 mites representing 4 genera and 14 species were collected from 783 trapped rodents, corresponding to a chigger index (number of chigger mites per rodent) of 86.0. The predominant mite species were Leptotrombidium pallidum (52.6%), Leptotrombiduim scutellare (27.1%), Leptotrombidium palpale (8.2%), Leptotrombidium orientale (5.6%), and Neotrombicula tamiyai (1.7%). However, the proportions of L. scutellare in southern areas, including endemic provinces such as Jeollabuk-Do (34.3%), Jeollanam-Do (49.0%), and Gyeongsangnam-Do (88%), were relatively higher than in central Korean regions where L. pallidum was predominant. In autumn, the ratio of L. scutellare increased to 42% while the ratio of L. pallidum decreased. The geographical distribution map of the L. scutellare chigger index was identical to the incidence pattern of scrub typhus, whereas those of overall mites and L. pallidum showed no relationship with case incidence patterns. Distribution mapping analysis shows an identical geographical distribution of L. scutellare and epidemic incidence of scrub typhus in South Korea. L. pallidum could be another vector at all other parts of the Korean peninsula, including the eastern and northern regions that have a low level of scrub typhus incidence.

  15. Scrub typhus masquerading as HELLP syndrome and puerperal sepsis in an asymptomatic malaria patient.

    PubMed

    Karim, Habib Md Reazaul; Bhattacharyya, Prithwis; Kakati, Sonai Datta; Borah, Tridip Jyoti; Yunus, Md

    2016-01-01

    Scrub typhus and malaria can involve multiple organ systems and are notoriously known for varied presentations. However, clinical malaria or scrub typhus is unusual without fever. On the other hand, altered sensorium with or without fever, dehydration, hemorrhage and hemolysis may lead to low blood pressure. Presence of toxic granules and elevated band forms in such patients can even mimic sepsis. When such a patient is in the peripartum period, it creates a strong clinical dilemma for the physician especially in unbooked obstetric cases. We present such a case where a 26-year-old unbooked female presented on second postpartum day with severe anemia, altered sensorium, difficulty in breathing along with jaundice and gum bleeding without history of fever. Rapid diagnostic test for malaria was negative and no eschar was seen. These parameters suggested a diagnosis of HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet) syndrome with or without puerperal sepsis. Subsequently she was diagnosed as having asymptomatic malaria and scrub typhus and responded to the treatment of it. The biochemical changes suggestive of HELLP syndrome also subsided. We present this case to emphasize the fact that mere absence of fever and eschar does not rule out scrub typhus. It should also be considered as a differential diagnosis in patients with symptoms and signs suggesting HELLP syndrome. Asymptomatic malaria can complicate case scenario towards puerperal sepsis by giving false toxic granules and band form in such situations.

  16. Burden of Disease Measured by Disability-Adjusted Life Years and a Disease Forecasting Time Series Model of Scrub Typhus in Laiwu, China

    PubMed Central

    Yang, Li-Ping; Liang, Si-Yuan; Wang, Xian-Jun; Li, Xiu-Jun; Wu, Yan-Ling; Ma, Wei

    2015-01-01

    Background Laiwu District is recognized as a hyper-endemic region for scrub typhus in Shandong Province, but the seriousness of this problem has been neglected in public health circles. Methodology/Principal Findings A disability-adjusted life years (DALYs) approach was adopted to measure the burden of scrub typhus in Laiwu, China during the period 2006 to 2012. A multiple seasonal autoregressive integrated moving average model (SARIMA) was used to identify the most suitable forecasting model for scrub typhus in Laiwu. Results showed that the disease burden of scrub typhus is increasing yearly in Laiwu, and which is higher in females than males. For both females and males, DALY rates were highest for the 60–69 age group. Of all the SARIMA models tested, the SARIMA(2,1,0)(0,1,0)12 model was the best fit for scrub typhus cases in Laiwu. Human infections occurred mainly in autumn with peaks in October. Conclusions/Significance Females, especially those of 60 to 69 years of age, were at highest risk of developing scrub typhus in Laiwu, China. The SARIMA (2,1,0)(0,1,0)12 model was the best fit forecasting model for scrub typhus in Laiwu, China. These data are useful for developing public health education and intervention programs to reduce disease. PMID:25569248

  17. ROCKY PLANETESIMAL FORMATION VIA FLUFFY AGGREGATES OF NANOGRAINS

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

    Arakawa, Sota; Nakamoto, Taishi, E-mail: arakawa.s.ac@m.titech.ac.jp

    2016-12-01

    Several pieces of evidence suggest that silicate grains in primitive meteorites are not interstellar grains but condensates formed in the early solar system. Moreover, the size distribution of matrix grains in chondrites implies that these condensates might be formed as nanometer-sized grains. Therefore, we propose a novel scenario for rocky planetesimal formation in which nanometer-sized silicate grains are produced by evaporation and recondensation events in early solar nebula, and rocky planetesimals are formed via aggregation of these nanograins. We reveal that silicate nanograins can grow into rocky planetesimals via direct aggregation without catastrophic fragmentation and serious radial drift, and ourmore » results provide a suitable condition for protoplanet formation in our solar system.« less

  18. A Business Case Analysis to Determine the Feasibility of a Scrub Management System at Brooke Army Medical Center

    DTIC Science & Technology

    2009-03-07

    Designated Areas lor Scrub Issue i : FHSI 2. I West ?. Cardiac Cath Lab> 4. Cardiology Radiology 5. Centralized Materiel Services 6. CCUs...Scrub Management System 37 BAMC Memo 52-2 4-. Neiirosnrgciy Clinic 15. Bum Tinuma Unit 46 Cinq Rullis -4". 9J V School -IS. Veterinary Clinic

  19. Scrub Typhus: A Clinico-Laboratory Differentiation of Children with and without Meningitis.

    PubMed

    Bhat, Nowneet Kumar; Pandita, Neerul; Saini, Manju; Dhar, Minakshi; Ahmed, Sohaib; Shirazi, Nadia; Wasim, Sanober; Shirke, Rupali; Chandar, Vipan

    2016-06-01

    Neurological involvement in the form of meningitis or meningoencephalitis, although well documented in scrub typhus, has not been extensively studied in the pediatric population. We report the clinical and laboratory profile of 96 children with scrub typhus and compared those with and without meningitis. Twenty seven (28%) children had clinical and laboratory evidence of meningitis. The most frequent presenting features were fever (100%), meningeal signs (66.6%), nausea and vomiting (56.3%), seizures (55.5%) and altered sensorium (51.8%). The children with meningitis presented early and had significantly lower respiratory and renal impairments when compared with the non-meningitis group. Cerebrospinal fluid (CSF) analysis revealed elevated total leukocyte count (86.73 ± 94.50 cells/mm(3)), mononuclear pleocytosis (lymphocyte percentage of 76.85 ± 15.86), elevated proteins (108.33 ± 52.63 mg%) and normal CSF glucose (64.18 ± 15.92 mg%). We conclude that meningitis is a common and early complication of childhood scrub typhus. The CSF reveals a lymphocytic pleocytosis, raised proteins and a normal glucose level. These children respond promptly to appropriate antibiotics as do children without meningitis. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Extraction, scrub, and strip test results for the solvent transfer to salt waste processing facility

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

    Peters, T.

    The Savannah River National Laboratory (SRNL) prepared approximately 240 gallons of Caustic-Side Solvent Extraction (CSSX) solvent for use at the Salt Waste Processing Facility (SWPF). An Extraction, Scrub, and Strip (ESS) test was performed on a sample of the prepared solvent using a salt solution prepared by Parsons to determine cesium distribution ratios (D(Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams. This data will be used by Parsons to help qualify the solvent for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations.more » The extraction D(Cs) measured 15.5, exceeding the required value of 8. This value is consistent with results from previous ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges.« less

  1. Scrub Typhus Leading to Acute Encephalitis Syndrome, Assam, India.

    PubMed

    Khan, Siraj A; Bora, Trishna; Laskar, Basanta; Khan, Abdul M; Dutta, Prafulla

    2017-01-01

    To determine the contribution of Orientia tsutsugamushi, the agent of scrub typhus, as a cause of acute encephalitis syndrome (AES) in Assam, India, we conducted a retrospective study of hospital patients with symptoms of AES during 2013-2015. Our findings suggest that O. tsutsugamushi infection leads to AES and the resulting illness and death.

  2. Activation, Impaired Tumor Necrosis Factor-α Production, and Deficiency of Circulating Mucosal-Associated Invariant T Cells in Patients with Scrub Typhus.

    PubMed

    Kang, Seung-Ji; Jin, Hye-Mi; Won, Eun Jeong; Cho, Young-Nan; Jung, Hyun-Ju; Kwon, Yong-Soo; Kee, Hae Jin; Ju, Jae Kyun; Kim, Jung-Chul; Kim, Uh Jin; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung; Park, Yong-Wook

    2016-07-01

    Mucosal-associated invariant T (MAIT) cells contribute to protection against certain microorganism infections. However, little is known about the role of MAIT cells in Orientia tsutsugamushi infection. Hence, the aims of this study were to examine the level and function of MAIT cells in patients with scrub typhus and to evaluate the clinical relevance of MAIT cell levels. Thirty-eight patients with scrub typhus and 53 health control subjects were enrolled in the study. The patients were further divided into subgroups according to disease severity. MAIT cell level and function in the peripheral blood were measured by flow cytometry. Circulating MAIT cell levels were found to be significantly reduced in scrub typhus patients. MAIT cell deficiency reflects a variety of clinical conditions. In particular, MAT cell levels reflect disease severity. MAIT cells in scrub typhus patients displayed impaired tumor necrosis factor (TNF)-α production, which was restored during the remission phase. In addition, the impaired production of TNF-α by MAIT cells was associated with elevated CD69 expression. This study shows that circulating MAIT cells are activated, numerically deficient, and functionally impaired in TNF-α production in patients with scrub typhus. These abnormalities possibly contribute to immune system dysregulation in scrub typhus infection.

  3. Activation, Impaired Tumor Necrosis Factor-α Production, and Deficiency of Circulating Mucosal-Associated Invariant T Cells in Patients with Scrub Typhus

    PubMed Central

    Won, Eun Jeong; Cho, Young-Nan; Jung, Hyun-Ju; Kwon, Yong-Soo; Kee, Hae Jin; Ju, Jae Kyun; Kim, Jung-Chul; Kim, Uh Jin; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung; Park, Yong-Wook

    2016-01-01

    Background Mucosal-associated invariant T (MAIT) cells contribute to protection against certain microorganism infections. However, little is known about the role of MAIT cells in Orientia tsutsugamushi infection. Hence, the aims of this study were to examine the level and function of MAIT cells in patients with scrub typhus and to evaluate the clinical relevance of MAIT cell levels. Methodology/Principal Findings Thirty-eight patients with scrub typhus and 53 health control subjects were enrolled in the study. The patients were further divided into subgroups according to disease severity. MAIT cell level and function in the peripheral blood were measured by flow cytometry. Circulating MAIT cell levels were found to be significantly reduced in scrub typhus patients. MAIT cell deficiency reflects a variety of clinical conditions. In particular, MAT cell levels reflect disease severity. MAIT cells in scrub typhus patients displayed impaired tumor necrosis factor (TNF)-α production, which was restored during the remission phase. In addition, the impaired production of TNF-α by MAIT cells was associated with elevated CD69 expression. Conclusions This study shows that circulating MAIT cells are activated, numerically deficient, and functionally impaired in TNF-α production in patients with scrub typhus. These abnormalities possibly contribute to immune system dysregulation in scrub typhus infection. PMID:27463223

  4. The challenge and future of rocky desertification control in karst areas in southwest China

    NASA Astrophysics Data System (ADS)

    Zhang, J. Y.; Dai, M. H.; Wang, L. C.; Zeng, C. F.; Su, W. C.

    2016-01-01

    Karst rocky desertification occurs after vegetation deteriorates as a result of intensive land use, which leads to severe water loss and soil erosion and exposes basement rocks, creating a rocky landscape. Karst rocky desertification is found in humid areas in southwest China, the region most seriously affected by rocky desertification in the world. In order to promote ecological restoration and help peasants out of poverty, the Chinese government carried out the first phase of a rocky desertification control project from 2006 to 2015, which initially contained the expansion of rocky desertification. Currently, the Chinese government is prepared to implement the second phase of the rocky desertification control project, and therefore it is essential to summarise the lessons learned over the last 10 years of the first phase. In this paper, we analyse the driving social and economic factors behind rocky desertification, summarise the scientific research on rocky desertification in the region, and finally identify the main problems facing rocky desertification control. In addition, we put forward several policy suggestions that take into account the perspective of local peasants, scientific research, and China's economic development and urbanisation process. These suggestions include promoting the non-agriculturalization of household livelihoods, improving ecological compensation, strengthening the evaluation of rocky desertification control and dynamic monitoring, and strengthening research on key ecological function recovery technologies and supporting technologies.

  5. The challenge and future of rocky desertification control in Karst areas in Southwest China

    NASA Astrophysics Data System (ADS)

    Zhang, J. Y.; Dai, M. H.; Wang, L. C.; Zeng, C. F.; Su, W. C.

    2015-11-01

    Karst rocky desertification occurs after vegetation deteriorates as a result of intensive land use, which leads to severe water loss and soil erosion and exposes basement rocks, creating a rocky landscape. The karst rocky desertification is found in humid areas in Southwest China, the region most seriously affected by rocky desertification in the world. In order to promote ecological restoration and help peasants out of poverty, the Chinese government carried out the first phase of a rocky desertification control project from 2006 to 2015, which initially contained the expansion of rocky desertification. Currently, the Chinese government is prepared to implement the second phase of the rocky desertification control project, and therefore it is essential to summarize the lessons learned over the last ten years of the first phase. In this paper, we analyze the driving social and economic factors behind rocky desertification, summarize the scientific research on rocky desertification in the region, and finally identify the main problems facing rocky desertification control. In addition, we put forward several policy suggestions that take into account the perspective of local peasants, the scientific research, and China's economic development and urbanization process. These suggestions include: promoting the non-agriculturalization of household livelihoods, improving ecological compensation, strengthening the evaluation of rocky desertification control and dynamic monitoring, and strengthening research on key ecological function recovery technologies and supporting technologies.

  6. [Spatial analysis of autumn-winter type scrub typhus in Shandong province, 2006-2014].

    PubMed

    Yang, H; Bi, Z W; Kou, Z Q; Zheng, L; Zhao, Z T

    2016-05-01

    To discuss the spatial-temporal distribution and epidemic trends of autumn-winter type scrub typhus in Shandong province, and provide scientific evidence for further study for the prevention and control of the disease. The scrub typhus surveillance data during 2006-2014 were collected from Shandong Disease Reporting Information System. The data was analyzed by using software ArcGIS 9.3(ESRI Inc., Redlands, CA, USA), GeoDa 0.9.5-i and SatScan 9.1.1. The Moran' s I, log-likelihood ratio(LLR), relative risk(RR)were calculated and the incidence choropleth maps, local indicators of spatial autocorrelation cluster maps and space scaning cluster maps were drawn. A total of 4 453 scrub typhus cases were reported during 2006-2014, and the annual incidence increased with year. Among the 17 prefectures(municipality)in Shandong, 13 were affected by scrub typhus. The global Moran's I index was 0.501 5(P<0.01). The differences in local Moran' s I index among 16 prefectures were significant(P<0.01). The " high-high" clustering areas were mainly Wulian county, Lanshan district and Juxian county of Rizhao, Xintai county of Tai' an, Gangcheng and Laicheng districts of Laiwu, Yiyuan county of Zibo and Mengyin county of Linyi. Spatial scan analysis showed that an eastward moving trend of high-risk clusters and two new high-risk clusters were found in Zaozhuang in 2014. The centers of the most likely clusters were in the south central mountainous areas during 2006-2010 and in 2012, eastern hilly areas in 2011, 2013 and 2014, and the size of the clusters expanded in 2008, 2011, 2013 and 2014. One spatial-temporal cluster was detected from October 1, 2014 to November 30, 2014, the center of the cluster was in Rizhao and the radius was 222.34 kilometers. A positive spatial correlation and spatial agglomerations were found in the distribution of autumn-winter type scrub typhus in Shandong. Since 2006, the epidemic area of the disease has expanded and the number of high-risk areas has

  7. Co-infection of scrub typhus and leptospirosis in patients with pyrexia of unknown origin in Longding district of Arunachal Pradesh in 2013.

    PubMed

    Borkakoty, Biswajyoti; Jakharia, Aniruddha; Biswas, Dipankar; Mahanta, Jagadish

    2016-01-01

    Scrub typhus and leptospirosis are bacterial zoonotic disease causing high morbidity and mortality. The seasonal outbreak of pyrexia is common in Arunachal Pradesh (AP); many times the disease remains undiagnosed. An outbreak of pyrexia of unknown origin (PUO) occurred in Longding district of Arunachal Pradesh in 2013, with 108 deaths, which was investigated to elucidate the cause of illness. Blood samples from the affected region with acute pyrexia were collected, and screened for the malaria parasite, scrub typhus IgM and leptospira IgM. Scrub typhus IgM was reactive in 97% (30/31), and 25% (8/31) cases were co-infected with leptospira. Incidentally, scrub typhus reactive (67%) and leptospira co-infection (62.7%) were higher in females. Record of previous 3 years (2011-2013) from Longding, Community Health Centre showed an increase in indoor pyrexia cases by 2-fold or more during October and November. The present study is the first report of co-infection of scrub typhus with leptospirosis from Northeast India. Medical officers in this region should take scrub typhus and leptospirosis in their differential diagnosis of patients with PUO for early diagnosis and effective treatment.

  8. Numerical Modeling of Large-Scale Rocky Coastline Evolution

    NASA Astrophysics Data System (ADS)

    Limber, P.; Murray, A. B.; Littlewood, R.; Valvo, L.

    2008-12-01

    Seventy-five percent of the world's ocean coastline is rocky. On large scales (i.e. greater than a kilometer), many intertwined processes drive rocky coastline evolution, including coastal erosion and sediment transport, tectonics, antecedent topography, and variations in sea cliff lithology. In areas such as California, an additional aspect of rocky coastline evolution involves submarine canyons that cut across the continental shelf and extend into the nearshore zone. These types of canyons intercept alongshore sediment transport and flush sand to abyssal depths during periodic turbidity currents, thereby delineating coastal sediment transport pathways and affecting shoreline evolution over large spatial and time scales. How tectonic, sediment transport, and canyon processes interact with inherited topographic and lithologic settings to shape rocky coastlines remains an unanswered, and largely unexplored, question. We will present numerical model results of rocky coastline evolution that starts with an immature fractal coastline. The initial shape is modified by headland erosion, wave-driven alongshore sediment transport, and submarine canyon placement. Our previous model results have shown that, as expected, an initial sediment-free irregularly shaped rocky coastline with homogeneous lithology will undergo smoothing in response to wave attack; headlands erode and mobile sediment is swept into bays, forming isolated pocket beaches. As this diffusive process continues, pocket beaches coalesce, and a continuous sediment transport pathway results. However, when a randomly placed submarine canyon is introduced to the system as a sediment sink, the end results are wholly different: sediment cover is reduced, which in turn increases weathering and erosion rates and causes the entire shoreline to move landward more rapidly. The canyon's alongshore position also affects coastline morphology. When placed offshore of a headland, the submarine canyon captures local sediment

  9. Weed killers of limited use in reforesting scrub oak barrens

    Treesearch

    W. E. McQuilkin

    1951-01-01

    Chemical weed killers have been under test for 3 years as a possible means of preparing planting sites in the scrub oak barrens of Pennsylvania. Here the problem is to kill or set back the competing brush so planted trees can get started without costly release cuttings.

  10. Rocky Mountain Riparian Digest

    Treesearch

    Deborah M. Finch

    2008-01-01

    The Rocky Mountain Riparian Digest presents the many facets of riparian research at the station. Included are articles about protecting the riparian habitat, the social and economic values of riparian environments, watershed restoration, remote sensing tools, and getting kids interested in the science.

  11. A case of Rocky Mountain spotted fever.

    PubMed

    Rubel, Barry S

    2007-01-01

    Rocky Mountain spotted fever is a serious, generalized infection that is spread to humans through the bite of infected ticks. It can be lethal but it is curable. The disease gets its name from the Rocky Mountain region where it was first identified in 1896. The fever is caused by the bacterium Rickettsia rickettsii and is maintained in nature in a complex life cycle involving ticks and mammals. Humans are considered to be accidental hosts and are not involved in the natural transmission cycle of this pathogen. The author examined a 47-year-old woman during a periodic recall appointment. The patient had no dental problems other than the need for routine prophylaxis but mentioned a recent problem with swelling of her extremities with an accompanying rash and general malaise and soreness in her neck region. Tests were conducted and a diagnosis of Rocky Mountain spotted fever was made.

  12. Limber pine conservation in Rocky Mountain National Park

    Treesearch

    Jeff Connor; Anna Schoettle; Kelly Burns; Erin Borgman

    2012-01-01

    Limber pines are one of the most picturesque trees in Rocky Mountain National Park (RMNP). Growing in some of the park's most exposed rocky sites, the trees' gnarled trunks give testimony to fierce winds that buffet them in winter. Limber pines live to great ages, with some in the park exceeding 1,000 years. An especially photogenic stand of ancient trees...

  13. 7. VIEW OF AIRLOCK ENTRY. AIRLOCK DOUBLE DOORS WERE USED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. VIEW OF AIRLOCK ENTRY. AIRLOCK DOUBLE DOORS WERE USED TO KEEP ATMOSPHERES CONFINED TO SPECIFIC AREAS. (6/29/78) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  14. Increased Nucleosomes and Neutrophil Activation Link to Disease Progression in Patients with Scrub Typhus but Not Murine Typhus in Laos.

    PubMed

    Paris, Daniel H; Stephan, Femke; Bulder, Ingrid; Wouters, Diana; van der Poll, Tom; Newton, Paul N; Day, Nicholas P J; Zeerleder, Sacha

    2015-01-01

    Cell-mediated immunity is essential in protection against rickettsial illnesses, but the role of neutrophils in these intracellular vasculotropic infections remains unclear. This study analyzed the plasma levels of nucleosomes, FSAP-activation (nucleosome-releasing factor), and neutrophil activation, as evidenced by neutrophil-elastase (ELA) complexes, in sympatric Lao patients with scrub typhus and murine typhus. In acute scrub typhus elevated nucleosome levels correlated with lower GCS scores, raised respiratory rate, jaundice and impaired liver function, whereas neutrophil activation correlated with fibrinolysis and high IL-8 plasma levels, a recently identified predictor of severe disease and mortality. Nucleosome and ELA complex levels were associated with a 4.8-fold and 4-fold increased risk of developing severe scrub typhus, beyond cut off values of 1,040 U/ml for nucleosomes and 275 U/ml for ELA complexes respectively. In murine typhus, nucleosome levels associated with pro-inflammatory cytokines and the duration of illness, while ELA complexes correlated strongly with inflammation markers, jaundice and increased respiratory rates. This study found strong correlations between circulating nucleosomes and neutrophil activation in patients with scrub typhus, but not murine typhus, providing indirect evidence that nucleosomes could originate from neutrophil extracellular trap (NET) degradation. High circulating plasma nucleosomes and ELA complexes represent independent risk factors for developing severe complications in scrub typhus. As nucleosomes and histones exposed on NETs are highly cytotoxic to endothelial cells and are strongly pro-coagulant, neutrophil-derived nucleosomes could contribute to vascular damage, the pro-coagulant state and exacerbation of disease in scrub typhus, thus indicating a detrimental role of neutrophil activation. The data suggest that increased neutrophil activation relates to disease progression and severe complications, and

  15. Increased Nucleosomes and Neutrophil Activation Link to Disease Progression in Patients with Scrub Typhus but Not Murine Typhus in Laos

    PubMed Central

    Paris, Daniel H.; Stephan, Femke; Bulder, Ingrid; Wouters, Diana; van der Poll, Tom; Newton, Paul N.; Day, Nicholas P. J.; Zeerleder, Sacha

    2015-01-01

    Cell-mediated immunity is essential in protection against rickettsial illnesses, but the role of neutrophils in these intracellular vasculotropic infections remains unclear. This study analyzed the plasma levels of nucleosomes, FSAP-activation (nucleosome-releasing factor), and neutrophil activation, as evidenced by neutrophil-elastase (ELA) complexes, in sympatric Lao patients with scrub typhus and murine typhus. In acute scrub typhus elevated nucleosome levels correlated with lower GCS scores, raised respiratory rate, jaundice and impaired liver function, whereas neutrophil activation correlated with fibrinolysis and high IL-8 plasma levels, a recently identified predictor of severe disease and mortality. Nucleosome and ELA complex levels were associated with a 4.8-fold and 4-fold increased risk of developing severe scrub typhus, beyond cut off values of 1,040 U/ml for nucleosomes and 275 U/ml for ELA complexes respectively. In murine typhus, nucleosome levels associated with pro-inflammatory cytokines and the duration of illness, while ELA complexes correlated strongly with inflammation markers, jaundice and increased respiratory rates. This study found strong correlations between circulating nucleosomes and neutrophil activation in patients with scrub typhus, but not murine typhus, providing indirect evidence that nucleosomes could originate from neutrophil extracellular trap (NET) degradation. High circulating plasma nucleosomes and ELA complexes represent independent risk factors for developing severe complications in scrub typhus. As nucleosomes and histones exposed on NETs are highly cytotoxic to endothelial cells and are strongly pro-coagulant, neutrophil-derived nucleosomes could contribute to vascular damage, the pro-coagulant state and exacerbation of disease in scrub typhus, thus indicating a detrimental role of neutrophil activation. The data suggest that increased neutrophil activation relates to disease progression and severe complications, and

  16. 3. VIEW OF CENTRAL AVENUE LOOKING WEST FROM JUST EAST ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. VIEW OF CENTRAL AVENUE LOOKING WEST FROM JUST EAST OF THE INTERSECTION OF CENTRAL AVENUE AND THE EAST PERIMETER ROAD. THE ROCKY FLATS PLANT IS ABOUT 16 MILES NORTHWEST OF DENVER ON A PLATEAU AT THE EASTERN EDGE OF THE FRONT RANGE OF THE ROCKY MOUNTAINS. - Rocky Flats Plant, Bounded by Indiana Street & Routes 93, 128 & 72, Golden, Jefferson County, CO

  17. Managing Rocky Mountain spotted fever.

    PubMed

    Minniear, Timothy D; Buckingham, Steven C

    2009-11-01

    Rocky Mountain spotted fever is caused by the tick-borne bacterium Rickettsia rickettsii. Symptoms range from moderate illness to severe illness, including cardiovascular compromise, coma and death. The disease is prevalent in most of the USA, especially during warmer months. The trademark presentation is fever and rash with a history of tick bite, although tick exposure is unappreciated in over a third of cases. Other signature symptoms include headache and abdominal pain. The antibiotic therapy of choice for R. rickettsii infection is doxycycline. Preventive measures for Rocky Mountain spotted fever and other tick-borne diseases include: wearing long-sleeved, light colored clothing; checking for tick attachment and removing attached ticks promptly; applying topical insect repellent; and treating clothing with permethrin.

  18. Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan.

    PubMed

    Ma, Chang-Jin; Oh, Gyung-Jae; Kang, Gong-Unn; Lee, Jeong Mi; Lee, Da-Un; Nam, Hae-Sung; Ryu, So Yeon; Lee, Young-Hoon

    2017-01-01

    The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea. The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education. Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (p<0.05). The frequency and proportion of weeding were lower in Korean farmers than in Japanese farmers (p<0.05). The level of knowledge about scrub typhus was significantly higher among Korean farmers than among Japanese farmers (p<0.05). Mostly, the behavior of agriculture work was more appropriate for Japanese farmers than for Korean farmers (p<0.05). The total average level of agricultural work was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05). This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus.

  19. Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan

    PubMed Central

    2017-01-01

    OBJECTIVES The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea. METHODS The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education. RESULTS Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (p<0.05). The frequency and proportion of weeding were lower in Korean farmers than in Japanese farmers (p<0.05). The level of knowledge about scrub typhus was significantly higher among Korean farmers than among Japanese farmers (p<0.05). Mostly, the behavior of agriculture work was more appropriate for Japanese farmers than for Korean farmers (p<0.05). The total average level of agricultural work was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05). CONCLUSIONS This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus. PMID:29121711

  20. Comparison of the antimicrobial efficacy of povidone-iodine, povidone-iodine-ethanol and chlorhexidine gluconate-ethanol surgical scrubs.

    PubMed

    Nishimura, Chieko

    2006-01-01

    Scrubbing of the hands and forearms with a brush and antiseptic agents has been the standard for surgical practice. However, it has been increasingly recognized that brush scrubbing may provoke side effects and that an alcohol-based hand antiseptic used in conjunction with a scrub agent enhances the effectiveness. In this study, two types of alcohol-based agents were used after a povidone-iodine (PVP-I) scrub and compared for their effectiveness. The study was conducted as a crossover trial with 20 volunteers. After hand rubbing with PVP-I, either PVP-I-ethanol rubbing or chlorhexidine gluconate-ethanol (CHG-ethanol) rubbing was used for surgical hand cleansing. Samples were collected by the modified glove juice method to count bacteria on hands. In both groups, the bacterial count was significantly reduced after handwashing (p < 0.001), and the reduction was still significant after 2 h (p < 0.001 for PVP-I-ethanol and p < 0.002 for CHG-ethanol). The log(10) reduction factor (RF) in the PVP-I-ethanol group was significantly higher than that in the CHG-ethanol group immediately after handwashing (p < 0.001) but significantly lowered after 2 h (p < 0.01) to the level similar to that of CHG-ethanol. Although RF was lower in the CHG-ethanol group immediately after and 2 h after handwashing compared to the PVP-I-ethanol group, it did not decrease with time. Brushless surgical scrubbing with PVP-I-ethanol or CHG-ethanol in conjunction with PVP-I showed antiseptic effects immediately after and 2 h after handwashing. RF immediately after handwashing was significantly higher with PVP-I-ethanol compared to CHG-ethanol, but it was similar in both groups after 2 h. These results suggest that when used in combination with a PVP-I scrub, an alcohol-based hand antiseptic containing the same active agent (PVP-I in this study) has a powerful antiseptic effect; however, when it contains different antiseptic agents (i.e. CHG in this study), it should be selected carefully based on

  1. 2. NORTH AND EAST SIDES OF BUILDING 525. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. NORTH AND EAST SIDES OF BUILDING 525. VIEW TO SOUTHWEST. - Rocky Mountain Arsenal, Acetylene Scrubbing Building-Product Development Laboratory, 700 feet South of December Seventh Avenue; 1030 feet East of D Street, Commerce City, Adams County, CO

  2. 3. SOUTH AND WEST SIDES OF BUILDING 525. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. SOUTH AND WEST SIDES OF BUILDING 525. VIEW TO NORTHEAST. - Rocky Mountain Arsenal, Acetylene Scrubbing Building-Product Development Laboratory, 700 feet South of December Seventh Avenue; 1030 feet East of D Street, Commerce City, Adams County, CO

  3. 1. SOUTH AND EAST SIDES OF BUILDING 525. VIEW TO ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. SOUTH AND EAST SIDES OF BUILDING 525. VIEW TO NORTHWEST. - Rocky Mountain Arsenal, Acetylene Scrubbing Building-Product Development Laboratory, 700 feet South of December Seventh Avenue; 1030 feet East of D Street, Commerce City, Adams County, CO

  4. A Stand-Replacement Prescribed Burn in Sand Pine Scrub

    Treesearch

    Kenneth W. Outcalt; Cathryn H. Greenberg

    1998-01-01

    This paper describes fire characteristics and the immediate effects of a prescribed, high-intensity bum on a 12.2 hectare portion of a stand of Ocala sand pine scrub. The fire team on the Seminole District, Ocala National Forest used the BEHAVE fire model to predict the conditions needed to accomplish a stand-replacement bum. Suitable conditions arose on May 11, 1993...

  5. Clinical significance of NGAL and KIM-1 for acute kidney injury in patients with scrub typhus.

    PubMed

    Sun, In O; Shin, Sung Hye; Cho, A Young; Yoon, Hyun Ju; Chang, Mi Yok; Lee, Kwang Young

    2017-01-01

    The aim of this study is to investigate the clinical significance of neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1) for acute kidney injury (AKI) in patients with scrub typhus. From 2014 to 2015, 145 patients were diagnosed with scrub typhus. Of these, we enrolled 138 patients who were followed up until renal recovery or for at least 3 months. We measured serum and urine NGAL and KIM-1 levels and evaluated prognostic factors affecting scrub typhus-associated AKI. Of the 138 patients, 25 had scrub typhus-associated AKI. The incidence of AKI was 18.1%; of which 11.6%, 4.3%, and 2.2% were classified as risk, injury, and failure, respectively, according to RIFLE criteria. Compared with patients in the non-AKI group, patients in the AKI group were older and showed higher total leukocyte counts and hypoalbuminemia or one or more comorbidities such as hypertension (72% vs 33%, p<0.01), diabetes (40% vs 14%, p<0.01), or chronic kidney disease (32% vs 1%, p<0.01). In addition, serum NGAL values (404± 269 vs 116± 78 ng/mL, P<0.001), KIM-1 values (0.80± 0.52 vs 0.33± 0.68 ng/mL, P<0.001), urine NGAL/creatinine values (371± 672 vs 27± 39 ng/mg, P<0.001) and urine KIM-1/creatinine values (4.04± 2.43 vs 2.38± 1.89 ng/mg, P<0.001) were higher in the AKI group than in the non-AKI group. By multivariate logistic regression, serum NGAL and the presence of chronic kidney disease were significant predictors of AKI. Serum NGAL might be an additive predictor for scrub typhus-associated AKI.

  6. Clinical profile and improving mortality trend of scrub typhus in South India.

    PubMed

    Varghese, George M; Trowbridge, Paul; Janardhanan, Jeshina; Thomas, Kurien; Peter, John V; Mathews, Prasad; Abraham, Ooriapadickal C; Kavitha, M L

    2014-06-01

    Scrub typhus, a bacterial zoonosis caused by Orientia tsutsugamushi, may cause multiorgan dysfunction syndrome (MODS) and is associated with significant mortality. This study was undertaken to document the clinical and laboratory manifestations and complications and to study time trends and factors associated with mortality in patients with scrub typhus infection. This retrospective study, done at a university teaching hospital, included 623 patients admitted between 2005 and 2010 with scrub typhus. The diagnosis was established by a positive IgM ELISA and/or pathognomonic eschar with PCR confirmation where feasible. The clinical and laboratory profile, course in hospital, and outcome were documented. Factors associated with mortality were analyzed using multivariate logistic regression analysis. The most common presenting symptoms were fever (100%), nausea/vomiting (54%), shortness of breath (49%), headache (46%), cough (38%), and altered sensorium (26%). An eschar was present in 43.5% of patients. Common laboratory findings included elevated transaminases (87%), thrombocytopenia (79%), and leukocytosis (46%). MODS was seen in 34% of patients. The overall case-fatality rate was 9.0%. Features of acute lung injury were observed in 33.7%, and 29.5% required ventilatory support. On multivariate analysis, shock requiring vasoactive agents (relative risk (RR) 10.5, 95% confidence interval (CI) 4.2-25.7, p<0.001), central nervous system (CNS) dysfunction (RR 5.1, 95% CI 2.4-10.7, p<0.001), and renal failure (RR 3.6, 95% CI 1.7-7.5, p=0.001) were independent predictors of mortality. Over 4 years, a decreasing trend was observed in the mortality rate. Scrub typhus can manifest with potentially life-threatening complications such as lung injury, shock, and meningoencephalitis. MODS occurred in a third of our patients. The overall case-fatality rate was 9%, with shock, renal failure, and CNS associated with a higher mortality. Copyright © 2014 The Authors. Published by

  7. Consequences of early snowmelt in Rocky Mountains

    NASA Astrophysics Data System (ADS)

    Balcerak, Ernie

    2013-01-01

    Snow melted significantly earlier in the Rocky Mountains in 2012 than in previous years, with serious consequences for plants and animals, scientists reported at the AGU Fall Meeting. David Inouye of the University of Maryland, College Park, and the Rocky Mountain Biological Laboratory said that "the timing of winter's end is changing." He has been observing snowmelt dates and flowering of plants at a site at 2900 meters altitude. This year's snowmelt occurred 23 April, whereas the previous year, snow melted 19 June, he reported.

  8. Clinical Predictors of Multiple Organ Dysfunction Syndromes in Pediatric patients with Scrub Typhus.

    PubMed

    Zhao, Dongying; Zhang, Yongjun; Yin, Zhaoqing; Zhao, Jing; Yang, Defeng; Zhou, Qun

    2017-06-01

    Scrub typhus can produce multiple organ dysfunction syndrome (MODS). Early recognition of the patients at risk of MODS would be helpful in providing timely management and reducing the mortality. In all, 449 children with scrub typhus were enrolled at three hospitals in Yunnan, China from January 2010 to January 2015. The patients' clinical status of organ system dysfunction was evaluated on the day of discharge from hospital by using standard criteria. The patients were classified into MODS present (64 cases, 14.3%) or MODS absent (385 cases, 85.7%). Multivariate logistic regression analyses revealed that the prognostic factors for MODS included skin rash (odds ratio, OR = 3.3, p = 0.037), time interval form treatment to defervescence (OR = 1.2, p = 0.035), hemoglobin (OR = 0.54, p = 0.041), platelet counts (OR = 0.06, p < 0.001), aspartate-aminotransferase (OR = 4.7, p = 0.011) and total bilirubin (OR = 2.3, p = 0.013). By describing risk factors resulting in MODS in pediatric scrub typhus, our study provides clinicians with important information to improve the clinical monitoring and prognostication of MODS. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Reproductive success and nest depredation of the Florida scrub-jay

    Treesearch

    Kathleen E. Franzreb

    2007-01-01

    The Florida Scrub-jay (Aphelocoma coerulescens) is listed as a threatened species primarily because of habitat loss throughout much of its range. The Ocala National Forest in Florida contains one of three main subpopulations that must be stable or increasing before the species can be considered for removal from federal listing. However, little...

  10. Accretion of Rocky Planets by Hot Jupiters

    NASA Astrophysics Data System (ADS)

    Ketchum, Jacob A.; Adams, Fred C.; Bloch, Anthony M.

    2011-11-01

    The observed population of Hot Jupiters displays a stunning variety of physical properties, including a wide range of densities and core sizes for a given planetary mass. Motivated by the observational sample, this Letter studies the accretion of rocky planets by Hot Jupiters, after the Jovian planets have finished their principal migration epoch and become parked in ~4 day orbits. In this scenario, rocky planets form later and then migrate inward due to torques from the remaining circumstellar disk, which also damps the orbital eccentricity. This mechanism thus represents one possible channel for increasing the core masses and metallicities of Hot Jupiters. This Letter determines probabilities for the possible end states for the rocky planet: collisions with the Jovian planets, accretion onto the star, ejection from the system, and long-term survival of both planets. These probabilities depend on the mass of the Jovian planet and its starting orbital eccentricity, as well as the eccentricity damping rate for the rocky planet. Since these systems are highly chaotic, a large ensemble (N ~ 103) of simulations with effectively equivalent starting conditions is required. Planetary collisions are common when the eccentricity damping rate is sufficiently low, but are rare otherwise. For systems that experience planetary collisions, this work determines the distributions of impact velocities—both speeds and impact parameters—for the collisions. These velocity distributions help determine the consequences of the impacts, e.g., where energy and heavy elements are deposited within the giant planets.

  11. A multiscale landscape approach to predicting bird and moth rarity hotspots in a threatened pitch pine-scrub oak community

    Treesearch

    Joanna Grand; John Buonaccorsi; Samuel A. Cushman; Curtice R. Griffin; Maile C. Neel

    2004-01-01

    In the northeastern United States, pitch pine (Pinus rigida Mill.)-scrub oak (Quercus ilicifolia Wang.) communities are increasingly threatened by development and fire suppression, and prioritization of these habitats for conservation is of critical importance. As a basis for local conservation planning in a pitch pine-scrub oak community in southeastern Massachusetts...

  12. Extraction, scrub, and strip test results for the salt waste processing facility caustic side solvent extraction solvent example

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

    Peters, T. B.

    An Extraction, Scrub, and Strip (ESS) test was performed on a sample of Salt Waste Processing Facility (SWPF) Caustic-Side Solvent Extraction (CSSX) solvent and salt simulant to determine cesium distribution ratios (D(Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams; this data will be used by Parsons to help determine if the solvent is qualified for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations. The extraction D(Cs) measured 12.9, exceeding the required value of 8. This value is consistent with results from previousmore » ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges.« less

  13. Immune thrombocytopenia with multi-organ dysfunction syndrome as a rare presentation of scrub typhus: a case report.

    PubMed

    Ittyachen, Abraham M; Abraham, Saramma P; Krishnamoorthy, Smitha; Vijayan, Anuroopa; Kokkat, Jayamohan

    2017-10-06

    Scrub typhus is an acute infectious illness caused by Orientia tsutsugamushi. It is endemic to a part of the world known as the "tsutsugamushi triangle". Humans are accidental hosts in this zoonotic disease. About a third of patients admitted with scrub typhus have evidence of multi-organ dysfunction. Multi-organ dysfunction secondary to scrub typhus carries a high mortality rate. We report a 65-year old lady who was admitted in a Tertiary Care Center in the state of Kerala in India, with 7 day history of fever, myalgia and reduced urine output. Head to foot examination revealed the presence of an eschar on her chest. One week prior to the onset of her illness she had gone trekking through a hilly forest area. She was clinically suspected to have scrub typhus, which was later confirmed with laboratory tests. She developed multi-organ dysfunction syndrome secondary to this illness. Though there was an improvement in the multi-organ dysfunction, thrombocytopenia alone failed to improve. Bone marrow study was done which was suggestive of immune thrombocytopenia. Patient was given a course of steroids with which the thrombocytopenia improved. Failure of platelet count to normalize even after there has been a general improvement of other markers of multi-organ dysfunction in scrub typhus should prompt the clinician to consider other potential causes of thrombocytopenia. An unusual finding as this calls for further research to understand the molecular mechanisms behind such an event. Further, considering the close similarity in clinical presentation of several tropical illnesses, meticulous history taking and a detailed physical examination needs to be emphasized.

  14. Water chemistry of Rocky Mountain Front Range aquatic ecosystems

    Treesearch

    Robert C. Musselman; Laura Hudnell; Mark W. Williams; Richard A. Sommerfeld

    1996-01-01

    A study of the water chemistry of Colorado Rocky Mountain Front Range alpine/subalpine lakes and streams in wilderness ecosystems was conducted during the summer of 1995 by the USDA Forest Service Arapaho and Roosevelt National Forests and Rocky Mountain Forest and Range Experiment Station, and the University of Colorado Institute of Alpine and Arctic Research. Data...

  15. Rocky Mountain Spotted Fever.

    PubMed

    Phillips, Jennan

    2017-01-01

    The tick-borne disease Rocky Mountain spotted fever (RMSF) can have deadly outcomes unless treated appropriately, yet nonspecific flu-like symptoms complicate diagnosis. Occupational health nurses must have a high index of suspicion with symptomatic workers and recognize that recent recreational or occupational activities with potential tick exposure may suggest RMSF.

  16. MISSION CONTROL CENTER (MCC) - GEMINI-TITAN (GT)-6 - SCRUBBED - MSC

    NASA Image and Video Library

    1965-10-25

    S65-44401 (1965) --- A group of National Aeronautics and Space Administration (NASA) and Manned Spacecraft Center (MSC) officials and personnel watch a Cape Kennedy press conference being telecast in the Mission Control Center (MCC) after the Gemini-6 mission was scrubbed due to the apparent failure of the Agena Target Vehicle to attain orbit.

  17. 20. VIEW OF WASTE TREATMENT CONTROL ROOM IN BUILDING 374. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. VIEW OF WASTE TREATMENT CONTROL ROOM IN BUILDING 374. THE BUILDING 371/374 COMPLEX WAS DESIGNED TO EMPHASIZE AUTOMATICALLY CONTROLLED, REMOTELY OPERATED PROCESSES. (1/80) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  18. Clinical and paraclinical profile, and predictors of outcome in 90 cases of scrub typhus, Meghalaya, India.

    PubMed

    Sivarajan, Sunuraj; Shivalli, Siddharudha; Bhuyan, Debomallya; Mawlong, Michael; Barman, Rittwick

    2016-10-05

    India is an integral component of "tsutsugamushi triangle" which depicts a part of the globe endemic to scrub typhus. Owing to frequent outbreaks witnessed in different parts of the country in the recent past, scrub typhus is described as a re-emerging infectious disease in India. The present study aimed to study the clinical and paraclinical profile, complications and predictors of outcome among 90 cases of scrub typhus diagnosed in a hospital of north-eastern India from Sept 2011 to Aug 2012. A longitudinal study was conducted in a hospital of Meghalaya, India between Sept 2011 and Aug 2012. Diagnosis of scrub typhus was arrived by SD BIOLINE tsutsugamushi (solid phase immunochromatographic assay) rapid diagnostic test for antibodies (IgM, IgG or IgA). Descriptive analyses of age, gender, geographic area, symptoms and signs, treatment, laboratory findings, complications, and outcome were conducted. Relative risk (RR) with 95 % confidence interval (CI) was computed for Multiple Organ Dysfunction Syndrome (MODS) and mortality. Binary logistic regression was applied to the significant correlates (P < 0.05) on univariate analysis to identify the predictors of MODS and mortality in scrub typhus. As many as 662 clinically suspected scrub typhus patients were tested and 90 (13.6 %) were diagnosed to have scrub typhus. Out of 90 patients, 52.2 % (n = 47) were males and their mean (SD) age was 36.29 (13.38) years. Fever of <7 days (n = 75, 83.3 %), myalgia (n = 56, 62.2 %), pain abdomen (n = 24, 26.7 %), headache (n = 24, 26.7 %), nausea/vomiting (n = 21, 23.3 %), dry cough (n = 21, 23.3 %), hepatomegaly (n = 24, 26.7 %), splenomegaly (n = 22, 24.4 %), and lymphadenopathy (n = 20, 22.2 %) were the predominant clinical features. Eschar was seen in 10 patients (11.1 %). One third (n = 30) of the patients developed at least one systemic complication. Acute hepatitis (n = 15, 16.7 %), pneumonitis (n = 14

  19. Rocky Mountain spotted fever from an unexpected tick vector in Arizona.

    PubMed

    Demma, Linda J; Traeger, Marc S; Nicholson, William L; Paddock, Christopher D; Blau, Dianna M; Eremeeva, Marina E; Dasch, Gregory A; Levin, Michael L; Singleton, Joseph; Zaki, Sherif R; Cheek, James E; Swerdlow, David L; McQuiston, Jennifer H

    2005-08-11

    Rocky Mountain spotted fever is a life-threatening, tick-borne disease caused by Rickettsia rickettsii. This disease is rarely reported in Arizona, and the principal vectors, Dermacentor species ticks, are uncommon in the state. From 2002 through 2004, a focus of Rocky Mountain spotted fever was investigated in rural eastern Arizona. We obtained blood and tissue specimens from patients with suspected Rocky Mountain spotted fever and ticks from patients' homesites. Serologic, molecular, immunohistochemical, and culture assays were performed to identify the causative agent. On the basis of specific laboratory criteria, patients were classified as having confirmed or probable Rocky Mountain spotted fever infection. A total of 16 patients with Rocky Mountain spotted fever infection (11 with confirmed and 5 with probable infection) were identified. Of these patients, 13 (81 percent) were children 12 years of age or younger, 15 (94 percent) were hospitalized, and 2 (12 percent) died. Dense populations of Rhipicephalus sanguineus ticks were found on dogs and in the yards of patients' homesites. All patients with confirmed Rocky Mountain spotted fever had contact with tick-infested dogs, and four had a reported history of tick bite preceding the illness. R. rickettsii DNA was detected in nonengorged R. sanguineus ticks collected at one home, and R. rickettsii isolates were cultured from these ticks. This investigation documents the presence of Rocky Mountain spotted fever in eastern Arizona, with common brown dog ticks (R. sanguineus) implicated as a vector of R. rickettsii. The broad distribution of this common tick raises concern about its potential to transmit R. rickettsii in other settings. Copyright 2005 Massachusetts Medical Society.

  20. Ongoing Cerebral Vasculitis During Treatment of Rocky Mountain Spotted Fever.

    PubMed

    Sun, Lisa R; Huisman, Thierry A G M; Yeshokumar, Anusha K; Johnston, Michael V

    2015-11-01

    Rocky Mountain spotted fever is a tickborne infection that produces a systemic small-vessel vasculitis; its prognosis is excellent if appropriate treatment is initiated early. Because the advent of effective antirickettsial therapies predates the widespread use of brain magnetic resonance imaging, there are limited data on the effect of untreated Rocky Mountain spotted fever infection on neuroimaging studies. We describe a 7-year-old girl with delayed treatment of Rocky Mountain spotted fever who suffered severe neurological impairment. Serial brain magnetic resonance images revealed a progressive "starry sky appearance," which is proposed to result from the same small vessel vasculitis that causes the characteristic skin rash of this infection. Neurological injury can continue to occur despite specific antirickettsial therapy in Rocky Mountain spotted fever. This child's clinical features raise questions about the optimal management of this infection, particularly the utility of immune modulating therapies in cases of delayed treatment and neurological involvement. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. 6. VIEW OF BUILDING 371 EXTERIOR WALL CONSTRUCTION DETAIL. BUILDING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    6. VIEW OF BUILDING 371 EXTERIOR WALL CONSTRUCTION DETAIL. BUILDING CONSTRUCTION WAS HARDENED TO WITHSTAND THE FORCES IMPOSED BY A DESIGN-BASIS EARTHQUAKE OR TORNADO. (7/1/74) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  2. VIEW LOOKING SOUTHWEST AT BUILDING 122 DURING CONSTRUCTION. BUILDING 122, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW LOOKING SOUTHWEST AT BUILDING 122 DURING CONSTRUCTION. BUILDING 122, THE EMERGENCY MEDICAL BUILDING, WAS ONE OF THE ORIGINAL STRUCTURES AT THE ROCKY FLATS PLANT. (5/29/52) - Rocky Flats Plant, Emergency Medical Services Facility, Southwest corner of Central & Third Avenues, Golden, Jefferson County, CO

  3. VIEW OF BUILDING 124, THE WATER TREATMENT PLANT, LOOKING NORTHEAST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF BUILDING 124, THE WATER TREATMENT PLANT, LOOKING NORTHEAST. THE ROCKY FLATS PLANT WATER SUPPLY, TREATMENT, STORAGE, AND DISTRIBUTION SYSTEM HAS OPERATED CONTINUOUSLY SINCE 1953 - Rocky Flats Plant, Water Treatment Plant, West of Third Street, north of Cedar Avenue, Golden, Jefferson County, CO

  4. Environmental and biological controls on water and energy exchange in Florida scrub oak and pine flatwoods ecosystems

    NASA Astrophysics Data System (ADS)

    Bracho, Rosvel; Powell, Thomas L.; Dore, Sabina; Li, Jiahong; Hinkle, C. Ross; Drake, Bert G.

    2008-06-01

    Scrub oak and pine flatwoods are two contrasting ecosystems common to the humid subtropical climate of Florida. Scrub oak forests are short in stature (<2 m) and occur on well-drained sandy soils, and pine flatwoods are much taller and occur in areas with poorly drained soils. Eddy covariance measurements were made from January 2001 to February 2003 over a scrub oak forest and from January 2002 to February 2003 over an adjacent pine flatwoods located on in central Florida, USA, and exposed to similar atmospheric conditions to evaluate how the dynamics of latent heat (λE) and sensible heat (H) exchanges are affected by environmental and biological variables. Annual evapotranspiration (Et) for the scrub oak was 737 and 713 mm in 2001 and 2002, respectively. Et was comparatively higher, 812 mm, in 2002 at the pine flatwoods due to higher soil moisture and leaf area. In both ecosystems, springtime increases in λE coincided with increasing leaf area and evaporative demand. However, H was the main energy-dissipating component in the spring due to the seasonal decrease in soil water content in the upper soil profile. In the spring, mean weekly Bowen ratio (β, i.e. H/λE) values reached 1.6 and 1.2 in the scrub oak and pine flatwoods, respectively. With the onset of the summertime rainy season, λE became the dominant energy flux and β fells to < 0.4. In both ecosystems, β was strongly controlled by the interaction between leaf area and soil moisture. The lowest values of the decoupling coefficient (Ω, 0.2 and 0.25 scrub oak and pine flatwoods, respectively) also occurred during the dry springtime period indicating that surface conductance (gs) was the mechanism controlling energy partitioning causing high β in both ecosystems. Et increases in the spring, when water in the upper soil profile was scarce and strongly retained by soil particles, indicated that plants in both ecosystems obtained water from deeper sources. The results from this research elucidate how

  5. Investigation of scrubbing and impingement noise

    NASA Technical Reports Server (NTRS)

    Fink, M. R.

    1975-01-01

    Tests were conducted in an acoustic wind tunnel to determine surface pressure spectra and far field noise caused by turbulence impinging on an airfoil and turbulence convected past a sharp trailing edge. Measured effects of flow velocity and turbulence intensity were compared with predictions from several theories. Also, tests were conducted in an anechoic chamber to determine surface pressure spectra and far field noise caused by a deflected airfoil scrubbed by a subsonic jet. This installation simulated both an under-the-wing and an upper-surface-blowing externally blown flap, depending on the deflection angle. Surface and far field spectra, and cross correlation coherence and delay time, were utilized to infer the major noise-producing mechanisms.

  6. Clinical and Epidemiological Characteristics of Scrub Typhus and Murine Typhus among Hospitalized Patients with Acute Undifferentiated Fever in Northern Vietnam

    PubMed Central

    Hamaguchi, Sugihiro; Cuong, Ngo Chi; Tra, Doan Thu; Doan, Yen Hai; Shimizu, Kenta; Tuan, Nguyen Quang; Yoshida, Lay-Myint; Mai, Le Quynh; Duc-Anh, Dang; Ando, Shuji; Arikawa, Jiro; Parry, Christopher M.; Ariyoshi, Koya; Thuy, Pham Thanh

    2015-01-01

    A descriptive study on rickettsiosis was conducted at the largest referral hospital in Hanoi, Vietnam, to identify epidemiological and clinical characteristics of specific rickettsiosis. Between March 2001 and February 2003, we enrolled 579 patients with acute undifferentiated fever (AUF), excluding patients with malaria, dengue fever, and typhoid fever, and serologically tested for Orientia tsutsugamushi and Rickettsia typhi. Of the patients, 237 (40.9%) and 193 (33.3%) had scrub and murine typhus, respectively, and 149 (25.7%) had neither of them (non–scrub and murine typhus [non-ST/MT]). The proportion of murine typhus was highest among patients living in Hanoi whereas that of scrub typhus was highest in national or regional border areas. The presence of an eschar, dyspnea, hypotension, and lymphadenopathy was significantly associated with a diagnosis of scrub typhus (OR = 46.56, 10.90, 9.01, and 7.92, respectively). Patients with murine typhus were less likely to have these findings but more likely to have myalgia, rash, and relative bradycardia (OR = 1.60, 1.56, and 1.45, respectively). Scrub typhus and murine typhus were shown to be common causes of AUF in northern Vietnam although the occurrence of spotted fever group rickettsiae was not determined. Clinical and epidemiological information may help local clinicians make clinical diagnosis of specific rickettsioses in a resource-limited setting. PMID:25778504

  7. Diagnostic performance of serological tests to detect antibodies against acute scrub typhus infection in central India.

    PubMed

    Pote, Kiran; Narang, Rahul; Deshmukh, Pradeep

    2018-01-01

    Differentiating scrub typhus from other acute febrile illness is difficult due to non specificity of clinical symptoms and relative absence of eschar in Indian population. The diagnosis thus relies mainly on laboratory tests. Antibody based serological tests are mainstay of scrub typhus diagnosis. Here, we evaluated the diagnostic performance of IgM ELISA, IgM IFA and ICT to detect antibodies against O. tsutsugamushi in acute serum of febrile patients. The serum samples from 600 randomly selected patients suffering from acute undifferentiated fever were tested by all the three tests mentioned above. We used latent class analysis to generate unbiased results as all the tests for scrub typhus diagnosis are imperfect and none of them can be considered as reference standard. We found that IgM ELISA with cutoff titer 0.5 OD has high diagnostic accuracy (sensitivity 99.9% and specificity 99.15) than IgM IFA (sensitivity 96.8% and specificity 99.7%) for scrub typhus diagnosis. ICT used in our study had very high specificity 100% but low sensitivity (38%) which would limit its use for acute serum samples. ICT being a screening or point of care test, has to be more sensitive while some compromise with specificity is affordable. Hence, optimal cutoff for ICT should be evaluated under different settings. IgM ELISA being simple and affordable could be an alternative diagnostic test to IgM IFA which is subjective and costly.

  8. Nested polymerase chain reaction on blood clots for gene encoding 56 kDa antigen and serology for the diagnosis of scrub typhus.

    PubMed

    Prakash, J A J; Kavitha, M L; Mathai, E

    2011-01-01

    Scrub typhus is a zoonotic illness endemic in the Asia-Pacific region. Early diagnosis and appropriate management contribute significantly to preventing adverse outcomes including mortality. Serology is widely used for diagnosing scrub typhus. Recent reports suggest that polymerase chain reaction (PCR) could be a rapid and reliable alternative. This study assessed the utility of these tests for scrub typhus diagnosis. Nested PCR to detect the 56 kDa antigen gene of O. tsutsugamushi was performed on blood clots from 87 individuals with clinically suspected scrub typhus. Weil-Felix test and scrub typhus IgM ELISA were performed on serum samples from the same patients. As a gold standard reference test was not available, latent class analysis (LCA) was used to assess the performance of the three tests. The LCA analysis showed the sensitivity of Weil-Felix test, IgM ELISA and PCR to be 59%, 100% and 58% respectively. The specificity of ELISA was only 73%, whereas those of the Weil-Felix test and PCR were 94% and 100% respectively. Nested PCR using blood clots while specific, lacked sensitivity as compared to IgM ELISA. In resource-poor settings Weil-Felix test still remains valuable despite its moderate sensitivity.

  9. Effects of Width, Edge and Habitat on the Abundance and Nesting Success of Scrub-shrub Birds in Powerline Corridors

    Treesearch

    David I. King; Richard B. Chandler; Jeffrey M. Collins; Wayne R. Petersen; Thomas E. Lautzenheiser

    2009-01-01

    Concern about declines in scrub–shrub bird populations has resulted in efforts to create and maintain habitat for these species. Vegetation within powerline corridors is managed to prevent contact of vegetation with transmission lines, and comprises approximately 2% of all of habitat for scrub–shrub birds in southern New England. Although previous studies have...

  10. Simultaneous removal of nitrogen oxide/nitrogen dioxide/sulfur dioxide from gas streams by combined plasma scrubbing technology.

    PubMed

    Chang, Moo Been; Lee, How Ming; Wu, Feeling; Lai, Chi Ren

    2004-08-01

    Oxides of nitrogen (NOx) [nitrogen oxide (NO) + nitrogen dioxide (NO2)] and sulfur dioxide (SO2) are removed individually in traditional air pollution control technologies. This study proposes a combined plasma scrubbing (CPS) system for simultaneous removal of SO2 and NOx. CPS consists of a dielectric barrier discharge (DBD) and wet scrubbing in series. DBD is used to generate nonthermal plasmas for converting NO to NO2. The water-soluble NO2 then can be removed by wet scrubbing accompanied with SO2 removal. In this work, CPS was tested with simulated exhausts in the laboratory and with diesel-generator exhausts in the field. Experimental results indicate that DBD is very efficient in converting NO to NO2. More than 90% removal of NO, NOx, and SO2 can be simultaneously achieved with CPS. Both sodium sulfide (Na2S) and sodium sulfite (Na2SO3) scrubbing solutions are good for NO2 and SO2 absorption. Energy efficiencies for NOx and SO2 removal are 17 and 18 g/kWh, respectively. The technical feasibility of CPS for simultaneous removal of NO, NO2, and SO2 from gas streams is successfully demonstrated in this study. However, production of carbon monoxide as a side-product (approximately 100 ppm) is found and should be considered.

  11. 1. VIEW LOOKING NORTHWEST AT BUILDING 701. BUILDING 701 WAS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. VIEW LOOKING NORTHWEST AT BUILDING 701. BUILDING 701 WAS USED TO DESIGN, BUILD, AND EVALUATE BENCH-SCALE TECHNOLOGIES USED IN ROCKY FLATS WASTE TREATMENT PROCESSES. (1/98) - Rocky Flats Plant, Design Laboratory, Northwest quadrant of Plant, between buildings 776-777 & 771, Golden, Jefferson County, CO

  12. Efficacy of Three Vaccines in Protecting Western Scrub-Jays (Aphelocoma californica) from Experimental Infection with West Nile Virus: Implications for Vaccination of Island Scrub-Jays (Aphelocoma insularis)

    PubMed Central

    Wheeler, Sarah S.; Langevin, Stanley; Woods, Leslie; Carroll, Brian D.; Vickers, Winston; Morrison, Scott A.; Chang, Gwong-Jen J.; Reisen, William K.

    2011-01-01

    Abstract The devastating effect of West Nile virus (WNV) on the avifauna of North America has led zoo managers and conservationists to attempt to protect vulnerable species through vaccination. The Island Scrub-Jay (Aphelocoma insularis) is one such species, being a corvid with a highly restricted insular range. Herein, we used congeneric Western Scrub-Jays (Aphelocoma californica) to test the efficacy of three WNV vaccines in protecting jays from an experimental challenge with WNV: (1) the Fort Dodge West Nile-Innovator® DNA equine vaccine, (2) an experimental DNA plasmid vaccine, pCBWN, and (3) the Merial Recombitek® equine vaccine. Vaccine efficacy after challenge was compared with naïve and nonvaccinated positive controls and a group of naturally immune jays. Overall, vaccination lowered peak viremia compared with nonvaccinated positive controls, but some WNV-related pathology persisted and the viremia was sufficient to possibly infect susceptible vector mosquitoes. The Fort Dodge West Nile-Innovator DNA equine vaccine and the pCBWN vaccine provided humoral immune priming and limited side effects. Five of the six birds vaccinated with the Merial Recombitek vaccine, including a vaccinated, non-WNV challenged control, developed extensive necrotic lesions in the pectoral muscle at the vaccine inoculation sites, which were attributed to the Merial vaccine. In light of the well-documented devastating effects of high morbidity and mortality associated with WNV infection in corvids, vaccination of Island Scrub-Jays with either the Fort Dodge West Nile-Innovator DNA vaccine or the pCBWN vaccine may increase the numbers of birds that would survive an epizootic should WNV become established on Santa Cruz Island. PMID:21438693

  13. Parasites of domestic and wild animals in South Africa. XXXII. Ixodid ticks on scrub hares in the Transvaal.

    PubMed

    Horak, I G; Spickett, A M; Braack, L E; Penzhorn, B L

    1993-09-01

    A total of 264 scrub hares (Lepus saxatilis) were examined for ixodid ticks at various localities in the Kruger National Park, eastern Transvaal Lowveld. Thirteen tick species were recovered from these hares. The seasonal abundances of the immature stages of Amblyomma hebraeum, Amblyomma marmoreum, Hyalomma truncatum, Rhipicephalus appendiculatus, Rhipicephalus evertsi evertsi, Rhipicephalus simus and Rhipicephalus zambeziensis and all stages of a Rhipicephalus sp. (near R. pravus) were determined. Three scrub hares, examined in the north-western Transvaal Bushveld, were infested with five ixodid tick species. Ten hares examined in the eastern Transvaal Highveld harboured three species. A total of 15 ixodid tick species were recovered from the scrub hares examined in the three regions of the Transvaal. No haematozoa were found in blood smears made from the hares examined in the southern region of the Kruger National Park.

  14. Radiation hazards to vascular surgeon and scrub nurse in mobile fluoroscopy equipped hybrid vascular room

    PubMed Central

    Kim, Jong Bin; Lee, Jaehoon

    2017-01-01

    Purpose The aim of the present study was to identify the radiation hazards to vascular surgeons and scrub nurses working in mobile fluoroscopy equipped hybrid vascular operation rooms; additionally, to estimate cumulative cancer risk due to certain exposure dosages. Methods The study was conducted prospectively in 71 patients (53 men and 18 women) who had undergone vascular intervention at our hybrid vascular theater for 6 months. OEC 9900 fluoroscopy was used as mobile C-arm. Exposure dose (ED) was measured by attaching optically stimulated luminescence at in and outside of the radiation protectors. To measure X-ray scatter with the anthropomorphic phantom model, the dose was measured at 3 distances (20, 50, 100 cm) and 3 angles (horizontal, upward 45°, downward 45°) using a personal gamma radiation dosimeter, Ecotest CARD DKG-21, for 1, 3, 5, 10 minutes. Results Lifetime attributable risk of cancer was estimated using the approach of the Biological Effects of Ionizing Radiation report VII. The 6-month ED of vascular surgeons and scrub nurses were 3.85, 1.31 mSv, respectively. The attenuation rate of lead apron, neck protector and goggle were 74.6%, 60.6%, and 70.1%, respectively. All cancer incidences among surgeons and scrub nurses correspond to 2,355 and 795 per 100,000 persons. The 10-minute dose at 100-cm distance was 0.004 mSv at horizontal, 0.009 mSv at downward 45°, 0.003 mSv at upward 45°. Conclusion Although yearly radiation hazards for vascular surgeons and scrub nurses are still within safety guidelines, protection principles can never be too stringent when aiming to minimize the cumulative harmful effects. PMID:28289670

  15. Adequate disinfection of a split-septum needleless intravascular connector with a 5-second alcohol scrub.

    PubMed

    Rupp, Mark E; Yu, Stephanie; Huerta, Tomas; Cavalieri, R Jennifer; Alter, Roxanne; Fey, Paul D; Van Schooneveld, Trevor; Anderson, James R

    2012-07-01

    Define optimum vascular catheter connector valve disinfection practices under laboratory and clinical conditions. Prospective observational clinical survey and laboratory assessment of disinfection procedures. All adult inpatients at an academic healthcare center. In the clinical setting, contamination of needleless connectors was assessed in 6 weekly prevalence surveys in which the connector valves from central venous catheters (CVCs) in situ were cultured by pressing the connector diaphragm to an agar plate. Before culture, valves were disinfected by scrubbing the diaphragm with a 70% isopropyl alcohol pledget for 0, 5, 10, 15, or 30 seconds. In the laboratory, the diaphragms on 150 unused sterile connector valves were inoculated with 10(3), 10(5), or 10(8) colony-forming units of Staphylococcus epidermidis and allowed to dry. After disinfection of the diaphragms by scrubbing with a 70% isopropyl alcohol pledget for 0, 5, 10, 15, or 30 seconds, the valves were sampled by pressing the diaphragm to an agar plate. In the clinical setting, 363 connector valves from patients with CVCs were sampled, and 66.7% of nondisinfected valves revealed bacterial contamination. After 5-second disinfection with an alcohol pledget, only 1 (1.4%) of 71 yielded microbial growth (P < .005). In the laboratory, at the 10(3) and 10(5) inoculum, all connector valves yielded sterile cultures when scrubbed for 5 or more seconds (P < .001). At the 10(8) inoculum, 2 (20%) of 10 connector valves yielded minimal growth of S. epidermidis. A 5-second scrub with a 70% isopropyl alcohol pledget yields adequate disinfection of a split-septum intravascular catheter connector valve under clinical and laboratory conditions.

  16. A comparison of avian hematozoan epizootiology in two California coastal scrub communities

    USGS Publications Warehouse

    Super, Paul E.; van Riper, Charles

    1995-01-01

    Passerine birds within two California (USA) coastal scrub ecosystems, an island and a mainland site, were examined for hematozoa from 1984 to 1990. Island birds had a significantly lower hematozoan prevalence than mainland birds. This prevalence difference can be related to a lack of appropriate hematozoan vectors on the island. Haemoproteus spp. and Leucocytozoon spp. were the most commonly encountered hematozoa; four new species of Leucocytozoon spp. and one new Haemoproteus sp. were found in five host families. No transmission of hematozoan parasites was detected at the island site during the study. At the mainland coastal scrub site, Leucocytozoon spp. was transmitted each year while Plasmodium spp. and Haemoproteus spp. transmission varied between years. There was evidence that some species of birds acquired infections outside of their breeding season. Results of this study lend further support to the prediction of decreased disease on remote island ecosystems.

  17. Spray scrubbing of particulate-laden SO(2) using a critical flow atomizer.

    PubMed

    Bandyopadhyay, Amitava; Biswas, Manindra Nath

    2008-08-01

    The performance of a spray tower using an energy efficient two-phase critical flow atomizer on the scrubbing of particulate-laden SO(2) using water and dilute NaOH is reported in this article. Experimentation revealed that SO(2) removal was enhanced due to presence of particles (fly-ash) and almost 100% removal efficiency was achieved in water scrubbing. The removal efficiency is elucidated in reference to atomizing air pressure, droplet diameter and droplet velocity besides other pertinent variables of the system studied. The presence of fly-ash particles improved the removal efficiency to about 20% within the range of variables studied. Empirical and semi-empirical correlations were developed for predicting the removal efficiency in water and dilute NaOH respectively. Predicted data fitted excellently well with experimental values. The performance of the spray tower is compared with the performances of existing systems and very encouraging results are obtained.

  18. 10. VIEW OF PIPING. THE BUILDING HAD OVER 700 MILES ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. VIEW OF PIPING. THE BUILDING HAD OVER 700 MILES OF PIPING, OF WHICH 70 MILES WERE PLUTONIUM PROCESSING LINES. THESE PROCESS LINES RAN THROUGH WALLS AND TRAVERSED SEVERAL FLOORS. (6/29/78) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  19. 13. SIDE VIEW OF THE STACKERRETRIEVER CRANE FROM THE TRANSFER ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. SIDE VIEW OF THE STACKER-RETRIEVER CRANE FROM THE TRANSFER BAY. THE STACKER-RETRIEVER IS A REMOTELY-OPERATED, MECHANIZED TRANSPORT SYSTEM FOR RETRIEVING PLUTONIUM CONTAINERS FROM THE STORAGE VAULT. (1/80) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  20. AERIAL VIEW OF BUILDING 460, LOOKING NORTHEAST. THE BUILDING WAS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    AERIAL VIEW OF BUILDING 460, LOOKING NORTHEAST. THE BUILDING WAS CONSTRUCTED TO CONSOLIDATE ALL NON-NUCLEAR MANUFACTURING AT THE ROCKY FLATS PLANT INTO ONE FACILITY. (6/13/85) - Rocky Flats Plant, Stainless Steel & Non-Nuclear Components Manufacturing, Southeast corner of intersection of Cottonwood & Third Avenues, Golden, Jefferson County, CO

  1. An outbreak investigation of scrub typhus in Western Province, Solomon Islands, 2014.

    PubMed

    Marks, Michael; Joshua, Cynthia; Longbottom, Jenny; Longbottom, Katherine; Sio, Alison; Puiahi, Elliot; Jilini, Greg; Stenos, John; Dalipanda, Tenneth; Musto, Jennie

    2016-01-01

    To identify the etiology and risk factors of undifferentiated fever in a cluster of patients in Western Province, Solomon Islands, May 2014. An outbreak investigation with a case control study was conducted. A case was defined as an inpatient in one hospital in Western Province, Solomon Islands with high fever (> 38.5 °C) and a negative malaria microscopy test admitted between 1 and 31 May 2014. Asymptomatic controls matched with the cases residentially were recruited in a ratio of 1:2. Serum samples from the subjects were tested for rickettsial infections using indirect micro-immunofluorescence assay. Nine cases met the outbreak case definition. All cases were male. An eschar was noted in five cases (55%), and one developed pneumonitis. We did not identify any environmental factors associated with illness. Serum samples of all five follow-up cases (100%) had strong-positive IgG responses to scrub typhus. All but one control (10%) had a moderate response against scrub typhus. Four controls had low levels of antibodies against spotted fever group rickettsia, and only one had a low-level response to typhus group rickettsia. This outbreak represents the first laboratory-confirmed outbreak of scrub typhus in the Western Province of Solomon Islands. The results suggest that rickettsial infections are more common than currently recognized as a cause of an acute febrile illness. A revised clinical case definition for rickettsial infections and treatment guidelines were developed and shared with provincial health staff for better surveillance and response to future outbreaks of a similar kind.

  2. Epidemiological, clinical and laboratory profile of scrub typhus cases detected by serology and RT-PCR in Kumaon, Uttarakhand: a hospital-based study.

    PubMed

    Rawat, Vinita; Singh, Rajesh Kumar; Kumar, Ashok; Saxena, Sandip R; Varshney, Umesh; Kumar, Mukesh

    2018-04-01

    We analysed the epidemiology, clinical and laboratory data of the 168 scrub typhus cases confirmed by a combination of any one of the following: real time polymerase chain reaction (RT-PCR) and/or immunofluorescence assay (IFA) (IgM and/or IgG). The peak season for scrub typhus was from July to October. By multivariate binary logistic regression analysis, the risk of scrub typhus was about four times in those working in occupation related to forest work. Major clinical manifestations were fever (100%), myalgia (65%), cough (51%) and vomiting (46%); major complications were meningitis/meningoencephatilitis (12.5%) and multi-organ failure (MOF) and pneumonia (5.3% each). Laboratory investigations revealed raised aminotranferase levels and thrombocytopenia in most confirmed cases. We conclude that scrub typhus is an important cause of febrile illness in the Kumaon hills of Uttarakhand where this disease had not previously been considered to exist.

  3. [Relationships between landscape structure and rocky desertification in karst region of northwestern Guangxi].

    PubMed

    Zhang, Xiao-nan; Wang, Ke-lin; Chen, Hong-song; Zhang, Wei

    2008-11-01

    By using canonical correspondence analysis (CCA), sixteen landscape indices were adopted to quantitatively analyze the relationships between the landscape structure and rocky desertification in karst region of Huanjiang County, Guangxi Province. The results showed that the first and the second ordination axis of CCA were strongly correlated to the factors of average patch area, average dry land patch area, landscape shape index, and landscape aggregation index. The potential rocky desertification in the region was highly positively correlated with the average dry land patch area and the average fractal dimensions of dry land and shrub land, but negatively correlated with the patch numbers of dry land. Light rocky desertification had obvious positive correlations with the fractal dimension index, average fractal dimension of unused land, and patch numbers of shrub land; while moderate and strong rocky desertification had high positive correlations with the average unused land patch area but negative correlation with the average fractal dimension of shrub land. To some extent, rocky desertification degree might be represented by the values of landscape indices. The gradient variation in karst rocky desertification along landscape structure was clearly presented by the results of CCA.

  4. Pace slows in northern Rockies

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

    Stremel, K.

    1984-03-01

    This paper deals with recent natural gas development and production in the northern Rocky Mountain region. Because of restricted gas markets, the pace has slowed construction of gas processing and gathering facilities. The gas and oil companies which are planning or building new projects are discussed.

  5. Comparison of three rocky mountain spotted fever vaccines.

    PubMed Central

    Kenyon, R H; Sammons, L S; Pedersen, C E

    1975-01-01

    Growth of Rocky Mountain spotted fever (RMSF) rickettsiae in duck embryo cell (DEC) cultures and chicken embryo cell (CEC) cultures was evaluated. Experimental lots of duck embryo cell- and chicken embryo cell-grown Rocky Mountain spotted fever vaccines and a commercial lot of yolk sac-grown vaccine were compared for protective efficacy in rhesus monkeys. Incidence and magnitude of antibody response, febrile response, and rickettsemia, as well as incidence of fatalities, suggested that both cell culture-derived vaccines were more immunogenic than the yolk sac-grown vaccine. PMID:810494

  6. Scrub typhus in South India: clinical and laboratory manifestations, genetic variability, and outcome.

    PubMed

    Varghese, George M; Janardhanan, Jeshina; Trowbridge, Paul; Peter, John V; Prakash, John A J; Sathyendra, Sowmya; Thomas, Kurien; David, Thambu S; Kavitha, M L; Abraham, Ooriapadickal C; Mathai, Dilip

    2013-11-01

    This study sought to document the clinical and laboratory manifestations, genetic variability, and outcomes of scrub typhus, an often severe infection caused by Orientia tsutsugamushi, in South India. Patients admitted to a large teaching hospital with IgM ELISA-confirmed scrub typhus were evaluated. Clinical examination with a thorough search for an eschar, laboratory testing, chest X-ray, and outcome were documented and analyzed. Additionally, a 410-bp region of the 56-kDa type-specific antigen gene of O. tsutsugamushi was sequenced and compared with isolates from other regions of Asia. Most of the 154 patients evaluated presented with fever and non-specific symptoms. An eschar was found in 86 (55%) patients. Mild hepatic involvement was seen in most, with other organ involvement including respiratory, cardiovascular, and renal. Multi-organ dysfunction was noted in 59 (38.3%), and the fatality rate was 7.8%. Hypotension requiring vasoactive agents was found to be an independent predictor of mortality (p<0.001). The phylogeny of 26 samples showed 17 (65%) clustering with the Kato-like group and eight (31%) with the Karp-like group. The presentation of scrub typhus can be variable, often non-specific, but with potentially severe multi-organ dysfunction. Prompt recognition is key to specific treatment and good outcomes. Further study of the circulating strains is essential for the development of a successful vaccine and sensitive point-of-care testing. Copyright © 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  7. Efficacy of a surgical scrub including 2% chlorhexidine acetate for canine superficial pyoderma.

    PubMed

    Murayama, Nobuo; Nagata, Masahiko; Terada, Yuri; Shibata, Sanae; Fukata, Tsuneo

    2010-12-01

    The clinical efficacy of a surgical scrub containing 2% chlorhexidine acetate (2CA; Nolvasan® Surgical Scrub; Fort Dodge Animal Health, USA) was evaluated for the topical management of canine superficial pyoderma. The first study was a randomized, double-blind, controlled trial. The control was a shampoo containing 4% chlorhexidine gluconate (4CG; Skin Clinic Shampoo; CHD MEDICS, Goyang, Korea). Ten dogs with symmetrical lesions of canine superficial pyoderma were allocated to receive either 2CA or the control shampoo applied to either side of the body twice weekly for 1 week. Both the owners and the investigators subjectively scored skin lesions including pruritus, erythema, crusted papules and scales on a scale of 0-3. The 2CA and 4CG resulted in almost the same degree of improvement of skin lesions, and there were no significant differences between the two groups. The second study was an open trial of 2CA monotherapy in eight dogs with cefalexin-resistant Staphylococcus intermedius group-associated superficial pyoderma. The 2CA monotherapy was applied every 2 days for 2 weeks. Five dogs improved with 2CA monotherapy, one partially improved and two did not. No adverse reactions were seen in either trial. This suggests that a 2CA surgical scrub could be a useful and safe topical adjunct therapy for dogs with superficial pyoderma involving cefalexin-resistant Staphylococcus intermedius group. © 2010 The Authors. Journal compilation © 2010 ESVD and ACVD.

  8. 78 FR 60309 - Minor Boundary Revision at Rocky Mountain National Park

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... DEPARTMENT OF THE INTERIOR National Park Service [NPS-IMR-ROMO-13765; PS.SROMO0001.01.1] Minor Boundary Revision at Rocky Mountain National Park AGENCY: National Park Service, Interior. ACTION: Notification of Boundary Revision. SUMMARY: The boundary of Rocky Mountain National Park is modified to include...

  9. Paint-only is equivalent to scrub-and-paint in preoperative preparation of abdominal surgery sites.

    PubMed

    Ellenhorn, Joshua D I; Smith, David D; Schwarz, Roderich E; Kawachi, Mark H; Wilson, Timothy G; McGonigle, Kathryn F; Wagman, Lawrence D; Paz, I Benjamin

    2005-11-01

    Antiseptic preoperative skin site preparation is used to prepare the operative site before making a surgical incision. The goal of this preparation is a reduction in postoperative wound infection. The most straightforward technique necessary to achieve this goal remains controversial. A prospective randomized trial was designed to prove equivalency for two commonly used techniques of surgical skin site preparation. Two hundred thirty-four patients undergoing nonlaparoscopic abdominal operations were consented for the trial. Exclusion criteria included presence of active infection at the time of operation, neutropenia, history of skin reaction to iodine, or anticipated insertion of prosthetic material at the time of operation. Patients were randomized to receive either a vigorous 5-minute scrub with povidone-iodine soap, followed by absorption with a sterile towel, and a paint with aqueous povidone-iodine or surgical site preparation with a povidone-iodine paint only. The primary end point of the study was wound infection rate at 30 days, defined as presence of clinical signs of infection requiring therapeutic intervention. Patients randomized to the scrub-and-paint arm (n = 115) and the paint-only arm (n = 119) matched at baseline with respect to age, comorbidity, wound classification, mean operative time, placement of drains, prophylactic antibiotic use, and surgical procedure (all p > 0.09). Wound infection occurred in 12 (10%) scrub-and-paint patients, and 12 (10%) paint-only patients. Based on our predefined equivalency parameters, we conclude equivalence of infection rates between the two preparations. Preoperative preparation of the abdomen with a scrub with povidone-iodine soap followed by a paint with aqueous povidone-iodine can be abandoned in favor of a paint with aqueous povidone-iodine alone. This change will result in reductions in operative times and costs.

  10. 76 FR 47577 - Rocky Mountain Natural Gas LLC; Notice of Filing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR11-121-000] Rocky Mountain Natural Gas LLC; Notice of Filing Take notice that on July 28, 2011, Rocky Mountain Natural Gas LLC filed a revised Statement of Operating Conditions to comply with an unpublished Delegated letter order...

  11. 1. VIEW LOOKING NORTHWEST AT BUILDING 444 UNDER CONSTRUCTION. ORIGINALLY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. VIEW LOOKING NORTHWEST AT BUILDING 444 UNDER CONSTRUCTION. ORIGINALLY CALLED PLANT A, BUILDING 444 WAS ONE OF THE FIRST BUILDINGS CONSTRUCTED AT THE ROCKY FLATS PLANT. (4/15/52) - Rocky Flats Plant, Non-Nuclear Production Facility, South of Cottonwood Avenue, west of Seventh Avenue & east of Building 460, Golden, Jefferson County, CO

  12. 1. VIEW LOOKING SOUTH AT BUILDING 771 UNDER CONSTRUCTION. BUILDING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. VIEW LOOKING SOUTH AT BUILDING 771 UNDER CONSTRUCTION. BUILDING 771 WAS ONE OF THE FIRST FOUR MAJOR BUILDINGS AT THE ROCKY FLATS PLANT, BUILDING 771 WAS ORIGINALLY THE PRIMARY FACILITY FOR PLUTONIUM OPERATIONS. (5/29/52) - Rocky Flats Plant, Plutonium Recovery & Fabrication Facility, North-central section of plant, Golden, Jefferson County, CO

  13. ECONOMICS OF DISPOSAL OF LIME/LIMESTONE SCRUBBING WASTES: UNTREATED AND CHEMICALLY TREATED WASTES

    EPA Science Inventory

    The report gives results of a detailed, comparative economic evaluation of four alternatives available to the utility industry for the disposal of wastes from flue gas desulfurization using limestone or lime slurry scrubbing. The alternatives are untreated sludge (pond or landfil...

  14. Chip and scrub seal field test results for Hwy 17 and Hwy 35.

    DOT National Transportation Integrated Search

    2009-11-09

    This report contains field test results from two pavements located in Mississippi containing chip seals and scrub seals. Limestone aggregate from the same source was used with PASS-CR emulsion. The pavements were tested at three intervals. One or bot...

  15. Differences in Attentional Strategies by Novice and Experienced Operating Theatre Scrub Nurses

    ERIC Educational Resources Information Center

    Koh, Ranieri Y. I.; Park, Taezoon; Wickens, Christopher D.; Ong, Lay Teng; Chia, Soon Noi

    2011-01-01

    This study investigated the effect of nursing experience on attention allocation and task performance during surgery. The prevention of cases of retained foreign bodies after surgery typically depends on scrub nurses, who are responsible for performing multiple tasks that impose heavy demands on the nurses' cognitive resources. However, the…

  16. Rocky Mountain spotted fever: a clinician's dilemma.

    PubMed

    Masters, Edwin J; Olson, Gary S; Weiner, Scott J; Paddock, Christopher D

    2003-04-14

    Rocky Mountain spotted fever is still the most lethal tick-vectored illness in the United States. We examine the dilemmas facing the clinician who is evaluating the patient with possible Rocky Mountain spotted fever, with particular attention to the following 8 pitfalls in diagnosis and treatment: (1) waiting for a petechial rash to develop before diagnosis; (2) misdiagnosing as gastroenteritis; (3) discounting a diagnosis when there is no history of a tick bite; (4) using an inappropriate geographic exclusion; (5) using an inappropriate seasonal exclusion; (6) failing to treat on clinical suspicion; (7) failing to elicit an appropriate history; and (8) failing to treat with doxycycline. Early diagnosis and proper treatment save lives.

  17. Characterisation of plastic microbeads in facial scrubs and their estimated emissions in Mainland China.

    PubMed

    Cheung, Pui Kwan; Fok, Lincoln

    2017-10-01

    Plastic microbeads are often added to personal care and cosmetic products (PCCPs) as an abrasive agent in exfoliants. These beads have been reported to contaminate the aquatic environment and are sufficiently small to be readily ingested by aquatic organisms. Plastic microbeads can be directly released into the aquatic environment with domestic sewage if no sewage treatment is provided, and they can also escape from wastewater treatment plants (WWTPs) because of incomplete removal. However, the emissions of microbeads from these two sources have never been estimated for China, and no regulation has been imposed on the use of plastic microbeads in PCCPs. Therefore, in this study, we aimed to estimate the annual microbead emissions in Mainland China from both direct emissions and WWTP emissions. Nine facial scrubs were purchased, and the microbeads in the scrubs were extracted and enumerated. The microbead density in those products ranged from 5219 to 50,391 particles/g, with an average of 20,860 particles/g. Direct emissions arising from the use of facial scrubs were estimated using this average density number, population data, facial scrub usage rate, sewage treatment rate, and a few conservative assumptions. WWTP emissions were calculated by multiplying the annual treated sewage volume and estimated microbead density in treated sewage. We estimated that, on average, 209.7 trillion microbeads (306.9 tonnes) are emitted into the aquatic environment in Mainland China every year. More than 80% of the emissions originate from incomplete removal in WWTPs, and the remaining 20% are derived from direct emissions. Although the weight of the emitted microbeads only accounts for approximately 0.03% of the plastic waste input into the ocean from China, the number of microbeads emitted far exceeds the previous estimate of plastic debris (>330 μm) on the world's sea surface. Immediate actions are required to prevent plastic microbeads from entering the aquatic environment

  18. Risk of Relapse Associated with Doxycycline Therapy for Scrub Typhus

    DTIC Science & Technology

    1981-01-01

    143150-9 202 Rickettsiae ard Rickettsial Diseases I. INTRODUCTION Chloramphenicol (Chloromycetin) or oxytetracycline (Terra- mycin) are the drugs...doses of oxytetracycline in a double blind, randomized trial conducted in a population of scrub typhus patients who were exposed in the Pescadores... oxytetracycline , 500 mg every 6 hrs for 7 days (OXY, 23 patients). Drug and placebo were manufactured in such a way and administered every 6 hrs for 7

  19. Molecular epidemiology and genetic diversity of Orientia tsutsugamushi from patients with scrub typhus in 3 regions of India.

    PubMed

    Varghese, George M; Janardhanan, Jeshina; Mahajan, Sanjay K; Tariang, David; Trowbridge, Paul; Prakash, John A J; David, Thambu; Sathendra, Sowmya; Abraham, O C

    2015-01-01

    Scrub typhus, an acute febrile illness that is widespread in the Asia-Pacific region, is caused by the bacterium Orientia tsutsugamushi, which displays high levels of antigenic variation. We conducted an investigation to identify the circulating genotypes of O. tsutsugamushi in 3 scrub typhus-endemic geographic regions of India: South India, Northern India, and Northeast India. Eschar samples collected during September 2010-August 2012 from patients with scrub typhus were subjected to 56-kDa type-specific PCR and sequencing to identify their genotypes. Kato-like strains predominated (61.5%), especially in the South and Northeast, followed by Karp-like strains (27.7%) and Gilliam and Ikeda strains (2.3% each). Neimeng-65 genotype strains were also observed in the Northeast. Clarifying the genotypic diversity of O. tsutsugamushi in India enhances knowledge of the regional diversity among circulating strains and provides potential resources for future region-specific diagnostic studies and vaccine development.

  20. Extraction, Scrub, and Strip Test Results for the Salt Waste Processing Facility Caustic Side Solvent Extraction Solvent Sample

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

    Peters, T. B.

    An Extraction, Scrub, and Strip (ESS) test was performed on a sample of Salt Waste Processing Facility (SWPF) Caustic-Side Solvent Extraction (CSSX) solvent and salt simulant to determine cesium distribution ratios (D( Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams; this data will be used by Parsons to help determine if the solvent is qualified for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations. The extraction D( Cs) measured 12.5, exceeding the required value of 8. This value is consistent with resultsmore » from previous ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges. This revision was created to correct an error. The previous revision used an incorrect set of temperature correction coefficients which resulted in slight deviations from the correct D( Cs) results.« less

  1. Effect of variation in self-incompatibility on pollen limitation and inbreeding depression in Flourensia cernua (Asteraceae) scrubs of contrasting density

    PubMed Central

    Ferrer, Miriam M.; Good-Avila, Sara V.; Montaña, Carlos; Domínguez, César A.; Eguiarte, Luis E.

    2009-01-01

    Background and Aims Selection may favour a partial or complete loss of self-incompatibility (SI) if it increases the reproductive output of individuals in the presence of low mate availability. The reproductive output of individuals varying in their strength of SI may also be affected by population density via its affect on the spatial structuring and number of S-alleles in populations. Modifiers increasing levels of self-compatibility can be selected when self-compatible individuals receive reproductive compensation by, for example, increasing seed set and/or when they become associated with high fitness genotypes. Methods The effect of variation in the strength of SI and scrub density (low versus high) on seed set, seed germination and inbreeding depression in seed germination (δgerm) was investigated in the partially self-incompatible species Flourensia cernua by analysing data from self-, cross- and open-pollinated florets. Key Results Examination of 100 plants in both high and low scrub densities revealed that 51% of plants were strongly self-incompatible and 49 % varied from being self-incompatible to self-compatible. Seed set after hand cross-pollination was higher than after open-pollination for self-incompatible, partially self-incompatible and self-compatible plants but was uniformly low for strongly self-incompatible plants. Strongly self-incompatible and self-incompatible plants exhibited lower seed set, seed germination and multiplicative female fitness (floral display × seed set × seed germination) in open-pollinated florets compared with partially self-incompatible and self-compatible plants. Scrub density also had an effect on seed set and inbreeding depression: in low-density scrubs seed set was higher after open-pollination and δgerm was lower. Conclusions These data suggest that (a) plants suffered outcross pollen limitation, (b) female fitness in partially self-incompatible and self-compatible plants is enhanced by increased mate

  2. Single-nucleotide polymorphisms in Toll-like receptor (TLR)-2, TLR4 and heat shock protein 70 genes and susceptibility to scrub typhus.

    PubMed

    Janardhanan, Jeshina; Joseph Martin, Sherry; Astrup, Elisabeth; Veeramanikandan, R; Aukrust, Pål; Abraham, Ooriapadickal C; Varghese, George M

    2013-11-01

    Scrub typhus is a highly prevalent bacterial infection in India and South Asia that is caused by Orientia tsutsugamushi. The innate immune response to infections is modulated by Toll-like receptors (TLRs) and heat shock proteins (HSPs). This study was done to assess the prevalence and possible association of TLR and HSP polymorphisms in scrub typhus. TLR4 Asp299Gly, TLR4 Thr399Ile, TLR2 Arg753Gln and HSP70-2 A1267G are single-nucleotide polymorphisms (SNPs) that may modulate their activities, and these SNPs were assessed in 137 scrub typhus patients and 134 controls by PCR restriction fragment length polymorphism. We found that the two TLR4 mutations, TLR4 D299G and TLR4T399I, were present in 19.5% and 22% of the study population, respectively, and was in significant linkage disequilibrium with a D' of 0.8. The TLR2 mutation was found to be rare, whereas the HSP A>G mutation was very common (77.5%). Compared with the controls, the prevalence of heterozygous genotype of the TLR4D299G SNP, but not any of the other SNPs, was significantly higher among scrub typhus patients. Further studies using a larger sample size and more candidate genes may better enable in determining the role of these associations in susceptibility and severity of scrub typhus.

  3. VIEW LOOKING SOUTHWEST AT BUILDING 121, THE PLANT SECURITY BUILDING. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW LOOKING SOUTHWEST AT BUILDING 121, THE PLANT SECURITY BUILDING. BUILDING 121 WAS ONE OF THE ORIGINAL STRUCTURES AT THE ROCKY FLATS PLANT. IT SHARES A COMMON WALL WITH BUILDING 122, THE EMERGENCY MEDICAL BUILDING. (7/29/52) - Rocky Flats Plant, Security & Armory, West of Third Street, south of Central Avenue, Golden, Jefferson County, CO

  4. VIEW OF BUILDING 215A, THE WATER TOWER, LOOKING WEST, SOUTHWEST. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF BUILDING 215A, THE WATER TOWER, LOOKING WEST, SOUTHWEST. CONSTRUCTION ON BUILDING 215A BEGAN IN 1952. THE WATER TOWER IS 155 FEET TALL AND IS THE TALLEST STRUCTURE AT THE ROCKY FLATS PLANT - Rocky Flats Plant, Water Tower, Northwest quadrant of Plant near west terminus of Central Avenue, Golden, Jefferson County, CO

  5. Rocky Mountain spotted fever, Colombia.

    PubMed

    Hidalgo, Marylin; Orejuela, Leonora; Fuya, Patricia; Carrillo, Pilar; Hernandez, Jorge; Parra, Edgar; Keng, Colette; Small, Melissa; Olano, Juan P; Bouyer, Donald; Castaneda, Elizabeth; Walker, David; Valbuena, Gustavo

    2007-07-01

    We investigated 2 fatal cases of Rocky Mountain spotted fever that occurred in 2003 and 2004 near the same locality in Colombia where the disease was first reported in the 1930s. A retrospective serosurvey of febrile patients showed that > 21% of the serum samples had antibodies aaainst spotted fever group rickettsiae.

  6. Spruce beetle in the Rockies

    Treesearch

    J. M. Schmid; R. H. Frye

    1977-01-01

    This report summarizes the literature on the spruce beetle in the western United States, primarily in the Rocky Mountains. Information is presented on life history and behavior, host relationships, mortality agents and impacts of infestations. A section on suppression details the current status of chemicals, pheromones, trap trees and silvicultural treatments. The...

  7. Late Cenozoic Colorado River Incision and Implications for Neogene Uplift of the Colorado Rockies

    NASA Astrophysics Data System (ADS)

    Aslan, A.; Karlstrom, K. E.; Kirby, E.; Heizler, M. T.

    2012-12-01

    Basalt flows and volcanic ashes serve as a datum for calculating post-10 Ma river incision rates in western Colorado. The main picture that emerges from the data is one of regional variability of incision rates, which we hypothesize to reflect differential uplift of the Colorado Rockies during the Neogene. Maximum rates (90-180 m/Ma) and magnitudes (750-1500 m) of river incision are recorded between Grand Mesa and Glenwood Canyon, and in the Flat Tops. Minimum rates (<30 m/Ma) and magnitudes (<250 m) of river incision are associated post-Laramide normal faults within the Browns Park-Sand Wash basin in northwestern Colorado and in Middle Park of north-central Colorado. Differential uplift of the Colorado Rockies during the late Cenozoic can be inferred by comparing incision rates and magnitudes at locations upstream and downstream of knickzones. Along the Colorado River, post-10 Ma incision rates and magnitudes incision remain fairly constant (rates >100 m/Ma; magnitudes >1000 m) from Grand Mesa upstream to Gore Canyon, and then decrease markedly in Middle Park (rates <10 m/Ma; magnitudes <100 m) across the Gore Canyon knickzone. Normal-faulting of ca. 10 Ma deposits in Middle Park shows that incision rate variations partly reflect late Cenozoic faulting. Along the Yampa River, post-10 Ma incision rates and magnitudes are low (rates 15-27 m/Ma; magnitudes < 230 m) immediately upstream of Yampa Canyon, and then increase significantly (rates 96-132 m/Ma; magnitudes ~1250 m) upstream near the headwaters. We interpret this upstream increase in river incision rate and magnitude to reflect Neogene uplift of the Yampa River headwaters relative to its lower reaches. Lastly, differential late Cenozoic uplift of the Colorado Rockies is suggested by differences in the timing of regional exhumation and river incision within different drainage basins. Colorado River incision and regional exhumation occurred between 9.8 and 7.8 Ma. In contrast, Yampa River incision began between

  8. Kawasaki disease following Rocky Mountain spotted fever: a case report.

    PubMed

    Bal, Aswine K; Kairys, Steven W

    2009-07-06

    Kawasaki disease is an idiopathic acute systemic vasculitis of childhood. Although it simulates the clinical features of many infectious diseases, an infectious etiology has not been established. This is the first reported case of Kawasaki disease following Rocky Mountain spotted fever. We report the case of a 4-year-old girl who presented with fever and petechial rash. Serology confirmed Rocky Mountain spotted fever. While being treated with intravenous doxycycline, she developed swelling of her hands and feet. She had the clinical features of Kawasaki disease which resolved after therapy with intravenous immune globulin (IVIG) and aspirin. This case report suggests that Kawasaki disease can occur concurrently or immediately after a rickettsial illness such as Rocky Mountain spotted fever, hypothesizing an antigen-driven immune response to a rickettsial antigen.

  9. Kawasaki disease following Rocky Mountain spotted fever: a case report

    PubMed Central

    2009-01-01

    Introduction Kawasaki disease is an idiopathic acute systemic vasculitis of childhood. Although it simulates the clinical features of many infectious diseases, an infectious etiology has not been established. This is the first reported case of Kawasaki disease following Rocky Mountain spotted fever. Case presentation We report the case of a 4-year-old girl who presented with fever and petechial rash. Serology confirmed Rocky Mountain spotted fever. While being treated with intravenous doxycycline, she developed swelling of her hands and feet. She had the clinical features of Kawasaki disease which resolved after therapy with intravenous immune globulin (IVIG) and aspirin. Conclusion This case report suggests that Kawasaki disease can occur concurrently or immediately after a rickettsial illness such as Rocky Mountain spotted fever, hypothesizing an antigen-driven immune response to a rickettsial antigen. PMID:19830185

  10. Effect of scrub oak and associated ground cover on soil moisture

    Treesearch

    Arthur R. Eschner

    1960-01-01

    Planting experiments have been conducted for the past 10 years in the scrub oak type at the Delaware-Lehigh Experimental Forest in eastern Pennsylvania. The object of these experiments is to find a practical method of establishing a high forest of greater value than the area's present cover. In the course of these studies it was suggested that soil moisture might...

  11. Inversion Breakup in Small Rocky Mountain and Alpine Basins

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

    Whiteman, Charles D.; Pospichal, Bernhard; Eisenbach, Stefan

    2004-08-01

    Comparisons are made between the post-sunrise breakup of temperature inversions in two similar closed basins in quite different climate settings, one in the eastern Alps and one in the Rocky Mountains. The small, high-altitude, limestone sinkholes have both experienced extreme temperature minima below -50°C. On undisturbed clear nights, temperature inversions reach to 120 m heights in both sinkholes, but are much stronger in the drier Rocky Mountain basin (24K versus 13K). Inversion destruction takes place 2.6 to 3 hours after sunrise and is accomplished primarily by subsidence warming associated with the removal of air from the base of the inversionmore » by the upslope flows that develop over the sidewalls. Differences in inversion strengths and post-sunrise heating rates are caused by differences in the surface energy budget, with drier soil and a higher sensible heat flux in the Rocky Mountain sinkhole.« less

  12. Extraction of Rocky Desertification from Disp Imagery: a Case Study of Liupanshui, Guizhou, China

    NASA Astrophysics Data System (ADS)

    Zhou, G.; Wu, Z.; Wang, W.; Shi, Y.; Mao, G.; Huang, Y.; Jia, B.; Gao, G.; Chen, P.

    2017-09-01

    Karst rocky desertification is a typical type of land degradation in Guizhou Province, China. It causes great ecological and economical implications to the local people. This paper utilized the declassified intelligence satellite photography (DISP) of 1960s to extract the karst rocky desertification area to analyze the early situation of karst rocky desertification in Liupanshui, Guizhou, China. Due to the lack of ground control points and parameters of the satellite, a polynomial orthographic correction model with considering altitude difference correction is proposed for orthorectification of DISP imagery. With the proposed model, the 96 DISP images from four missions are orthorectified. The images are assembled into a seamless image map of the karst area of Guizhou, China. The assembled image map is produced to thematic map of karst rocky desertification by visual interpretation in Liupanshui city. With the assembled image map, extraction of rocky desertification is conducted.

  13. Pacific lamprey artificial propogation and rearing investigations: Rocky Reach Lamprey Management Plan

    USGS Publications Warehouse

    ,; ,; ,; ,; ,

    2011-01-01

    The impetus for developing this document is through implementing the Rocky Reach Pacific Lamprey Management Plan (PLMP), a component of the Rocky Reach Comprehensive Settlement Agreement, both of which are discussed more thoroughly in Section 1.2. The ultimate goal of the PLMP is to achieve No Net Impact (NNI) to Pacific lamprey of ongoing operations of the Rocky Reach Hydroelectric Project. Conducting artificial propagation of Pacific lamprey was considered by the state and federal fishery agencies and Tribes that are parties to the Settlement Agreement as a potential Protection, Mitigation, and Enhancement measure (PME) for achieving NNI during the term of the current Rocky Reach license. This document is intended to provide guidance as to the feas ibility of culturing Pacific lamprey, the associated facilities necessary for culture practices, and identifying uncertainties for monitoring culture efficacy and rationale for implementing Pacific lamprey artificial propagation

  14. Rocky Mountain Spotted Fever, Colombia

    PubMed Central

    Hidalgo, Marylin; Orejuela, Leonora; Fuya, Patricia; Carrillo, Pilar; Hernandez, Jorge; Parra, Edgar; Keng, Colette; Small, Melissa; Olano, Juan P.; Bouyer, Donald; Castaneda, Elizabeth; Walker, David

    2007-01-01

    We investigated 2 fatal cases of Rocky Mountain spotted fever that occurred in 2003 and 2004 near the same locality in Colombia where the disease was first reported in the 1930s. A retrospective serosurvey of febrile patients showed that >21% of the serum samples had antibodies against spotted fever group rickettsiae. PMID:18214179

  15. Rocky Mountain spotted fever, Panama.

    PubMed

    Estripeaut, Dora; Aramburú, María Gabriela; Sáez-Llorens, Xavier; Thompson, Herbert A; Dasch, Gregory A; Paddock, Christopher D; Zaki, Sherif; Eremeeva, Marina E

    2007-11-01

    We describe a fatal pediatric case of Rocky Mountain spotted fever in Panama, the first, to our knowledge, since the 1950s. Diagnosis was established by immunohistochemistry, PCR, and isolation of Rickettsia rickettsii from postmortem tissues. Molecular typing demonstrated strong relatedness of the isolate to strains of R. rickettsii from Central and South America.

  16. 1. VIEW, LOOKING EAST, OF THE WEST ELEVATION OF BUILDING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. VIEW, LOOKING EAST, OF THE WEST ELEVATION OF BUILDING 120. BUILDING 120 HOUSES THE PROTECTIVE FORCE PERSONNEL RESPONSIBLE FOR CONTROLLING ENTRANCE TO AND EGRESS FROM THE ROCKY FLATS PLANT WEST ENTRANCE. - Rocky Flats Plant, Guard Facility, South side of west access road, approximately 2,323 feet east of Colorado Highway 93 & West Road, Golden, Jefferson County, CO

  17. VIEW LOOKING SOUTHEAST AT BUILDING 121. THE BUILDING HOUSES OFFICES, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW LOOKING SOUTHEAST AT BUILDING 121. THE BUILDING HOUSES OFFICES, THE ROCKY FLATS PLANT CENTRAL ALARM STATION, ALARM CONSOLES, THE ARMORY, THE LOCK AND KEY SECTION, A COMPUTER ROOM, A UTILITY ROOM, AND LOCKER ROOMS WITH SHOWERS. (1/98) - Rocky Flats Plant, Security & Armory, West of Third Street, south of Central Avenue, Golden, Jefferson County, CO

  18. 4. AERIAL VIEW, LOOKING SOUTHSOUTHWEST, OF BUILDING 371 GROUND FLOOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. AERIAL VIEW, LOOKING SOUTH-SOUTHWEST, OF BUILDING 371 GROUND FLOOR UNDER CONSTRUCTION. THE GROUND FLOOR, WHICH CONTAINS THE MAJORITY OF THE PLUTONIUM RECOVERY PROCESSING EQUIPMENT, IS DIVIDED INTO COMPARTMENTS BY FIREWALLS, AIRLOCKS, AND USE OF NEGATIVE AIR PRESSURE. (1/7/75) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  19. Rocky Mountain Spotted Fever, Panama

    PubMed Central

    Estripeaut, Dora; Aramburú, María Gabriela; Sáez-Llorens, Xavier; Thompson, Herbert A.; Dasch, Gregory A.; Paddock, Christopher D.; Zaki, Sherif

    2007-01-01

    We describe a fatal pediatric case of Rocky Mountain spotted fever in Panama, the first, to our knowledge, since the 1950s. Diagnosis was established by immunohistochemistry, PCR, and isolation of Rickettsia rickettsii from postmortem tissues. Molecular typing demonstrated strong relatedness of the isolate to strains of R. rickettsii from Central and South America. PMID:18217566

  20. [Rocky Mountain spotted fever in an American tourist].

    PubMed

    de Pender, A M G; Bauer, A G C; van Genderen, P J J

    2005-04-02

    In a 28-year-old male American tourist who presented in the hospital with fever, cold shivers, headache, nausea, myalgia and arthralgia, Rocky Mountain spotted fever was suspected, partly because he came from an endemic region (the state of Georgia). The patient was treated with doxycycline, 100 mg b.i.d.; 9 days after the first appearance of the symptoms, the diagnosis was confirmed by the report of a positive antibody titre against Rickettsia rickettsii. The patient did not have exanthema. He was discharged in good general condition after two weeks of treatment. Rocky Mountain spotted fever, caused by the Gram-negative bacterium R. rickettsii, is a serious rickettsiosis. The disease is seen only sporadically in the Netherlands because the ticks in the Netherlands do not carry the bacterium. The travel history is still not a standard component of the anamnesis and is therefore often forgotten. This can lead to under-diagnosis and delayed treatment of diseases that were formerly limited to the continent. The early recognition and treatment of Rocky Mountain spotted fever is important since delayed treatment is associated with a clear increase in both morbidity and mortality.

  1. Scrub Typhus - A Major Cause of Pediatric Intensive Care Admission and Multiple Organ Dysfunction Syndrome: A Single-Center Experience from India.

    PubMed

    Giri, Prabahs Prasun; Roy, Joydeb; Saha, Agnisekhar

    2018-02-01

    Scrub typhus has been globally recognized as an emerging infectious disease contributing significantly to pyrexia of unknown origin (PUO) and a potential cause of multiorgan dysfunction syndrome (MODS). We studied the incidence of scrub typhus as a cause of pediatric intensive care unit (PICU) admission and MODS in our hospital and its clinical and laboratory characteristics to measure the incidence of MODS caused by scrub typhus. This study was done in a pediatric teaching hospital in Kolkata, India. Records of patients admitted with PUO from March 2012 to December 2015 were reviewed. Rathi-Goodman-Aghai scoring system was used to identify potential ST patients and confirmed by serological testing. Clinical characteristics, laboratory findings, and treatment response were noted of those needing PICU admissions. Ninety-seven cases of scrub typhus have been identified during that period. PICU admission was needed in 30 of them (31%) which contributed 8.43% of total PICU admissions. Among these 30 patients, 16 (53%) developed MODS which contributed 18.29% of total MODS admitted in PICU. Septic shock was the most common manifestation in as many as 18 (60%) patients followed by encephalopathy in 13 (43%). Patients were treated with either doxycycline alone or in combination with azithromycin. Mean time to complete defervescence was 32 h after first dose of doxycycline. The outcome was excellent without a single mortality. Scrub typhus is an important cause of MODS in this part of the world, especially in fevers associated with features as identified and not responding to conventional antibiotics.

  2. A Conservation Strategy for the Florida Scrub-Jay on John F. Kennedy Space Center/Merritt Island National Wildlife Refuge: An Initial Scientific Basis for Recovery

    NASA Technical Reports Server (NTRS)

    Breininger, D. R.; Larson, V. L.; Schaub, R.; Duncan, B. W.; Schmalzer, P. A.; Oddy, D. M.; Smith, R. B.; Adrian, F.; Hill, H., Jr.

    1996-01-01

    The Florida Scrub-Jay (Aphelocoma coerulescens) is an indicator of ecosystem integrity of Florida scrub, an endangered ecosystem that requires frequent fire. One of the largest populations of this federally threatened species occurs on John F. Kennedy Space Center/Merritt Island National Wildlife Refuge. Population trends were predicted using population modeling and field data on reproduction and survival of Florida Scrub-Jays collected from 1988 - 1995. Analyses of historical photography indicated that habitat suitability has been declining for 30 years. Field data and computer simulations suggested that the population declined by at least 40% and will decline by another 40% in 1 0 years, if habitat management is not greatly intensified. Data and computer simulations suggest that habitat suitability cannot deviate greatly from optimal for the jay population to persist. Landscape trajectories of vegetation structure, responsible for declining habitat suitability, are associated with the disruption of natural fire regimes. Prescribed fire alone can not reverse the trajectories. A recovery strategy was developed, based on studies of Florida Scrub-Jays and scrub vegetation. A reserve design was formulated based on conservation science principles for scrub ecosystems. The strategy emphasizes frequent fire to restore habitat, but includes mechanical tree cutting for severely degraded areas. Pine thinning across large areas can produce rapid increases in habitat quality. Site-specific strategies will need to be developed, monitored, and modified to achieve conditions suitable for population persistence.

  3. Quantification of Induced Hypothermia from Aseptic Scrub Applications during Rodent Surgery Preparation

    PubMed Central

    Skorupski, Anna M; Zhang, Jingyi; Ferguson, Danielle; Lawrence, Frank

    2017-01-01

    Laboratory mice (Mus musculus) are prone to develop hypothermia during anesthesia for surgery, thus potentially impeding anesthetic recovery, wound healing, and future health. The core body temperatures of isoflurane-anesthetized mice are influenced by the choice of supplemental heat sources; however, the contribution of various surgical scrubs on the body temperatures of mice under gas anesthesia has not been assessed. We sought to quantify the effect of using alcohol (70% isopropyl alcohol [IPA]) compared with saline to rinse away surgical scrub on the progression of hypothermia in anesthetized mice (n = 47). IPA, room-temperature saline, or warmed saline (37 °C) was combined with povidone–iodine and then assessed for effects on core (rectal) and surface (infrared) temperatures. Agents were applied to a 2×2-cm shaved abdominal area of mice maintained on a water-recirculating blanket (at 38 °C) under isoflurane anesthesia (1.5% to 2.0% at 0.6 L/min) for 30 min. Although all scrub regimens significantly decreased body temperature at the time of application, treatments that included povidone–iodine led to the coldest core temperatures, which persisted while mice were anesthetized. Compared with room-temperature saline and when combined with povidone–iodine, warming of saline did not ameliorate heat loss. IPA alone demonstrated the most dramatic cooling of both surface and core readings at application but generated an unanticipated warming (rebound) phase during which body temperatures equilibrated with those of controls within minutes of application. Although alcohol is inappropriate as a stand-alone agent for surgical skin preparation, IPA is a viable alternative to saline-based rinses in this context, and its use should be encouraged within institutional guidance for rodent surgical procedures without concern for prolonged hypothermia in mice. PMID:28903829

  4. A new Antaeotricha species from Florida sandhills and scrub (Lepidoptera, Depressariidae, Stenomatinae)

    PubMed Central

    Hayden, James E.; Dickel, Terhune S.

    2015-01-01

    Abstract Antaeotricha floridella sp. n. is described and diagnosed from the closely similar Antaeotricha albulella (Walker). The species is distributed in xeric sandhill and scrub habitats in peninsular Florida, USA, and larvae feed on Quercus species. Keys are given for pale-winged Stenomatinae and similar Gelechioidea based on external characters and genitalia. PMID:26668543

  5. Cocurrent scrubber evaluation TVA's Colbert Lime--Limestone Wet-Scrubbing Pilot Plant. Final report

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

    Robards, R.F.; Moore, N.D.; Kelso, T.M.

    1979-01-01

    The Tennessee Valley Authority (TVA) is actively engaged in a pilot plant program to develop and/or evaluate wet-scrubbing processes for removing sulfur dioxide (SO/sub 2/) from boiler flue gas. The physical size and general arrangement of flue gas scrubbing systems have a major impact on capital investment and operating cost, as do potential operating and maintenance advantages inherent to some systems. The equipment configuration for a cocurrent scrubber reflects some of these advantages. EPRI funded TVA to perform preliminary screening tests of TVA's 1 MW pilot plant (Colbert Steam Plant) to develop operating data on the cocurrent design for usemore » in designing and operating a 10 MW prototype cocurrent scrubber at TVA's Shawnee Scrubber Test Facility. Results of the Colbert tests showed excellent sulfur dioxide removal efficiencies, generally greater than 85%, low pressure drop, and high particulate removal efficiencies. This report covers these screening tests.« less

  6. On the phylogenetic position of the scrub-birds (Passeriformes: Menurae: Atrichornithidae) of Australia

    USGS Publications Warehouse

    Chesser, R.T.; ten, Have J.

    2007-01-01

    Evolutionary relationships of the scrub-birds Atrichornis were investigated using complete sequences of the recombination-activating gene RAG-1 and the proto-oncogene c-mos for two individuals of the noisy scrub-bird Atrichornis clamosus. Phylogenetic analysis revealed that Atrichornis was sister to the genus Menura (the lyrebirds) and that these two genera (the Menurae) were sister to the rest of the oscine passerines. A sister relationship between Atrichornis and Menura supports the traditional view, based on morphology and DNA hybridization, that these taxa are closely related. Similarly, a sister relationship with the remaining oscine passerines agrees with the morphological distinctiveness of Atrichornis and Menura, although this result contradicts conclusions based on DNA hybridization studies. Although Atrichornis is very well known morphologically, previous conclusions regarding its relationships were hampered by a lack of comparative knowledge of other passerines, making concurrence of the sequence data of particular significance. ?? Dt. Ornithologen-Gesellschaft e.V. 2007.

  7. Coal-bed gas resources of the Rocky Mountain region

    USGS Publications Warehouse

    Schenk, C.J.; Nuccio, V.F.; Flores, R.M.; Johnson, R.C.; Roberts, S.B.; Collett, T.S.

    2001-01-01

    The Rocky Mountain region contains several sedimentary provinces with extensive coal deposits and significant accumulations of coal-bed gas. This summary includes coal-bed gas resources in the Powder River Basin (Wyoming and Montana), Wind River Basin (Wyoming), Southwest Wyoming (Greater Green River Basin of Wyoming, Colorado, and Utah), Uinta-Piceance Basin (Colorado and Utah), Raton Basin (Colorado and New Mexico), and San Juan Basin (Colorado and New Mexico). Other provinces in the Rocky Mountain region may contain significant coal-bed gas resources, but these resource estimates are not available at this time.

  8. Lightning fire research in the Rocky Mountains

    Treesearch

    J. S. Barrows

    1954-01-01

    Lightning is the major cause of fires in Rocky Mountain forests. The lightning fire problem is the prime target of a broad research program now known as Project Skyfire. KEYWORDS: lightning, fire research

  9. Waterless Hand Rub Versus Traditional Hand Scrub Methods for Preventing the Surgical Site Infection in Orthopedic Surgery.

    PubMed

    Iwakiri, Kentaro; Kobayashi, Akio; Seki, Masahiko; Ando, Yoshiyuki; Tsujio, Tadao; Hoshino, Masatoshi; Nakamura, Hiroaki

    2017-11-15

    MINI: Fourteen hundred consecutive patients were investigated for evaluating the utility of waterless hand rub before orthopaedic surgery. The risk in the surgical site infection incidence was the same, but costs of liquids used for hand hygiene were cheaper and the hand hygiene time was shorter for waterless protocol, compared with traditional hand scrub. A retrospective cohort study with prospectively collected data. The aim of this study was to compare SSI incidences, the cost of hand hygiene agents, and hand hygiene time between the traditional hand scrub and the waterless hand rub protocols before orthopedic surgery. Surgical site infections (SSI) prolong hospitalization and are a leading nosocomial cause of morbidity and a source of excess cost. Recently, a waterless hand rub protocol comprising alcohol based chlorhexidine gluconate for use before surgery was developed, but no studies have yet examined its utility in orthopedic surgery. Fourteen hundred consecutive patients who underwent orthopedic surgery (spine, joint replacement, hand, and trauma surgeries) in our hospital since April 1, 2012 were included. A total of 712 cases underwent following traditional hand scrub between April 1, 2012 and April 30, 2013 and 688 cases underwent following waterless hand rub between June 1, 2013 and April 30, 2014. We compared SSI incidences within all and each subcategory between two hand hygiene protocols. All patients were screened for SSI within 1 year after surgery. We compared the cost of hand hygiene agents and hand hygiene time between two groups. The SSI incidences were 1.3% (9 of 712) following the traditional protocol (2 deep and 7 superficial infections) and 1.1% (8 of 688) following the waterless protocol (all superficial infections). There were no significant differences between the two groups. The costs of liquids used for one hand hygiene were about $2 for traditional hand scrub and less than $1 for waterless hand rub. The mean hand hygiene time was 264

  10. Artificial nest predation in hedgerows and scrub forest in a human-dominated landscape of central Mexico

    NASA Astrophysics Data System (ADS)

    Zuria, Iriana; Gates, J. Edward; Castellanos, Ignacio

    2007-03-01

    Hedgerows as well as other narrow corridors could be valuable habitats for birds in regions of intensive agriculture, however, it is still not clear how successful breeding birds are in different types of hedgerows as compared to birds nesting in their natural habitats. We used artificial nests to examine whether hedgerows were sinks (ecological traps) for birds by comparing rates of predation in two types of hedgerows with different vegetation structure (simple and complex), and in a tract of scrub forest in an agricultural landscape of central Mexico. We determined also the types of predators responsible for egg predation. Ground and elevated nests were baited with one Japanese quail Coturnix japonica egg and one plasticine egg and placed alternately along transects. Significantly, greater predation rates were found in scrub forest and complex hedgerows than in simple hedgerows. Higher predation rates in complex habitats seemed to reflect the higher number of predator types found there. The most important predator types were carnivores followed by rodents, birds, and humans. Carnivores and rodents mainly predated ground nests, whereas birds and humans predated elevated nests. Simple hedgerows in this landscape appeared to offer relatively safe nest sites in terms of predation pressure when compared to more complex habitats (complex hedgerows and scrub forest).

  11. Effect of 4% chlorhexidine gluconate predisinfection skin scrub prior to hepatectomy: a double-blinded, randomized control study.

    PubMed

    Hsieh, Ching-Shui; Cheng, Hsiu-Chi; Lin, Jen-Shiou; Kuo, Shou-Jen; Chen, Yao-Li

    2014-01-01

    This trial was designed to compare the efficacy of 4% chlorhexidine gluconate (CHG) with normal saline (NS) as a predisinfection skin-scrub solution prior to standard presurgical skin preparation. Data was collected at a single transplantation center where patients electing resection of hepatic tumors were recruited between October 2011 and September 2012. In total, 100 patients were consecutively enrolled for random assignment to either 4% CHG or NS as a predisinfection skin-scrub solution prior to surgery. Our aim was to assess the comparative antiseptic efficacy of CHG in this setting, focusing on cutaneous microbial colonization (at baseline, preoperatively, and postoperatively) and postsurgical site infections as primary outcome measures. Positivity rates of baseline, preoperative, and postoperative cultures were similar for both groups, showing significant declines (relative to baseline) after skin preparation and no significant postsurgical rebound. Rates of surgical site infection were also similar in both groups (CHG, 6.0%; NS, 4.1%; P = 1.0). For patients with hepatic tumors undergoing hepatectomy, the effect of 4% CHG as a predisinfection scrub solution was similar to that of NS in terms of skin decontamination and surgical site infections.

  12. Rocky Mountain juniper study: Preliminary results

    Treesearch

    Jill Barbour

    2002-01-01

    Rocky Mountain juniper (Juniperus scopulorum Sarg.) seed are hard to germinate in the nursery, containers, or laboratory because they have multiple dormancies. The seedcoat and prophylactic sheath surrounding the embryo impede water absorption. The embryo's epicotyl is not dormant; only the hypocotyl displays dormancy and requires cold...

  13. Climate change vulnerability and adaptation in the Northern Rocky Mountains [Part 2

    Treesearch

    Jessica E. Halofsky; David L. Peterson; S. Karen Dante-Wood; Linh Hoang; Joanne J. Ho; Linda A. Joyce

    2018-01-01

    The Northern Rockies Adaptation Partnership (NRAP) identified climate change issues relevant to resource management in the Northern Rockies (USA) region, and developed solutions intended to minimize negative effects of climate change and facilitate transition of diverse ecosystems to a warmer climate. The NRAP region covers 183 million acres, spanning northern Idaho,...

  14. Climate change vulnerability and adaptation in the Northern Rocky Mountains [Part 1

    Treesearch

    Jessica E. Halofsky; David L. Peterson; S. Karen Dante-Wood; Linh Hoang; Joanne J. Ho; Linda A. Joyce

    2018-01-01

    The Northern Rockies Adaptation Partnership (NRAP) identified climate change issues relevant to resource management in the Northern Rockies (USA) region, and developed solutions intended to minimize negative effects of climate change and facilitate transition of diverse ecosystems to a warmer climate. The NRAP region covers 183 million acres, spanning northern Idaho,...

  15. SDO FlatSat Facility

    NASA Technical Reports Server (NTRS)

    Amason, David L.

    2008-01-01

    The goal of the Solar Dynamics Observatory (SDO) is to understand and, ideally, predict the solar variations that influence life and society. It's instruments will measure the properties of the Sun and will take hifh definition images of the Sun every few seconds, all day every day. The FlatSat is a high fidelity electrical and functional representation of the SDO spacecraft bus. It is a high fidelity test bed for Integration & Test (I & T), flight software, and flight operations. For I & T purposes FlatSat will be a driver to development and dry run electrical integration procedures, STOL test procedures, page displays, and the command and telemetry database. FlatSat will also serve as a platform for flight software acceptance and systems testing for the flight software system component including the spacecraft main processors, power supply electronics, attitude control electronic, gimbal control electrons and the S-band communications card. FlatSat will also benefit the flight operations team through post-launch flight software code and table update development and verification and verification of new and updated flight operations products. This document highlights the benefits of FlatSat; describes the building of FlatSat; provides FlatSat facility requirements, access roles and responsibilities; and, and discusses FlatSat mechanical and electrical integration and functional testing.

  16. 11. VIEW OF A SITE RETURN WEAPONS COMPONENT. SITE RETURNS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. VIEW OF A SITE RETURN WEAPONS COMPONENT. SITE RETURNS WERE NUCLEAR WEAPONS SHIPPED TO THE ROCKY FLATS PLANT FROM THE NUCLEAR WEAPON STOCKPILE FOR RETIREMENT, TESTING, OR UPGRADING. FISSILE MATERIALS (PLUTONIUM, URANIUM, ETC.) AND RARE MATERIALS (BERYLLIUM) WERE RECOVERED FOR REUSE, AND THE REMAINDER WAS DISPOSED. (8/7/62) - Rocky Flats Plant, Plutonium Fabrication, Central section of Plant, Golden, Jefferson County, CO

  17. Rocky Mountain spotted fever.

    PubMed

    Lacz, N L; Schwartz, R A; Kapila, R

    2006-04-01

    Rocky Mountain spotted fever (RMSF) is an unusual but important dermatological condition to identify without hesitation. The classic triad of headache, fever, and a rash that begins on the extremities and travels proximally to involve the trunk is found in a majority of patients. The cutaneous centripetal pattern is a result of cell to cell migration by the causative organism Rickettsia rickettsii. Such individuals should receive prompt antimicrobial therapy and supportive care to avoid serious and potentially fatal complications.

  18. Diagnostic accuracy of a loop-mediated isothermal PCR assay for detection of Orientia tsutsugamushi during acute Scrub Typhus infection.

    PubMed

    Paris, Daniel H; Blacksell, Stuart D; Nawtaisong, Pruksa; Jenjaroen, Kemajittra; Teeraratkul, Achara; Chierakul, Wirongrong; Wuthiekanun, Vanaporn; Kantipong, Pacharee; Day, Nicholas P J

    2011-09-01

    There is an urgent need to develop rapid and accurate point-of-care (POC) technologies for acute scrub typhus diagnosis in low-resource, primary health care settings to guide clinical therapy. In this study we present the clinical evaluation of loop-mediated isothermal PCR assay (LAMP) in the context of a prospective fever study, including 161 patients from scrub typhus-endemic Chiang Rai, northern Thailand. A robust reference comparator set comprising following 'scrub typhus infection criteria' (STIC) was used: a) positive cell culture isolate and/or b) an admission IgM titer ≥1∶12,800 using the 'gold standard' indirect immunofluorescence assay (IFA) and/or c) a 4-fold rising IFA IgM titer and/or d) a positive result in at least two out of three PCR assays. Compared to the STIC criteria, all PCR assays (including LAMP) demonstrated high specificity ranging from 96-99%, with sensitivities varying from 40% to 56%, similar to the antibody based rapid test, which had a sensitivity of 47% and a specificity of 95%. The diagnostic accuracy of the LAMP assay was similar to realtime and nested conventional PCR assays, but superior to the antibody-based rapid test in the early disease course. The combination of DNA- and antibody-based detection methods increased sensitivity with minimal reduction of specificity, and expanded the timeframe of adequate diagnostic coverage throughout the acute phase of scrub typhus.

  19. Vegetation Recovery Following High-intensity Wildfire and Silvicultural Treatments in Sand Pine Scrub

    Treesearch

    Cathryn H. Greenberg; Daniel G. Neary; Lawrence D. Harris; Steven P. Linda

    1994-01-01

    We hypothesized that clear-cutting mimics natural high-intensity disturbance by wildfire followed by salvage logging in sand pine scrub, and tested whether vegetation adapted to recovery from fire would respond similarly to another type of biomass removal. We measured plant community composition and structural characteristics in three replicated disturbance treatments...

  20. Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus.

    PubMed

    Hur, Jian

    2015-06-01

    When a patient presents with acute voiding dysfunction without a typical skin rash, it may be difficult to make a diagnosis of herpes zoster. Here, we present a case of scrub typhus in a 25-year-old man with the complication of urinary dysfunction. The patient complained of loss of urinary voiding sensation and constipation. After eight days, he had typical herpes zoster eruptions on the sacral dermatomes and hypalgesia of the S1-S5 dermatomes. No cases of dual infection with varicella zoster virus and Orientia tsutsugamushi were found in the literature. In the described case, scrub typhus probably induced sufficient stress to reactivate the varicella zoster virus. Early recognition of this problem is imperative for prompt and appropriate management, as misdiagnosis can lead to long-term urinary dysfunction. It is important that a diagnosis of herpes zoster be considered, especially in patients with sudden onset urinary retention.

  1. Restoration of genetic connectivity among Northern Rockies wolf populations.

    PubMed

    Hebblewhite, Mark; Musiani, Marco; Mills, L Scott

    2010-10-01

    Probably no conservation genetics issue is currently more controversial than the question of whether grey wolves (Canis lupus) in the Northern Rockies have recovered to genetically effective levels. Following the dispersal-based recolonization of Northwestern Montana from Canada, and reintroductions to Yellowstone and Central Idaho, wolves have vastly exceeded population recovery goals of 300 wolves distributed in at least 10 breeding pairs in each of Wyoming, Idaho and Montana. With >1700 wolves currently, efforts to delist wolves from endangered status have become mired in legal battles over the distinct population segment (DPS) clause of the Endangered Species Act (ESA), and whether subpopulations within the DPS were genetically isolated. An earlier study by vonHoldt et al. (2008) suggested Yellowstone National Park wolves were indeed isolated and was used against delisting in 2008. Since then, wolves were temporarily delisted, and a first controversial hunting season occurred in fall of 2009. Yet, concerns over the genetic recovery of wolves in the Northern Rockies remain, and upcoming District court rulings in the summer of 2010 will probably include consideration of gene flow between subpopulations. In this issue of Molecular Ecology, vonHoldt et al. (2010) conduct the largest analysis of gene flow and population structure of the Northern Rockies wolves to date. Using an impressive sampling design and novel analytic methods, vonHoldt et al. (2010) show substantial levels of gene flow between three identified subpopulations of wolves within the Northern Rockies, clarifying previous analyses and convincingly showing genetic recovery. © 2010 Blackwell Publishing Ltd.

  2. Early Hydrodynamic Escape Limits Rocky Planets to Less Than or Equal to 1.6 Earth Radii

    NASA Technical Reports Server (NTRS)

    Lehmer, O. R.; Catling, D. C.

    2017-01-01

    In the past decade thousands of exoplanet candidates and hundreds of confirmed exoplanets have been found. For sub-Neptune-sized planets, those less than approx. 10 Earth masses, we can separate planets into two broad categories: predominantly rocky planets, and gaseous planets with thick volatile sheaths. Observations and subsequent analysis of these planets show that rocky planets are only found with radii less than approx. 1.6 Earth radii. No rocky planet has yet been found that violates this limit. We propose that hydrodynamic escape of hydrogen rich protoatmospheres, accreted by forming planets, explains the limit in rocky planet size. Following the hydrodynamic escape model employed by Luger et al. (2015), we modelled the XUV driven escape from young planets (less than approx.100 Myr in age) around a Sun-like star. With a simple, first-order model we found that the rocky planet radii limit occurs consistently at approx. 1.6 Earth radii across a wide range of plausible parameter spaces. Our model shows that hydrodynamic escape can explain the observed cutoff between rocky and gaseous planets. Fig. 1 shows the results of our model for rocky planets between 0.5 and 10 Earth masses that accrete 3 wt. % H2/He during formation. The simulation was run for 100 Myr, after that time the XUV flux drops off exponentially and hydrodynamic escape drops with it. A cutoff between rocky planets and gaseous ones is clearly seen at approx. 1.5-1.6 Earth radii. We are only interested in the upper size limit for rocky planets. As such, we assumed pure hydrogen atmospheres and the highest possible isothermal atmospheric temperatures, which will produce an upper limit on the hydrodynamic loss rate. Previous work shows that a reasonable approximation for an upper temperature limit in a hydrogen rich protoatmosphere is 2000-3000 K, consistent with our assumptions. From these results, we propose that the observed dichotomy between mini-Neptunes and rocky worlds is simply explained by

  3. A comparative hospital-based observational study of mono- and co-infections of malaria, dengue virus and scrub typhus causing acute undifferentiated fever.

    PubMed

    Ahmad, S; Dhar, M; Mittal, G; Bhat, N K; Shirazi, N; Kalra, V; Sati, H C; Gupta, V

    2016-04-01

    Positive serology for dengue and/or scrub typhus infection with/without positive malarial smear (designated as mixed or co-infection) is being increasingly observed during epidemics of acute undifferentiated febrile illnesses (AUFIs). We planned to study the clinical and biochemical spectrum of co-infections with Plasmodium sp., dengue virus and scrub typhus and compare these with mono-infection by the same organisms. During the period from December 2012 to December 2013, all cases presenting with AUFIs to a single medical unit of a referral centre in Garhwal region of the north Indian state of Uttarakhand were retrospectively selected and categorised aetiologically as co-infections, malaria, dengue or scrub typhus. The groups thus created were compared in terms of demographic, clinical, biochemical and outcome parameters. The co-infection group (n = 49) was associated with milder clinical manifestations, fewer, milder and non-progressive organ dysfunction, and lesser need for intensive care, mechanical ventilation and dialysis as compared to mono-infections. When co-infections were sub-grouped and compared with the relevant mono-infections, there were differences in certain haematological and biochemical parameters; however, this difference did not translate into differential outcomes. Scrub typhus mono-infection was associated with severe disease in terms of both morbidity and mortality. Malaria, dengue and scrub typhus should be routinely tested in all patients with AUFIs. Co-infections, whether true or due to serological cross-reactivity, appear to be a separate entity so far as presentation and morbidity is concerned. Further insight is needed into the mechanism and identification of the protective infection.

  4. Publications of the Rocky Mountain Forest and Range Experiment Station, 1980-1989

    Treesearch

    Robert P. Winokur

    1982-01-01

    Lists alphabetically, by author, publications of the Rocky Mountain Forest and Range Experiment Station for 1980 through 1989, including both subject matter and author Indexes. This publication continues the information shown in USDA Forest Service General Technical Report RM-6, “Publications of the Rocky Mountain Forest and Range Experiment Station, 1953-1973...

  5. Pruning to manage white pine blister rust in the southern Rocky Mountains

    Treesearch

    Amanda Crump; William R. Jacobi; Kelly S. Burns; Brian E. Howell

    2011-01-01

    White pine blister rust is an exotic, invasive disease that severely damages and kills white pines in the southern Rocky Mountains. We evaluated the efficacy of preventive pruning (removing lower branches) and/or sanitation pruning (removing cankered branches) to reduce disease impacts in limber (Pinus flexilis James) and Rocky Mountain bristlecone (P. aristata Englm...

  6. Evaluation of a killed Rocky Mountain spotted fever vaccine in cynomolgus monkeys.

    PubMed Central

    Gonder, J C; Kenyon, R H; Pedersen, C E

    1979-01-01

    A nonhuman primate model of Rocky Mountain spotted fever infection was developed in cynomolgus monkeys (Macaca fascicularis) infected by the subcutaneous route or by aerosol. Clinical responses, hematology and serum chemistry values, and pathological findings were similar to those found in humans ill with Rocky Mountain spotted fever. The clinical model was then used to test the efficacy of a killed Rocky Mountain spotted fever vaccine grown in chicken embryo cells. Monkeys were immunized with varying dilutions of the vaccine with a two-dose schedule and then challenged at 2 months with virulent Rickettsia rickettsii by the subcutaneous route or by aerosol. The undiluted vaccine totally protected monkeys against both challenges, even at extremely high doses. PMID:120877

  7. Genotype Diversity and Distribution of Orientia tsutsugamushi Causing Scrub Typhus in Thailand

    DTIC Science & Technology

    2011-07-01

    typhus assay and vaccine development. Orientia tsutsugamushi, formerly known as Rickettsia tsutsug- amushi, is the causative agent of scrub typhus, a...Sunderland, MA. 13. Horinoucbi, H., et al. 1996. Genotypic identification of Rickettsia tsutsuga- mushi by restriction fragment length polymorphism... Rickettsia tsutsu· gamushi. Sequence and comparative analyses of the genes encoding TSA homologues from four antigenic variants. J. Bioi. Chern. 267:12728

  8. Q Fever, Scrub Typhus, and Rickettsial Diseases in Children, Kenya, 2011-2012.

    PubMed

    Maina, Alice N; Farris, Christina M; Odhiambo, Antony; Jiang, Ju; Laktabai, Jeremiah; Armstrong, Janice; Holland, Thomas; Richards, Allen L; O'Meara, Wendy P

    2016-05-01

    To increase knowledge of undifferentiated fevers in Kenya, we tested paired serum samples from febrile children in western Kenya for antibodies against pathogens increasingly recognized to cause febrile illness in Africa. Of patients assessed, 8.9%, 22.4%, 1.1%, and 3.6% had enhanced seroreactivity to Coxiella burnetii, spotted fever group rickettsiae, typhus group rickettsiae, and scrub typhus group orientiae, respectively.

  9. Atmospheric deposition maps for the Rocky Mountains

    USGS Publications Warehouse

    Nanus, L.; Campbell, D.H.; Ingersoll, G.P.; Clow, D.W.; Mast, M.A.

    2003-01-01

    Variability in atmospheric deposition across the Rocky Mountains is influenced by elevation, slope, aspect, and precipitation amount and by regional and local sources of air pollution. To improve estimates of deposition in mountainous regions, maps of average annual atmospheric deposition loadings of nitrate, sulfate, and acidity were developed for the Rocky Mountains by using spatial statistics. A parameter-elevation regressions on independent slopes model (PRISM) was incorporated to account for variations in precipitation amount over mountainous regions. Chemical data were obtained from the National Atmospheric Deposition Program/National Trends Network and from annual snowpack surveys conducted by the US Geological Survey and National Park Service, in cooperation with other Federal, State and local agencies. Surface concentration maps were created by ordinary kriging in a geographic information system, using a local trend and mathematical model to estimate the spatial variance. Atmospheric-deposition maps were constructed at 1-km resolution by multiplying surface concentrations from the kriged grid and estimates of precipitation amount from the PRISM model. Maps indicate an increasing spatial trend in concentration and deposition of the modeled constituents, particularly nitrate and sulfate, from north to south throughout the Rocky Mountains and identify hot-spots of atmospheric deposition that result from combined local and regional sources of air pollution. Highest nitrate (2.5-3.0kg/ha N) and sulfate (10.0-12.0kg/ha SO4) deposition is found in northern Colorado.

  10. Rocky Mountain spotted fever in Mexico: past, present, and future.

    PubMed

    Álvarez-Hernández, Gerardo; Roldán, Jesús Felipe González; Milan, Néstor Saúl Hernández; Lash, R Ryan; Behravesh, Casey Barton; Paddock, Christopher D

    2017-06-01

    Rocky Mountain spotted fever, a tick-borne zoonosis caused by Rickettsia rickettsii, is among the most lethal of all infectious diseases in the Americas. In Mexico, the disease was first described during the early 1940s by scientists who carefully documented specific environmental determinants responsible for devastating outbreaks in several communities in the states of Sinaloa, Sonora, Durango, and Coahuila. These investigators also described the pivotal roles of domesticated dogs and Rhipicephalus sanguineus sensu lato (brown dog ticks) as drivers of epidemic levels of Rocky Mountain spotted fever. After several decades of quiescence, the disease re-emerged in Sonora and Baja California during the early 21st century, driven by the same environmental circumstances that perpetuated outbreaks in Mexico during the 1940s. This Review explores the history of Rocky Mountain spotted fever in Mexico, current epidemiology, and the multiple clinical, economic, and social challenges that must be considered in the control and prevention of this life-threatening illness. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Raining a magma ocean: Thermodynamics of rocky planets after a giant impact

    NASA Astrophysics Data System (ADS)

    Stewart, S. T.; Lock, S. J.; Caracas, R.

    2017-12-01

    Rocky planets in exoplanetary systems have equilibrium temperatures up to a few 1000 K. The thermal evolution after a giant impact is sensitive to the equilibrium temperature. Post-impact rocky bodies are thermally stratified, with cooler, lower-entropy silicate overlain by vaporized, higher-entropy silicate. The radii of impact-vaporized rocky planets are much larger than the radii of equivalent condensed bodies. Furthermore, after some high-energy, high-angular momentum collisions, the post-impact body exceeds the corotation limit for a rocky planet and forms a synestia. Initially, volatiles and silicates are miscible at the high temperatures of the outer layer. If the equilibrium temperature with the star is lower than the silicate condensation temperature ( 2000 K), silicate droplets form at the photosphere and fall while volatile components remain in the vapor. Radiation and turbulent convection cool the vapor outer layer to the silicate vapor curve. A distinct magma ocean forms as the thermal profile crosses the silicate vapor curve and the critical curves for the volatiles. Near the temperatures and pressures of the critical curves, volatiles and silicates are partially soluble in each other. As the system continues cooling, the volatile vapor and silicate liquid separate toward the end member compositions, which are determined by the equilibrium temperature and the total vapor pressure of volatiles. If the equilibrium temperature with the star is near or above the condensation temperature for silicates, there would be limited condensation at the photosphere. Initially, the cooler lower mantle would slowly, diffusively equilibrate with the hotter upper mantle. In some cases, the thermal profile may cross the silicate vapor curve in the middle of the silicate layer, producing a silicate rain layer within the body. With continued evolution toward an adiabatic thermal profile, the body would separate into a silicate liquid layer underlying a silicate

  12. Scrub Typhus in Northeastern Thailand: Eschar Distribution, Abnormal Electrocardiographic Findings, and Predictors of Fatal Outcome.

    PubMed

    Thipmontree, Wilawan; Tantibhedhyangkul, Wiwit; Silpasakorn, Saowaluk; Wongsawat, Ekkarat; Waywa, Duangdao; Suputtamongkol, Yupin

    2016-10-05

    Scrub typhus is endemic in Thailand. Of the 495 patients with acute undifferentiated fever studied in Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand, from June 1, 2011, to December 31, 2012, 146 patients (29.5%) had confirmed scrub typhus. The majority of cases were male, farmers, with the mean (±standard deviation) age of 54.1 ± 15.2 years. A total of 59 patients (40.4%) had eschar lesion. The commonest sites for an eschar in male patients were the perineum, inguinal, and buttock area; whereas in females, it was the head and neck area. Abnormal electrocardiogram was found in 39 of 79 patients (49.4%) with sinus tachycardia being the most frequent finding (17, 21.5%). A total of 73 patients (50%) had at least one complication. Myocarditis was the cause of complete heart block in a scrub typhus patient, and he fully recovered after receiving intravenous chloramphenicol treatment. The case fatality rate was 6.2% (nine deaths).The independent predictors for fatal outcome were age over 65 years (odds ratio [OR] = 14.49, 95% confidence interval [CI] = 1.26-166.44, P = 0.03), acute kidney injury (OR = 12.75, 95% CI = 1.77-92.07, P = 0.01), and hyperbilirubinemia (OR = 24.82, 95% CI = 2.12-286.61, P = 0.01). Early diagnosis and prompt appropriate treatment can improve the patient's outcome. © The American Society of Tropical Medicine and Hygiene.

  13. Increased endothelial and macrophage markers are associated with disease severity and mortality in scrub typhus.

    PubMed

    Otterdal, Kari; Janardhanan, Jeshina; Astrup, Elisabeth; Ueland, Thor; Prakash, John A J; Lekva, Tove; Abraham, O C; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M

    2014-11-01

    Scrub typhus is endemic in the Asia-Pacific region. Mortality is high even with treatment, and further knowledge of the immune response during this infection is needed. This study was aimed at comparing plasma levels of monocyte/macrophage and endothelial related inflammatory markers in patients and controls in South India and to explore a possible correlation to disease severity and clinical outcome. Plasma levels of ALCAM, VCAM-1, sCD163, sCD14, YKL-40 and MIF were measured in scrub typhus patients (n = 129), healthy controls (n = 31) and in infectious disease controls (n = 31), both in the acute phase and after recovery, by enzyme immunoassays. Patients had markedly elevated levels of all mediators in the acute phase, differing from both healthy and infectious disease controls. During follow-up levels of ALCAM, VCAM-1, sCD14 and YKL-40 remained elevated compared to levels in healthy controls. High plasma ALCAM, VCAM-1, sCD163, sCD14, and MIF, and in particular YKL-40 were all associated with disease severity and ALCAM, sCD163, MIF and especially YKL-40, were associated with mortality. Our findings show that scrub typhus is characterized by elevated levels of monocyte/macrophage and endothelial related markers. These inflammatory markers, and in particular YKL-40, may contribute to disease severity and clinical outcome. Copyright © 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  14. VIEW OF BUILDING 122 WHICH HOUSES THE ONSITE MEDICAL FACILITIES ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF BUILDING 122 WHICH HOUSES THE ON-SITE MEDICAL FACILITIES OF THE ROCKY FLATS PLANT AND THE OCCUPATIONAL HEALTH AND INTERNAL DOSIMETRY ORGANIZATIONS. EMERGENCY MEDICAL SERVICES, DIAGNOSIS, DECONTAMINATION, FIRST AID, X-RAY, MINOR SURGICAL TREATMENT, AND AMBULATORY ACTIVITIES ARE CARRIED OUT IN THIS BUILDING. (1/98) - Rocky Flats Plant, Emergency Medical Services Facility, Southwest corner of Central & Third Avenues, Golden, Jefferson County, CO

  15. VIEW OF BUILDING 111 LOOKING EAST, NORTHEAST. BUILDING 111, BUILT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    VIEW OF BUILDING 111 LOOKING EAST, NORTHEAST. BUILDING 111, BUILT IN 1953, WAS ONE OF THE FIRST TEN PERMANENT STRUCTURES ON THE ROCKY FLATS PLANT. THE BUILDING SERVED AS AN ENTRY POINT FOR SITE EMPLOYEES AND HOUSED A PRINT SHOP AND PHOTOGRAPHY LAB. (12/26/52) - Rocky Flats Plant, Offices, Print Shop & Photography Lab, Northwest quad of plant near terminus of Central Avenue, Golden, Jefferson County, CO

  16. [Complications and cause of death in mexican children with rocky mountain spotted fever].

    PubMed

    Martínez-Medina, Miguel Ángel; Rascón-Alcantar, Adela

    Rocky Mountain spotted fever is a life threatening disease caused by Rickettsia rickettsia, characterized by multisystem involvement. We studied 19 dead children with Rocky Mountain spotted fever. All children who were suspected of having rickettsial infections were defined as having Rocky Mountain spotted fever by serology test and clinical features. Through the analysis of each case, we identified the clinical profile and complications associated to the death of a patient. In nine (69.2%) of 13 cases that died in the first three days of admission, the associated condition was septic shock. Others complications included respiratory distress causes by non-cardiogenic pulmonary edema, renal impairment, and multiple organ damage. The main cause of death in this study was septic shock. The fatality rate from Rocky Mountain spotted fever can be related to the severity of the infection, delay in diagnosis, and delay in initiation of antibiotic therapy. Pulmonary edema and cerebral edema can be usually precipitated by administration of excess intravenous fluids.

  17. Differences in the clinical presentation and the frequency of complications between elderly and non-elderly scrub typhus patients.

    PubMed

    Jang, Mi-Ok; Kim, Ji Eun; Kim, Uh Jin; Ahn, Joon Hwan; Kang, Seung-Ji; Jang, Hee-Chang; Jung, Sook-In; Park, Kyung-Hwa

    2014-01-01

    Age can affect the clinical features and severity of infectious disorders, such as scrub typhus. We performed this study to examine differences between elderly and non-elderly scrub typhus patients, and to identify risk factors predictive of disease outcomes. This retrospective study included patients admitted to a tertiary hospital with scrub typhus between 2001 and 2011. A total of 615 patients were enrolled in this study, 328 of which were >65 years of age. Of the elderly patients, 46.0% (151/328) experienced at least one complication compared to only 23.0% (66/287) in younger patients. A linear trend was observed between age and complication rates (p=0.002). The most common complication in elderly patients was acute kidney injury (75, 22.9%). Treatment failure was reported in 10 elderly patients (3.0%) compared to one non-elderly patient (0.3%). Mental confusion and dyspnea of clinical manifestations at admission were common in elderly patients. Frequency of fever, rash, and eschar were similar in both groups. The following four factors were significantly associated with severe scrub typhus in elderly patients: (1) white blood cell (WBC) counts>10,000/mm(3) (OR=2.569, CI=1.298-5.086), (2) MDRD GFR<60mL/min (OR=3.525, CI=1.864-6.667), (3) albumin≤3.0g/dL (OR=4.976, CI=2.664-9.294), and (4) acute physiology and chronic health evaluation II (APACHE II) score>10 points (OR=3.304, CI=1.793-60.87). Complications and mortality were more common in elderly patients, often associated with delays in diagnosis and treatment. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  18. Flat-lying semiconductor-insulator interfacial layer in DNTT thin films.

    PubMed

    Jung, Min-Cherl; Leyden, Matthew R; Nikiforov, Gueorgui O; Lee, Michael V; Lee, Han-Koo; Shin, Tae Joo; Takimiya, Kazuo; Qi, Yabing

    2015-01-28

    The molecular order of organic semiconductors at the gate dielectric is the most critical factor determining carrier mobility in thin film transistors since the conducting channel forms at the dielectric interface. Despite its fundamental importance, this semiconductor-insulator interface is not well understood, primarily because it is buried within the device. We fabricated dinaphtho[2,3-b:2',3'-f]thieno[3,2-b]thiophene (DNTT) thin film transistors by thermal evaporation in vacuum onto substrates held at different temperatures and systematically correlated the extracted charge mobility to the crystal grain size and crystal orientation. As a result, we identify a molecular layer of flat-lying DNTT molecules at the semiconductor-insulator interface. It is likely that such a layer might form in other material systems as well, and could be one of the factors reducing charge transport. Controlling this interfacial flat-lying layer may raise the ultimate possible device performance for thin film devices.

  19. Laboratory Testing of a Fluidized-Bed Dry-Scrubbing Process for the Removal of Acidic Gases from a Simulated Incinerator Flue Gas

    DTIC Science & Technology

    1989-04-01

    100 MW). Cost data for two conventional wet processes (limestone and wet lime) are shown in Table 5.1. Table 5.1. Costs for flue gas desulfurization ...Results of short-term dry-scrubbing tests ............... 8 5.1 Costs for flue gas desulfurization systems .............. 15 A.1 Detailed description of...this report is part of an effort by USATHAMA to develop and test a flue gas dry-scrubbing system that can be used as a replacement for wet scrubbers for

  20. Effects of Forest Management Practices on Terrestrial Coleopteran Assemblages in Sand Pine Scrub

    Treesearch

    Cathryn H. Greenberg; Michael C. Thomas

    1995-01-01

    Coleopteran assemblages were sampled monthly for one year using pitfall traps in replicated sites of three 5- to 7-year-old disturbance treatments and mature forested sand pine scrub in the Ocala National Forest, Marion County, Florida. Disturbance treatments were (1) burning at high-intensity and salvage-logging; (2) clearcutting, roller-chopping and broadcast...

  1. Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus

    PubMed Central

    2015-01-01

    When a patient presents with acute voiding dysfunction without a typical skin rash, it may be difficult to make a diagnosis of herpes zoster. Here, we present a case of scrub typhus in a 25-year-old man with the complication of urinary dysfunction. The patient complained of loss of urinary voiding sensation and constipation. After eight days, he had typical herpes zoster eruptions on the sacral dermatomes and hypalgesia of the S1-S5 dermatomes. No cases of dual infection with varicella zoster virus and Orientia tsutsugamushi were found in the literature. In the described case, scrub typhus probably induced sufficient stress to reactivate the varicella zoster virus. Early recognition of this problem is imperative for prompt and appropriate management, as misdiagnosis can lead to long-term urinary dysfunction. It is important that a diagnosis of herpes zoster be considered, especially in patients with sudden onset urinary retention. PMID:26157595

  2. Computing Risk to West Coast Intertidal Rocky Habitat due to ...

    EPA Pesticide Factsheets

    Compared to marshes, little information is available on the potential for rocky intertidal habitats to migrate upward in response to sea level rise (SLR). To address this gap, we utilized topobathy LiDAR digital elevation models (DEMs) downloaded from NOAA’s Digital Coast GIS data repository to estimate percent change in the area of rocky intertidal habitat in 10 cm increments with eustatic sea level rise. The analysis was conducted at the scale of the four Marine Ecoregions of the World (MEOW) ecoregions located along the continental west coast of the United States (CONUS). Environmental Sensitivity Index (ESI) map data were used to identify rocky shoreline. Such stretches of shoreline were extracted for each of the four ecoregions and buffered by 100 m to include the intertidal and evaluate the potential area for upland habitat migration. All available LiDAR topobathy DEMs from Digital Coast were extracted using the resulting polygons and two rasters were synthesized from the results, a 10 cm increment zone raster and a non-planimetric surface area raster for zonal summation. Current rocky intertidal non-planimetric surface areas for each ecoregion were computed between Mean Higher High Water (MHHW) and Mean Lower Low Water (MLLW) levels established from published datum sheets for tidal stations central to each MEOW ecoregion. Percent change in non-planimetric surface area for the same relative ranges were calculated in 10 cm incremental steps of eustatic S

  3. 77 FR 74873 - Notice of Inventory Completion: University of Montana, Missoula, MT; Museum of the Rockies at...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ... Inventory Completion: University of Montana, Missoula, MT; Museum of the Rockies at Montana State University... Service, Interior. ACTION: Notice. SUMMARY: The University of Montana, the Museum of the Rockies at... contact the University of Montana, which is acting on its own behalf and for the Museum of the Rockies and...

  4. An exhumed Late Paleozoic canyon in the rocky mountains

    USGS Publications Warehouse

    Soreghan, G.S.; Sweet, D.E.; Marra, K.R.; Eble, C.F.; Soreghan, M.J.; Elmore, R.D.; Kaplan, S.A.; Blum, M.D.

    2007-01-01

    Landscapes are thought to be youthful, particularly those of active orogenic belts. Unaweep Canyon in the Colorado Rocky Mountains, a large gorge drained by two opposite-flowing creeks, is an exception. Its origin has long been enigmatic, but new data indicate that it is an exhumed late Paleozoic landform. Its survival within a region of profound late Paleozoic orogenesis demands a reassessment of tectonic models for the Ancestral Rocky Mountains, and its form and genesis have significant implications for understanding late Paleozoic equatorial climate. This discovery highlights the utility of paleogeomorphology as a tectonic and climatic indicator. ?? 2007 by The University of Chicago. All rights reserved.

  5. Prophylactic treatment of Rocky Mountain spotted fever.

    PubMed Central

    Kenyon, R H; Williams, R G; Oster, C N; Pedersen, C E

    1978-01-01

    Prophylactic treatment of Rocky Mountain spotted fever with a single dose of oxytetracycline was investigated in guinea pigs. Disease was prevented when treatment was administered shortly before expected onset. Relapses occurred when treatment preceded expected onset by 48 h or more. PMID:97307

  6. Outcome of Intravenous Azithromycin Therapy in Patients with Complicated Scrub Typhus Compared with That of Doxycycline Therapy Using Propensity-Matched Analysis

    PubMed Central

    Jang, Mi-Ok; Jang, Hee-Chang; Kim, Uh Jin; Ahn, Joon Hwan; Kang, Seung-Ji; Jung, Sook-In; Shin, Hee-Young

    2014-01-01

    There are no well-matched, controlled studies comparing azithromycin with doxycycline for the treatment of complicated scrub typhus. A retrospective propensity score-matched case-control study was performed for patients who presented with complicated scrub typhus and were treated with doxycycline or azithromycin between 2001 and 2011. Data on comorbidities, clinical manifestations, laboratory studies, treatments, and outcomes were extracted for analysis. The clinical characteristics and outcomes of the azithromycin-treated group (n = 73) were compared to those of the doxycycline-treated group (n = 108). Of 181 patients, 73 from each group were matched by propensity scores. There were no significant differences in baseline characteristics between the matched groups. The treatment success and survival rates were not significantly different (89% [65/73 patients] versus 96% [70/73 patients] and 96% [70/73 patients] versus 96% [70/73 patients], respectively [P > 0.05]). No difference was observed in the time to defervescence or length of hospital stay between the two groups (P > 0.05). In complicated scrub typhus patients (n = 181), multivariate analysis showed that only APACHE II score was an independent risk factor for mortality (95% confidence interval, 1.11 to 1.56; P < 0.001). Our data suggest that outcomes of azithromycin therapy are comparable to those of doxycycline therapy in patients with complicated scrub typhus. PMID:24366734

  7. Exo-Mercury Analogues and the Roche Limit for Close-Orbiting Rocky Planets

    NASA Astrophysics Data System (ADS)

    Rogers, Leslie A.; Price, Ellen

    2015-12-01

    The origin of Mercury's enhanced iron content is a matter of ongoing debate. The characterization of rocky exoplanets promises to provide new independent insights on this topic, by constraining the occurrence rate and physical and orbital properties of iron-enhanced planets orbiting distant stars. The ultra-short-period transiting planet candidate KOI-1843.03 (0.6 Earth-radius, 4.245 hour orbital period, 0.46 Solar-mass host star) represents the first exo-Mercury planet candidate ever identified. For KOI-1843.03 to have avoided tidal disruption on such a short orbit, Rappaport et al. (2013) estimate that it must have a mean density of at least 7g/cc and be at least as iron rich as Mercury. This density lower-limit, however, relies upon interpolating the Roche limits of single-component polytrope models, which do not accurately capture the density profiles of >1000 km differentiated rocky bodies. A more exact calculation of the Roche limit for the case of rocky planets of arbitrary composition and central concentration is needed. We present 3D interior structure simulations of ultra-short-period tidally distorted rocky exoplanets, calculated using a modified version of Hachisu’s self-consistent field method and realistic equations of state for silicates and iron. We derive the Roche limits of rocky planets as a function of mass and composition, and refine the composition constraints on KOI-1843.03. We conclude by discussing the implications of our simulations for the eventual characterization of short-period transiting planets discovered by K2, TESS, CHEOPS and PLATO.

  8. 27 CFR 9.43 - Rocky Knob.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Name. The name of the viticultural area described in this section is “Rocky Knob.” (b) Approved maps... Route No. 779 south and east to the Blue Ridge Parkway. (3) Then south on the parkway to its first... with State Route No. 710 and the Blue Ridge Parkway. (8) Then follow the Parkway southwest to the...

  9. 27 CFR 9.43 - Rocky Knob.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) Name. The name of the viticultural area described in this section is “Rocky Knob.” (b) Approved maps... Route No. 799 south and east to the Blue Ridge Parkway. (3) Then south on the parkway to its first... with State Route No. 710 and the Blue Ridge Parkway. (8) Then follow the Parkway southwest to the...

  10. Rocky Mountain Research Station: Strategic Framework

    Treesearch

    Lane Eskew

    2003-01-01

    A strategic plan is a tool for charting a path into the future. This Strategic Framework will help guide the USDA Forest Service Rocky Mountain Research Station over the next decade during inevitable socioeconomic and environmental change. It is the product of a dialog with our stakeholders and employees to examine the Station's capabilities, anticipate research...

  11. Rocky Mountain spotted fever in dogs, Brazil.

    PubMed

    Labruna, Marcelo B; Kamakura, Orson; Moraes-Filho, Jonas; Horta, Mauricio C; Pacheco, Richard C

    2009-03-01

    Clinical illness caused by Rickettsia rickettsii in dogs has been reported solely in the United States. We report 2 natural clinical cases of Rocky Mountain spotted fever in dogs in Brazil. Each case was confirmed by seroconversion and molecular analysis and resolved after doxycycline therapy.

  12. Transportation Fuels Markets, Midwest and Rocky Mountain

    EIA Publications

    2017-01-01

    A new study commissioned by the U.S. Energy Information Administration (EIA), finds that changes in North American energy markets over the past decade have strengthened the supply of transportation fuels including motor gasoline, distillates, and jet fuel in the Midwest and Rocky Mountain regions.

  13. 14. END VIEW OF THE PLUTONIUM STORAGE VAULT FROM THE ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. END VIEW OF THE PLUTONIUM STORAGE VAULT FROM THE REMOTE CONTROL STATION. THE STACKER-RETRIEVER, A REMOTELY-OPERATED, MECHANIZED TRANSPORT SYSTEM, RETRIEVES CONTAINERS OF PLUTONIUM FROM SAFE GEOMETRY PALLETS STORED ALONG THE LENGTH OF THE VAULT. THE STACKER-RETRIEVER RUNS ALONG THE AISLE BETWEEN THE PALLETS OF THE STORAGE CHAMBER. (3/2/86) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  14. U.S. Nuclear Weapons: Changes in Policy and Force Structure

    DTIC Science & Technology

    2008-01-23

    Pinellas Plant , in Clearwater, FL; and the Pantex Plant near Amarillo, TX. These facilities were also operated by industrial contractors. Finally, the...These included the Rocky Flats Plant , outside Denver, CO; the Kansas City Plant , near Kansas City, MO; the Mound Plant , near Dayton OH; the...In 1988, DOE closed the nuclear reactors at Hanford and Savannah River, in response to safety concerns. The Rocky Flats Plant , which produced the

  15. U.S. Nuclear Weapons: Changes in Policy and Force Structure

    DTIC Science & Technology

    2006-08-10

    the Mound Plant , near Dayton OH; the Pinellas Plant , in Clearwater, FL; and the Pantex Plant near Amarillo, TX. These facilities were also operated...major nuclear weapons production facilities. These included the Rocky Flats Plant , outside Denver, CO; the Kansas City Plant , near Kansas City, MO...response to safety concerns. The Rocky Flats Plant , which produced the nuclear triggers, or “pits,” for nuclear weapons closed in 1989, in response

  16. Statistics of rocky coast erosion and percolation theory

    NASA Astrophysics Data System (ADS)

    Baldassarri, A.; Sapoval, B.

    2012-04-01

    The dynamics of rocky coasts is an erratic phenomenon featuring numerous small erosion events, but sometimes large dramatic collapses. In this sense, its study should not limit or rely on average erosion rates. Recent studies, based on historical as well as recent data, have indicated that the frequency of magnitude of erosion events display long tail distribution, similar to what observed in landslide. In other words the time evolution of a coast morphology does not enter the classical category of Gaussian process, but rather that of critical systems in physics. We recently proposed a minimal dynamical model of rocky coast erosion which is able to reproduce the diversity of rocky coast morphologies and their dynamics. This model is based on a single, simple ingredient, the retroaction of the coast morphology on the erosive power of the sea. It follows from the idea that erosion can spontaneously create irregular seashores, but, in turn, the geometrical irregularity of the coast participates to the damping of sea-waves, decreasing the average wave amplitude and erosive power. The resulting mutual self-stabilization dynamics of the sea erosion power and coastal irregular morphology leads spontaneously the system to a critical dynamics. Our results indicate then that rocky coast erosion and the statistical theory of percolation are closely related. In this framework, the sometimes fractal geometry of coastlines can be recovered and understood in terms of fractal dimension of the external perimeter of a percolation cluster. From a more practical point of view, the analogy with percolation interfaces means that the coast constitutes a strong, but possibly fragile, barrier to sea erosion, emerging from a self-organised selection process. Accordingly, the effect of a slow weathering degradation of the rocks mechanical properties, as well as other perturbations from natural or human cause, can trigger random and large erosion events difficult to predict and control. To

  17. Serosurveillance of Scrub Typhus in Small Mammals Collected from Military Training Sites near the DMZ, Northern Gyeonggi-do, Korea, and Analysis of the Relative Abundance of Chiggers from Mammals Examined

    DTIC Science & Technology

    2010-09-01

    Korean J Paras/to/. Vol. 48, No. 3: 237-243, September 2010 DOl: JO.J3471kjp.2010.48.J.237 Serosurveillance of Scrub Typhus in Small Mammals...65th Medical BrigadeAJSAMEDDAC-Korea, Unit# 15281, APO AP 96205-5281, USA Abstract: Comprehensive quarterly serosurveillance on scrub typhus in small...rarely observed (prevalence < 1 0%). In contrast to previous surveys, higher chigger indices of the primary scrub typhus vectors, L. pallidum (165.4

  18. Effects of climate change on recreation in the Northern Rockies Region [Chapter 10

    Treesearch

    Michael S. Hand; Megan Lawson

    2018-01-01

    Outdoor recreation is an important benefit provided by Federally managed and other public lands throughout the Rocky Mountains. National forests in the Forest Service, U.S. Department of Agriculture (USFS) Northern Region and Greater Yellowstone Area (a region hereafter called the Northern Rockies region) have an estimated 13.3 million visits per year; Yellowstone,...

  19. THE ECOLOGY OF TICKS TRANSMITTING ROCKY MOUNTAIN SPOTTED FEVER IN THE EASTERN UNITED STATES.

    DTIC Science & Technology

    occurrence of Rocky Mountain spotted fever in Virginia, based upon medical analysis case records reported to the Virginia State Health Department and the...some reports of laboratory investigations done in support of the field investigations. Infection with Rocky Mountain spotted fever was found in 6

  20. View east over the Rocky Mountains and Great Plains

    NASA Image and Video Library

    1974-02-01

    SL4-138-3875 (February 1974) --- A color oblique photograph looking east over the Rocky Mountains and Great Plains. This view covers a portion of the States of Colorado, Wyoming, and Nebraska. A Skylab 4 crewmen took this picture with a hand-held 70mm Hasselblad camera. This entire region, covered with a blanket of snow, depicts much of the structural and topographic features of the Rocky Mountain chain. Man's only apparent change to the snow pattern seen here is the (right center) metropolitan areas of Denver and Colorado Springs, Colorado, which can be observed along the eastern edge of the mountain front. Grand Junction, Colorado on the western slope of the Rocky Mountains is just off the photograph at left center bottom. The major inter-montane valleys of South Park (right center), Middle Park (center), and North Park (left center) are clearly visible and separate the Colorado Rockies Front Range from the high rugged mountains can be discovered such as Pikes Peak near right border (center), Mt. Cunnison region, circular feature accentuated by the Cunnison River (dark) in the right center (bottom) of the photograph. The snow covered peaks of Mts. Harvard, Princeton and Yale form the high region of the Collegiate Range which is the pronounced mountain area in the right center. Snow cover not only enhances mountain features but also the drainage patterns. East of Denver (right corner) the sinuous trace of the South Platte River (center) and its junction with the North Platte River near North Platte, Nebraska. Lake McConaughy in Nebraska is the body of water (black) near the river intersection. The trace of the Republic River in southern Nebraska is visible near the right corner of the photography. Geologic and hydro logic studies using this photograph will be conducted by Dr. Roger Morrison, U.S. Geological Survey. Photo credit: NASA

  1. Jet Surface Interaction-Scrubbing Noise

    NASA Technical Reports Server (NTRS)

    Khavaran, Abbas

    2013-01-01

    Generation of sound due to scrubbing of a jet flow past a nearby solid surface is investigated within the framework of the generalized acoustic analogy theory. The analysis applies to the boundary layer noise generated at and near a wall, and excludes the scattered noise component that is produced at the leading or the trailing edge. While compressibility effects are relatively unimportant at very low Mach numbers, frictional heat generation and thermal gradient normal to the surface could play important roles in generation and propagation of sound in high speed jets of practical interest. A general expression is given for the spectral density of the far-field sound as governed by the variable density Pridmore- Brown equation. The propagation Green's function should be solved numerically starting with the boundary conditions on the surface and subject to specified mean velocity and temperature profiles between the surface and the observer. The equivalent sources of aerodynamic sound are associated with non-linear momentum flux and enthalpy flux terms that appear in the linearized Navier-Stokes equations. These multi-pole sources should be modeled and evaluated with input from a Reynolds-Averaged Navier-Stokes (RANS) solver with an appropriate turbulence model.

  2. Rocky Mountain Spotted Fever in Dogs, Brazil

    PubMed Central

    Kamakura, Orson; Moraes-Filho, Jonas; Horta, Mauricio C.; Pacheco, Richard C.

    2009-01-01

    Clinical illness caused by Rickettsia rickettsii in dogs has been reported solely in the United States. We report 2 natural clinical cases of Rocky Mountain spotted fever in dogs in Brazil. Each case was confirmed by seroconversion and molecular analysis and resolved after doxycycline therapy. PMID:19239764

  3. Plant Functional Traits Are More Consistent Than Plant Species on Periglacial Patterned Ground in the Rocky Mountains of Montana

    NASA Astrophysics Data System (ADS)

    Apple, M. E.; Ricketts, M. K.; Gallagher, J. H. R.

    2017-12-01

    Periglacial patterned ground exists as stripes and hexagons near glaciers and snowfields, some of which are former glaciers. The patterns are accentuated by profound differences in plant cover between the sloping surfaces, generally perceived as green, and the flat treads, generally perceived as brown but which are not devoid of plant life. On four sites in the Rocky Mountains of Montana we detected strong similarities in plant functional traits on the sloping surfaces of striped and hexagonal periglacial patterned ground. On Mt. Keokirk in the Pioneer Mountains, Kinnickinnick, Arctostaphylos uva-ursi, dominates narrow green stripes. On Goat Flat in the Pintler Mountains, Mountain Avens, Dryas octopetala, dominates the side walls of hexagonally patterned ground and narrow green stripes. At Glacier National Park, D. octopetala and the Arctic Willow, Salix arctica, co-dominate the green risers of widely-spaced striped periglacial patterned system at Siyeh Pass, while D. octopetala, S. arctica, and the Mountain Heather, Phyllodoce glanduliflora, co-dominate the green risers of the widely-spaced stripes of Piegan Pass. All four of these dictotyledonous angiosperm species are adventitiously-rooted dwarf shrubs with simple leaves. Of these, P. glanduliflora, A. uva-ursi and D. octopetala are evergreen. D. octopetala is symbiotic with N-fixing Frankia sp. All are mycorrhizal, although D. octopetala and S. arctica are ectomycorrhizal and P. glanduliflora and A. uva-ursi have ericaceous mycorrhizae. In contrast, dwarf shrubs are scarce on flat treads and within hexagons, which are chiefly inhabited by herbaceous, taprooted or rhizomatous, VAM angiosperms. As the green stripes and hexagon walls have greater plant cover, they likely have greater organic material due to leaf buildup and root turnover, anchor themselves and the soil with adventitious roots, their clonality suggests long lives, and N-fixing influences N dynamics of the periglacial patterned ground.

  4. Rocky River Watershed Based Curriculum Guide Project

    NASA Astrophysics Data System (ADS)

    Cox, Phillip Howard

    Environmental education has the ability to increase cognitive ability, have a positive impact on group work skills, attitudes and self-efficacy, and increase student performance. Due to Federal "No Child Left Behind Act" legislation, increased standardized testing has resulted in the disenfranchisement of students from formal learning. The purpose of this project was to develop a curriculum guide based on the Rocky River watershed so teachers could use the Rocky River watershed as a means to satisfy the objectives of the NC Standard Course of Study and at the same time increase student environmental awareness, classroom engagement, sense of place and scores on the NC Earth/Environmental Final Exams. The project was developed to correlate with the newly revised North Carolina Standard Course of Study for Earth/Environmental Science. The curriculum guide was developed by utilizing the best practices suggested by scientific literature, the NC Standard Course of Study for Earth/Environmental Science, the North American Association for Environmental Education and the National Education Association.

  5. Options for the management of white pine blister rust in the Rocky Mountain Region

    Treesearch

    Kelly S. Burns; Anna W. Schoettle; William R. Jacobi; Mary F. Mahalovich

    2008-01-01

    This publication synthesizes current information on the biology, distribution, and management of white pine blister rust (WPBR) in the Rocky Mountain Region. In this Region, WPBR occurs within the range of Rocky Mountain bristlecone pine (Pinus aristata), limber pine (P. flexilis), and whitebark pine (P. albicaulis...

  6. The Effects of Elevated CO2 on a Subtropical Scrub Oak-Palmetto Plant Community

    NASA Technical Reports Server (NTRS)

    Vieglais, David; Hinkle, C. Ross; Drake, Bert

    1995-01-01

    A 2.5 year (1992-1995) pilot study was conducted on the effects of twice ambient CO2 on native scrub oak-palmetto vegetation at Kennedy Space Center (KSC). The effects suggest that rising atmospheric CO2 will increase terrestrial carbon and alter the distribution of carbon among the different pools of carbon.

  7. Rocky Mountain snowpack physical and chemical data for selected sites, 2009

    USGS Publications Warehouse

    Ingersoll, George P.; Mast, M. Alisa; Swank, James M.; Campbell, Chelsea D.

    2010-01-01

    The Rocky Mountain Snowpack program established a network of snowpack-sampling sites in the Rocky Mountain region from New Mexico to Montana to monitor the chemical content of snow and to understand the effects of regional atmospheric deposition. The U.S. Geological Survey, in cooperation with the National Park Service; the U.S. Department of Agriculture Forest Service; the Colorado Department of Public Health and Environment; Teton County, Wyoming; and others, collected and analyzed snowpack samples annually for 48 or more sites in the Rocky Mountain region during 1993-2009. Sixty-three snowpack-sampling sites were sampled once each in 2009 and data are presented in this report. Data include acid-neutralization capacity, specific conductance, pH, hydrogen ion concentrations, dissolved concentrations of major constituents (calcium, magnesium, sodium, potassium, ammonium, chloride, sulfate, and nitrate), dissolved organic carbon concentrations, snow-water equivalent, snow depth, total mercury concentrations, and ionic charge balance. Quality-assurance data for field and laboratory blanks and field replicates for 2009 also are included.

  8. Dynamic Deformation of Theatrical Flats

    NASA Astrophysics Data System (ADS)

    Walton, Jamiahus; Martell, Eric; Martell, Verda

    2013-03-01

    In theatre, flats are used as walls and background scenery. During construction, flats are often built on the ground and then ``walked up,'' where a group of stagehands manually lift one end while another anchors the other end in place. When flats are very large, they can deform during this process. Stiffeners are used to decrease the amount of deformation in the flat. The purpose of this research is to determine the strain along the flat during the process of raising it up with and without stiffeners. We will also explore the effect of the person anchoring the pivot edge of the flat and discuss the safety concerns this presents. This research is part of the Physics of Theatre Project, an interdisciplinary collaboration designed to improve safety, reduce costs, and increase knowledge of physics principles within the technical theatre community.

  9. Comparative Evaluation of Serological and Molecular Methods for the Diagnosis of Scrub Typhus in Indian Settings.

    PubMed

    Gupta, Nitin; Chaudhry, Rama; Kabra, Sushil K; Lodha, Rakesh; Mirdha, Bijay Ranjan; Das, Bimal Kumar; Dey, Aparajit Ballay; Sreenivas, Vishnubhatla

    2017-03-24

    The major brunt of scrub typhus is borne by developing countries like India but the disease remains neglected. The rapid progression of this infection to serious complications and associated mortality calls for improved diagnostics. The immunoglobulin (Ig)M immunofluorescence assay (IFA), with all of its limitations remains the gold standard. Of 218 suspected cases from patients enrolled in a 2-year study, 30 cases of scrub typhus were detected by IgM IFA, using a 1:64 dilution. The sensitivities of the IgM enzyme-linked immunosorbent assay, IgM rapid flow assay (RFA), and IgG RFA were found to be 97%, 87%, and 77%, respectively. Their respective specificities were 100%, 100%, and 92%, respectively. The sensitivity and specificity of a nested PCR assay targeting a gene encoding a 56-kDa protein were found to be 50% and 100%, respectively.

  10. Flat conductor cable commercialization project

    NASA Technical Reports Server (NTRS)

    Hogarth, P.; Wadsworth, E.

    1977-01-01

    An undercarpet flat conductor cable and a baseboard flat conductor cable system were studied for commercialization. The undercarpet system is designed for use in office and commercial buildings. It employs a flat power cable, protected by a grounded metal shield, that terminates in receptacles mounted on the floor. It is designed to interface with a flat conductor cable telephone system. The baseboard system consists of a flat power cable mounted in a plastic raceway; both the raceway and the receptacles are mounted on the surface of the baseboard. It is designed primarily for use in residential buildings, particularly for renovation and concrete and masonry construction.

  11. Sedimentology of rocky shorelines: 1. A review of the problem, with analytical methods, and insights gained from the Hulopoe Gravel and the modern rocky shoreline of Lanai, Hawaii

    NASA Astrophysics Data System (ADS)

    Felton, E. Anne

    2002-10-01

    Hypotheses advanced concerning the origin of the Pleistocene Hulopoe Gravel on Lanai include mega-tsunami, abandoned beach, 'multiple event,' rocky shoreline, and for parts of the deposit, Native Hawaiian constructions and degraded lava flow fronts. Uplift of Lanai shorelines has been suggested for deposits occurring up to at least 190 m. These conflicting hypotheses highlight problems with the interpretation of coarse gravel deposits containing marine biotic remains. The geological records of the processes implied by these hypotheses should look very different. Discrimination among these or any other hypotheses for the origins of the Hulopoe Gravel will require careful study of vertical and lateral variations in litho- and biofacies, facies architecture, contact relationships and stratal geometries of this deposit. Observations of modern rocky shorelines, particularly on Lanai adjacent to Hulopoe Gravel outcrops, have shown that distinctive coarse gravel facies are present, several of which occur in specific geomorphic settings. Tectonic, isostatic and eustatic changes which cause rapid shoreline translations on steep slopes favour preservation of former rocky shorelines and associated sedimentary deposits both above and below sea level. The sedimentary record of those shorelines is likely to be complex. The modern rocky shoreline sedimentary environment is a hostile one, largely neglected by sedimentologists. A range of high-energy processes characterize these shorelines. Long-period swell, tsunami and storm waves can erode hard bedrock and generate coarse gravel. They also erode older deposits, depositing fresh ones containing mixtures of materials of different ages. Additional gravelly material may be contributed by rivers draining steep hinterlands. To fully evaluate rocky shoreline deposition in the broadest sense, for both the Hulopoe Gravel and other deposits, sedimentary facies models are needed for rocky shorelines occurring in a range of settings

  12. Apollo/Saturn 5 space vehicle countdown. Volume 2: Turnaround from scrub

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The procedures required to prepare a space vehicle for subsequent launch attempt after cancelling lift-off activities are presented. The cancellation must occur after the start of cryogenic loading, but prior to initiation of ignition sequences. The sequence of operations necessary to return the space vehicle to a predetermined configuration at which time the launch count can be resumed or rescheduled for following launch opportunities is developed. The considerations and constraints that are the basis for the scrub/turnaround times are described.

  13. A quantitative study on the mass elevation effect of the Rocky Mountains and its significance for treeline distribution

    NASA Astrophysics Data System (ADS)

    WANG, J.; Zhang, B.

    2016-12-01

    The Rocky Mountains are the highest and most extensive of all in the North America. To quantify mass elevation effect (MEE) of the Rocky Mountains, we applied meteorological station records, NCAR/NCEP free air temperature and DEM data to calculate temperature difference (ΔT) between the inner and outer Rocky Mountains, defined as the magnitude of MEE. Results show that the mean ΔT for all adopted stations was 1.8 °, with high ΔT occurring in the Southern Rocky Mountains in the Colorado State and in the basins of Southern Wyoming. The MEE of the Rocky Mountains can be modeled with three factors of mountain base elevation (MBE), latitude and hygric continentality as independent variables. The model has a high explanatory power of 68.9%, and the three factors contribute 45.65%, 36.05% and 18.03%, respectively. Especially, MBE contributed the most to MEE of both the whole and the Southern Rocky Mountains, i.e., 45.65%, and 55.21%, respectively. Moreover, we investigated the significance of MEE for treeline distribution. The treeline is always higher in the inner than in the outer mountains, with a difference of 600 m to 1300 m. This difference corresponds well to air temperature difference between the inner and outer mountain ranges. This study developed a quantitative model for the MEE of the Rocky Mountains and improves our understanding of the intra-mountain ecology and especially the high treelines in the Rocky Mountains.

  14. Body mass and antler development patterns of Rocky Mountain elk (Cervus elaphus nelsoni) in Michigan

    USGS Publications Warehouse

    Bender, L.C.; Carlson, E.; Schmitt, S.M.; Haufler, J.B.

    2003-01-01

    We documented mean and maximum body mass, mass accretion patterns and ander development patterns of Rocky Mountain elk in Michigan. Mean body mass of bulls averaged 9-11% heavier, and maximum body mass 23-27% heavier, in Michigan than in other Rocky Mountain elk populations. Mean live body mass of cows averaged 11% heavier in Michigan, but mean eviscerated body mass did not differ. Maximum body mass of cows was 10-24% heavier in Michigan. Body mass peaked at age 7.5 for bulls and 8.5 for cows, similar to other Rocky Mountain elk populations despite the greater body mass achieved in Michigan. Sexual dimorphism in bull and cow body mass increased until peak body mass was attained, whereupon bulls were ???38% heavier than cows. Antler development of bull elk peaked at age 10.5, comparable to other Rocky Mountain elk populations. Relations between antler development and body mass within age classes were highly variable, but generally weak. Greater body mass seen in Michigan, and the peaking of antler development well after body mass in bulls, suggested a phenotypic response to nutritional conditions that allow Rocky Mountain elk in Michigan to maximize the species growth potential.

  15. Sample Results From The Extraction, Scrub, And Strip Test For The Blended NGS Solvent

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

    Washington, A. L. II; Peters, T. B.

    This report summarizes the results of the extraction, scrub, and strip testing for the September 2013 sampling of the Next Generation Solvent (NGS) Blended solvent from the Modular Caustic Side-Solvent Extraction Unit (MCU) Solvent Hold Tank. MCU is in the process of transitioning from the BOBCalixC6 solvent to the NGS Blend solvent. As part of that transition, MCU has intentionally created a blended solvent to be processed using the Salt Batch program. This sample represents the first sample received from that blended solvent. There were two ESS tests performed where NGS blended solvent performance was assessed using either the Tankmore » 21 material utilized in the Salt Batch 7 analyses or a simulant waste material used in the V-5/V-10 contactor testing. This report tabulates the temperature corrected cesium distribution, or D Cs values, step recovery percentage, and actual temperatures recorded during the experiment. This report also identifies the sample receipt date, preparation method, and analysis performed in the accumulation of the listed values. The calculated extraction D Cs values using the Tank 21H material and simulant are 59.4 and 53.8, respectively. The DCs values for two scrub and three strip processes for the Tank 21 material are 4.58, 2.91, 0.00184, 0.0252, and 0.00575, respectively. The D-values for two scrub and three strip processes for the simulant are 3.47, 2.18, 0.00468, 0.00057, and 0.00572, respectively. These values are similar to previous measurements of Salt Batch 7 feed with lab-prepared blended solvent. These numbers are considered compatible to allow simulant testing to be completed in place of actual waste due to the limited availability of feed material.« less

  16. Cascading effects of fire exclusion in the Rocky Mountain ecosystems: a literature review

    Treesearch

    Robert E. Keane; Kevin C. Ryan; Tom T. Veblen; Craig D. Allen; Jessie Logan; Brad Hawkes

    2002-01-01

    The health of many Rocky Mountain ecosystems is in decline because of the policy of excluding fire in the management of these ecosystems. Fire exclusion has actually made it more difficult to fight fires, and this poses greater risks to the people who fight fires and for those who live in and around Rocky Mountain forests and rangelands. This paper discusses the extent...

  17. 75 FR 13138 - Grand Ditch Breach Restoration Environmental Impact Statement, Rocky Mountain National Park, CO

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... DEPARTMENT OF THE INTERIOR National Park Service Grand Ditch Breach Restoration Environmental... Restoration, Rocky Mountain National Park, Colorado. SUMMARY: Pursuant to the National Environmental Policy... Statement for the Grand Ditch Breach Restoration, Rocky Mountain National Park, Colorado. This effort will...

  18. 77 FR 14418 - Grand Ditch Breach Restoration Draft Environmental Impact Statement, Rocky Mountain National Park...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... Breach Restoration Draft Environmental Impact Statement, Rocky Mountain National Park, CO AGENCY... Environmental Impact Statement for the Grand Ditch Breach Restoration, Rocky Mountain National Park. SUMMARY... announces the availability of a Draft Environmental Impact Statement for the Grand Ditch Breach Restoration...

  19. Characterization of the rhesus macaque (Macaca mulatta) scrub typhus model: Susceptibility to intradermal challenge with the human pathogen Orientia tsutsugamushi Karp

    PubMed Central

    Sunyakumthorn, Piyanate; Somponpun, Suwit J.; Im-erbsin, Rawiwan; Anantatat, Tippawan; Jenjaroen, Kemajittra; Dunachie, Susanna J.; Lombardini, Eric D.; Burke, Robin L.; Blacksell, Stuart D.; Jones, James W.; Mason, Carl J.; Richards, Allen L.; Day, Nicholas P. J.

    2018-01-01

    Background Scrub typhus is an important endemic disease in tropical Asia caused by Orientia tsutsugamushi for which no effective broadly protective vaccine is available. The successful evaluation of vaccine candidates requires well-characterized animal models and a better understanding of the immune response against O. tsutsugamushi. While many animal species have been used to study host immunity and vaccine responses in scrub typhus, only limited data exists in non-human primate (NHP) models. Methodology/Principle findings In this study we evaluated a NHP scrub typhus disease model based on intradermal inoculation of O. tsutsugamushi Karp strain in rhesus macaques (n = 7). After an intradermal inoculation with 106 murine LD50 of O. tsutsugamushi at the anterior thigh (n = 4) or mock inoculum (n = 3), a series of time course investigations involving hematological, biochemical, molecular and immunological assays were performed, until day 28, when tissues were collected for pathology and immunohistochemistry. In all NHPs with O. tsutsugamushi inoculation, but not with mock inoculation, the development of a classic eschar with central necrosis, regional lymphadenopathy, and elevation of body temperature was observed on days 7–21 post inoculation (pi); bacteremia was detected by qPCR on days 6–18 pi; and alteration of liver enzyme function and increase of white blood cells on day 14 pi. Immune assays demonstrated raised serum levels of soluble cell adhesion molecules, anti-O. tsutsugamushi-specific antibody responses (IgM and IgG) and pathogen-specific cell-mediated immune responses in inoculated macaques. The qPCR assays detected O. tsutsugamushi in eschar, spleen, draining and non-draining lymph nodes, and immuno-double staining demonstrated intracellular O. tsutsugamushi in antigen presenting cells of eschars and lymph nodes. Conclusions/Significance These data show the potential of using rhesus macaques as a scrub typhus model, for evaluation of correlates of

  20. Effectiveness of Internal vs. External SEU Scrubbing Mitigation Strategies in a Xilinx FPGA: Design, Test, and Analysis

    NASA Technical Reports Server (NTRS)

    Berg, Melanie; Poivey C.; Petrick, D.; Espinosa, D.; Lesea, Austin; LaBel, K. A.; Friendlich, M; Kim, H; Phan, A.

    2008-01-01

    We compare two scrubbing mitigation schemes for Xilinx FPGA devices. The design of the scrubbers is briefly discussed along with an examination of mitigation limitations. Proton and Heavy Ion data are then presented and analyzed.

  1. Integrating Science & Management: Florida Scrub-Jay Conservation along the Central Florida's Atlantic Coast

    NASA Technical Reports Server (NTRS)

    Breininger, David R.

    2018-01-01

    Florida scrub-jays are a species listed under the Endangered Species Act. The NASA Ecology program has been a partner for conservation, recovery, and translocation across the species range. The objectives of this talk are to update members of the Archie Carr Working Group recovery, conservation, and translocation activities and describe how the Archie Carr National Wildlife Refuge and nearby conservation lands relate to species recovery actions.

  2. Stability of exotic annual grasses following restoration efforts in southern California coastal sage scrub

    Treesearch

    Robert D. Cox; Edith B. Allen

    2008-01-01

    Restoration of semi-arid shrub ecosystems often requires control of invasive grasses but the effects of these grass-control treatments on native and exotic forbs have not been investigated adequately to assess long-term stability. In southern California, coastal sage scrub (CSS) vegetation is one semi-arid shrub community that has been invaded extensively by both...

  3. Brushkiller to control scrub oak sprouts...combinations of broadcast and individual plant applications tested

    Treesearch

    T. R. Plumb

    1967-01-01

    ABSTRACT:Combinations of three annual broadcast and individual plant spray applications of brushkiller (a 50-50 mixture of 2,4-dichloro- and 2,4,5-trichlorophenoxyacetic acid) in water-oil emulsion were compared to find the most effective, economical sequence of treatments to kill sprouting scrub oak (Quercus dumosa Nutt.) plants. No one treatment combination had a...

  4. Rocky terrain & airbags

    NASA Technical Reports Server (NTRS)

    1997-01-01

    An area of very rocky terrain at the Ares Vallis landing site, along with the lander's deflated airbags, were imaged by the Imager for Mars Pathfinder (IMP) before its deployment on Sol 2. The metallic object at the bottom is a bracket for the IMP's release mechanism.

    Mars Pathfinder is the second in NASA's Discovery program of low-cost spacecraft with highly focused science goals. The Jet Propulsion Laboratory, Pasadena, CA, developed and manages the Mars Pathfinder mission for NASA's Office of Space Science, Washington, D.C. JPL is an operating division of the California Institute of Technology (Caltech). The Imager for Mars Pathfinder (IMP) was developed by the University of Arizona Lunar and Planetary Laboratory under contract to JPL. Peter Smith is the Principal Investigator.

  5. Limber pine health in the Canadian Rockies

    Treesearch

    Cyndi M. Smith; David Langor; Colin Myrholm; Jim Weber; Cameron Gillies; Jon Stuart-Smith

    2011-01-01

    Limber pine (Pinus flexilis) reaches the northern limit of its range at about 52 degrees latitude in Alberta (AB) and 51 degrees latitude in British Columbia (BC). Most populations are found on the eastern slopes of the Rocky Mountains, with a few disjunct populations west of the Continental Divide in southeastern BC.

  6. 40 CFR 230.42 - Mud flats.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Mud flats. 230.42 Section 230.42 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(b)(1... Aquatic Sites § 230.42 Mud flats. (a) Mud flats are broad flat areas along the sea coast and in coastal...

  7. 40 CFR 230.42 - Mud flats.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 26 2013-07-01 2013-07-01 false Mud flats. 230.42 Section 230.42 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(b)(1... Aquatic Sites § 230.42 Mud flats. (a) Mud flats are broad flat areas along the sea coast and in coastal...

  8. 40 CFR 230.42 - Mud flats.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Mud flats. 230.42 Section 230.42 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(b)(1... Aquatic Sites § 230.42 Mud flats. (a) Mud flats are broad flat areas along the sea coast and in coastal...

  9. 40 CFR 230.42 - Mud flats.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Mud flats. 230.42 Section 230.42 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(b)(1... Aquatic Sites § 230.42 Mud flats. (a) Mud flats are broad flat areas along the sea coast and in coastal...

  10. 40 CFR 230.42 - Mud flats.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Mud flats. 230.42 Section 230.42 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(b)(1... Aquatic Sites § 230.42 Mud flats. (a) Mud flats are broad flat areas along the sea coast and in coastal...

  11. 77 FR 59356 - Approval and Promulgation of Implementation Plans; North Carolina: Approval of Rocky Mount...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-27

    ... Promulgation of Implementation Plans; North Carolina: Approval of Rocky Mount Supplemental Motor Vehicle... is proposing to approve a revision to the North Carolina State Implementation Plan (SIP), submitted... supplements the original redesignation request and maintenance plan for Rocky Mount 1997 8-hour ozone area...

  12. Comparison of post-fire seedling establishment between scrub communities in mediterranean and non-mediterranean climate ecosystems

    USGS Publications Warehouse

    Carrington, M.E.; Keeley, J.E.

    1999-01-01

    I Both fire regimes and the conditions under which fires occur vary widely. Abiotic conditions (such as climate) in combination with fire season, frequency and intensity could influence vegetation responses to fire. A variety of adaptations facilitate post-fire recruitment in mediterranean climate ecosystems, but responses of other communities are less well known. We evaluated the importance of climate by comparing sites with mediterranean and subtropical climates. 2 We used paired burned and mature sites in chamise chaparral, mixed chaparral and coastal sage scrub (California), and rosemary scrub, sand pine scrub and sand-hill (Florida), to test whether (i) patterns of pre-fire and post-fire seedling recruitment are more similar between communities within a region than between regions, and (ii) post-fire stimulation of seedling establishment is greater in regions with marked fire-induced contrasts in abiotic site characteristics. 3 Post-fire seedling densities were more similar among sites within climatic regions than between regions. Both seedling densities and proportions of species represented by seedlings after fires were generally higher in California. 4 The only site characteristic showing a pre-fire-post-fire contrast was percentage open canopy, and the effect was greater in California than in Florida. Soil properties were unaffected by fire. 5 Mediterranean climate ecosystems in other regions have nutrient-poor soils similar to our subtropical Florida sites, but show post-fire seedling recruitment patterns more similar to the nutrient-rich sites in California. Climate therefore appears to play a more major role than soil characteristics.

  13. Evaluation of Rocky Point Viaduct concrete beam : appendices

    DOT National Transportation Integrated Search

    2000-06-01

    This study was intended to determine why it was necessary to replace the Rocky Point Viaduct after a period of service that was much shorter than that of many other reinforced concrete bridges on the Oregon coast; to identify construction practices t...

  14. Rocky Mountain Research Station: 2008 Strategic Framework Update

    Treesearch

    Lane Eskew

    2009-01-01

    The Rocky Mountain Research Station's 2008 Strategic Framework Update is an addendum to the 2003 RMRS Strategic Framework. It focuses on critical natural resources research topics over the next five to 10 years when we will see continued, if not accelerated, socioeconomic and...

  15. Wolf-livestock interactions in the northern Rocky Mountains

    USDA-ARS?s Scientific Manuscript database

    Since reintroduction in 1995, gray wolf populations in the northern Rocky Mountains have increased dramatically. Although rough tallies of livestock death/injury losses resulting from wolf predation are made each year, we know almost nothing about the indirect effects of wolf-livestock interactions...

  16. 3. AERIAL VIEW, LOOKING SOUTH, OF BUILDING 371 BASEMENT UNDER ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. AERIAL VIEW, LOOKING SOUTH, OF BUILDING 371 BASEMENT UNDER CONSTRUCTION. THE BASEMENT HOUSES HEATING, VENTILATION, AND AIR CONDITIONING EQUIPMENT AND MECHANICAL UTILITIES, THE UPPER PART OF THE PLUTONIUM STORAGE VAULT AND MAINTENANCE BAY, AND SMALL PLUTONIUM PROCESSING AREAS. THE BASEMENT LEVEL IS DIVIDED INTO NEARLY EQUAL NORTH AND SOUTH PARTS BY THE UPPER PORTION OF THE PLUTONIUM STORAGE VAULT. (10/7/74) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

  17. 2. VIEW LOOKING NORTHEAST AT BUILDING 444 UNDER CONSTRUCTION. BUILDING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. VIEW LOOKING NORTHEAST AT BUILDING 444 UNDER CONSTRUCTION. BUILDING 444 WAS THE PRIMARY NON-PLUTONIUM MANUFACTURING FACILITY AT THE ROCKY FLATS PLANT. MANUFACTURING PROCESSES COMPLETED IN THIS BUILDING WERE USED TO FABRICATE WEAPONS COMPONENTS AND ASSEMBLIES FOR A VARIETY OF MATERIALS, INCLUDING DEPLETED URANIUM, BERYLLIUM, STAINLESS STEEL, ALUMINUM, AND VANADIUM. (4/25/52) - Rocky Flats Plant, Non-Nuclear Production Facility, South of Cottonwood Avenue, west of Seventh Avenue & east of Building 460, Golden, Jefferson County, CO

  18. Rocky Mountain snowpack physical and chemical data for selected sites, 2010

    USGS Publications Warehouse

    Ingersoll, George P.; Mast, M. Alisa; Swank, James M.; Campbell, Chelsea D.

    2010-01-01

    The Rocky Mountain Snowpack program established a network of snowpack-sampling sites in the Rocky Mountain region, from New Mexico to Montana, to monitor the chemical content of snow and to understand the effects of regional atmospheric deposition on freshwater systems. Scientists with the U.S. Geological Survey, in cooperation with the National Park Service; the U.S. Department of Agriculture Forest Service; the Colorado Department of Public Health and Environment; Teton County, Wyoming; and others, annually collected and analyzed snow-pack samples at 48 or more sites in the Rocky Mountain region during 1993-2010. Sixty-three snowpack-sampling sites were each sampled once in 2010, and those data are presented in this report. Data include acid-neutralization capacity, specific conductance, pH, hydrogen ion concentrations, dissolved concentrations of major constituents (calcium, magnesium, sodium, potassium, ammonium, chloride, sulfate, and nitrate), dissolved organic carbon concentrations, snow-water equivalent, snow depth, total mercury concentrations, and ionic charge balance. Quality-assurance data for field and laboratory blanks and field replicates for 2010 also are included.

  19. Comparison of precipitation chemistry in the Central Rocky Mountains, Colorado, USA

    USGS Publications Warehouse

    Heuer, K.; Tonnessen, K.A.; Ingersoll, G.P.

    2000-01-01

    Volume-weighted mean concentrations of nitrate (NO3-), ammonium (NH4+), and sulfate (SO42-) in precipitation were compared at high-elevation sites in Colorado from 1992 to 1997 to evaluate emission source areas to the east and west of the Rocky Mountains. Precipitation chemistry was measured by two sampling methods, the National Atmospheric Deposition Program/National Trends Network (NADP/NTN) and snowpack surveys at maximum accumulation. Concentrations of NO3- and SO42- in winter precipitation were greater on the western slope of the Rockies, and concentrations of NO3- and NH4+ in summer precipitation were greater on the eastern slope. Summer concentrations in general were almost twice as high as winter concentrations. Seasonal weather patterns in combination with emission source areas help to explain these differences. This comparison shows that high-elevation ecosystems in Colorado are influenced by air pollution emission sources located on both sides of the Continental Divide. It also suggests that sources of nitrogen and sulfur located east of the Divide have a greater influence on precipitation chemistry in the Colorado Rockies. Copyright (C) 2000.

  20. Reading for Young People: The Rocky Mountains.

    ERIC Educational Resources Information Center

    Laughlin, Mildred, Ed.

    One of five annotated bibliographies that describe books about certain regions of the United States, this compilation focuses on books about the Rocky Mountain area. The stated purposes of these regional bibliographies are: (1) to introduce young people living in the subject region to books dealing with their cultural heritage, (2) to help young…

  1. Geology highlights for Ride the Rockies 2010

    USGS Publications Warehouse

    Slate, J.L.; Hess, Amber; Van Sistine, D.R.

    2010-01-01

    The author provides a brief description of the geology along the route for each day of the ride, from June 13 through June 19, 2010. Ride the Rockies begins in Grand Junction, with stops in Delta, Ouray, Durango, Pagosa Springs, Alamosa, and ends in Salida, Colorado. A small, generalized geologic map also is shown.

  2. Rocky Mountain Research Station: 2006 Research Accomplishments

    Treesearch

    Rick Fletcher

    2007-01-01

    The Rocky Mountain Research Station has a long and celebrated legacy of conducting relevant natural resources research throughout the Interior West and beyond. Land managers and planners regularly rely upon our science to help make wise resource decisions. Our niche among research organizations is distinct: mission-oriented, close to the customers, a reputation for...

  3. 78 FR 70033 - Encana Marketing (USA) Inc. v. Rockies Express Pipeline LLC; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... Marketing (USA) Inc. v. Rockies Express Pipeline LLC; Notice of Complaint Take notice that on November 15... Commission (Commission), 18 CFR 385.206, Encana Marketing (USA) Inc. (Encana Marketing or Complainant), filed... Rockies Express has unlawfully denied Encana Marketing's request to make changes to the primary delivery...

  4. 77 FR 28874 - ONEOK Rockies Midstream, L.L.C.; Notice of Redesignation of Proceeding

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP12-449-000] ONEOK Rockies Midstream, L.L.C.; Notice of Redesignation of Proceeding On April 11, 2012, ONEOK Rockies Midstream, L.L.C... Docket No. CP96-684- 001 \\1\\ to Bear Paw Energy, L.L.C. (BPE). Specifically, ORM states that its name was...

  5. 1. BUILDING 321. VIEW TO NORTHWEST. Rocky Mountain Arsenal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. BUILDING 321. VIEW TO NORTHWEST. - Rocky Mountain Arsenal, Boiler Plant-Central Gas Heat Plant, 1022 feet South of December Seventh Avenue; 525 feet West of D Street, Commerce City, Adams County, CO

  6. 2. BUILDING 321. VIEW TO NORTHEAST. Rocky Mountain Arsenal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    2. BUILDING 321. VIEW TO NORTHEAST. - Rocky Mountain Arsenal, Boiler Plant-Central Gas Heat Plant, 1022 feet South of December Seventh Avenue; 525 feet West of D Street, Commerce City, Adams County, CO

  7. 3. BUILDING 321. VIEW TO SOUTHEAST. Rocky Mountain Arsenal, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    3. BUILDING 321. VIEW TO SOUTHEAST. - Rocky Mountain Arsenal, Boiler Plant-Central Gas Heat Plant, 1022 feet South of December Seventh Avenue; 525 feet West of D Street, Commerce City, Adams County, CO

  8. Temporal changes in prevalence of scrub typhus rickettsia (Orientia tsutsugamushi) infecting the eggs of Leptotrombidium imphalum (Acari: Trombiculidae).

    PubMed

    Kollars, T M; Kengluecha, A; Khlaimanee, N; Tanskul, P

    2001-01-01

    Eggs from seven colony lines of the chigger mite Leptotrombidium imphalum (Vercammen-Grandjean & Langston) were examined for infection with Orientia tsutsugamushi (Hyashi), the etiologic agent of scrub typhus. The polymerase chain reaction (PCR) using primers OtP 56.809 and OtM 56.1221, which amplify a 291 bp region of the P56 gene of O. tsutsugamushi, was used to detect scrub typhus within single eggs. All seven chigger mite lines produced infected eggs with varying rates of infection (Li1 = 8.1%, n = 124; Li2 = 45.6%, n = 90; Li3 = 30.1%, n = 144; Li4 = 31.7%, n = 145; Li5 = 21.3%, n = 136; Li6 = 41.6% n = 77; Li7 = 22.5%, n = 110). The 3 wk with the highest infection rates for each line using Fourier analysis were as follows: Li1 = 2, 7, 14; Li2 = 4, 6, 12; Li3 = 3, 6, 12; Li4 = 4, 6, 12; Li5 = 5, 7, 14; Li7 = 4, 6, 12. Li6 only had nine measurements over time; therefore, Li6 was excluded from individual analysis. Infection rates of scrub typhus in eggs occurred in a 2-wk 2-d cycle, using Fourier analysis of combined data. Not only did infection rates vary among the progeny of females, but temporal variation also occurred.

  9. Location of Nearest Rocky Exoplanet Known

    NASA Image and Video Library

    2015-07-30

    This sky map shows the location of the star HD 219134 (circle), host to the nearest confirmed rocky planet found to date outside of our solar system. The star lies just off the "W" shape of the constellation Cassiopeia and can be seen with the naked eye in dark skies. It actually has multiple planets, none of which are habitable. http://photojournal.jpl.nasa.gov/catalog/PIA19832

  10. Variation of Vegetation Ecological Water Consumption and Its Response to Vegetation Coverage Changes in the Rocky Desertification Areas in South China

    PubMed Central

    Zhou, Jinxing; Guo, Hongyan; Cui, Ming; Liu, Yuguo; Ning, Like; Tang, Fukai

    2016-01-01

    Over the past several decades, rocky desertification has led to severe ecological problems in karst areas in South China. After a rocky desertification treatment project was completed, the vegetation coverage changed greatly and, consequently, increased the ecology water consumption (approximately equal to the actual evapotranspiration) of the regional vegetation. Thus, it intensified the regional water stresses. This study explored the changes in the actual evapotranspiration (ETa) response to the vegetation coverage changes in the rocky desertification areas in South China based on the precipitation (P), potential evapotranspiration (ETp) and NDVI (the normalized difference vegetation index) datasets. The revised Bagrov model was used to simulate the actual evapotranspiration changes with the supposed increasing NDVI. The results indicated that the average NDVI value was lower when the rocky desertification was more severe. The ETa, evapotranspiration efficiency (ETa/ETp) and potential humidity (P/ETp) generally increased with the increasing NDVI. The sensitivity of the ETa response to vegetation coverage changes varied due to different precipitation conditions and different rocky desertification severities. The ETa was more sensitive under drought conditions. When a drought occurred, the ETa exhibited an average increase of 40~60 mm with the NDVI increasing of 0.1 in the rocky desertification areas. Among the 5 different severity categories of rocky desertification, the ETa values’ responses to NDVI changes were less sensitive in the severe rocky desertification areas but more sensitive in the extremely and potential rocky desertification areas. For example, with the NDVI increasing of 0.025, 0.05, 0.075, and 0.1, the corresponding ETa changes increased by an average of 2.64 mm, 10.62 mm, 19.19 mm, and 27.58 mm, respectively, in severe rocky desertification areas but by 4.94 mm, 14.99 mm, 26.80, and 37.13 mm, respectively, in extremely severe rocky

  11. Variation of Vegetation Ecological Water Consumption and Its Response to Vegetation Coverage Changes in the Rocky Desertification Areas in South China.

    PubMed

    Wan, Long; Tong, Jing; Zhou, Jinxing; Guo, Hongyan; Cui, Ming; Liu, Yuguo; Ning, Like; Tang, Fukai

    2016-01-01

    Over the past several decades, rocky desertification has led to severe ecological problems in karst areas in South China. After a rocky desertification treatment project was completed, the vegetation coverage changed greatly and, consequently, increased the ecology water consumption (approximately equal to the actual evapotranspiration) of the regional vegetation. Thus, it intensified the regional water stresses. This study explored the changes in the actual evapotranspiration (ETa) response to the vegetation coverage changes in the rocky desertification areas in South China based on the precipitation (P), potential evapotranspiration (ETp) and NDVI (the normalized difference vegetation index) datasets. The revised Bagrov model was used to simulate the actual evapotranspiration changes with the supposed increasing NDVI. The results indicated that the average NDVI value was lower when the rocky desertification was more severe. The ETa, evapotranspiration efficiency (ETa/ETp) and potential humidity (P/ETp) generally increased with the increasing NDVI. The sensitivity of the ETa response to vegetation coverage changes varied due to different precipitation conditions and different rocky desertification severities. The ETa was more sensitive under drought conditions. When a drought occurred, the ETa exhibited an average increase of 40~60 mm with the NDVI increasing of 0.1 in the rocky desertification areas. Among the 5 different severity categories of rocky desertification, the ETa values' responses to NDVI changes were less sensitive in the severe rocky desertification areas but more sensitive in the extremely and potential rocky desertification areas. For example, with the NDVI increasing of 0.025, 0.05, 0.075, and 0.1, the corresponding ETa changes increased by an average of 2.64 mm, 10.62 mm, 19.19 mm, and 27.58 mm, respectively, in severe rocky desertification areas but by 4.94 mm, 14.99 mm, 26.80, and 37.13 mm, respectively, in extremely severe rocky

  12. Near-field flat focusing mirrors

    NASA Astrophysics Data System (ADS)

    Cheng, Yu-Chieh; Staliunas, Kestutis

    2018-03-01

    This article reviews recent progress towards the design of near-field flat focusing mirrors, focusing/imaging light patterns in reflection. An important feature of such flat focusing mirrors is their transverse invariance, as they do not possess any optical axis. We start with a review of the physical background to the different focusing mechanisms of near- and far-field focusing. These near-field focusing devices like flat lenses and the reviewed near-field focusing mirrors can implement planar focusing devices without any optical axis. In contrast, various types of far-field planar focusing devices, such as high-contrast gratings and metasurfaces, unavoidably break the transverse invariance due to their radially symmetrical structures. The particular realizations of near-field flat focusing mirrors including Bragg-like dielectric mirrors and dielectric subwavelength gratings are the main subjects of the review. The first flat focusing mirror was demonstrated with a chirped mirror and was shown to manage an angular dispersion for beam focusing, similar to the management of chromatic dispersion for pulse compression. Furthermore, the reviewed optimized chirped mirror demonstrated a long near-field focal length, hardly achieved by a flat lens or a planar hyperlens. Two more different configurations of dielectric subwavelength gratings that focus a light beam at normal or oblique incidence are also reviewed. We also summarize and compare focusing performance, limitations, and future perspectives between the reviewed flat focusing mirrors and other planar focusing devices including a flat lens with a negative-index material, a planar hyperlens, a high-contrast grating, and a metasurface.

  13. Effect of High-Intensity Wildfire and Silvicultural Treatments on Reptile Communities in Sand-Pine Scrub

    Treesearch

    Cathryn H. Greenberg; Daniel G. Neary; Larry D. Harris

    1994-01-01

    We tested whether the herpetofuunal response to clearcutting followed by site preparation was similar to high-intensity wildfire foIlowed by salvage logging in sand- pine scrub. Herpetofaunal communities were compared in three replicated 5- to 7-yearpost-disturbance treatments and mature sand-pine forest. The three disturbance treatments were (1) high-intensity...

  14. Vegetation Recovery and Stand Structure Following a Prescribed Stand-Replacement Burn in Sand Pine Scrub

    Treesearch

    Cathryn H. Greenberg

    2003-01-01

    Vegetation and stand structure of sand pine scrub in central Florida, USA, were measured before a prescribed stand-replacement burn and for > 8 y afterward. Herbaceous species richness peaked within 16 months postburn, then gradually declined, although significant differences were detected only between 16 months and > 8 y postburn. Twenty-two plant species...

  15. Seeking How Rocky Planets Form

    NASA Image and Video Library

    2018-01-25

    This is an artist's rendition of the InSight lander. InSight is short for Interior Exploration using Seismic Investigations, Geodesy and Heat Transport. InSight is a Mars mission, but it's more than a Mars mission. The lander seeks the fingerprints of the processes that formed the rocky planets of the solar system, more than 4 billion years ago. It measures the planet's "vital signs:" its "pulse" (seismology), "temperature" (heat flow) and "reflexes" (precision tracking). https://photojournal.jpl.nasa.gov/catalog/PIA22229

  16. 20. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    20. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. - Rocky Mountain Arsenal, Cluster Bomb Assembly-Filling-Storage Building, 3500 feet South of Ninth Avenue; 2870 feet East of D Street, Commerce City, Adams County, CO

  17. 19. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    19. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. - Rocky Mountain Arsenal, Cluster Bomb Assembly-Filling-Storage Building, 3500 feet South of Ninth Avenue; 2870 feet East of D Street, Commerce City, Adams County, CO

  18. 22. INTERIOR OF BUILDING 1606. VIEW TO NORTH. Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    22. INTERIOR OF BUILDING 1606. VIEW TO NORTH. - Rocky Mountain Arsenal, Cluster Bomb Assembly-Filling-Storage Building, 3500 feet South of Ninth Avenue; 2870 feet East of D Street, Commerce City, Adams County, CO

  19. 11. INTERIOR OF BUILDING 1606. VIEW TO WEST. Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. INTERIOR OF BUILDING 1606. VIEW TO WEST. - Rocky Mountain Arsenal, Cluster Bomb Assembly-Filling-Storage Building, 3500 feet South of Ninth Avenue; 2870 feet East of D Street, Commerce City, Adams County, CO

  20. 18. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. Rocky ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. INTERIOR OF BUILDING 1606. VIEW TO SOUTH. - Rocky Mountain Arsenal, Cluster Bomb Assembly-Filling-Storage Building, 3500 feet South of Ninth Avenue; 2870 feet East of D Street, Commerce City, Adams County, CO